{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T21:09:03Z","timestamp":1790456943957,"version":"4.1.0"},"reference-count":32,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The American Psychiatric Association (APA) included internet game disorder (IGD) in section III of the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) on the condition that it guaranteed more clinical research and experience. The World Health Organization (WHO) also included Game Disorder (GD) in the 11th final revision of the International Classification of Diseases (ICD-11) and recently recognized it as a diagnosis code. This study aims to compare clinical characteristics and gaming behavior patterns between the IGD diagnosis criteria proposed by the DSM-5 and the GD diagnosis criteria proposed by the ICD-11 based on clinical cohort data (c-CURE: clinic-Cohort for Understanding of internet addiction Rescue factors in Early life) obtained in the Republic of Korea. Psychologists and psychiatrists conducted semi-structured interviews with children\/adolescents and their caregivers to identify IGD (Diagnostic Interview for Internet, Game, SNS, etc. Addiction, DIA), and comorbid psychiatric disorders (Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean version, K-SADS-PL). The cohort was divided into three IGD diagnosis groups (Normal, DSM5, DSM5 + ICD11) based on DSM-5 and ICD-11 diagnosis criteria. Internet usage pattern and addiction characteristics and psychiatric comorbidities were compared among the three IGD diagnosis groups. The Normal group consisted of 115 subjects, the DSM5 group contained 61 subjects, and the DSM5 + ICD11 group amounted to 12 subjects. The DSM5 + ICD11 group had a lower age of starting use of Internet\/games\/smartphones than other groups and the average time of Internet\/game\/smartphone use during weekdays\/weekends was the highest. Also, in the eight items scored, excluding \u2018deceiving\u2019 and \u2018craving\u2019, the rate of threshold was highest in the DSM5 + ICD11 group, followed by the DSM5 group and the Normal group. On the other hand, \u2018deceiving\u2019 and \u2018craving\u2019 were the highest in DSM5, followed by DSM5 + ICD11 and Normal. The DSM5 + ICD11 group had significantly higher rates of depressive disorder, oppositional defiant disorder (ODD) and conduct disorder (CD) compared to other groups. This study provides implications for the clinical characteristics of IGD diagnosis in the field by comparing the DSM-5 IGD diagnosis criteria with the ICD-11 GD diagnosis criteria. Furthermore, this study provides empirical evidence that ICD-11 GD emphasizes serious symptoms such as functional impairment caused by excessive Internet\/game\/smartphone use over a long time, and it supports the validity of the ICD-11 GD diagnosis.<\/jats:p>","DOI":"10.3390\/jcm8070945","type":"journal-article","created":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T03:23:59Z","timestamp":1561951439000},"page":"945","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":189,"title":["Clinical Characteristics of Diagnosis for Internet Gaming Disorder: Comparison of DSM-5 IGD and ICD-11 GD Diagnosis"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7743-5932","authenticated-orcid":false,"given":"Yeong Seon","family":"Jo","sequence":"first","affiliation":[{"name":"Department of Psychology, Sung-Shin women\u2019s University, Seoul 02844, Korea"},{"name":"Department of Psychiatry, The Catholic University of Korea Uijeongbu St. Mary\u2019s Hospital, Gyeonggi 11765, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Young","family":"Bhang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Eulji Hospital, Eulji University College of Medicine, Seoul 01830, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Seok","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, SMG-SNU Boramae Medical Center, Seoul 07061, Korea"},{"name":"Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hae Kook","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Uijeongbu St. Mary\u2019s Hospital, The Catholic University of Korea College of Medicine, Gyeonggi 11765, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5635-8958","authenticated-orcid":false,"given":"Seung Yup","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Eunpyeong St. Mary\u2019s Hospital, The Catholic University of Korea College of Medicine, Seoul 03312, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5638-6350","authenticated-orcid":false,"given":"Yong-Sil","family":"Kweon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Uijeongbu St. Mary\u2019s Hospital, The Catholic University of Korea College of Medicine, Gyeonggi 11765, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"ref_1","unstructured":"Korean Ministry of Science and ICT (2019). The Survey Internet\/Smartphone Overdependence in 2018."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5\u00ae), American Psychiatric Publishing.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_3","unstructured":"World Health Organization (2014). Public Health Implications of Excessive Use of the Internet, Computers, Smartphones and Similar Electronic Devices Meeting Report, World Health Organization."},{"key":"ref_4","unstructured":"World Health Organization (2016). Print Versions for the ICD-11 Beta Draft (Mortality and Morbidity Statistics), World Health Organization."},{"key":"ref_5","unstructured":"World Health Organization (2018). The ICD-11 Classification of Mental and Behavioral Disorders: Diagnostic Criteria for Research, World Health Organization."},{"key":"ref_6","unstructured":"Korean Addiction Form (2019). Public Health Response to Health Problems Related to Excessive Use of Game, Korean Association Medical Law."},{"key":"ref_7","unstructured":"World Health Organization (2019). International Statistical Classification of Diseases and Related Health Problems (ICD-11): New Release, World Health Assembly. Available online: https:\/\/www.who.int\/news-room\/detail\/25-05-2019-world-health-assembly-update."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1556\/2006.5.2016.062","article-title":"Chaos and confusion in DSM-5 diagnosis of internet gaming disorder: Issues, concerns, and recommendations for clarity in the field","volume":"6","author":"Kuss","year":"2017","journal-title":"J. Behav. Addict."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1556\/2006.6.2017.032","article-title":"DSM-5 diagnosis of internet gaming disorder: Some ways forward in overcoming issues and concerns in the gaming studies field","volume":"6","author":"Kuss","year":"2017","journal-title":"J. Behav. Addict."