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Association Between Problematic Online Gaming and Subsequent Psychotic Experiences in Adolescents: A Birth Cohort Study

Published online by Cambridge University Press:  01 August 2024

Zui Narita ,
Syudo Yamasaki ,
Satoshi Yamaguchi ,
Shuntaro Ando  and
Atsushi Nishida
Zui Narita*
Affiliation:
National Center of Neurology and Psychiatry, Kodaira, Japan
Syudo Yamasaki
Affiliation:
Tokyo Metropolitan Institute of Medical Science, Setagaya, Japan
Satoshi Yamaguchi
Affiliation:
Tokyo Metropolitan Institute of Medical Science, Setagaya, Japan
Shuntaro Ando
Affiliation:
University of Tokyo, Bunkyo, Japan
Atsushi Nishida
Affiliation:
Tokyo Metropolitan Institute of Medical Science, Setagaya, Japan
*
*Presenting author.
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Abstract

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Aims

There is still little information available on the negative impact of online activities on psychotic experiences. This limitation is further compounded for online gaming, where even a beneficial impact has been suggested via the evocation of positive emotions. We aimed to examine how problematic online gaming (POG) is associated with subsequent psychotic experiences in adolescents.

Methods

This birth cohort study employed randomly sampled adolescents born between September 2002 and August 2004. The eligibility criterion was those who did not have psychotic experiences at age 14. We analyzed the association between POG at age 14 and subsequent psychotic experiences at age 16. Adolescents were categorized into the no, low, and high POG groups based on the behaviors and emotions related to online gaming at age 14. Missing data were handled using random forest imputations.

Results

A total of 1722 adolescents without psychotic experiences at age 14 were analyzed. At age 16, 55 adolescents exhibited psychotic experiences, while 225 showed potential psychotic experiences. Compared with the no POG group, a higher risk of psychotic experiences was shown in both the low (RR 1.93, 95% CI 1.74–2.15) and high (RR 2.81, 95% CI 2.50–3.15) POG groups. Findings were consistent when analyzing potential psychotic experiences.

Conclusion

POG appears detrimental to the development of psychotic experiences in adolescents. Our findings provide public health implications in the context of policymaking.

Type
1 Research
Information
BJPsych Open , Volume 10 , Supplement S1: Abstracts from the RCPsych International Congress 2024, 17–20 June , June 2024 , pp. S66 - S67
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

Footnotes

Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.

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