Public Health Concerns in The Gaming World: Investigating Association of Insomnia and Neck Disability

Authors

DOI:

https://doi.org/10.55489/njcm.150920244183

Keywords:

Neck pain, Young adults, Video gaming, Health risks, Insomnia

Abstract

Background: Extended electronic devices used for video games can harm adolescent health. Therefore, this study investigates the association between neck pain severity and Insomnia and between sociodemographic variables and neck disability among video gamers in the Malaysian adult population.

Methods: A cross-sectional study was adopted. 325 active video gamers were selected via snowball sampling. Neck pain severity and disability were measured with Numerical pain rating scale and Neck disability index, respectively. Insomnia is assessed with the Insomnia Severity Index. Data analysis was performed using SPSS 27.0 at a significant level of 5%.

Results: Of the respondents, 48.6% experienced severe neck disability with 50.5% were classified as moderate insomnia. Furthermore, there is a significant association between neck pain severity and Insomnia in video gamers (p<0.05). In addition, sociodemographic variables (gender, age, BMI, type of occupation) exhibit a significant association with neck disability (p<0.05).

Conclusion: About half of the participating video gamers who suffered from moderate neck pain and disability had moderate clinical Insomnia. There is a significant association between the severity of neck pain and insomnia, as well as between sociodemographic variables such as gender, age, BMI, occupation and neck disability among video gamers in the Malaysian adult population.

References

Morse KF, Fine PA, Friedlander KJ. Creativity and leisure during COVID-19: examining the relationship between leisure activities, motivations, and psychological well-being. Front Psychol. 2021;12:609967. Doi: https://doi.org/10.3389/fpsyg.2021.609967 PMid:34290635 PMCid:PMC8288551

Intelligence DFC. Global video game consumer segmentation. San Diego (EE UU), DFC Intelligence. 2020;

Müller KW, Wölfling K. Both sides of the story: Addiction is not a pastime activity: Commentary on: Scholars' open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal (Aarseth et al.). J Behav Addict. 2017;6(2):118-20. Doi: https://doi.org/10.1556/2006.6.2017.038 PMid:28662617 PMCid:PMC5520131

Colder Carras M, Van Rooij AJ, Spruijt-Metz D, Kvedar J, Griffiths MD, Carabas Y, et al. Commercial video games as therapy: A new research agenda to unlock the potential of a global pastime. Front Psychiatry. 2018;8:300. Doi: https://doi.org/10.3389/fpsyt.2017.00300 PMid:29403398 PMCid:PMC5786876

Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary behavior research network (SBRN)-terminology consensus project process and outcome. International journal of behavioral nutrition and physical activity. 2017;14:1-17. Doi: https://doi.org/10.1186/s12966-017-0525-8 PMid:28599680 PMCid:PMC5466781

Simons M, Chinapaw MJM, Brug J, Seidell J, de Vet E. Associations between active video gaming and other energy-balance related behaviours in adolescents: a 24-hour recall diary study. International journal of behavioral nutrition and physical activity. 2015;12(1):1-6. Doi: https://doi.org/10.1186/s12966-015-0192-6 PMid:25889743 PMCid:PMC4359402

Myrtveit SM, Sivertsen B, Skogen JC, Frostholm L, Stormark KM, Hysing M. Adolescent neck and shoulder pain-the association with depression, physical activity, screen-based activities, and use of health care services. Journal of Adolescent Health. 2014;55(3):366-72. Doi: https://doi.org/10.1016/j.jadohealth.2014.02.016 PMid:24746679

Exelmans L, Van den Bulck J. Sleep quality is negatively related to video gaming volume in adults. J Sleep Res. 2015;24(2):189-96. Doi: https://doi.org/10.1111/jsr.12255 PMid:25358428

Lam LT. Internet gaming addiction, problematic use of the internet, and sleep problems: a systematic review. Curr Psychiatry Rep. 2014;16:1-9. Doi: https://doi.org/10.1007/s11920-014-0444-1 PMid:24619594

Twenge JM, Krizan Z, Hisler G. Decreases in self-reported sleep duration among US adolescents 2009-2015 and association with new media screen time. Sleep Med. 2017;39:47-53. Doi: https://doi.org/10.1016/j.sleep.2017.08.013 PMid:29157587

