Internet Gaming Disorder (IGD) in children: clinical treatment insights

Introduction: The objective of this case series study was to provide an in-depth account of the profile, associated risk factors and impacts on development of Internet Gaming Disorder (IGD) and Gaming Disorder (GD) in cases aged between 11-13 years old, representing the youngest cohort to date in the IGD and GD case study literature. A further aim was to evaluate a multi-modal parent/child treatment approach. Methods: Case files from six children at the Screens & Gaming Disorder Clinic (Sydney) were analysed for evidence of a range of factors including: amount of daily screen use, risk factors for developing IGD
and GD, impact on development, symptoms relevant to IGD and GD diagnostic criteria and treatment outcomes. This paper provides summary data from all cases and a detailed account of two cases. Results: Risk factors for developing IGD and GD were prominent, with both cases displaying evidence of at least four risk factors. The younger case (aged 11 years) displayed less impact on development than the 13-year-old case. The study found evidence that the multi-modal parent/child treatment approach used facilitated positive outcomes and reduced negative impacts on development and functioning. Conclusions: The multi-model parent/child treatment approach used may be an effective means to address risk factors and increase protective factors in the development of IGD/GD, forming a “circuit breaker” for developmental impacts and functioning and reducing symptoms of IGD in children. Future randomized controlled trials are needed in early intervention strategies for problematic
screen use and IGD and should focus on primary school aged children before the pivotal transition to high school where developmental impacts can compound in a more chronic or comorbid course.