Neuropsychological deficits in disordered screen use behaviours : A systematic review and meta-analysis

Journal article


Moshel, Michoel L., Warburton, Wayne A., Batchelor, Jennifer, Bennett, Joanne M. and Ko, Katherine Y.. (2023). Neuropsychological deficits in disordered screen use behaviours : A systematic review and meta-analysis. Neuropsychology Review. pp. 1-32. https://doi.org/10.1007/s11065-023-09612-4
AuthorsMoshel, Michoel L., Warburton, Wayne A., Batchelor, Jennifer, Bennett, Joanne M. and Ko, Katherine Y.
Abstract

Over the last few decades, excessive and disordered screen use has become more prevalent, prompting investigations into its associated consequences. The extent to which disordered screen use behaviours impact neuropsychological functioning has been reportedly mixed and at times inconsistent. This review sought to synthesise the literature and estimate the magnitude of overall cognitive impairment across a wide range of disordered screen use behaviours. We also sought to determine the cognitive domains most impacted, and whether the observed impairments were moderated by the classification of screen-related behaviours (i.e., Internet or gaming) or the format of cognitive test administration (i.e., paper-and-pencil or computerised). A systematic search of databases (Embase, PsycINFO, MEDLINE) identified 43 cross-sectional articles that assessed neuropsychological performance in disordered screen use populations, 34 of which were included in the meta-analysis. A random-effects meta-analysis revealed significant small/medium (g = .38) cognitive deficits for individuals with disordered screen use behaviours relative to controls. The most affected cognitive domain with a significant medium effect size (g = .50) was attention and focus followed by a significant reduction in executive functioning (g = .31). The classification of disordered screen use behaviours into Internet or gaming categories or the format of cognitive testing did not moderate these deficits. Additionally, excluding disordered social media use in an exploratory analysis had little effect on the observed outcomes. This study highlights a number of methodological considerations that may have contributed to disparate findings and shows that disordered screen use can significantly impact cognitive performance. Recommendations for future research are also discussed. Data for this study can be found at https://osf.io/upeha/.

Keywordsaddiction gaming disorder; internet gaming disorder; internet addiction disorder; attention and focus; executive function; cognitive testing
Year2023
JournalNeuropsychology Review
Journal citationpp. 1-32
PublisherSpringer
ISSN1573-6660
Digital Object Identifier (DOI)https://doi.org/10.1007/s11065-023-09612-4
PubMed ID37695451
Scopus EID2-s2.0-85170374849
Open accessPublished as ‘gold’ (paid) open access
Page range1-32
FunderResearch Training Program Scholarship (RTP), Australian Government
Publisher's version
License
File Access Level
Open
Output statusIn press
Publication dates
Online11 Sep 2023
Publication process dates
Accepted01 Aug 2023
Deposited13 Nov 2023
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https://acuresearchbank.acu.edu.au/item/8zyz0/neuropsychological-deficits-in-disordered-screen-use-behaviours-a-systematic-review-and-meta-analysis

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