Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental Framework
Internet gaming disorder (IGD) has been a controversial entity with various opinions about its clinical relevance as an independent mental disorder. This debate has also included discussions about the relationships between problematic gaming, various psychiatric disorders, and personality traits and...
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2019-05-01
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doaj-64175aee7af648b388b860a3aa6ef3252020-11-25T00:09:04ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-05-011010.3389/fpsyt.2019.00336429783Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental FrameworkXavier Benarous0Xavier Benarous1Pierre Morales2Hanna Mayer3Cosmin Iancu4Yves Edel5David Cohen6David Cohen7Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Paris, FranceINSERM Unit U1105 Research Group for Analysis of the Multimodal Cerebral Function, University of Picardy Jules Verne (UPJV), Amiens, FranceDepartment of Addiction, Hôpital Pitié-Salpêtrière, Paris, FranceDepartment of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Paris, FranceDepartment of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Paris, FranceDepartment of Addiction, Hôpital Pitié-Salpêtrière, Paris, FranceDepartment of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, Paris, FranceCNRS UMR 7222, Institute for Intelligent Systems and Robotics, Sorbonnes Université, Paris, FranceInternet gaming disorder (IGD) has been a controversial entity with various opinions about its clinical relevance as an independent mental disorder. This debate has also included discussions about the relationships between problematic gaming, various psychiatric disorders, and personality traits and dimensions. This paper outlines a developmental-theory based model of Internet gaming misuse inspired by the treatment of two adolescent inpatients. The two clinical vignettes illustrate distinct developmental pathways: an “internalized pathway” via the development of social anxiety, emotional and behavioral avoidance; and an “externalized pathway” with a low level of emotional regulation strategies and impulsivity. In both clinical cases, attachment issues played a key role to understand the specific associations of risk and maintaining factors for IGD, and gaming behaviors may be seen as specific forms of maladaptive self-regulatory strategies for these two youths. These clinical observations support the assumption that gaming use problematic in adolescents should be viewed with a developmental approach, including key aspects of emotional development that represent significant targets for therapeutic interventions.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00336/fullInternet gaming disordergaming misuseinternalizing disordersexternalizing disordersbehavioral addictionemotional dysregulation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Xavier Benarous Xavier Benarous Pierre Morales Hanna Mayer Cosmin Iancu Yves Edel David Cohen David Cohen |
spellingShingle |
Xavier Benarous Xavier Benarous Pierre Morales Hanna Mayer Cosmin Iancu Yves Edel David Cohen David Cohen Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental Framework Frontiers in Psychiatry Internet gaming disorder gaming misuse internalizing disorders externalizing disorders behavioral addiction emotional dysregulation |
author_facet |
Xavier Benarous Xavier Benarous Pierre Morales Hanna Mayer Cosmin Iancu Yves Edel David Cohen David Cohen |
author_sort |
Xavier Benarous |
title |
Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental Framework |
title_short |
Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental Framework |
title_full |
Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental Framework |
title_fullStr |
Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental Framework |
title_full_unstemmed |
Internet Gaming Disorder in Adolescents With Psychiatric Disorder: Two Case Reports Using a Developmental Framework |
title_sort |
internet gaming disorder in adolescents with psychiatric disorder: two case reports using a developmental framework |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychiatry |
issn |
1664-0640 |
publishDate |
2019-05-01 |
description |
Internet gaming disorder (IGD) has been a controversial entity with various opinions about its clinical relevance as an independent mental disorder. This debate has also included discussions about the relationships between problematic gaming, various psychiatric disorders, and personality traits and dimensions. This paper outlines a developmental-theory based model of Internet gaming misuse inspired by the treatment of two adolescent inpatients. The two clinical vignettes illustrate distinct developmental pathways: an “internalized pathway” via the development of social anxiety, emotional and behavioral avoidance; and an “externalized pathway” with a low level of emotional regulation strategies and impulsivity. In both clinical cases, attachment issues played a key role to understand the specific associations of risk and maintaining factors for IGD, and gaming behaviors may be seen as specific forms of maladaptive self-regulatory strategies for these two youths. These clinical observations support the assumption that gaming use problematic in adolescents should be viewed with a developmental approach, including key aspects of emotional development that represent significant targets for therapeutic interventions. |
topic |
Internet gaming disorder gaming misuse internalizing disorders externalizing disorders behavioral addiction emotional dysregulation |
url |
https://www.frontiersin.org/article/10.3389/fpsyt.2019.00336/full |
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