A Multimodal Analysis Combining Behavioral Experiments and Survey-Based Methods to Assess the Cognitive Effect of Video Game Playing: Good or Evil?

This study aims to bridge the gap between the discrepant views of existing studies in different modalities on the cognitive effect of video game play. To this end, we conducted a set of tests with different modalities within each participant: (1) Self-Reports Analyses (SRA) consisting of five popular self-report surveys, and (2) a standard Behavioral Experiment (BE) using pro- and antisaccade paradigms, and analyzed how their results vary between Video Game Player (VGP) and Non-Video Game Player (NVGP) participant groups. Our result showed that (1) VGP scored significantly lower in Behavioral Inhibition System (BIS) than NVGP (p = 0.023), and (2) VGP showed significantly higher antisaccade error rate than NVGP (p = 0.005), suggesting that results of both SRA and BE support the existing view that video game play has a maleficent impact on the cognition by increasing impulsivity. However, the following correlation analysis on the results across individual participants found no significant correlation between SRA and BE, indicating a complex nature of the cognitive effect of video game play.

[1]  Extensive performance on the antisaccade task does not lead to negative transfer , 2011, Psychonomic bulletin & review.

[2]  Cheng Chen,et al.  Are you addicted to Candy Crush Saga? An exploratory study linking psychological factors to mobile social game addiction , 2016, Telematics Informatics.

[3]  M. Potenza,et al.  A cognitive-behavioral model of Internet gaming disorder: theoretical underpinnings and clinical implications. , 2014, Journal of psychiatric research.

[4]  Shirley Matile Ogletree,et al.  College Students’ Video Game Participation and Perceptions: Gender Differences and Implications , 2007 .

[5]  Lee T Copping,et al.  Sex differences in impulsivity: a meta-analysis. , 2011, Psychological bulletin.

[6]  Alan Kingstone,et al.  Improved top-down control reduces oculomotor capture: The case of action video game players , 2012, Attention, perception & psychophysics.

[7]  BillieuxJoël,et al.  Functional impairment matters in the screening and diagnosis of gaming disorder , 2017 .

[8]  Mark D. Griffiths,et al.  The Conceptualisation and Measurement of DSM-5 Internet Gaming Disorder: The Development of the IGD-20 Test , 2014, PloS one.

[9]  D J Nutt,et al.  Saccadic eye movement parameters in normal subjects. , 1993, Electroencephalography and clinical neurophysiology.

[10]  M. Rho,et al.  Risk Factors for Internet Gaming Disorder: Psychological Factors and Internet Gaming Characteristics , 2017, International journal of environmental research and public health.

[11]  B. Thompson,et al.  Exercise-Induced Fatigue and Caffeine Supplementation Affect Psychomotor Performance but Not Covert Visuo-Spatial Attention , 2016, PloS one.

[12]  Daniel L. King,et al.  Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective , 2018, Journal of behavioral addictions.

[13]  D. Gentile.  Pathological Video-Game Use Among Youth Ages 8 to 18 , 2009, Psychological science.

[14]  Ana Paiva,et al.  Game elements improve performance in a working memory training task , 2015, Int. J. Serious Games.

[15]  Matthew J. Stainer,et al.  Is experience in multi-genre video game playing accompanied by impulsivity? , 2018, Acta psychologica.

[16]  M. Beutel,et al.  Adding Clinical Validity to the Statistical Power of Large-Scale Epidemiological Surveys on Internet Addiction in Adolescence: A Combined Approach to Investigate Psychopathology and Development-Specific Personality Traits Associated With Internet Addiction. , 2017, The Journal of clinical psychiatry.

[17]  Manfred E Beutel,et al.  [Clinical characteristics of computer game and internet addiction in persons seeking treatment in an outpatient clinic for computer game addiction]. , 2011, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.

[18]  C. Ko,et al.  The association between harmful alcohol use and Internet addiction among college students: Comparison of personality , 2009, Psychiatry and clinical neurosciences.

[19]  David J. Mack,et al.  Video game players show higher performance but no difference in speed of attention shifts. , 2016, Acta psychologica.

[20]  D. Munoz,et al.  Using an emotional saccade task to characterize executive functioning and emotion processing in attention-deficit hyperactivity disorder and bipolar disorder , 2018, Brain and Cognition.

