Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine

Abstract Background of the study Player Unknown’s Battlegrounds (PUBG), a popular and widely played multiplayer online game, has generated interest and concern about its effects on the physical health of its players. This study explores the relationship between factors like cultivation level, gaming...

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Main Authors: Ali Hassan, Muhammad Daniyal, Roy Rillera Marzo, Mohammed Aljuaid, Duaa Shahid
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21880-8
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author Ali Hassan
Muhammad Daniyal
Roy Rillera Marzo
Mohammed Aljuaid
Duaa Shahid
author_facet Ali Hassan
Muhammad Daniyal
Roy Rillera Marzo
Mohammed Aljuaid
Duaa Shahid
author_sort Ali Hassan
collection DOAJ
description Abstract Background of the study Player Unknown’s Battlegrounds (PUBG), a popular and widely played multiplayer online game, has generated interest and concern about its effects on the physical health of its players. This study explores the relationship between factors like cultivation level, gaming disorder, migraine and associated symptoms, sleep quality, and life quality of PUBG players. Methods This cross-sectional study included 500 PUBG players, categorized into Lower, Medium, and High PUBG Users. Data were collected using a self-administered questionnaire, including the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and a gaming disorder screening tool. The Multilayer Perceptron (MLP) methodology was applied to analyze the factors influencing migraine symptoms, sleep quality, and quality of life. Results Participants of the study were categorized into lower PUBG users (LPU), medium PUBG users (MPU), and high PUBG users (HPU). Among study participants reporting migraine pain, 259 (51.8%) reported that they were HPU. By examining daytime sleepiness using the ESS, Higher normal Day sleep (DS) was observed in 78 (15.9%) HPU. The cultivation level of PUBG showed a very weak positive correlation with experiencing migraine pain or associated headache symptoms (r = 0.034, p = 0.454). In contrast, the gaming disorder of PUBG showed a weak negative correlation with PSQI (r = -0.092, p = 0.041). The higher levels of gaming disorder are slightly associated with poorer sleep quality. The results of the MLP model suggested that daily PUBG use was the most contributing factor to migraine and related symptoms followed by gaming disorder, gaming addiction, PSQI, and ESS. Conclusion The study concluded that PUBG playing contributes to migraine and its associated symptoms although is not significant it contributes to less sleep quality and lower quality of life.
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spelling doaj-art-bc0a4bb76df44d16996cb17131c9c69d2025-08-20T01:54:20ZengBMCBMC Public Health1471-24582025-04-0125111110.1186/s12889-025-21880-8Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraineAli Hassan0Muhammad Daniyal1Roy Rillera Marzo2Mohammed Aljuaid3Duaa Shahid4Department of Media and Communication Studies, The Islamia University of BahawalpurResearch Center, Almoosa Specialist HospitalFaculty of Humanities and Health Sciences, Curtin UniversityDepartment of Health Administration, College of Business Administration, King Saud UniversityHult International Business SchoolAbstract Background of the study Player Unknown’s Battlegrounds (PUBG), a popular and widely played multiplayer online game, has generated interest and concern about its effects on the physical health of its players. This study explores the relationship between factors like cultivation level, gaming disorder, migraine and associated symptoms, sleep quality, and life quality of PUBG players. Methods This cross-sectional study included 500 PUBG players, categorized into Lower, Medium, and High PUBG Users. Data were collected using a self-administered questionnaire, including the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and a gaming disorder screening tool. The Multilayer Perceptron (MLP) methodology was applied to analyze the factors influencing migraine symptoms, sleep quality, and quality of life. Results Participants of the study were categorized into lower PUBG users (LPU), medium PUBG users (MPU), and high PUBG users (HPU). Among study participants reporting migraine pain, 259 (51.8%) reported that they were HPU. By examining daytime sleepiness using the ESS, Higher normal Day sleep (DS) was observed in 78 (15.9%) HPU. The cultivation level of PUBG showed a very weak positive correlation with experiencing migraine pain or associated headache symptoms (r = 0.034, p = 0.454). In contrast, the gaming disorder of PUBG showed a weak negative correlation with PSQI (r = -0.092, p = 0.041). The higher levels of gaming disorder are slightly associated with poorer sleep quality. The results of the MLP model suggested that daily PUBG use was the most contributing factor to migraine and related symptoms followed by gaming disorder, gaming addiction, PSQI, and ESS. Conclusion The study concluded that PUBG playing contributes to migraine and its associated symptoms although is not significant it contributes to less sleep quality and lower quality of life.https://doi.org/10.1186/s12889-025-21880-8Migraine disordersSleep qualityGaming disorderDaytime sleepinessMachine learning
spellingShingle Ali Hassan
Muhammad Daniyal
Roy Rillera Marzo
Mohammed Aljuaid
Duaa Shahid
Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine
BMC Public Health
Migraine disorders
Sleep quality
Gaming disorder
Daytime sleepiness
Machine learning
title Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine
title_full Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine
title_fullStr Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine
title_full_unstemmed Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine
title_short Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine
title_sort using the multilayer perceptron approach to explore the relationship between pubg gaming sleep disorder quality of life and migraine
topic Migraine disorders
Sleep quality
Gaming disorder
Daytime sleepiness
Machine learning
url https://doi.org/10.1186/s12889-025-21880-8
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