Arrona-Palacios A. High and low use of electronic media during nighttime before going to sleep: A comparative study between adolescents attending a morning or afternoon school shift. J Adolesc. 2017;61:152-63. Doi: https://doi.org/10.1016/j.adolescence.2017.10.009 PMid:29111446

King DL, Gradisar M, Drummond A, Lovato N, Wessel J, Micic G, et al. The impact of prolonged violent video‐gaming on adolescent sleep: an experimental study. J Sleep Res. 2013;22(2):137-43. Doi: https://doi.org/10.1111/j.1365-2869.2012.01060.x PMid:23137332

Ellithorpe ME, Meshi D, Tham SM. Problematic video gaming is associated with poor sleep quality, diet quality, and personal hygiene. Psychology of Popular Media. 2023;12(2):248. Doi: https://doi.org/10.1037/ppm0000397

Bastien CH, Vallières A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001;2(4):297-307. Doi: https://doi.org/10.1016/S1389-9457(00)00065-4 PMid:11438246

Gagnon C, Bélanger L, Ivers H, Morin CM. Validation of the Insomnia Severity Index in primary care. The Journal of the American Board of Family Medicine. 2013;26(6):701-10. Doi: https://doi.org/10.3122/jabfm.2013.06.130064 PMid:24204066

Veqar Z, Hussain ME. Validity and reliability of insomnia severity index and its correlation with pittsburgh sleep quality index in poor sleepers among Indian university students. Int J Adolesc Med Health. 2020;32(1).

Farrar JT, Young Jr JP, LaMoreaux L, Werth JL, Poole RM. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2):149-58. Doi: https://doi.org/10.1016/S0304-3959(01)00349-9 PMid:11690728

Kahl C, Cleland JA. Visual analogue scale, numeric pain rating scale and the McGill pain Questionnaire: an overview of psychometric properties. Physical therapy reviews. 2005;10(2):123-8. Doi: https://doi.org/10.1179/108331905X55776

Sterling M, Rebbeck T. The neck disability index (NDI). Australian Journal of Physiotherapy. 2005;51(4):271. Doi: https://doi.org/10.1016/S0004-9514(05)70017-9 PMid:16358453

Young IA, Dunning J, Butts R, Mourad F, Cleland JA. Reliability, construct validity, and responsiveness of the neck disability index and numeric pain rating scale in patients with mechanical neck pain without upper extremity symptoms. Physiother Theory Pract. 2019;35(12):1328-35. Doi: https://doi.org/10.1080/09593985.2018.1471763 PMid:29856244

Ohayon MM. Pain sensitivity, depression, and sleep deprivation: links with serotoninergic dysfunction. Vol. 43, Journal of psychiatric research. 2009. p. 1243-5. Doi: https://doi.org/10.1016/j.jpsychires.2009.10.007 PMid:19914447

Katsifaraki M, Nilsen KB, Wærsted M, Knardahl S, Lie JAS, Bjorvatn B, et al. The association of sleepiness, insomnia, sleep disturbance and pain: a study amongst shiftworking nurses. Sleep Biol Rhythms. 2018;16:133-40. Doi: https://doi.org/10.1007/s41105-017-0135-5

Lobbezoo F, Visscher CM, Naeije M. Impaired health status, sleep disorders, and pain in the craniomandibular and cervical spinal regions. European Journal of Pain. 2004;8(1):23-30. Doi: https://doi.org/10.1016/S1090-3801(03)00061-2 PMid:14690671

Hale L, Kirschen GW, LeBourgeois MK, Gradisar M, Garrison MM, Montgomery-Downs H, et al. Youth screen media habits and sleep: sleep-friendly screen behavior recommendations for clinicians, educators, and parents. Child Adolesc Psychiatr Clin N Am. 2018;27(2):229-45. Doi: https://doi.org/10.1016/j.chc.2017.11.014 PMid:29502749 PMCid:PMC5839336

Purushothaman VK, Segar SG, Muniandy Y, Subbarayalu AV, Prabaharan S, Marimuthu PR. Comparison of neck muscle strength, range of motion, and craniovertebral angle among Malaysian young adults using different electronic devices. Electronic Journal of General Medicine. 2023;20(4). Doi: https://doi.org/10.29333/ejgm/13185