[21]  A. Beck,et al.  An inventory for measuring clinical anxiety: psychometric properties. , 1988, Journal of consulting and clinical psychology.

[22]  Dan J Stein,et al.  Gray's BIS/BAS dimensions in non-comorbid, non-medicated social anxiety disorder , 2009, The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry.

[23]  C. S. Green,et al.  The development of attention skills in action video game players , 2009, Neuropsychologia.

[24]  Chih-Hung Ko,et al.  Altered gray matter density and disrupted functional connectivity of the amygdala in adults with Internet gaming disorder , 2015, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[25]  K. Mathiak,et al.  Violence-related content in video game may lead to functional connectivity changes in brain networks as revealed by fMRI-ICA in young men , 2016, Neuroscience.

[26]  R. Baumeister,et al.  High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. , 2004, Journal of personality.

[27]  P. Plyler,et al.  Mental tasking and rotary Chair-Induced vestibular nystagmus utilizing Video-Oculography , 2019, International journal of audiology.

[28]  Joël Billieux,et al.  Characteristics and treatment response of self-identified problematic Internet users in a behavioral addiction outpatient clinic , 2014, Journal of behavioral addictions.

[29]  Stephen M. Rao,et al.  Neural correlates of inhibitory control in adult attention deficit/hyperactivity disorder: Evidence from the Milwaukee longitudinal sample , 2011, Psychiatry Research: Neuroimaging.

[30]  D. Gentile,et al.  Pathological Video Game Use Among Youths: A Two-Year Longitudinal Study , 2011, Pediatrics.

[31]  C. G. Lim,et al.  Video Game Playing, Attention Problems, and Impulsiveness: Evidence of Bidirectional Causality , 2012 .

[32]  D. Bavelier,et al.  Altering perception: the case of action video gaming. , 2019, Current opinion in psychology.

[33]  H. Christensen,et al.  Using the BIS/BAS scales to measure behavioural inhibition and behavioural activation: Factor structure, validity and norms in a large community sample , 1998 .

[34]  Joël Billieux,et al.  Shoot at first sight! First person shooter players display reduced reaction time and compromised inhibitory control in comparison to other video game players , 2017, Comput. Hum. Behav..

[35]  Alisdair J. G. Taylor.  TRAIT IMPULSIVITY AND OCULOMOTOR INHIBITION , 2016 .

[36]  H. Quay.  The behavioral reward and inhibition system in childhood behavior disorder. , 1988 .

[37]  Augusta H. Bargeron,et al.  Psychosocial correlates of internet gaming disorder: Psychopathology, life satisfaction, and impulsivity , 2017, Comput. Hum. Behav..

[38]  C Shawn Green,et al.  Increasing Speed of Processing With Action Video Games , 2009, Current directions in psychological science.

[39]  G. Bischof,et al.  The association between Internet addiction and personality disorders in a general population-based sample , 2016, Journal of behavioral addictions.

[40]  F. Behrens,et al.  An improved algorithm for automatic detection of saccades in eye movement data and for calculating saccade parameters , 2010, Behavior research methods.

[41]  I. Cherney.  Mom, Let Me Play More Computer Games: They Improve My Mental Rotation Skills , 2008 .

[42]  Daniel L. King,et al.  Working towards an international consensus on criteria for assessing internet gaming disorder: a critical commentary on Petry et al. (2014). , 2016, Addiction.

[43]  D. Simons,et al.  The effects of video game playing on attention, memory, and executive control. , 2008, Acta psychologica.

[44]  Christian Beste,et al.  Action Video Gaming and Cognitive Control: Playing First Person Shooter Games Is Associated with Improved Action Cascading but Not Inhibition , 2015, PloS one.

[45]  M. Griffiths,et al.  Emerging insights on internet gaming disorder: Conceptual and measurement issues , 2019, Addictive behaviors reports.

[46]  John B Saunders,et al.  Excessive gambling and gaming: addictive disorders? , 2017, The lancet. Psychiatry.

[47]  Anthony M. Bean,et al.  Video Game Addiction: The Push To Pathologize Video Games , 2017 .

[48]  D. Munoz,et al.  Altered control of visual fixation and saccadic eye movements in attention-deficit hyperactivity disorder. , 2003, Journal of neurophysiology.

