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<p>Although numerous early studies have reported a significant positive association between adolescent internet gaming disorder and depression, existing reviews have largely failed to systematically examine recent findings indicating that this association may have weakened or become nonsignificant. Additionally, prior reviews have lacked comprehensive quantitative analyses considering developmental stage, cultural differences, and study designs. This review aims to fill these gaps by synthesizing existing evidence to re-examine the relationship between adolescent internet gaming disorder and depression, while further exploring how different factors may moderate this association. We conducted two separate meta-analyses to explore the relationship between the two variables. By searching five major databases, a total of 11,041 relevant articles were identified. After a rigorous screening process, 46 articles were included in the meta-analysis of correlation, while 18 articles were included in the regression meta-analysis as a sensitivity analysis. A significant positive association between internet gaming disorder and depression among adolescents was found in the meta-analysis (<i>r</i> = 0.29). Subgroup analyses indicated that there are significant differences in the correlation between the two across Eastern and Western countries, as well as among various nations. The correlation coefficients between the two was higher in Eastern countries (<i>r</i><sub><i>east</i></sub> = 0.31) compared to Western countries (<i>r</i><sub><i>west</i></sub> = 0.22). Moreover, the association was marginally significantly stronger in cross-sectional study designs (<i>r</i> = 0.33) than in longitudinal ones (<i>r</i> = 0.26). These findings were further validated through the sensitivity analysis. This review not only provides the latest quantitative evidence on the relationship between adolescent internet gaming disorder and depression but also highlights the important role of cultural context and study designs in shaping this relationship, laying a crucial literature foundation for future research on mechanisms and intervention design.</p>

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Revisiting the Relationship Between Adolescent Internet Gaming Disorder and Depression: A Systematic Review and Meta-Analysis

  • 期刊论文

  • 发表日期：

    2025年11月4日

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  • Chengbin Zheng,
  • Kai Liu,
  • Leilei Liang,
  • Tongshuang Yuan,
  • Honghua Li,
  • Yajie Qing,
  • Chaofan Zhang,
  • Yaning Su,
  • Yujie Cui,
  • Songli Mei

摘要

Although numerous early studies have reported a significant positive association between adolescent internet gaming disorder and depression, existing reviews have largely failed to systematically examine recent findings indicating that this association may have weakened or become nonsignificant. Additionally, prior reviews have lacked comprehensive quantitative analyses considering developmental stage, cultural differences, and study designs. This review aims to fill these gaps by synthesizing existing evidence to re-examine the relationship between adolescent internet gaming disorder and depression, while further exploring how different factors may moderate this association. We conducted two separate meta-analyses to explore the relationship between the two variables. By searching five major databases, a total of 11,041 relevant articles were identified. After a rigorous screening process, 46 articles were included in the meta-analysis of correlation, while 18 articles were included in the regression meta-analysis as a sensitivity analysis. A significant positive association between internet gaming disorder and depression among adolescents was found in the meta-analysis (r = 0.29). Subgroup analyses indicated that there are significant differences in the correlation between the two across Eastern and Western countries, as well as among various nations. The correlation coefficients between the two was higher in Eastern countries (reast = 0.31) compared to Western countries (rwest = 0.22). Moreover, the association was marginally significantly stronger in cross-sectional study designs (r = 0.33) than in longitudinal ones (r = 0.26). These findings were further validated through the sensitivity analysis. This review not only provides the latest quantitative evidence on the relationship between adolescent internet gaming disorder and depression but also highlights the important role of cultural context and study designs in shaping this relationship, laying a crucial literature foundation for future research on mechanisms and intervention design.