Mediators and moderators of self-esteem’s risk to gaming disorder

Michael Kavanagh

Exploration of Digital Health Technologies ›› 2025, Vol. 3 ›› Issue (1) : 101146

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Exploration of Digital Health Technologies ›› 2025, Vol. 3 ›› Issue (1) :101146 DOI: 10.37349/edht.2025.101146
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Mediators and moderators of self-esteem’s risk to gaming disorder
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Abstract

Aim: This study aimed to understand the mediating and moderating effects of self-esteem’s relationship with gaming disorder (GD).

Methods: Participants (N = 1,712) were recruited from online gaming forums. A battery of measures including GD, self-esteem, depression, anxiety, escapism, and playing time were completed.

Results: Escapism, depression, and playing time have a significant mediating effect on self-esteem’s relationship with GD. Escapism and depression explained most of the mediated effect, with playing time showing a much smaller effect. Anxiety was not a significant mediator. Unexpectedly, high self-esteem does not appear to buffer against the effects escapism and playing time have on GD. This contradicts clinical literature that promotes high self-esteem as a resilience factor.

Conclusions: Mediating effects of self-esteem’s relationship with GD were identified in this study. Moderators other than self-esteem might be more prudent to investigate in GD research.

Keywords

Gaming disorder / self-esteem / mediation / moderation

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Michael Kavanagh. Mediators and moderators of self-esteem’s risk to gaming disorder. Exploration of Digital Health Technologies, 2025, 3 (1) : 101146 DOI:10.37349/edht.2025.101146

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References

[1]

World Health Organization. International Statistical Classification of Diseases and Related Health Problems (ICD) [Internet]. WHO; c2025 [cited2025 Apr 9]. Available from:https://www.who.int/standards/classifications/classification-of-diseases

[2]

Stevens MW, Dorstyn D, Delfabbro PH, King DL. Global prevalence of gaming disorder: A systematic review and meta-analysis. Aust N Z J Psychiatry. 2021; 55:553-68.

[3]

Granic I, Lobel A, Engels RCME. The benefits of playing video games. Am Psychol. 2014; 69:66-78.

[4]

American Psychiatric Association. Anxiety disorders. In: Diagnostic and Statistical. 5th ed. Arlington: American Psychiatric Association ; 2013. pp. 189-234.

[5]

Seo EH, Yang HJ, Kim SG, Park SC, Lee SK, Yoon HJ. A Literature Review on the Efficacy and Related Neural Effects of Pharmacological and Psychosocial Treatments in Individuals With Internet Gaming Disorder. Psychiatry Investig. 2021; 18:1149-63.

[6]

Rehbein F, King DL, Staudt A, Hayer T, Rumpf HJ. Contribution of Game Genre and Structural Game Characteristics to the Risk of Problem Gaming and Gaming Disorder: a Systematic Review. Curr Addict Rep. 2021; 8:263-81.

[7]

Wang K, Lee HR, Lee YC. Factors Influencing Continuance Intentions of MMORPG Guilds: Service-Dominant Logic and Research Propositions. Proceedings of the 2024 11th Multidisciplinary International Social Networks Conference; 2024 Sep 4; New York, USA. New York: Association for Computing Machinery; 2024. pp. 11-7.

[8]

Kavanagh M, Brett C, Brignell C. What is the reported relationship between self-esteem and gaming disorder? A systematic review and meta-analysis. Comput Human Behav. 2023; 145:107776.

[9]

Thoits PA. Stressors and problem-solving: the individual as psychological activist. J Health Soc Behav. 1994; 35:143-60.

[10]

Orth U, Robins RW. Understanding the link between low self-esteem and depression. Curr Dir Psychol Sci. 2013; 22:455-60.

[11]

Ostinelli EG, Zangani C, Giordano B, Maestri D, Gambini O, D’Agostino A, et al. Depressive symptoms and depression in individuals with internet gaming disorder: A systematic review and meta-analysis. J Affect Disord. 2021; 284:136-42.

[12]

Scerri M, Anderson A, Stavropoulos V, Hu E. Need fulfilment and internet gaming disorder: A preliminary integrative model. Addict Behav Rep. 2018; 9:100144.

[13]

Manna G, Falgares G, Ingoglia S, Como MR, De Santis S. The relationship between self-esteem, depression and anxiety: Comparing vulnerability and scar model in the Italian context. Mediterr J Clin Psychol. 2016; 4:1328.

[14]

González-Bueso V, Santamaría JJ, Fernández D, Merino L, Montero E, Ribas J. Association between Internet Gaming Disorder or Pathological Video-Game Use and Comorbid Psychopathology: A Comprehensive Review. Int J Environ Res Public Health. 2018; 15:668.

