Communications in Humanities Research ISSN: 2753-7072
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Research Article

Understanding Game Addiction Mechanism

Xinyang LiUniversity of Toronto*

* Corresponding author: [email protected]

Abstract

The widespread popularity of online games has raised concerns about addiction, which can affect physical and mental health. This paper explores the problem of online game addiction from physiological and psychological perspectives, with special emphasis on changes in brain activity and cognitive patterns. From a physiological perspective, online games stimulate the brain's reward system, and addictive behaviors are associated with alterations in the dopamine pathway as well as changes in brain regions such as the prefrontal cortex and ventral striatum. From a psychological perspective, gaming addiction is influenced by the perceived value of rewards in gaming, maladaptive gaming behaviors, reliance on gaming for self-esteem, and the search for social approval. Treatments for online game addiction mainly include cognitive-behavioral therapy (CBT) and pharmacological therapies (e.g., antidepressants), with the former helping to change maladaptive thoughts and behaviors. Future research should explore preventive measures from the perspective of game design, incorporate anti-addiction mechanisms, and strike a balance between entertainment and responsible gaming behavior.

Keywords: game addiction; mechanism; treatment
Published: May 23, 2025
DOI: 10.54254/2753-7064/2024.23313
Volume: CHR Vol.68
pp. 84-89
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References

  1. King, D. L., Koster, E., & Billieux, J. (2019). Study what makes games addictive. Nature, 573, 346. Ko, C. H., Liu, G. C., Hsiao, S., Yen, J. Y., Yang, M. J., Lin, W. C., … Chen, C. S. (2009). Brain activities associated with gaming urge of online gaming addiction. Journal of Psychiatric Research, 43, 739–747.
  2. Young KS. (1999) Internet addiction: Symptoms, evaluation, and treatment. www.netaddiction.com/articles/symptoms.htm.
  3. Jeong, E. J., & Kim, D. H. (2011). Social activities, self-efficacy, game attitudes, and game addiction. Cyberpsychology, behavior and social networking, 14(4), 213–221.
  4. 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 Jun;55(6):553-568. doi: 10.1177/0004867420962851. Epub 2020 Oct 7. Erratum in: Aust N Z J Psychiatry. 2023 Jun;57(6):928. doi: 10.1177/00048674221137011. PMID: 33028074.
  5. Van Rooij, A. J., Schoenmakers, T. M., Vermulst, A. A., Van den Eijnden, R. J., & Van de Mheen, D. (2011). Online video game addiction: identification of addicted adolescent gamers. Addiction (Abingdon, England), 106(1), 205–212. https://doi.org/10.1111/j.1360-0443.2010.03104.x
  6. Meerkerk, G. J., Van Den Eijnden, R. J., Vermulst, A. A., & Garretsen, H. F. (2009). The Compulsive Internet Use Scale (CIUS): some psychometric properties. Cyberpsychology & behavior: the impact of the Internet, multimedia and virtual reality on behavior and society, 12(1), 1–6. https://doi.org/10.1089/cpb.2008.0181
  7. Kim J-Y, Kim H-S, Kim D-J, Im S-K, Kim M-S. Identification of Video Game Addiction Using Heart-Rate Variability Parameters. Sensors. 2021; 21(14):4683. https://doi.org/10.3390/s21144683
  8. Goldstein RZ, Volkow ND. Am J Psychiatry. 2002; 159:1642–1652. Drug addiction and its underlying neurobiological basis: neuroimaging evidence for the involvement of the frontal cortex.
  9. Everitt BJ, Robbins TW. Neural systems of reinforcement for drug addiction: from actions to habits to compulsion. Nat Neurosci. 2005;8: 1481–1489. https://doi.org/10.1089/cyber.2009.0289
  10. Chih-Hung Ko, Gin-Chung Liu, Sigmund Hsiao, Ju-Yu Yen, Ming-Jen Yang, Wei-Chen Lin, Cheng-Fang Yen, Cheng-Sheng Chen, Brain activities associated with gaming urge of online gaming addiction, Journal of Psychiatric Research, Volume 43, Issue 7, 2009, Pages 739-747, ISSN 0022-3956, https://doi.org/10.1016/j.jpsychires.2008.09.012.
  11. Daniel L. King, Paul H. Delfabbro, The cognitive psychology of Internet gaming disorder, Clinical Psychology Review, Volume 34, Issue 4, 2014, Pages 298-308, ISSN 0272-7358, https://doi.org/10.1016/j.cpr.2014.03.006.
  12. S.E. Allison, L. von Wahlde, T. Shockley, G.O. Gabbard, The development of the self in the era of the Internet and role-playing fantasy games
  13. Young K. Am J Fam Ther, Understanding online gaming addiction and treatment issues for adolescents. 2009; 37: 355–372.
  14. Wölfling, K., Müller, K. W., Dreier, M., Ruckes, C., Deuster, O., Batra, A., Mann, K., Musalek, M., Schuster, A., Lemenager, T., Hanke, S., & Beutel, M. E. (2019). Efficacy of Short-term Treatment of Internet and Computer Game Addiction: A Randomized Clinical Trial. JAMA psychiatry, 76(10), 1018–1025. https://doi.org/10.1001/jamapsychiatry.2019.1676
  15. Han, D. H., Hwang, J. W., & Renshaw, P. F. (2010). Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Experimental and clinical psychopharmacology, 18(4), 297–304. https://doi.org/10.1037/a0020023