uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Adolescent Gaming and Gambling in Relation to Negative Social Consequences and Health
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aims of the thesis were to study relationships between the effects of online gaming and gambling and negative social consequences and ill health among adolescents and to determine whether gaming and gambling activities occur together.

The papers in this thesis used epidemiological methods to obtain self-report information from Swedish adolescents aged 13–18 years. Time spent in online gaming was associated with negative social consequences, and this relationship was explained by online gaming motives. Gaming for fun and social motives was associated with a reduced risk of negative social consequences, whereas gaming to escape problems, gain status, or meet demands from others was associated with an increased risk.

Increased online gaming time on weekdays increased the probability of having depressive, musculoskeletal, or psychosomatic symptoms, and was related to online gaming motives. The probability of ill health was low in those who reported gaming for fun or social motives. Adolescents with symptoms of attention deficit hyperactivity disorder (ADHD) were more sensitive to gambling frequency and to developing a gambling problem. However, among those identified as susceptible, adolescents with ADHD were equally affected compared with other susceptible participants in terms of their gambling frequency.

Boys had a higher probability than girls of participating in online gambling in association with online gaming. Having at least one parent born outside Scandinavia was associated with a higher probability of online gambling, especially among girls. The effect of alcohol use as a factor contributing to online gambling was greater among boys than among girls.

The results of this thesis contribute new knowledge about sex differences in online gaming and gambling behaviours and add to the limited research on online gaming and online gambling behaviours among adolescent girls. Gaming motives may be helpful for identifying online gamers needing support to reduce their unhealthy gaming behaviour. Information about factors related to gaming and gambling problems may be of interest to clinicians in psychiatry, psychology and social work, as well as to policymakers, parents and teachers involved in adolescent health and development. Effect preventive strategies should consider the sex differences in gaming and gambling behaviour in adolescents.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2015. , 80 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1131
Keyword [en]
Adolescents, Depression, Gambling, Gaming, Health, Musculoskeletal symptoms, Negative social consequences, Psychosomatic Symptoms.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Family Medicine
Identifiers
URN: urn:nbn:se:uu:diva-261156ISBN: 978-91-554-9316-5 (print)OAI: oai:DiVA.org:uu-261156DiVA: diva2:849759
Public defence
2015-10-16, Samlingssalen Ingång 29, Västmanlands sjukhus, Västerås, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2015-09-25 Created: 2015-08-31 Last updated: 2015-10-01
List of papers
1. Influences of motives to play and time spent gaming on the negative consequences of adolescent online computer gaming
Open this publication in new window or tab >>Influences of motives to play and time spent gaming on the negative consequences of adolescent online computer gaming
2012 (English)In: Computers in human behavior, ISSN 0747-5632, E-ISSN 1873-7692, Vol. 28, no 4, 1379-1387 p.Article in journal (Refereed) Published
Abstract [en]

In this study we examined the relation between gaming-time, motives to play, and negative consequences due to playing MMORPGs. A total of 7757 Swedish adolescents (3872 boys and 3885 girls) between 13 and 18 years of age completed a questionnaire during class hours. Results indicated that time spent on gaming was associated with negative consequences. This relation was further explained by motives to play. Gaming for fun and social motives were associated with a reduced risk whereas gaming to escape, to gain status, or due to demands from others were associated with an increased risk of negative consequences. Motives to play should be considered as a prime indicator for negative consequences, even more than time spent gaming. Implications of these findings for future research are discussed.

Keyword
Adolescent, Behaviour problems, Computer games, Consequences, Motivation, Videogames
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-178561 (URN)10.1016/j.chb.2012.02.023 (DOI)000304518000033 ()
Available from: 2012-07-31 Created: 2012-07-31 Last updated: 2017-12-07Bibliographically approved
2. Effects of adolescent online gaming time and motives on depressive, musculoskeletal, and psychosomatic symptoms
Open this publication in new window or tab >>Effects of adolescent online gaming time and motives on depressive, musculoskeletal, and psychosomatic symptoms
2015 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 120, no 4, 263-275 p.Article in journal (Refereed) Published
Abstract [en]

Aim. To investigate whether adolescent online gaming time and the additive effect of gaming motives were associated with depressive, musculoskeletal, and psychosomatic symptoms. The hypothesis was that adolescents who engage in online gaming with escape motives and increased online gaming time have higher probability for depressive, musculoskeletal, and psychosomatic symptoms compared to adolescents with other online gaming motives and/or less online gaming time.

Method. An anonymous and voluntary questionnaire was completed during class hours by 7,757 Swedish adolescents aged 13-18 years. The questionnaire included demographic background, gaming habits, and depressive, musculoskeletal, and psychosomatic symptoms.Results. It was found that increased online gaming time during weekdays increased the probability of having depressive, musculoskeletal, and psychosomatic symptoms. However, these relations with time spent gaming were further explained by online gaming motives. Weekday online gaming for more than five hours a day, in combination with escape motives, was associated with an increased probability of depressive symptoms (odds ratio (OR) 4.614, 95% CI 3.230-6.590), musculoskeletal symptoms (OR 2.494, 95% CI 1.598-3.892), and psychosomatic symptoms (OR 4.437, 95% CI 2.966-6.637). The probability of ill health decreased when gaming was for fun or had social motives.

Conclusion. Excessive gaming time and escape motives were found to be associated with increased probability of ill health among adolescents. Gaming motives may identify gamers in need of support to reduce unhealthy gaming behaviour as well as identify individuals at risk for ill health.

Keyword
Adolescent; computer games; depression; health; musculoskeletal symptoms; psychosomatic symptoms
National Category
Medical and Health Sciences Psychology
Research subject
Family Medicine
Identifiers
urn:nbn:se:uu:diva-261153 (URN)10.3109/03009734.2015.1049724 (DOI)000365684900006 ()26072677 (PubMedID)
Available from: 2015-08-31 Created: 2015-08-31 Last updated: 2017-12-04Bibliographically approved
3. Gambling frequency and symptoms of attention-deficit hyperactivity disorder in relation to problem gambling among Swedish adolescents: A population-based study
Open this publication in new window or tab >>Gambling frequency and symptoms of attention-deficit hyperactivity disorder in relation to problem gambling among Swedish adolescents: A population-based study
Show others...
2017 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 22, no 2, 119-126 p.Article in journal (Refereed) Published
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Family Medicine
Identifiers
urn:nbn:se:uu:diva-261154 (URN)10.1080/03009734.2017.1294636 (DOI)28436719 (PubMedID)
Available from: 2015-08-31 Created: 2015-08-31 Last updated: 2017-06-21Bibliographically approved
4. Online computer gaming among adolescent girls is associated with higher probability for online gambling
Open this publication in new window or tab >>Online computer gaming among adolescent girls is associated with higher probability for online gambling
Show others...
(English)Article in journal (Refereed) Submitted
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Family Medicine
Identifiers
urn:nbn:se:uu:diva-261155 (URN)
Available from: 2015-08-31 Created: 2015-08-31 Last updated: 2015-10-01

Open Access in DiVA

fulltext(961 kB)1294 downloads
File information
File name FULLTEXT01.pdfFile size 961 kBChecksum SHA-512
68cba06cc0885669b720f8c4b85a168d5bbc1558413d33b37f14fcd04edd2650887f8e4cde2ddd8b26c932247b0002c605d684aa732e467bbccdf9297366c096
Type fulltextMimetype application/pdf
Buy this publication >>

Authority records BETA

Hellström, Charlotta

Search in DiVA

By author/editor
Hellström, Charlotta
By organisation
Centre for Clinical Research, County of Västmanland
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 1294 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 7741 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf