Authors: Niko Männikkö; Heidi Ruotsalainen; Jouko Miettunen; Halley M. Pontes; Maria Kääriäinen · Research
How Does Problematic Gaming Affect Health and Well-Being?
A systematic review examining the health impacts of problematic gaming behavior on psychological, social and physical well-being.
Source: Männikkö, N., Ruotsalainen, H., Miettunen, J., Pontes, H. M., & Kääriäinen, M. (2017). Problematic gaming behaviour and health-related outcomes: A systematic review and meta-analysis. Journal of Health Psychology, 25(7), 1026-1042. https://doi.org/10.1177/1359105317740414
What you need to know
- Problematic gaming behavior is associated with a range of negative psychological, social, and physical health outcomes
- Depression, anxiety, obsessive-compulsive disorder, and physical complaints were most strongly linked to problematic gaming
- The negative health effects of problematic gaming appear to be stronger in adults compared to adolescents
- More research is needed to understand the long-term health impacts and causal relationships of problematic gaming behavior
Video Games and Health: A Complex Relationship
Video games have become an incredibly popular form of entertainment, especially among young people. While gaming can be an enjoyable hobby for many, some individuals develop problematic patterns of gaming that negatively impact their health and well-being. This article summarizes the findings of a comprehensive research review examining how problematic gaming behavior relates to various health outcomes.
What is Problematic Gaming Behavior?
Before diving into the health effects, it’s important to understand what researchers mean by “problematic gaming behavior.” While there is still debate around the exact definition, problematic gaming generally refers to gaming habits that:
- Interfere with daily life responsibilities
- Are difficult to control or cut back on
- Continue despite negative consequences
- Lead to conflict in relationships
- Are used to escape from or cope with negative moods
Essentially, problematic gaming goes beyond simply playing games frequently. It’s a pattern where gaming takes priority over other important areas of life and the person struggles to moderate their gaming despite problems it’s causing.
Psychological Health Effects
The review found that problematic gaming was most consistently linked to negative psychological outcomes. Some of the key findings include:
Depression and Anxiety
Depression and anxiety were the most commonly reported mental health issues associated with problematic gaming. Numerous studies found that individuals who displayed signs of gaming addiction also tended to have higher levels of depression and anxiety symptoms.
Obsessive-Compulsive Symptoms
Several studies noted a connection between problematic gaming and obsessive-compulsive symptoms. This may relate to the compulsive nature of addictive gaming patterns.
Attention Problems
Issues with attention, concentration, and hyperactivity were also frequently associated with problematic gaming behavior. Some researchers have noted similarities between gaming addiction and ADHD symptoms.
Lower Life Satisfaction
Multiple studies found that problematic gamers reported lower overall life satisfaction and quality of life compared to their peers.
Low Self-Esteem
Low self-esteem was another common factor linked to problematic gaming in several studies. This may both contribute to and result from excessive gaming habits.
It’s important to note that these studies show correlations, not necessarily causal relationships. The psychological issues may contribute to problematic gaming, result from it, or both factors may influence each other. More research is needed to clarify the exact nature of these relationships.
Social and Relationship Effects
Problematic gaming behavior was also associated with various social and interpersonal difficulties:
Family Conflict
Several studies found links between problematic gaming and increased family conflict or decreased family harmony. This may relate to arguments over gaming time or neglect of family responsibilities.
Social Difficulties
Problematic gamers often reported more difficulty with real-world social interactions and relationships. This included increased shyness, social anxiety, and loneliness.
School/Work Problems
Some studies noted that problematic gaming was associated with decreased social integration at school and poorer academic performance.
Online vs. Offline Social Skills
Interestingly, while real-world social skills suffered, some problematic gamers reported increased social self-efficacy in online environments. This highlights how gaming can become an escape from real-world social challenges.
Physical Health Effects
While less extensively studied, the review also found some connections between problematic gaming and physical health issues:
Sleep Problems
Sleep disturbances were one of the most commonly reported physical effects. This likely relates to late-night gaming sessions disrupting sleep patterns.
Physical Complaints
Some studies found increased reporting of general physical symptoms and complaints among problematic gamers. This included issues like headaches and musculoskeletal pain.
Sedentary Lifestyle
A few studies noted decreased physical activity levels associated with problematic gaming, though more research is needed in this area.
Physiological Changes
Limited research has found some physiological changes associated with problematic gaming, such as alterations in stress hormone levels. However, more study is needed to understand these effects.
Age Differences in Health Effects
An interesting finding from the review was that the negative health effects of problematic gaming appeared to be stronger in adults compared to adolescents. The researchers found larger effect sizes for depression and anxiety symptoms among adult problematic gamers versus teenage problematic gamers.
This could suggest that problematic gaming has a more severe impact on mental health as individuals get older. However, it’s also possible that adults who continue problematic gaming into adulthood represent a subset with more severe addiction or pre-existing mental health vulnerabilities. More research is needed to untangle these age-related differences.
Limitations and Future Directions
While this review provides valuable insights into the health impacts of problematic gaming, there are some important limitations to keep in mind:
- Most studies were cross-sectional, making it difficult to determine cause-and-effect relationships
- There is a lack of standardization in how problematic gaming is defined and measured
- Many studies relied on self-reported data, which can be biased
- More research is needed on long-term health outcomes
Future studies should use more consistent measures of problematic gaming, include more long-term follow-up, and further investigate potential mechanisms linking gaming behavior to health outcomes. It’s also important to examine protective factors that may buffer against negative health effects for some gamers.
Conclusions
- Problematic gaming behavior is associated with a range of negative psychological, social, and physical health outcomes
- Depression, anxiety, OCD symptoms, and physical complaints show the strongest links to problematic gaming
- Social difficulties and family conflict are common issues for problematic gamers
- Sleep problems are a key physical health concern related to excessive gaming
- The negative health effects may be more pronounced for adult problem gamers compared to adolescents
- More research is needed to clarify causal relationships and long-term health impacts
While gaming can be an enjoyable hobby for many people, this research highlights the importance of maintaining a healthy balance. If you’re concerned that your gaming habits may be negatively impacting your health or daily life, consider speaking with a mental health professional for support and guidance.