Franks RR, King D, Bodine W, Chisari E, Heller A, Jamal IV F, et al. AOASM position statement on esports, active video gaming, and the role of the sports medicine physician. Clinical Journal of Sport Medicine. 2022;32(3):e221. Doi: https://doi.org/10.1097/JSM.0000000000001034 PMid:35470342 PMCid:PMC9042337

Gentile DA, Lynch PJ, Linder JR, Walsh DA. The effects of violent video game habits on adolescent hostility, aggressive behaviors, and school performance. J Adolesc. 2004;27(1):5-22. Doi: https://doi.org/10.1016/j.adolescence.2003.10.002 PMid:15013257

GULL M, KHALIL W, JAFFAR M, ARA J, MUSTANSAR A, LAIQUE T. Prevalence of Mechanical Neck Pain among University Students: An Observational Study.

Genebra CVDS, Maciel NM, Bento TPF, Simeão SFAP, De Vitta A. Prevalence and factors associated with neck pain: a population-based study. Braz J Phys Ther. 2017;21(4):274-80. Doi: https://doi.org/10.1016/j.bjpt.2017.05.005 PMid:28602744 PMCid:PMC5537482

Olson CK, Kutner LA, Warner DE, Almerigi JB, Baer L, Nicholi II AM, et al. Factors correlated with violent video game use by adolescent boys and girls. Journal of adolescent health. 2007;41(1):77-83. Doi: https://doi.org/10.1016/j.jadohealth.2007.01.001 PMid:17577537

Choo H, Gentile D, Sim T, Li DD, Khoo A, Liau A. Pathological video-gaming among Singaporean youth. 2010; Doi: https://doi.org/10.47102/annals-acadmedsg.V39N11p822 PMid:21165520

Chan G, Huo Y, Kelly S, Leung J, Tisdale C, Gullo M. The impact of eSports and online video gaming on lifestyle behaviours in youth: A systematic review. Comput Human Behav. 2022;126:106974. Doi: https://doi.org/10.1016/j.chb.2021.106974

Dharma IKDW, Andika NWT, Dewi NLAC, Paramurthi IAP, Kurniawati I. Online game duration associated to neck functional disability in esports athletes. Physical Therapy Journal of Indonesia. 2020;1(2):26-8. Doi: https://doi.org/10.51559/ptji.v1i2.7

Kumar CRS, Sharma MK, Amudhan S, Arya S, Mahapatra S, Anand N, et al. Digital gaming, musculoskeletal, and related health hazards among adolescents and young adults. Indian J Psychiatry. 2023;65(6):698-700. Doi: https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_818_22 PMid:37485403 PMCid:PMC10358808

Gugliotti M. Contribution of aberrant postures to neck pain and headaches in esport athletes. Spine (Phila Pa 1976). 2018;19(12):1307-9. Doi: https://doi.org/10.31031/RISM.2018.03.000554

Odole AC, Alegbeleye OA, Ekediegwu EC, Onyeso OK, Mbada CE, Akosile CO. Psychosocial correlates of pain intensity and neck disability index among people with non-specific neck pain in a low-resource setting: a cross-sectional study. Eur J Physiother. 2023;25(6):352-9. Doi: https://doi.org/10.1080/21679169.2022.2140824

Wertli MM, Held U, Campello M, Schecter Weiner S. Obesity is associated with more disability at presentation and after treatment in low back pain but not in neck pain: findings from the OIOC registry. BMC Musculoskelet Disord. 2016;17:1-14. Doi: https://doi.org/10.1186/s12891-016-0992-0 PMid:27036857 PMCid:PMC4815184

Pradnyadewi IAI, Wibawa A, Negara AAGAP. The relationship between sedentary lifestyle, neck disability, and high blood pressure among bankers. Physical Therapy Journal of Indonesia. 2024;5(2):109-14. Doi: https://doi.org/10.51559/ptji.v5i2.201

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Published

2024-09-01

How to Cite

1.
Purushothaman VK, Ramalingam V, Ahmed A, Subbarayalu AV, Subramaniam A, Ameer M, Krishnan Vasanthi R. Public Health Concerns in The Gaming World: Investigating Association of Insomnia and Neck Disability. Natl J Community Med [Internet]. 2024 Sep. 1 [cited 2024 Sep. 14];15(09):733-40. Available from: https://njcmindia.com/index.php/file/article/view/4183

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Original Research Articles