Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort study

Abstract This study explores the relationship between gaming addiction among Chinese adolescents and their myopia, ocular surface conditions, and overall health. A cross-sectional questionnaire-based cohort study included 835 participants aged 13–17, selected from 3300. Tools included the Hospital A...

Full description

Saved in:
Bibliographic Details
Main Authors: Xiao-Yu Wang, Jin-Yu Hu, Qian-Ming Ge, Cheng Chen, San-Hua Xu, Qian Ling, Yan-Mei Zeng, Wan-Ting Yao, Hong Wei, Jie Zou, Liang-Qi He, Yan Lou, Yi Shao
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-96671-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850273427160563712
author Xiao-Yu Wang
Jin-Yu Hu
Qian-Ming Ge
Cheng Chen
San-Hua Xu
Qian Ling
Yan-Mei Zeng
Wan-Ting Yao
Hong Wei
Jie Zou
Liang-Qi He
Yan Lou
Yi Shao
author_facet Xiao-Yu Wang
Jin-Yu Hu
Qian-Ming Ge
Cheng Chen
San-Hua Xu
Qian Ling
Yan-Mei Zeng
Wan-Ting Yao
Hong Wei
Jie Zou
Liang-Qi He
Yan Lou
Yi Shao
author_sort Xiao-Yu Wang
collection DOAJ
description Abstract This study explores the relationship between gaming addiction among Chinese adolescents and their myopia, ocular surface conditions, and overall health. A cross-sectional questionnaire-based cohort study included 835 participants aged 13–17, selected from 3300. Tools included the Hospital Anxiety and Depression Scale (HADS), Van Dream Anxiety Scale (VDAS), 36-Item Short-Form Health Survey (SF-36), Ocular Surface Disease Index (OSDI), Internet Addiction Test (IAT), and Internet Gaming Disorder Scale-20 (IGD-20). Linear regression, Pearson correlation, and unpaired t-tests were used. Gaming addiction correlated with worsened physical and mental health. Older age and longer gaming duration were linked to higher myopia rates. Males scored higher on HADS, VDAS, IAT, and IGD-20 but lower on SF-36 than females. Myopic gamers had longer gaming durations and higher IAT scores. IGD-20 scores for gamers playing 5–6+ hours daily showed stronger correlations with HADS, VDAS, and OSDI. Online gaming significantly impacts vision, physical and mental health, and ocular surface conditions. Score differences between groups underscore the need for interventions, including mental health support, cognitive-behavioral correction, and preventive eye care.
format Article
id doaj-art-5b34ec964b534d0dbda47409bba95c58
institution OA Journals
issn 2045-2322
language English
publishDate 2025-05-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-5b34ec964b534d0dbda47409bba95c582025-08-20T01:51:29ZengNature PortfolioScientific Reports2045-23222025-05-0115111310.1038/s41598-025-96671-7Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort studyXiao-Yu Wang0Jin-Yu Hu1Qian-Ming Ge2Cheng Chen3San-Hua Xu4Qian Ling5Yan-Mei Zeng6Wan-Ting Yao7Hong Wei8Jie Zou9Liang-Qi He10Yan Lou11Yi Shao12Department of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye DiseasesDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversityDepartment of Ophthalmology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang UniversitySchool of Medical Information and Engineering, Southwest Medical UniversityDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye DiseasesAbstract This study explores the relationship between gaming addiction among Chinese adolescents and their myopia, ocular surface conditions, and overall health. A cross-sectional questionnaire-based cohort study included 835 participants aged 13–17, selected from 3300. Tools included the Hospital Anxiety and Depression Scale (HADS), Van Dream Anxiety Scale (VDAS), 36-Item Short-Form Health Survey (SF-36), Ocular Surface Disease Index (OSDI), Internet Addiction Test (IAT), and Internet Gaming Disorder Scale-20 (IGD-20). Linear regression, Pearson correlation, and unpaired t-tests were used. Gaming addiction correlated with worsened physical and mental health. Older age and longer gaming duration were linked to higher myopia rates. Males scored higher on HADS, VDAS, IAT, and IGD-20 but lower on SF-36 than females. Myopic gamers had longer gaming durations and higher IAT scores. IGD-20 scores for gamers playing 5–6+ hours daily showed stronger correlations with HADS, VDAS, and OSDI. Online gaming significantly impacts vision, physical and mental health, and ocular surface conditions. Score differences between groups underscore the need for interventions, including mental health support, cognitive-behavioral correction, and preventive eye care.https://doi.org/10.1038/s41598-025-96671-7Internet game addictionAdolescentsMyopiaOcular surfacePsychological healthPhysical health
spellingShingle Xiao-Yu Wang
Jin-Yu Hu
Qian-Ming Ge
Cheng Chen
San-Hua Xu
Qian Ling
Yan-Mei Zeng
Wan-Ting Yao
Hong Wei
Jie Zou
Liang-Qi He
Yan Lou
Yi Shao
Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort study
Scientific Reports
Internet game addiction
Adolescents
Myopia
Ocular surface
Psychological health
Physical health
title Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort study
title_full Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort study
title_fullStr Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort study
title_full_unstemmed Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort study
title_short Relationship between adolescent gaming addiction and myopia, ocular surface condition, and health status: a questionnaire based cohort study
title_sort relationship between adolescent gaming addiction and myopia ocular surface condition and health status a questionnaire based cohort study
topic Internet game addiction
Adolescents
Myopia
Ocular surface
Psychological health
Physical health
url https://doi.org/10.1038/s41598-025-96671-7
work_keys_str_mv AT xiaoyuwang relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT jinyuhu relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT qianmingge relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT chengchen relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT sanhuaxu relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT qianling relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT yanmeizeng relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT wantingyao relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT hongwei relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT jiezou relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT liangqihe relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT yanlou relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy
AT yishao relationshipbetweenadolescentgamingaddictionandmyopiaocularsurfaceconditionandhealthstatusaquestionnairebasedcohortstudy