<p>Gaming disorder (GD) involves impaired control (IC) over gaming behaviour. Despite its importance, IC in GD is understudied. This study aimed to systematically examine the literature on IC in GD and to determine how IC is currently defined, conceptualised and measured and its relationship to impulsivity. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search, surveying five databases and screening 1853 papers, found 21 relevant papers. The majority of papers were empirical studies that focused on neuroimaging, experimental and psychometric techniques. IC is conceptualised as a recurrent inability to resist gaming impulses leading to excessive gaming sessions despite negative consequences. Cognitive conceptualisations highlight deficits in self-control, impulse control and decision-making. Neurobiological studies have identified alterations in brain regions responsible for executive functions, reward processing and inhibitory control. The review highlights the need for a consolidated understanding of impaired control in gaming disorder to inform interventions. By mapping existing literature, this review lays the groundwork for future research and intervention efforts in gaming disorder.</p>

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A Scoping Review of Impaired Control in the Context of Gaming Disorder: Conceptualisations Across Different Studies and Frameworks

  • Bartosz A. Kowalik,
  • Paul Delfabbro

摘要

Gaming disorder (GD) involves impaired control (IC) over gaming behaviour. Despite its importance, IC in GD is understudied. This study aimed to systematically examine the literature on IC in GD and to determine how IC is currently defined, conceptualised and measured and its relationship to impulsivity. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search, surveying five databases and screening 1853 papers, found 21 relevant papers. The majority of papers were empirical studies that focused on neuroimaging, experimental and psychometric techniques. IC is conceptualised as a recurrent inability to resist gaming impulses leading to excessive gaming sessions despite negative consequences. Cognitive conceptualisations highlight deficits in self-control, impulse control and decision-making. Neurobiological studies have identified alterations in brain regions responsible for executive functions, reward processing and inhibitory control. The review highlights the need for a consolidated understanding of impaired control in gaming disorder to inform interventions. By mapping existing literature, this review lays the groundwork for future research and intervention efforts in gaming disorder.