[49]  Chih-Hung Ko,et al.  Brain activation for response inhibition under gaming cue distraction in internet gaming disorder , 2014, The Kaohsiung journal of medical sciences.

[50]  Greg L. West,et al.  Action video game experience affects oculomotor performance. , 2013, Acta psychologica.

[51]  Joseph D. Chisholm,et al.  Reduced attentional capture in action video game players , 2010, Attention, perception & psychophysics.

[52]  Abraham Weizman,et al.  New developments in brain research of internet and gaming disorder , 2017, Neuroscience & Biobehavioral Reviews.

[53]  M. Spinella,et al.  NEUROBEHAVIORAL CORRELATES OF IMPULSIVITY: EVIDENCE OF PREFRONTAL INVOLVEMENT , 2004, The International journal of neuroscience.

[54]  N. Shimizu.  [Neurology of eye movements]. , 2000, Rinsho shinkeigaku = Clinical neurology.

[55]  P. E. Hallett,et al.  Primary and secondary saccades to goals defined by instructions , 1978, Vision Research.

[56]  A. Reiss,et al.  Gender differences in the mesocorticolimbic system during computer game-play. , 2008, Journal of psychiatric research.

[57]  David J. Mack,et al.  The effects of video game play on the characteristics of saccadic eye movements , 2014, Vision Research.

[58]  Daniel Kardefelt-Winther,et al.  A conceptual and methodological critique of internet addiction research: Towards a model of compensatory internet use , 2014, Comput. Hum. Behav..

[59]  Chih-Hung Ko,et al.  Association between Internet gaming disorder and generalized anxiety disorder , 2017, Journal of behavioral addictions.

[60]  Lianne M. Keemink,et al.  Error processing and response inhibition in excessive computer game players: an event‐related potential study , 2012, Addiction biology.

[61]  Florian Rehbein,et al.  Prevalence and Risk Factors of Video Game Dependency in Adolescence: Results of a German Nationwide Survey , 2010, Cyberpsychology Behav. Soc. Netw..

[62]  M. Rho,et al.  The influence of game genre on Internet gaming disorder , 2017, Journal of behavioral addictions.

[63]  E. Haffen,et al.  Massively multiplayer online role-playing games: comparing characteristics of addict vs non-addict online recruited gamers in a French adult population , 2011, BMC psychiatry.

[64]  C. Anderson,et al.  Television and Video Game Exposure and the Development of Attention Problems , 2010, Pediatrics.

[65]  Daniel P. Lloyd,et al.  Comparison of the Video Game Functional Assessment-Revised (VGFA-R) and Internet Gaming Disorder Test (IGD-20) , 2019, Front. Psychol..

[66]  P. Reuter-Lorenz,et al.  Effects of warning signals and fixation point offsets on the latencies of pro- versus antisaccades: implications for an interpretation of the gap effect , 2004, Experimental Brain Research.

[67]  C. S. Green,et al.  Learning, Attentional Control, and Action Video Games , 2012, Current Biology.

[68]  L. Salmerón,et al.  Attention orienting and inhibitory control across the different mood states in bipolar disorder: An emotional antisaccade task , 2013, Biological Psychology.

[69]  Matthew S. Cain,et al.  Improved control of exogenous attention in action video game players , 2014, Front. Psychol..

[70]  Andrew K. Przybylski,et al.  Scholars’ open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal , 2017, Journal of behavioral addictions.

[71]  Adam C. Oei,et al.  Enhancing Cognition with Video Games: A Multiple Game Training Study , 2013, PloS one.

[72]  M. Beutel,et al.  Investigating Risk Factors for Internet Gaming Disorder: A Comparison of Patients with Addictive Gaming, Pathological Gamblers and Healthy Controls regarding the Big Five Personality Traits , 2013, European Addiction Research.

[73]  S. Puttonen,et al.  BIS-BAS sensitivity and cardiac autonomic stress profiles. , 2003, Psychophysiology.

[74]  A. Sakamoto,et al.  The effects of the presence and contexts of video game violence on children: A longitudinal study in Japan , 2008 .

[75]  J. Patton,et al.  Factor structure of the Barratt impulsiveness scale. , 1995, Journal of clinical psychology.

[76]  M. Griffiths,et al.  Measurement Invariance of the Nine-Item Internet Gaming Disorder Scale (IGDS9-SF) Across Albania, USA, UK, and Italy , 2019, International Journal of Mental Health and Addiction.

