Cent Eur J Public Health 2018, 26(3):209-214 | DOI: 10.21101/cejph.a4731

Association between computer game type, playing time and sense of coherence in Lithuanian adolescents

Ruta Ustinavičienė, Lina Škėmienė, Dalia Lukšienė, Ričardas Radišauskas, Gintarė Kalinienė, Paulius Vasilavičius

Department of Environmental and Occupational Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania

Objective: As an excessive gaming is the addiction of the 21th century, purpose of our study was to investigate how sense of coherence interacts with gaming time, choice of various games types, age and gender characteristics. Our task was to evaluate relationship between computer gaming and an adolescent's sense of coherence.

Methods: A cross-sectional study based on a self-reported questionnaire was performed among the representative samples of 1,806 adolescents aged 13-18 years. Adolescents reported the amount of time spent gaming computer games, types of games, as well as sense of coherence. The relations between the choice of computer games type, time spent gaming computer games and sense of coherence of respondents were assessed by odds ratio using multivariate regression analysis.

Results: 32.9% of boys and 81.1% of girls reported gaming computer games less than 5 hours per day during the last month (p < 0.001). 30.9% of boys and 4.1% of girls reported gaming computer games more than 10 hours per day during the last month (p < 0.001). Boys and girls aged 13-15 with a weak sense of coherence had significantly higher probability to play action or combat computer games for 5 or more hours per day in comparison to the respondents who had a strong sense of coherence. Also, this probability was 2 times higher among boys than among girls.

Conclusion: Sense of coherence is a useful tool to identify adolescents who are at risk of excessive gaming. Game playing time is linked to the sense of coherence. Adolescent with a weak sense of coherence had a higher probability to play more times, especially in younger age.

Keywords: computer games, sense of coherence, adolescent, pathological gaming, Lithuania

Received: February 17, 2016; Revised: September 7, 2018; Published: September 30, 2018  Show citation