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Background <p>Gaming time reduction has been effective in reducing internet gaming disorder (IGD). This study investigated the prevalence of behavioral intention of gaming time reduction (BI-GTR) among middle school students who self-perceived having IGD. Based on the Conservation of Resource (COR) theory, the mediations between personal/interpersonal resource losses due to gaming time reduction and BI-GTR via perceived stress due to gaming time reduction were investigated.</p> Methods <p>A cross-sectional, anonymous survey was conducted among Chinese adolescent internet gamers with self-perception of IGD in Chengdu, China, from December 2019 to January 2020 (<i>n</i> = 485). Self-perception of IGD was assessed by a screening question “Do you perceive yourself having IGD? (yes/no response options)”, while probable IGD was assessed by the 9-item DSM-5 Checklist.</p> Results <p>Among all participants with self-perception of IGD, the prevalence of BI-GTR was 67.4%; it was significantly lower in the probable IGD group than the non-probable IGD group (56.2% versus 73.4%, OR = 1.63, 95% CI: 1.27, 2.08). Multivariate logistic regression analyses showed that, with the adjustment of background factors, personal resource losses (ORa = 0.93, 95% CI: 0.91, 0.95), interpersonal resource losses (ORa = 0.92, 95% CI: 0.90, 0.95), and perceived stress (ORa = 0.60, 95% CI: 0.49, 0.72) were significantly and negatively associated with BI-GTR. Path analysis, adjusting for background factors as well, revealed that the negative association between personal resource losses and BI-GTR was significantly and partially mediated via perceived stress (<i>β</i> = − 0.07; <i>p</i> = 0.023; mediation effect size = 15.6%); The similar indirect effects of perceived stress between interpersonal resource losses and BI-RGT were, however, statistically non-significant (<i>β</i> = − 0.01; <i>p</i> = 0.874). Multigroup path analysis further showed that the mediation mechanisms were invariant between the probable IGD and non-probable IGD groups.</p> Conclusions <p>The novel findings about the prevalence of BI-GTR, its associated factors, and mediations among Chinese adolescents with self-perception of IGD have implications for future research/interventions. It has extended the application of COR theory to studying health-seeking behaviors. Future confirmation and interventional studies are required.</p> Clinical trial number <p>Not applicable.</p>

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Prevalence and factors of behavioral intention of gaming time reduction among high-risk adolescents in China: an application of the Conservation of Resource Theory

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月30日

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  • Yanqiu Yu,
  • Joseph T. F. Lau

摘要

Background

Gaming time reduction has been effective in reducing internet gaming disorder (IGD). This study investigated the prevalence of behavioral intention of gaming time reduction (BI-GTR) among middle school students who self-perceived having IGD. Based on the Conservation of Resource (COR) theory, the mediations between personal/interpersonal resource losses due to gaming time reduction and BI-GTR via perceived stress due to gaming time reduction were investigated.

Methods

A cross-sectional, anonymous survey was conducted among Chinese adolescent internet gamers with self-perception of IGD in Chengdu, China, from December 2019 to January 2020 (n = 485). Self-perception of IGD was assessed by a screening question “Do you perceive yourself having IGD? (yes/no response options)”, while probable IGD was assessed by the 9-item DSM-5 Checklist.

Results

Among all participants with self-perception of IGD, the prevalence of BI-GTR was 67.4%; it was significantly lower in the probable IGD group than the non-probable IGD group (56.2% versus 73.4%, OR = 1.63, 95% CI: 1.27, 2.08). Multivariate logistic regression analyses showed that, with the adjustment of background factors, personal resource losses (ORa = 0.93, 95% CI: 0.91, 0.95), interpersonal resource losses (ORa = 0.92, 95% CI: 0.90, 0.95), and perceived stress (ORa = 0.60, 95% CI: 0.49, 0.72) were significantly and negatively associated with BI-GTR. Path analysis, adjusting for background factors as well, revealed that the negative association between personal resource losses and BI-GTR was significantly and partially mediated via perceived stress (β = − 0.07; p = 0.023; mediation effect size = 15.6%); The similar indirect effects of perceived stress between interpersonal resource losses and BI-RGT were, however, statistically non-significant (β = − 0.01; p = 0.874). Multigroup path analysis further showed that the mediation mechanisms were invariant between the probable IGD and non-probable IGD groups.

Conclusions

The novel findings about the prevalence of BI-GTR, its associated factors, and mediations among Chinese adolescents with self-perception of IGD have implications for future research/interventions. It has extended the application of COR theory to studying health-seeking behaviors. Future confirmation and interventional studies are required.

Clinical trial number

Not applicable.