The novel coronavirus disease 2019 (COVID-19) pandemic has brought the entire world
to a relative standstill, affecting millions worldwide at the time of writing (June
24, 2020) (World Health Organization [WHO] 2020). With the absence of an effective
vaccine, public health measures have been implemented by governments worldwide, such
as quarantine, closing workplaces (including schools and businesses), and spatial
distancing (Nussbaumer-Streit et al. 2020). To combat the spread of COVID-19, the
Indian government implemented nationwide lockdown measures and self-isolation policies.
In the Indian context, “lockdown” refers to individuals staying at home while completely
restricting the movement of the population inside and outside of specific areas except
for essential activities (health visits, purchasing for essential items, and providing
essential work) (Lippi et al. 2020). As a consequence, the measures have led to occupational
and educational disruption and psychological distress for many individuals.
One area that has been relatively unaffected during the pandemic is the gaming industry,
with user engagement growing considerably during this period (Javed 2020). For example,
WinZo Games, an Indian-based gaming company, have reported three times more user engagement
and 30% higher traffic in online mobile gaming. Around 35% higher usage has been observed
in multi-player modes in comparison with single-user modes, a trend also found elsewhere
(Bora 2020). Similarly, Paytm First Games, an Indian mobile-based online gaming platform,
reported an almost 200% increase in the user base during the pandemic, with 75,000
new users (Ahaskar 2020).
During the lockdown period, there was also an increase in user engagement in online
gaming among those aged 25–35 years and a marginal increase in female users (Bora
2020). Gaming has been reported throughout the day, with a peak gaming time from 8pm
until midnight (Bora 2020). The reason for the increased uptake in Indian gaming is
because many people are now housebound and there are few leisure activities that individuals
can participate in. To date, online gaming has played a supporting role in public
health efforts to enforce effective spatial distancing during the pandemic and has
been supported by the World Health Organization’s collaborative campaign (#PlayApartTogether)
with the online gaming industry encouraging individuals to stay at home and limit
the spread of the virus (Maden 2020).
Research evidence suggests that most engagement in gaming is of positive benefit (Griffiths
2019) and that the benefits can by educational, physical, and therapeutic (Griffiths
et al. 2017). Gaming can also help in developing cognitive skills such as reasoning,
spatial awareness, and problem-solving (Bowen 2014; Nuyens et al. 2019). However,
excessive gaming for protracted periods can be problematic for a minority of individuals.
Research evidence suggests that problematic gaming is associated with psychosocial
problems such as lack of sleep, low school well-being, concentration problems, impaired
life skills, and poor self-control (Männikkö et al. 2020). Extreme engagement in online
gaming is also strongly associated with poor academic performance among school-going
children and adolescents (Terry and Malik 2018).
The literature suggests that multiple factors are associated with problematic gaming
such as personality traits (Şalvarlı and Griffiths 2019), anxiety (Adams et al. 2019;
Männikkö et al. 2020), entertainment achievement and escapism (Männikkö et al. 2017),
game genre (Mihara and Higuchi 2017; Na et al. 2017), and sensation-seeking behaviors
(Hu et al. 2017). It has also been speculated that during the COVID-19 pandemic, some
individuals may develop an increasing pattern of gaming to relieve psychological distress
(King et al. 2020). According to a recent Indian study, gaming behavior increased
among college students in the lockdown period (Balhara et al. 2020). Also, due to
the lockdown and subsequent occupational and/or educational disruption, individuals
may have much more free time and/or may be easily distracted from working at home
due to temptations such as online gaming. Subsequently, there is a need for well-balanced
and effective strategies to support physical and psychological well-being (King et
Individuals usually follow a structured routine or a set of routinized behaviors.
These routines can provide life satisfaction and bring more significant meaning to
one’s life (Heintzelman and King 2019). Given the apparent considerable increase in
online gaming and the occupational and/or educational disruption it may cause for
some individuals, it is important to maintain a healthy work/life balance during the
COVID-19 crisis. The proposed model of lifestyle balance by Matuska and Christiansen
(2008) suggests five aspects (i.e., health and physical safety; having rewarding and
self-affirming relationships; feeling interested, engaged, challenged, and competent;
creating meaning and positive personal identity; and organizing time and energy to
meet personal goals). These and other aspects are briefly looked at in turn, in relation
and gaming and occupational and/or educational balance.
