+1 Recommend
2 collections
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Low self-control and aggression exert serial mediation between inattention/hyperactivity problems and severity of internet gaming disorder features longitudinally among adolescents

      Read this article at

          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.



          We examined serial mediating roles of low self-control and aggression in explaining relationships between levels of inattention and hyperactivity problems (IHPs) and severity of Internet gaming disorder (IGD) features when exposed to online games among adolescents without Attention deficit hyperactivity disorder (ADHD) stratified by gender using three-wave longitudinal study.


          The sample comprised a total of 1,732 family dyads from a study that was conducted among seventh graders without diagnoses of ADHD at baseline. Levels of IHPs were assessed by the parent reported Korean version of the ADHD rating scale at baseline (wave1). Severity of IGD features was assessed by the Internet Game Use-Elicited Symptom Screen (IGUESS) at wave3. Both levels of self-control (wave1) and aggression (wave2) were assessed by self-report. The mediating role of low self-control and aggression in the relationships between level of IHPs and severity of IGD were evaluated using serial mediation analysis separately for each gender.


          Levels of IHPs were related directly to severity of IGD features in both genders. The indirect effects via low self-control were also significant in both genders, however, the indirect effects via aggression was significant only in women. The serial mediation effect via low self-control and aggression between levels of IHPs and IGD features was significant in both genders (men, coefficient:0.009, 95%CI 0.005–0.019; women, coefficient:0.010, 95%CI:0.005–0.026).


          We revealed a possible mechanism underlying a serial mediation chain from low self-control to aggression explaining the effects of IHPs on severity of IGD features. However, this conclusion should be taken with a caution, because the effect sizes were very low.

          Related collections

          Author and article information

          Journal of Behavioral Addictions
          J Behav Addict
          Akadémiai Kiadó (Budapest )
          June 2020
          06 June 2020
          : 9
          : 2
          : 401-409
          [1 ] deptDepartment of Preventive Medicine, College of Medicine , Catholic University of Korea, Seoul, Korea
          [2 ] deptDepartment of Psychiatry, College of Medicine , Catholic University of Korea, Seoul, Korea
          [3 ] deptDepartments of Psychiatry and Neuroscience and Child Study Center , Yale University, New Haven, CT, USA
          [4 ] deptConnecticut Council on Problem Gambling , Wethersfield, CT, USA
          [5 ] Connecticut Mental Health Center , New Haven, CT, USA
          Author notes
          [* ]Corresponding author. E-mail: y1693@
          © 2020 The Author

          Open Access statement. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.

          Page count
          Figures: 02, Tables: 03, References: 54, Pages: 09
          Funded by: National Center for Responsible Gaming, Connecticut Council on Problem Gambling, and Connecticut Department of Mental Health and Addiction Services
          Funded by: Korean Mental Health Technology R&D Project, Ministry of Health and Welfare, Republic of Korea
          Award ID: HL19C0012
          Full-length Report


          Comment on this article