The impact of video-game on aggressive behaviors among adolescents in Saudi Arabia: a national study

Majid A. Aleissa; Norah Alhowaish; Waseemah Almutairi; Tala Almanea; Samah Alkhawashki; Shuliweeh Alenezi

doi:10.18203/2320-6012.ijrms20223618

Authors

Majid A. Aleissa National Family Safety Program, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center, Riyadh, Saudi Arabia http://orcid.org/0000-0002-7049-0960
Norah Alhowaish National Family Safety Program, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
Waseemah Almutairi National Family Safety Program, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
Tala Almanea Imam Mohammed Bin Saud University, College of Medicine, Riyadh, Saudi Arabia
Samah Alkhawashki Department of Psychiatry, College of Medicine, King Saud University, Riyadh, Saudi Arabia
Shuliweeh Alenezi Department of Psychiatry, College of Medicine, King Saud University, Riyadh, Saudi Arabia SABIC Psychological Health Research and Applications Chair (SPHRAC), Department of Psychiatry, College of Medicine, King Saud University, Riyadh, Saudi Arabia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20223618

Keywords:

Adolescence, Aggression, Saudi Arabia, Video gaming

Abstract

Background: Children and teenagers frequently use video games as a form of entertainment. Although the middle east has one of the fastest-growing video game user populations, most studies need more national data to demonstrate the prevalence of playing video games and its effects on aggressive and mental health behaviours. Therefore, this study aimed to assess the prevalence of video game use and its association with aggressive behaviours among adolescents in Saudi Arabia.

Methods: This was a community-based cross-sectional study involving males and females, aged 15-18 years, in both private and public secondary schools in the five main regions of Saudi Arabia. A modified aggression questionnaire comprised 29 items and scored on a 5-point Likert scale was electronically self-administered for each participant. This survey measured hostility, verbal aggression, physical aggression, and anger.

Results: A total of 4,840 students participated in the study with an average age of 16.15±3.98 years. Males frequently played video games compared with females (p<0.0001). The average playing time per day was significant across males (p<0.0001). Females were more likely to show anger and hostility (p<0.0001 for both). However, males were more likely to show physical aggression (p<0.0001).

Conclusions: Our study suggests that playing video games might associate with violent behaviours among adolescents in Saudi Arabia. This conclusion is supported by previous international studies. Increasing families’ awareness about video games and their impact on mental health and behaviours would help them identify their benefits and drawbacks.

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Author Biography

Majid A. Aleissa, National Family Safety Program, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

Associate Professor and Consuultant Child and Adolescent Psychiatrist

References

Allahverdipour H, Bazargan M, Farhadinasab A, Moeini B. Correlates of video games playing among adolescents in an Islamic country. BMC Public Health. 2010;10(1):1-7.

Anderson CA, Bushman BJ. Effects of violent video games on aggressive behavior, aggressive cognition, aggressive affect, physiological arousal, and prosocial behavior: a meta-analytic review of the scientific literature. Psychol Sci. 2001;12(5):353-9.

Fam JY. Prevalence of internet gaming disorder in adolescents: A meta‐analysis across three decades. Scand J Psychol. 2018;59(5):524-31.

Rideout VJ, Foehr UG, Roberts DF. Generation M2 Media in the Lives of 8- to 18-Year-Olds 2009 (USA). Available from: https://files.eric.ed.gov/fulltext/ED527859.pdf. Accessed on 2 December 2021.

ICD-11 mortality and morbidity statistics. Mental, behavioural or neurodevelopmental disorders. World Health Organization (WHO). Available from: https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f334423054. Accessed on 2 December 2021.

Ferguson CJ. Does media violence predict societal violence? It depends on what you look at and when. J Commun. 2015;65(1):E1-22.

Greitemeyer T, Mügge DO. Video games do affect social outcomes: a meta-analytic review of the effects of violent and prosocial video game play. Personal Soc Psychol Bull. 2014;40(5):578-89.