Many factors, such as good nutrition, exercise, safety practices, adequate sleep,
managing stress, and avoiding addictive substances, can have beneficial effects on
health (Matuska and Christiansen 2008). Given the significance of spatial distancing
and nationwide lockdown in India at the time of writing, participation in a variety
of activities across various mediums is needed to maintain psychological well-being.
Engaging in gaming can be time-consuming and has been associated with increased consumption
of sweet drinks (Turel et al. 2017), but maintaining a healthy diet is essential.
Also, excessive online gaming is associated with physical inactivity, obesity, musculoskeletal
problems (pain in hands, wrist, neck, and back), and visual problems (Ayenigbara 2018;
Zirek et al. 2020). At present, there is much uncertainty as to what will happen regarding
the COVID-19 pandemic, due to the ever-changing characteristics of the virus (Lippi
et al. 2020). This is causing immense psychological distress and fear among some individuals
all over the world (Ahorsu et al. 2020; Liu et al. 2020; Pakpour and Griffiths 2020;
Xiang et al. 2020). Such psychosocial effects can lead to emotional distress, anxiety,
depression, substance use disorders, and behavioral addictions (Pfefferbaum and North
2020). Subsequently, engagement in gaming can be a healthy way to relieve stress and
modify mood (Lee et al. 2017), especially during times of crisis. However, excessive
engagement in gaming and unhealthy coping strategies can prove challenging in developing
a healthy daily routine. Here, we recommend the following strategies to maintain occupational
and/or educational balance in times of challenge due to lockdown following the COVID-19
Manage stress effectively—Stress management has a key impact on health and well-being,
and it is important to incorporate healthy coping strategies such as regular exercise,
deep breathing, yoga, or meditation in daily routines to decrease stress and elevate
mood. It is vital to pay attention to the body signals, having personal time, space,
and reflecting. Engagement in gaming reduces stress but it is imperative not to use
this to the neglect of all other stress-relieving activities.
Get adequate sleep—Sleep hygiene is essential and can be helped by maintaining a sleep
diary for duration and time of sleep. Individuals should (i) have a specific time
they go to bed, (ii) avoid gaming before bedtime, (iii) ensure electronic gaming devices
are not kept in the bedroom, and (iv) should make sure the bedroom is noise-free with
dim light. Adequate sleep is important for psychological well-being and physical functioning.
Optimizing circadian rhythms and managing the sleep-wake cycle contributes to enhanced
Engage in physical activity—Gaming can often displace physical activity, so it is
very important to engage in physical activity to elevate mood and maintain health.
Physical activity is an important outcome of health and well-being. Engaging in outdoor
activities, walking, gardening, jogging, and any other activity that can be done in
a safe and spatially distanced way. To avoid prolonging engagement in gaming, individuals
need to set time restraints for gaming, incorporate frequent breaks, stretch, maintain
good posture with a straight back, keep the head and neck upright, and consciously
Engage in good nutrition and eating habits—It is very common to snack while gaming.
Snacking healthy food is important, and gamers should eat meals at regular meal times
(and not skip meals) and, like sleep, monitor their eating behavior.
Have rewarding and self-affirming relationships—Good social support and emotional
support can be protective factors for maintaining an individual’s good health (Reblin
and Uchino 2008). Furthermore, positive relationships and social support predict life
satisfaction (Siedlecki et al. 2014). However, problematic online gaming is highly
associated with cyberbullying and aggression (Mcinroy and Mishna 2017), which can
have a major impact on an individual’s offline social relationships. Forming or renewing
real social relationships is necessary. In the modern busy work schedule, individuals
often find it hard to spend quality time with their family and socialize with friends.