[15]

Kim HK, Davis KE. Toward a comprehensive theory of problematic Internet use: Evaluating the role of self-esteem, anxiety, flow, and the self-rated importance of Internet activities. Comput Human Behav. 2009; 25:490-500.

[16]

Koronczai B, Kökönyei G, Urbán R, Kun B, Pápay O, Nagygyörgy K, et al. The mediating effect of self-esteem, depression and anxiety between satisfaction with body appearance and problematic internet use. Am J Drug Alcohol Abuse. 2013; 39:259-65.

[17]

Gao Q, Fu E, Xiang Y, Jia G, Wu S. Self-esteem and addictive smartphone use: The mediator role of anxiety and the moderator role of self-control. Child Youth Serv Rev. 2021; 124:105990.

[18]

Liu Y, Gong R, Yu Y, Xu C, Yu X, Chang R, et al. Longitudinal predictors for incidence of internet gaming disorder among adolescents: The roles of time spent on gaming and depressive symptoms. J Adolesc. 2021; 92:1-9.

[19]

Brunborg GS, Mentzoni RA, Frøyland LR. Is video gaming, or video game addiction, associated with depression, academic achievement, heavy episodic drinking, or conduct problems? J Behav Addict. 2014; 3:27-32.

[20]

Pontes HM, Schivinski B, Kannen C, Montag C. The interplay between time spent gaming and disordered gaming: A large-scale world-wide study. Soc Sci Med. 2022; 296:114721.

[21]

Triberti S, Milani L, Villani D, Grumi S, Peracchia S, Curcio G, et al. What matters is when you play: Investigating the relationship between online video games addiction and time spent playing over specific day phases. Addict Behav Rep. 2018; 8:185-88.

[22]

Koncz P, Demetrovics Z, Paksi B, Magi A, Eisinger A, Király O. The moderating role of mental health on the association between gaming time and gaming disorder symtoms. Eur Psychiatry. 2022; 65:S81.

[23]

Cudo A, Kopiś N, Zabielska-Mendyk E. Personal distress as a mediator between self-esteem, self-efficacy, loneliness and problematic video gaming in female and male emerging adult gamers. PLoS One. 2019; 14:e0226213.

[24]

Demetrovics Z, Urbán R, Nagygyörgy K, Farkas J, Zilahy D, Mervó B, et al. Why do you play? The development of the motives for online gaming questionnaire (MOGQ). Behav Res Methods. 2011; 43:814-25.

[25]

Stetina BU, Kothgassner OD, Lehenbauer M, Kryspin-Exner I. Beyond the fascination of online-games: Probing addictive behavior and depression in the world of online-gaming. Comput Human Behav. 2011; 27:473-9.

[26]

Kuss DJ, Louws J, Wiers RW. Online gaming addiction? Motives predict addictive play behavior in massively multiplayer online role-playing games. Cyberpsychol Behav Soc Netw. 2012; 15:480-5.

[27]

Melodia F, Canale N, Griffiths MD. The role of avoidance coping and escape motives in problematic online gaming: A systematic literature review. Int J Ment Health Addict. 2020; 20:996-1022.

[28]

Goh C, Jones C, Copello A. A Further Test of the Impact of Online Gaming on Psychological Wellbeing and the Role of Play Motivations and Problematic Use. Psychiatr Q. 2019; 90:747-60.

[29]

Kardefelt-Winther D. The moderating role of psychosocial well-being on the relationship between escapism and excessive online gaming. Comput Human Behav. 2014; 38:68-74.

[30]

Rosenberg M. Society and the Adolescent Self-Image. Princeton: Princeton University Press; 2015.

[31]

Kavanagh M, Brett C, Brignell C. The role of self-esteem in triggering and maintaining gaming for people with gaming disorder cut-off scores and above average gaming disorder scores: A quasi-experimental study. Comput Human Behav. 2024; 152:108051.

[32]

Király O, Koncz P, Griffiths MD, Demetrovics Z. Gaming disorder: A summary of its characteristics and aetiology. Compr Psychiatry. 2023; 122:152376.

[33]

Williams KD. Chapter 6 ostracism: A temporal need-threat model. Adv Exp Soc Psychol. 2009; 41:275-314.

[34]

Wittek CT, Finserås TR, Pallesen S, Mentzoni RA, Hanss D, Griffiths MD, et al. Prevalence and Predictors of Video Game Addiction: A Study Based on a National Representative Sample of Gamers. Int J Ment Health Addict. 2016; 14:672-86.

[35]

Fung HW, Cheung CTY, Lam P, Yuan GF, Wong MYC, Ling HH, et al. Is gaming disorder related to psychological trauma? A scoping review. Eur Psychiatry. 2004; 67:S321.

[36]

Müller KW, Dreier M, Wölfling K. Personality traits and their role as risk modifiers in gaming disorder and internet use disorders. Curr Opin Psychiatry. 2023; 36:75-9.