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1556\/2006.5.2016.088","article-title":"Scholars\u2019 open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal","volume":"6","author":"Aarseth","year":"2017","journal-title":"J. Behav. Addict."},{"key":"ref_11","first-page":"290","article-title":"ICD-11 Gaming Disorder: Needed and just in time or dangerous and much too early?","volume":"6","year":"2017","journal-title":"J. Behav. Addict."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1556\/2006.7.2018.59","article-title":"Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective","volume":"7","author":"Rumpf","year":"2018","journal-title":"J. Behav. Addict."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.jpsychires.2012.01.004","article-title":"Differential regional gray matter volumes in patients with on-line game addiction and professional gamers","volume":"46","author":"Han","year":"2012","journal-title":"J. Psychiatr. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1556\/2006.7.2018.102","article-title":"A cohort study of patients seeking internet gaming disorder treatment","volume":"7","author":"Han","year":"2018","journal-title":"J. Behav. Addict."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Yuan, K., Qin, W., Wang, G., Zeng, F., Zhao, L., Yang, X., Liu, P., Liu, J., Sun, J., and Gong, Q. (2011). Microstructure abnormalities in adolescents with internet addiction disorder. PLoS ONE, 6.","DOI":"10.1371\/journal.pone.0020708"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1111\/mila.12106","article-title":"Denial in addiction","volume":"31","author":"Pickard","year":"2016","journal-title":"Mind Lang."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"10084","DOI":"10.1038\/s41598-018-28478-8","article-title":"Discordance between self-report and clinical diagnosis of internet gaming disorder in adolescents","volume":"8","author":"Jeong","year":"2018","journal-title":"Sci. Rep."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"42","DOI":"10.37122\/kaap.2018.22.1.42","article-title":"Comparison of the proposed DSM-5 IGD diagnostic criteria and clinical interview by psychiatrist in adolescents","volume":"22","author":"Jeong","year":"2018","journal-title":"J. Korean Acad. Addict. Psychiatry"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"249","DOI":"10.4306\/pi.2017.14.3.249","article-title":"The hierarchical implications of internet gaming disorder criteria: Which indicate more severe pathology?","volume":"14","author":"Lee","year":"2017","journal-title":"Psychiatry Investig."},{"key":"ref_20","unstructured":"Korean National Information Society Agency (2013). A Validation Study of K-Scale as a Diagnostic Tool, Korean National Information Society Agency."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Kwon, M., Kim, D.-J., Cho, H., and Yang, S. (2013). The smartphone addiction scale: Development and validation of a short version for adolescents. PLoS ONE, 8.","DOI":"10.1037\/t71126-000"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"319","DOI":"10.15703\/kjc.17.3.201606.319","article-title":"Development and Validation of Youth Smartphone Addiction Self-report Scale","volume":"17","author":"Kim","year":"2016","journal-title":"Korean J. Couns."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"369","DOI":"10.15703\/kjc.16.6.201512.369","article-title":"Development and Validation of Child Smartphone Addiction Observer Scale","volume":"16","author":"Kim","year":"2015","journal-title":"Korean J. Couns."},{"key":"ref_24","unstructured":"Korean National Information Society Agency (2011). Third Standardization of Korean Internet Addiction Proneness Scale, Korean National Information Society Agency. NIA IV-RER-11050."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Ryu, H., Lee, J.Y., Choi, A.R., Chung, S.J., Park, M.K., Bhang, S.Y., Kwon, J.G., Kweon, Y.S., and Choi, J.S. (2019). Application of diagnostic interview for internet addiction (DIA) in clinical practice for Korean adolescents. J. Clin. Med., 8.","DOI":"10.3390\/jcm8020202"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3349\/ymj.2004.45.1.81","article-title":"The reliability and validity of kiddie schedule for affective disorders and schizophrenia present and lifetime version-korean version (K-SADS-PL-K)","volume":"45","author":"Kim","year":"2004","journal-title":"Yonsei Med. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"4","DOI":"10.3389\/fnhum.2016.00004","article-title":"Altered structural correlates of impulsivity in adolescents with internet gaming disorder","volume":"10","author":"Du","year":"2016","journal-title":"Front. Hum. Neurosci."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.pnpbp.2014.11.003","article-title":"Altered gray matter density and disrupted functional connectivity of the amygdala in adults with internet gaming disorder","volume":"57","author":"Ko","year":"2015","journal-title":"Prog. Neuropsychopharmacol. Biol. Psychiatry"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.addbeh.2016.04.024","article-title":"Association between internet gaming disorder and adult attention deficit and hyperactivity disorder and their correlates: Impulsivity and hostility","volume":"64","author":"Yen","year":"2017","journal-title":"Addict. Behav."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"154","DOI":"10.3389\/fpsyt.2018.00154","article-title":"The comorbidity between internet gaming disorder and depression: Interrelationship and neural mechanisms","volume":"23","author":"Liu","year":"2018","journal-title":"Front Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jad.2017.08.005","article-title":"Prevalence and correlates of comorbid depression in a nonclinical online sample with DSM-5 internet gaming disorder","volume":"226","author":"Wang","year":"2018","journal-title":"J. Affect. Disord."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.comppsych.2008.08.011","article-title":"The effect of methylphenidate on internet video game play in children with attention-deficit\/hyperactivity disorder","volume":"50","author":"Han","year":"2009","journal-title":"Compr. Psychiatry"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/8\/7\/945\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:02:20Z","timestamp":1760187740000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/8\/7\/945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,28]]},"references-count":32,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7]]}},"alternative-id":["jcm8070945"],"URL":"https:\/\/doi.org\/10.3390\/jcm8070945","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,28]]}}}