Associations between comorbid stress and Internet Gaming Disorder symptoms: Are there cultural and gender variations?

Introduction: The American Psychiatric Association has requested additional studies examine risk, protective, and cultural factors in relation to Internet Gaming Disorder (IGD). The present study aimed to explore the association between stress as a potential IGD risk effect, the possible exacerbating role of cultural orientation (vertical individualism [VI]), and how this may vary between genders. Methods: The sample included adult gamers from the USA, UK, and Australia. Analyses were conducted via linear regression, moderation, and moderated moderation. Results: The results suggested that higher stress symptoms act to increase IGD risk. Gender and VI also influenced this association. Discussion: Males presenting with higher levels of stress and VI were at greater risk of IGD compared to females who exhibited a reduction in IGD-related behaviors. This demonstrates a need for more research to determine how culture and gender can act to mitigate or worsen the risks associated with excessive gaming.