The role of attention-deficit/hyperactivity disorder symptoms in the relationship between digital parenting attitudes and internet gaming disorder symptoms

Authors

  • Ünzile Feyza Karakoç Private Practice in Psychology, Bursa
  • Çağlar Charles Daniel Jaicks Istanbul Aydın University image/svg+xml

DOI:

https://doi.org/10.51982/bagimli.615

Keywords:

Digital parenting attitudes, internet gaming disorder, ADHD symptoms, hyperactivity, children and adolescents, digital media use

Abstract

Objective: This study aimed to examine the relationship between digital parenting attitudes and Internet Gaming Disorder (IGD) symptoms among children and adolescents, and to investigate whether Attention-Deficit/Hyperactivity Disorder (ADHD)–related symptoms play a moderating role in this relationship.

Methods: This cross-sectional study included 193 children and adolescents aged 10–17 years and their parents. Digital parenting attitudes were assessed using the Digital Parenting Attitude Scale, ADHD-related symptoms were measured with the Conners Parent Rating Scale–Revised Short Form, and IGD symptoms were evaluated using the Internet Gaming Disorder Scale–Short Form. Group comparisons were performed using independent samples t-tests and one-way ANOVA.

Results: Male children differed significantly from female children in cognitive problems/inattention (p=0.002), hyperactivity symptoms (p<0.001), ADHD index scores (p=0.027), and IGD severity (p=0.001). Frequency of technology use was significantly associated with cognitive problems/inattention (p=0.048) and IGD severity (p<0.001). IGD symptoms were positively correlated with oppositional behavior (r=0.28, p<0.05), cognitive problems/inattention (r=0.42, p<0.001), hyperactivity symptoms (r=0.33, p<0.001), and ADHD index scores (r=0.49, p<0.001). Digital parenting attitudes were not significantly associated with IGD severity. Moderation analyses showed that ADHD symptoms (B=3.3, p<0.001) and hyperactivity symptoms (B=3.6, p<0.001) were significantly associated with IGD severity, whereas the interaction terms were not statistically significant (p=0.300; p=0.568).

Conclusion: The findings suggest that ADHD-related symptoms were more closely associated with IGD severity than digital parenting attitudes in this sample. Preventive and intervention strategies should prioritize the identification and management of ADHD-related vulnerabilities within a broader family context rather than focusing solely on digital parenting practices.

References

Antshel, K. M., & Barkley, R. (2020). Attention deficit hyperactivity disorder. Handbook of Clinical Neurology, 174, 37–45. https://doi.org/10.1016/B978-0-444-64148-9.00003-X

Arıcak, O. T., Dinç, M., Yay, M., & Griffiths, M. D. (2018). Adapting the short form of the internet gaming disorder scale into Turkish: Validity and reliability. Addicta: The Turkish Journal on Addictions, 5(4), 615–636. https://doi.org/10.15805/addicta.2018.5.4.0027

Berloffa, S., Salvati, A., D’Acunto, G., Fantozzi, P., Inguaggiato, E., Lenzi, F., Milone, A., Muratori, P., Pfanner, C., Ricci, F., Ruglioni, L., Tacchi, A., Tessa, C., Villafranca, A., & Masi, G. (2022). Internet gaming disorder in children and adolescents with attention deficit hyperactivity disorder. Children, 9(3), 428. https://doi.org/10.3390/children9030428

Borges, G., Orozco, R., Benjet, C., Martínez Martínez, K. I., Vargas Contreras, E., Jiménez Pérez, A. L., Peláez Cedrés, A. J., Hernández Uribe, P. C., Covarrubias Díaz Couder, M. A., Gutiérrez-García, R. A., Quevedo Chávez, G. E., Albor, Y., Méndez, E., Medina-Mora, M. E., Mortier, P., & Ayuso-Mateos, J. L. (2021). (Internet) gaming disorder in DSM-5 and ICD-11: A case of the glass half empty or half full. The Canadian Journal of Psychiatry, 66(5), 477–484. https://doi.org/10.1177/0706743720948431

Chung, S. A., Bae, S., Kim, H. J., Lee, J. W., Hwang, H., & Han, D. H. (2023). Mediating effects of attention problems on the link between parenting style and internet gaming disorder in adolescents. Frontiers in Psychiatry, 14, 1211889. https://doi.org/10.3389/fpsyt.2023.1211889

Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. SAGE Publications.

