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SO507

Gaming in hyperfocus: the 10-year link between gaming disorder and ADHD

GAMING IN (HYPER)FOCUS: A 10‑YEAR LINK BETWEEN GAMING DISORDER AND ADHD

Over a ten-year follow-up, participants with elevated gaming disorder symptom trajectories showed both higher ADHD symptom levels and a greater likelihood of receiving an ADHD diagnosis.

The aim was to examine the longitudinal co-occurrence of gaming disorder (GD) symptoms with ADHD traits and diagnosed ADHD. Participants (n = 1066 to n = 1834 across waves) completed self-report measures across four waves at three-year intervals (mean age 14 at the first wave and 23 at the fourth). GD symptoms were assessed using the Gaming Addiction Identification Test (GAIT), and ADHD symptoms using the Adult ADHD Self-Report Scale screener (ASRS-S) and its adolescent version (ASRS-A-S). Linear growth mixture models were used to identify GD symptom trajectories, and associations between these trajectories and ADHD were examined using generalized linear mixed models and binary logistic regression. Three distinct trajectories were identified: "low and decreasing" (n = 1436), "moderate and stable" (n = 211), and "problematic and increasing" (n = 74). The moderate and stable and problematic and increasing groups reported higher ADHD symptom levels across all waves than the low and decreasing group (b = 0.15, p < 0.001 and b = 0.28, p < 0.001, respectively). These same groups were also more likely to report an ADHD diagnosis (odds ratio (OR) = 2.21, 95% confidence interval 1.21 to 4.01, and OR = 3.07, 95% confidence interval 1.12 to 8.43; ADHD diagnosis n = 76); sex (OR = 1.50) and age (OR = 1.02) were not statistically significant. GD and ADHD symptoms followed parallel developmental trends, suggesting a reciprocal relationship. In conclusion, assessing problematic gaming during ADHD evaluations and screening for ADHD during gaming disorder evaluations are important for early intervention and prevention.

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