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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Feb 6, 2018
Open Peer Review Period: Feb 7, 2018 - Mar 8, 2018
Date Accepted: May 12, 2018
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Game Addiction Scale Assessment Through a Nationally Representative Sample of Young Adult Men: Item Response Theory Graded–Response Modeling

Khazaal Y, Breivik K, Billieux J, Zullino D, Thorens G, Achab S, Gmel G, Chatton A

Game Addiction Scale Assessment Through a Nationally Representative Sample of Young Adult Men: Item Response Theory Graded–Response Modeling

J Med Internet Res 2018;20(8):e10058

DOI: 10.2196/10058

PMID: 30150204

PMCID: 6131318

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Game Addiction Scale Assessment Through a Nationally Representative Sample of Young Adult Men: Item Response Theory Graded–Response Modeling

  • Yasser Khazaal; 
  • Kyrre Breivik; 
  • Joel Billieux; 
  • Daniele Zullino; 
  • Gabriel Thorens; 
  • Sophia Achab; 
  • Gerhard Gmel; 
  • Anne Chatton

Background:

The 7-item Game Addiction Scale (GAS) has been validated under standard confirmatory factor analysis and exhibits good psychometric properties. Whether this scale satisfies the necessary conditions for consideration by item response theory (IRT) modeling remains unknown. However, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) recently proposed criteria, in its section 3, to define internet gaming disorder (IGD) to promote research on this possible condition.

Objective:

The objective of our study was to (1) analyze GAS in the context of IRT (graded-response) modeling; (2) investigate differential item functioning (DIF), a feature of IRT modeling, in 2 subsamples; and (3) contribute to the ongoing (IGD) debate related to the validity of the DSM-5 criteria using GAS items as a proxy.

Methods:

We assessed 2 large representative samples of Swiss men (3320 French-speaking and 2670 German-speaking) with GAS.

Results:

All items comprised high discrimination parameters. GAS items such as relapse, conflict, withdrawal, and problems (loss of interests) were endorsed more frequently in more severe IGD stages, whereas items related to tolerance, salience (preoccupation), and mood modification (escape) were endorsed more widely among participants (including in less severe IGD stages). Several DIF effects were found but were classified as negligible.

Conclusions:

The results of the analyses partly support the relevance of using IRT to further establish the psychometric properties of the GAS items. This study contributes to testing the validity of the IGD criteria, although cautious generalization of our findings is required with GAS being only a proxy of the IGD criteria.


 Citation

Please cite as:

Khazaal Y, Breivik K, Billieux J, Zullino D, Thorens G, Achab S, Gmel G, Chatton A

Game Addiction Scale Assessment Through a Nationally Representative Sample of Young Adult Men: Item Response Theory Graded–Response Modeling

J Med Internet Res 2018;20(8):e10058

DOI: 10.2196/10058

PMID: 30150204

PMCID: 6131318

Per the author's request the PDF is not available.

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