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Infanti A, Valls-Serrano C, Perales JC, Vögele C, Billieux J. Gaming passion contributes to the definition and identification of problematic gaming. Addict Behav 2023; 147:107805. [PMID: 37523871 DOI: 10.1016/j.addbeh.2023.107805] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 06/30/2023] [Accepted: 07/13/2023] [Indexed: 08/02/2023]
Abstract
Even if for most people playing video games is a healthy leisure activity, a minority of vulnerable users present an excessive use associated to negative consequences (e.g., psychosocial maladjustment, sleep interference) and functional impairment. The current study first aims to identify psychological factors that contribute to discriminate highly involved (but healthy) gamers from problematic gamers. For that purpose, we used a cluster analysis approach to identify different groups of gamers based on their profiles of passion towards gaming (using the Dualistic Model of Passion). Another objective of the present study is to explore, using supervised machine-learning, how gaming disorder symptoms, assessed within the substance use disorder framework (e.g., tolerance, withdrawal), might be linked to harmonious and/or an obsessive passion for gaming. Three distinct clusters of gamers were identified based on their passion profiles, including risky gamers, engaged gamers, and casual gamers. Supervised machine-learning algorithms identified that specific gaming disorder symptoms (salience, mood modification, tolerance, low level of conflict) were predominantly related to harmonious passion, whereas others (withdrawal, high level of conflict, relapse) were more directly related to obsessive passion. Our results support the relevance of person-centered approaches to the treatment of problematic gaming.
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Affiliation(s)
- Alexandre Infanti
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | | | - José C Perales
- Department of Experimental Psychology, Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | - Claus Vögele
- Department of Behavioural and Cognitive Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Joël Billieux
- Institute of Psychology, University of Lausanne, Lausanne, Switzerland; Centre for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland
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Parikh SV, Taubman DS, Grambeau M, Menke RA, Blazek MC, Sullivan J, Severe J, Patel PD, Dalack GW. Going Virtual During a Pandemic: An Academic Psychiatry Department's Experience with Telepsychiatry. PSYCHOPHARMACOLOGY BULLETIN 2021; 51:59-68. [PMID: 33897063 PMCID: PMC8063128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Background The novel coronavirus pandemic (COVID-19) led healthcare providers, including mental health providers, across the U.S. to swiftly shift to telemedicine. Objectives This shift gave our Department of Psychiatry a chance to better understand key challenges and opportunities vis-à-vis virtual mental healthcare. We aimed to obtain provider feedback on the use of telepsychiatry and to learn from the provider perspective about patient experiences with video visits. This information will be used to inform the telemedicine strategy at a systems level within our psychiatry department, our academic health system, as well as the field of telemedicine as a whole. Design and Sample A 22-item online questionnaire comprising 16 quantitative and six qualitative items was distributed to providers currently using video visits to provide care. Results A total of 89 mental health providers completed the questionnaire. Outcomes demonstrated that while providers perceive challenges associated with virtual care (e.g., fatigue, technology-related issues, and age-related concerns), they also recognize a number of benefits to themselves and their patients (e.g., convenience and increased access). Overall, provider satisfaction, comfort, and willingness to use telepsychiatry was high. Conclusions The vast majority of providers adapted quickly to the use of virtual platforms; many endorse advantages that suggest virtual care will continue to be a modality they provide in the future, post-COVID-19. It will be important to continue to evaluate aspects of virtual care that may limit clinical assessments and to optimize use to improve access, convenience, and cost-efficiency of mental healthcare delivery.
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Affiliation(s)
- Sagar V Parikh
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Danielle S Taubman
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Mary Grambeau
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Rena A Menke
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Mary C Blazek
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Jennifer Sullivan
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Jennifer Severe
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Paresh D Patel
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Gregory W Dalack
- Parikh, MD, FRCPC, Taubman, MPH, Grambeau, LMSW, Menke, PhD, Blazek, MD, MEHP, Sullivan, MBA, Severe, MD, Patel, MD, PhD, Dalack, MD, Department of Psychiatry, University of Michigan, Ann Arbor, MI
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