[Symposium 15] Disorders Due to Substance Use and Addictive Behaviors and Measures against Related Harm in Asia and around the Globe

[SY-15-04] The State of Play: Gaming Disorder and Emerging Treatment Options

*Kristiana Siste Kurniasanti¹ (1. Department of Psychiatry, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo National Referral General Hospital, Jakarta, Indonesia (Indonesia))

キーワード：

Gaming disorder、treatment、Dialetical Behavioral Therapy

Gaming disorder (GD) is an emerging significant public health concern, with global prevalence estimates ranging from 0.7% to 15.6% in the general population and 10.1% among adolescents in Southeast Asia. Indonesia, the largest country in Southeast Asia, has seen a marked increase in GD cases, with more young individuals exhibiting impaired control over gaming. An estimated 1.9% of Indonesian university students met the criteria for GD, while 5.5% of adolescents exhibit problematic gaming behaviors. These adolescents prioritize gaming over other activities and continue playing despite negative consequences. The increasing accessibility of mobile gaming and internet penetration—reaching over 200 million users—has contributed to Indonesia’s rising GD burden. The COVID-19 pandemic further exacerbated this trend, with reports indicating a sharp increase in screen time and gaming behaviors among Indonesian youth.The etiology of GD is multifaceted, involving biological, psychological, and social determinants. Neurobiological findings indicate altered resting-state functional connectivity in individuals with problematic internet use, particularly in networks associated with impulse control and reward processing. Psychological risk factors include high impulsivity, emotional dysregulation, and maladaptive coping mechanisms, while social factors such as family dysfunction, peer influences, and excessive screen exposure exacerbate the disorder. The recent validation of the Indonesian version of the Internet Gaming Disorder Test (IGDT-10) has improved screening and identification of at-risk individuals.Several evidence-based interventions have been explored for GD, including cognitive behavioral therapy (CBT), motivational interviewing, and reality therapy. As GD continues to rise, integrating tailored interventions with digital health solutions will be crucial in addressing this growing public health challenge.