[37]

Teng Z, Griffiths MD, Nie Q, Xiang G, Guo C. Parent-adolescent attachment and peer attachment associated with Internet Gaming Disorder: A longitudinal study of first-year undergraduate students. J Behav Addict. 2020; 9:116-28.

[38]

Sit HF, Chang CI, Yuan GF, Chen C, Cui L, Elhai JD, et al. Symptoms of internet gaming disorder and depression in Chinese adolescents: A network analysis. Psychiatry Res. 2023; 322:115097.

[39]

Omasu F, Hotta Y. The relationship between post-traumatic stress disorder and self-esteem along with the importance of support for children. Open J Prev Med. 2018; 8:95.

[40]

Kircaburun K, Demetrovics Z, Tosuntaş ŞB. Analyzing the links between problematic social media use, dark triad traits, and self-esteem. Int J Ment Health Addict. 2019; 17:1496-507.

[41]

Pontes HM, Griffiths MD. Measuring DSM-5 Internet gaming disorder: Development and validation of a short psychometric scale. Comput Human Behav. 2015; 45:137-43.

[42]

King DL, Chamberlain SR, Carragher N, Billieux J, Stein D, Mueller K, et al. Screening and assessment tools for gaming disorder: A comprehensive systematic review. Clin Psychol Rev. 2020; 77:101831.

[43]

Lemenager T, Neissner M, Sabo T, Mann K, Kiefer F. “Who Am I” and “How Should I Be”: a Systematic Review on Self-Concept and Avatar Identification in Gaming Disorder. Curr Addict Rep. 2020; 7:166-93.

[44]

Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67:361-70.

[45]

Friedman S, Samuelian JC, Lancrenon S, Even C, Chiarelli P. Three-dimensional structure of the Hospital Anxiety and Depression Scale in a large French primary care population suffering from major depression. Psychiatry Res. 2001; 104:247-57.

[46]

Kim B, Kang HS. Korean validation of the Motives for Online Gaming Questionnaire: Focusing on its factor structure and incremental validity. Addict Behav. 2021; 122:107019.

[47]

Hauser DJ, Schwarz N. Attentive Turkers: MTurk participants perform better on online attention checks than do subject pool participants. Behav Res Methods. 2016; 48:400-7.

[48]

Bowling NA, Huang JL, Bragg CB, Khazon S, Liu M, Blackmore CE. Who cares and who is careless? Insufficient effort responding as a reflection of respondent personality. J Pers Soc Psychol. 2016; 111:218-29.

[49]

Oppenheimer DM, Meyvis T, Davidenko N. Instructional manipulation checks: Detecting satisficing to increase statistical power. J Exp Soc Psychol. 2009; 45:867-72.

[50]

Poon LYJ, Tsang HWH, Chan TYJ, Man SWT, Ng LY, Wong YLE, et al. Psychometric Properties of the Internet Gaming Disorder Scale-Short-Form (IGDS9-SF): Systematic Review. J Med Internet Res. 2021; 23:e26821.

[51]

Qin L, Cheng L, Hu M, Liu Q, Tong J, Hao W, et al. Clarification of the Cut-off Score for Nine-Item Internet Gaming Disorder Scale-Short Form (IGDS9-SF) in a Chinese Context. Front Psychiatry. 2020; 11:470.

[52]

Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. 2nd ed. New York: Guilford; 2017.

[53]

Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Routledge; 1988.

[54]

Kenny DA. Moderator Variables: Introduction [Internet]. [cited2018 Sep 15]. Available from:https://davidakenny.net/cm/moderation.htm

[55]

Maner JK, Schmidt NB. The role of risk avoidance in anxiety. Behav Ther. 2006; 37:181-9.

[56]

Neff KD. Self-compassion, self-esteem, and well-being. Soc Personal Psychol Compass. 2011; 5:1-12.

[57]

Carroll KM, Kiluk BD. Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychol Addict Behav. 2017; 31:847-61.

[58]

Herrera-Palacios A. Intervention based on Dialectical Behavioral Therapy for the Treatment of Problems related to substance use. Mex J Med Res ICSA. 2024; 12:96-104.

[59]

Djukanovic I, Carlsson J, Årestedt K. Is the Hospital Anxiety and Depression Scale (HADS) a valid measure in a general population 65-0 years old? A psychometric evaluation study. Health Qual Life Outcomes. 2017; 15:193.

[60]

Bauhoff S. Systematic self-report bias in health data: impact on estimating cross-sectional and treatment effects. Health Serv Outcomes Res Methodol. 2011: 11:44-53.

[61]

Errasti JM, Amigo Vázquez I, Villadangos M, Morís J. Differences between individualist and collectivist cultures in emotional Facebook usage: relationship with empathy, self-esteem, and narcissism. Psicothema. 2018; 30:376-81.

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