Structure and stability of internet gaming disorder from childhood to late adolescence: A 5‐wave birth cohort study.

Background and aims: The natural course and longer‐term stability of internet gaming disorder (IGD) and its symptoms are largely unknown, yet such knowledge is essential to aid prevention, treatment and policy development. This study therefore examined four aspects of IGD symptom stability: of form,...

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Publicado en:Addiction Vol. 121; no. 2; pp. 413 - 423
Autores principales: Wichstrøm, Lars, Hygen, Beate W., Kuss, Daria J., Stavropoulos, Vasileios, Skalická, Věra, Rodríguez‐Cano, Rubén, Øien, Ane‐Kristine, Stenseng, Frode, Steinsbekk, Silje
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/add.70195
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        atl: Structure and stability of internet gaming disorder from childhood to late adolescence: A 5‐wave birth cohort study.
      aug:
        au:
          Wichstrøm, Lars
          Hygen, Beate W.
          Kuss, Daria J.
          Stavropoulos, Vasileios
          Skalická, Věra
          Rodríguez‐Cano, Rubén
          Øien, Ane‐Kristine
          Stenseng, Frode
          Steinsbekk, Silje
        affil: Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
      sug:
        subj:
          Video Games
          Internet Addiction Symptoms
          Internet Addiction Symptoms
          Symptom Burden Evaluation
          Human
          Male
          Female
          Child
          Adolescence
          Prospective Studies
          Funding Source
          Norway
          Interview Guides
          Semi-Structured Interview
          Audiorecording
          Questionnaires
          Data Analysis Software
          Pearson's Correlation Coefficient
          Chi Square Test
          Descriptive Statistics
          Factor Analysis
          Intraclass Correlation Coefficient
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background and aims: The natural course and longer‐term stability of internet gaming disorder (IGD) and its symptoms are largely unknown, yet such knowledge is essential to aid prevention, treatment and policy development. This study therefore examined four aspects of IGD symptom stability: of form, at the group level, rank‐order and of within‐person changes. Design: Birth‐cohort study. Setting: Trondheim, Norway. Participants: A stratified sample (n = 812, 50.9% girls) of the 2003/2004 birth cohorts was examined biennially over five waves from age 10 to 18 (n = 3236 observations). Measurements IGD was assessed through a semi‐structured clinical interview. Latent growth curves were employed to assess the stability of symptoms at the group level, and random intercept cross‐lagged models were used to determine how changes in symptoms predicted subsequent changes in symptoms at the within‐person level. Findings IGD symptoms loaded on two factors, termed 'Heavy involvement' and 'Negative consequences,' consistently across ages and sex. Strong measurement invariance was partly achieved across ages. The point prevalence of IGD diagnosis varied between 1.1%–2.2%, and 5.6% [95% confidence interval (CI) = 4.0–7.3) had an IGD diagnosis at least once across ages 10–18 (boys: 10.2%, CI = 6.9–13.5; girls: 1.6%, CI = 0.5–2.7). Symptoms capturing Heavy involvement increased slightly from age 10–16 and then declined sharply at age 18, whereas symptoms representing Negative consequences remained stable. Regarding stability relative to the group, moderate two‐year stability was observed (Heavy involvement r = 0.33 to 0.56, P < 0.001; Negative consequences r = 0.19, P < 0.01 to 0.37, P < 0.001) with increasing stability with age. The stability from age 10–16 and 10–18 was weak for Heavy involvement (r = 0.14 and 0.17, P < 0.05) and absent for Negative consequences (r = 0.09 to 0.11, P > 0.05). Increases in Heavy involvement predicted further increases in Heavy involvement two years later (β = 0.17, P < 0.01 to 0.39, P < 0.001) and increased Negative consequences at ages 14 and 18 (β = 0.29 and 0.28, P < 0.001). Conclusions: Although the point prevalence of internet gaming disorder (IGD) diagnosis in the 2003/2004 birth cohorts of Trondheim, Norway, was low, 10% of boys fulfilled the criteria for a diagnosis at least once during preadolescence and adolescence. IGD symptoms at age 10 were only weakly related to IGD symptoms in mid‐ and late adolescence. However, as Heavy involvement symptoms predicted later increases in Negative consequences symptoms from age 12 onwards, early adolescence may offer a window of opportunity for when interventions might intersect a development toward a full‐blown IGD diagnosis before symptoms become more intertwined with additional problems and resistant to change.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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