Capitalizing on the current situation, given that a significant proportion of the
world’s individuals are confined to their homes, for some it is an ideal time to reconnect
with family and strengthen existing friendships. This can be done both in and outside
of online gaming (Griffiths 2020). Moreover, having a socially supportive environment
has been associated with psychological well-being. Family time is important; having
conversations, engaging in offline games, and participating in household chores can
also help reduce stress and further strengthen relationships. For children and adolescents,
parents need to monitor a child’s game time and encourage more engagement in offline
Engage in challenging activities—Work is an important way of interacting with the
environment, fulfilling roles and responsibility, and developing mastery, which increases
the sense of competence and self-efficacy. Participating in online gaming can also
enhance positive emotions and bring about happier moods (Russoniello et al. 2009)
by feeling entertained (Männikkö et al. 2017). However, problematic online gaming
is associated with low social competence and self-esteem (Kuss and Griffiths 2012).
Therefore, it is important for individuals to invest in exploring new leisure activities
and skills and/or restarting old ones to be engaged and productive. As mentioned earlier,
participation in an array of physical activities, social activities, as well as cognitive-based
activities with the component of challenge will be helpful. Exploration and participation
in meaningful and gratifying activities such as painting, gardening, puzzles, and
other activities should be encouraged.
Create meaning and positive personal identity—To create meaning and positive personal
identity, individuals engage in a wide range of activities. During the pandemic, it
is recommended that individuals be mindful when participating in gaming. Online gaming
provides a platform to create a unique identity. For instance, in role-playing games,
the player is free to choose gender, race, background, and physical appearance. The
gaming industry has designed games and avatars, and some gamers form deep attachments
to their game character (King et al. 2010). However, for a minority, there is a risk
of developing internet gaming disorder (IGD) where the individual can experience physical,
emotional, and self-identity disturbances (Stavropoulos et al. 2019). Even though
gaming provides an opportunity to escape the present reality, it is recommended that
individuals find meaning and identity in their everyday events. The COVID-19 crisis
has given many individuals sufficient time to reflect on their career, goals, inspiration,
motivations, and drives. Consequently, participating in a variety of activities (including
physical, creative, cognitive, and expressive activities) to maintain psychological
well-being and overall health is highly recommended.
Organize time and energy to meet personal goals—Due to the current pandemic, millions
of individuals are facing an occupational and/or educational imbalance. For some,
this will cause stress associated with infringement on personal freedom, complete
disruption of structured routines, and engagement in activities susceptible to behavioral
addiction (Pfefferbaum and North 2020). In addition, the allocation of time for day-to-day
activities can become challenging and may cause occupational and/or educational disruption
for individuals (Whiteford 2000). Individuals who engage in excessive gaming will
find the activity time-consuming, leading to less available time to engage in other
activities. This could lead to delaying or completely avoiding necessary activities.
When these routines are disrupted due to excessive engagement in online gaming, it
may lead to occupational and/or educational imbalance inducing stress, anxiety, and
various mental health issues (Brown and Hollis 2013). This occupational imbalance
or disruption can further lead to occupational and/or educational deprivation, paving
the way to associated mental health issues. It is recommended that individuals make
a more active choice of time use. Engagement in a variety of goal-directed healthy
habits (which can include gaming) and maintaining positive relationships (which can
be with others in and outside of gaming) is essential. It is important to plan a routine,
use planners, keep a record of time spent on gaming, and using apps such as digital
well-being and timers. Appropriate time use is highly related to individual well-being.
As lockdowns are eased in India and elsewhere, the minority who have used gaming as
an unhealthy coping mechanism (where there is an over-dependence on gaming as a means
of escapism from reality) may suffer from mental health issues. For some, the impact
of the pandemic may lead to the persistence of excessive gaming and result in negative
consequences. Mental health experts such as psychiatrists, psychologists, occupational
therapists, and social workers must continue to monitor the psychosocial needs of
individuals and deliver the needed psychosocial support wherever and whenever they
can (Pfefferbaum and North 2020). The general population, especially vulnerable groups,
requires the utmost mental health care during this pandemic. Early identification
of the vulnerable population should begin as early as possible to help overcome the
mental health issues caused by the COVID-19 pandemic.