Fidan, N. K., & Olur, B. (2023). Examining the relationship between parents’ digital parenting self-efficacy and digital parenting attitudes. Education and Information Technologies. https://doi.org/10.1007/s10639-023-11841-2

Gan, X., Xiang, G. X., Li, H., Wang, S. H., Jin, X., & Zhu, C. S. (2022). Cumulative family risk and internet gaming disorder among adolescents: A serial mediating model of personal growth initiative and gratitude. Frontiers in Public Health, 10, 819324. https://doi.org/10.3389/fpubh.2022.819324

Kabadayı, H., & Eyimaya, A. Ö. (2025). Examining the effect of digital parenting attitudes on digital game addiction. Revista da Escola de Enfermagem da USP, 59, e20250059. https://doi.org/10.1590/1980-220X-REEUSP-2025-0059en

Kaner, S., Büyüköztürk, Ş., & İşeri, E. (2013). Conners parent rating scale-revised short: Turkish standardization study. Archives of Neuropsychiatry, 50(2), 100–110. https://doi.org/10.4274/npa.y6219

Kaya, G. İ., Bayraktar, D. M., & Yılmaz, Ö. (2018). Dijital ebeveynlik tutum ölçeği: Geçerlik ve güvenirlik çalışması. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi, 149–173. https://doi.org/10.21764/maeuefd.390626

Li, H., Peng, K., Wu, Y., Wang, L., & Luo, Z. (2025). Investigating parental factors that lead to adolescent internet gaming addiction. PLOS ONE, 20(4), e0322117. https://doi.org/10.1371/journal.pone.0322117

Li, Z. K., Shi, L. J., & Cai, X. L. (2022). Smartphone addiction is more harmful to adolescents than internet gaming disorder: Divergence in the impact of parenting styles. Frontiers in Psychology, 13, 1044190. https://doi.org/10.3389/fpsyg.2022.1044190

Liu, J., Wu, L., Sun, X., Bai, X., & Duan, C. (2023). Active parental mediation and adolescent problematic internet use: The mediating role of parent-child relationships and hiding online behavior. Behavioral Sciences, 13(8), 673. https://doi.org/10.3390/bs13080679

Lukavská, K., Hrabec, O., Lukavský, J., Demetrovics, Z., & Király, O. (2022). The associations of adolescent problematic internet use with parenting: A meta-analysis. Addictive Behaviors, 135, 107423. https://doi.org/10.1016/j.addbeh.2022.107423

Moreno, M., Riddle, K., Jenkins, M. C., Singh, A. P., Zhao, Q., & Eickhoff, J. (2022). Measuring problematic internet use, internet gaming disorder, and social media addiction in young adults: Cross-sectional survey study. JMIR Public Health and Surveillance, 8(1), e27719. https://doi.org/10.2196/27719

Paulus, F. W., Ohmann, S., von Gontard, A., & Popow, C. (2018). Internet gaming disorder in children and adolescents: A systematic review. Developmental Medicine & Child Neurology, 60(7), 645–659. https://doi.org/10.1111/dmcn.13754

Petrescu, T. C., Błachnio, A., & Enea, V. (2025). Internet gaming disorder in children and adolescents: A systematic review of familial protective and risk factors. Addictive Behaviors, 167, 108345. https://doi.org/10.1016/j.addbeh.2025.108345

Piao, M. Y., Jeong, E. J., & Kim, J. A. (2022). Mental health of parents and their children: A longitudinal study of the effects of parents’ negative affect on adolescents’ pathological gaming. Healthcare, 10(11), 2233. https://doi.org/10.3390/healthcare10112233

Pontes, H. M., Stavropoulos, V., & Griffiths, M. D. (2017). Measurement invariance of the internet gaming disorder scale-short-form (IGDS9-SF) between the United States of America, India and the United Kingdom. Psychiatry Research, 257, 472–478. https://doi.org/10.1016/j.psychres.2017.08.013

Ren, W., & Zhu, X. (2022). Parental mediation and adolescents’ internet use: The moderating role of parenting style. Journal of Youth and Adolescence, 51(8), 1483–1496. https://doi.org/10.1007/s10964-022-01600-w

Suen, L. J., Huang, H. M., & Lee, H. H. (2014). [A comparison of convenience sampling and purposive sampling]. Hu Li Za Zhi, 61(3), 105–111.

Thorell, L. B., Burén, J., Ström, J., Sandberg, D., & Nutley, S. B. (2024). Longitudinal associations between digital media use and ADHD symptoms in children and adolescents: A systematic literature review. European Child & Adolescent Psychiatry, 33(8), 2503–2526. https://doi.org/10.1007/s00787-022-02130-3

Werling, A. M., Kuzhippallil, S., Emery, S., Walitza, S., & Drechsler, R. (2022). Problematic use of digital media in children and adolescents with a diagnosis of attention-deficit/hyperactivity disorder compared to controls: A meta-analysis. Journal of Behavioral Addictions, 11(2), 305–325. https://doi.org/10.1556/2006.2022.00007

Downloads

Published

2026-06-30

Issue

Section

Research Article

How to Cite

Karakoç, Ünzile F., & Jaicks, Çağlar C. D. (2026). The role of attention-deficit/hyperactivity disorder symptoms in the relationship between digital parenting attitudes and internet gaming disorder symptoms. Journal of Dependence, 27(2), 63-74. https://doi.org/10.51982/bagimli.615