{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T09:34:53Z","timestamp":1787045693528,"version":"build-2736575974"},"reference-count":40,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ongoing Research Funding Program","award":["ORF-2026-1445"],"award-info":[{"award-number":["ORF-2026-1445"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background: Despite the WHO\u2019s recognition of Gaming Disorder in the ICD-11, epidemiological data on its prevalence and neuropsychiatric correlates among Saudi Arabian university students remain limited. Such data are critical for calibrating campus mental health resources and developing evidence-based screening protocols. This study aimed to estimate the prevalence of Internet Gaming Disorder (IGD) in a sample of Saudi university student gamers and evaluate the clinical utility of impulsivity and resilience as case-detection tools. Methods: In a cross-sectional survey of students who engaged in electronic gaming for at least one hour per week (N = 207; 58.9% male), participants completed the IGDS9-SF, CD-RISC-10, and S-UPPS-P scales. Data were analyzed using binary logistic regression and Receiver Operating Characteristic (ROC) curves to identify predictors and compare the discriminative validity of the constructs. Results: Among these student gamers, the overall IGD prevalence was 18.4%, with significantly higher rates in males (24.6%) than females (9.4%; \u03c72(1) = 7.71, p = 0.006). Significant predictors of IGD included sex, daily gaming hours, higher impulsivity, and lower resilience. ROC analysis revealed that a composite impulsivity-resilience index (AUC = 0.80) outperformed single-construct screening using only impulsivity (AUC = 0.71) or resilience (AUC = 0.68). Cases exhibited markedly higher impulsivity and lower resilience than non-cases. Conclusions: Among Saudi university student gamers, IGD prevalence is clinically significant, particularly among heavier and male gamers. A composite impulsivity-resilience screening index showed superior detection accuracy in this sample and warrants further validation for integration into university mental health assessment protocols.<\/jats:p>","DOI":"10.3390\/jcm15166374","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T09:06:41Z","timestamp":1787044001000},"page":"6374","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence, Severity, and Neuropsychiatric Correlates of Internet Gaming Disorder Among Saudi University Student Gamers: An Epidemiological Cross-Sectional Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0281-8143","authenticated-orcid":false,"given":"Abdullah","family":"Alharbi","sequence":"first","affiliation":[{"name":"Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faihan F.","family":"Alshaibany","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration and Education, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4244-8108","authenticated-orcid":false,"given":"Majed M.","family":"Aljabri","sequence":"additional","affiliation":[{"name":"Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0582-0902","authenticated-orcid":false,"given":"Bandar","family":"S. Alharbi","sequence":"additional","affiliation":[{"name":"Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alya","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2266-0121","authenticated-orcid":false,"given":"Bader M.","family":"Almutairy","sequence":"additional","affiliation":[{"name":"Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waleed M.","family":"Alshehri","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8646-9659","authenticated-orcid":false,"given":"Norah M.","family":"Alyahya","sequence":"additional","affiliation":[{"name":"Community and Psychiatric Mental Health Nursing Department, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1643-2599","authenticated-orcid":false,"given":"Abdulaziz M.","family":"Alodhailah","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Nursing, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2019). 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