[77]  Dave M. Stampe,et al.  Heuristic filtering and reliable calibration methods for video-based pupil-tracking systems , 1993 .

[78]  C. Carver,et al.  Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales , 1994 .

[79]  Bung-Nyun Kim,et al.  The Factors for the Aggression in Patients with On-Line Game Addiction : Behavioral Inhibition/Activation System and Comorbid Disease , 2013 .

[80]  Joseph D. Chisholm,et al.  Action video game players' visual search advantage extends to biologically relevant stimuli. , 2015, Acta psychologica.

[81]  Christoph Stahl,et al.  Impulsivity in Borderline Personality Disorder: Impairment in Self-Report Measures, but Not Behavioral Inhibition , 2010, Psychopathology.

[82]  Camarin E. Rolle,et al.  Video game training enhances cognitive control in older adults , 2013, Nature.

[83]  Ryan M. Sullivan,et al.  Delay Discounting of Video Game Players: Comparison of Time Duration Among Gamers , 2017, Cyberpsychology Behav. Soc. Netw..

[84]  R. Uslu,et al.  Beck Depression Inventory II: evaluation of the psychometric properties and cut‐off points in a Turkish adult population , 2008, Depression and anxiety.

[85]  L. Julian,et al.  Measures of anxiety: State‐Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale‐Anxiety (HADS‐A) , 2011, Arthritis care & research.

[86]  Andrew K. Przybylski,et al.  A weak scientific basis for gaming disorder: Let us err on the side of caution , 2018, Journal of behavioral addictions.

[87]  Mark D. Griffiths,et al.  Demonstrating the validity of the Video Game Functional Assessment-Revised (VGFA-R) , 2016, Comput. Hum. Behav..

[88]  Daniel L. King,et al.  Gaming disorder: Its delineation as an important condition for diagnosis, management, and prevention , 2017, Journal of behavioral addictions.

[89]  D H Brainard,et al.  The Psychophysics Toolbox. , 1997, Spatial vision.

[90]  M. Coles,et al.  Retrospective reports of behavioral inhibition and young adults' current symptoms of social anxiety, depression, and anxious arousal. , 2009, Journal of anxiety disorders.

[91]  A. Beck,et al.  Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. , 1996, Journal of personality assessment.

[92]  C. S. Green,et al.  Meta-Analysis of Action Video Game Impact on Perceptual, Attentional, and Cognitive Skills , 2018, Psychological bulletin.

[93]  D. Munoz,et al.  Look away: the anti-saccade task and the voluntary control of eye movement , 2004, Nature Reviews Neuroscience.

[94]  Richard Milich,et al.  Separating automatic and intentional inhibitory mechanisms of attention in adults with attention-deficit/hyperactivity disorder. , 2011, Journal of abnormal psychology.

[95]  Michael G. Lacy,et al.  A vacation from your mind: Problematic online gaming is a stress response , 2014, Comput. Hum. Behav..

[96]  Christopher Kennard,et al.  An internationally standardised antisaccade protocol , 2013, Vision Research.

[97]  Daniel L. King,et al.  Functional impairment matters in the screening and diagnosis of gaming disorder , 2017, Journal of behavioral addictions.

[98]  M G Saslow,et al.  Latency for saccadic eye movement. , 1967, Journal of the Optical Society of America.

[99]  C. Braet,et al.  Measuring Punishment and Reward Sensitivity in children and adolescents with a parent-report version of the Bis/Bas-scales , 2015 .

[100]  So Ra Lee,et al.  The Study on Reliability and Validity of Korean Version of the Barratt Impulsiveness Scale-11-Revised in Nonclinical Adult Subjects , 2012 .

[101]  H. Quay.  The psychobiology of undersocialized aggressive conduct disorder: A theoretical perspective , 1993, Development and Psychopathology.

[102]  R. Burkard,et al.  The Influence of Caffeine on Rotary Chair and Oculomotor Testing , 2018, Journal of the American Academy of Audiology.

[103]  M. Fauth-Bühler,et al.  Neurobiological correlates of internet gaming disorder: Similarities to pathological gambling. , 2017, Addictive behaviors.

[104]  J. Theeuwes,et al.  To look or not to look? Reward, selection history, and oculomotor guidance , 2018, Journal of neurophysiology.