Anderson CA, Shibuya A, Ihori N, Swing EL, Bushman BJ, Sakamoto A, et al. Violent video game effects on aggression, empathy, and prosocial behavior in eastern and western countries: a meta-analytic review. Psychol Bull. 2010;136(2):151.

Mentzoni RA, Brunborg GS, Molde H, Myrseth H, Skouverøe KJM, Hetland J, et al. Problematic video game use: estimated prevalence and associations with mental and physical health. Cyberpsychol Behav Soc Network. 2011;14(10):591-6.

Association AP. APA Task Force Report on Violent Video Games. 2019. Available from: https://www.apa.org/science/leadership/bsa/report-violent-video-games.pdf. Accessed on 2 December 2021.

Przybylski AK, Weinstein N. Violent video game engagement is not associated with adolescents' aggressive behaviour: evidence from a registered report. Royal Soc Open Sci. 2019;6(2):171474.

Ferguson CJ, Kilburn J. The public health risks of media violence: a meta-analytic review. J Pediatr. 2009;154(5):759-63.

Oliver MB, Raney AA, Bryant J, eds. Media effects: Advances in theory and research. Routledge; 2009.

Bushman BJ, Anderson CA. Violent video games and hostile expectations: A test of the general aggression model. Personal Soc Psychol Bull. 2002;28(12):1679-86.

Buss AH, Perry M. The aggression questionnaire. J Personal Soc Psychol. 1992;63(3):452.

Aleissa MA, Alenezi S, Saleheen HN, Bin Talib SR, Khan AH, Altassan SA, et al. The association between video game type and aggressive behaviors in Saudi youth: a pilot study. Behav Sci. 2022;12(8):289.

Shao R, Wang Y. The relation of violent video games to adolescent aggression: an examination of moderated mediation effect. Front Psychol. 2019;10:384.

Graybill D, Strawniak M, Hunter T, O'Leary M. Effects of playing versus observing violent versus nonviolent video games on children’s aggression. Psychol J Hum Behav. 1987;24(3):1-8.

Graybill D, Kirsch JR, Esselman ED. Effects of playing violent versus nonviolent video games on the aggressive ideation of aggressive and nonaggressive children. Child Study J. 1985;15(3):199-205.

Anderson CA, Suzuki K, Swing EL, Groves CL, Gentile DA, Prot S, et al. Media violence and other aggression risk factors in seven nations. Personal Soc Psychol Bull. 2017;43(7):986-98.

Kühn S, Kugler DT, Schmalen K, Weichenberger M, Witt C, Gallinat J. Does playing violent video games cause aggression? A longitudinal intervention study. Mol Psychiatr. 2019;24(8):1220-34.

Coyne SM, Warburton WA, Essig LW, Stockdale LA. Violent video games, externalizing behavior, and prosocial behavior: a five-year longitudinal study during adolescence. Develop Psychol. 2018;54(10):1868.

Lee HH, Sung JH, Lee JY, Lee JE. Differences by sex in association of mental health with video gaming or other nonacademic computer use among US adolescents. Prev Chronic Dis. 2017;14:E117.

Shibuya A, Sakamoto A, Ihori N, Yukawa S. The effects of the presence and contexts of video game violence on children: a longitudinal study in Japan. Simulat Gam. 2008;39(4):528-39.

Kuss DJ, Griffiths MD, Pontes HM. DSM-5 diagnosis of Internet Gaming Disorder: Some ways forward in overcoming issues and concerns in the gaming studies field: response to the commentaries. J Behav Addict. 2017;6(2):133-41.

Gentile DA, Bailey K, Bavelier D, Brockmyer JF, Cash H, Coyne SM, et al. Internet gaming disorder in children and adolescents. Pediatrics. 2017;140(2):S81-5.

Ferreira FD, Bambini BB, Tonsig GK, Fonseca L, Picon FA, Pan PM, et al. Predictors of gaming disorder in children and adolescents: a school-based study. Brazil J Psychiatr. 2020;43:289-92.