Disturbo da gioco d'azzardo
Gaming addiction
Revisione paritaria di Dr Colin Tidy, MRCGPUltimo aggiornamento di Dr Hayley Willacy, FRCGP Ultimo aggiornamento 20 Nov 2023
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Many millions of people throughout the world spend time playing video games. Many people spend a great deal of time gaming. This does not necessarily mean that they are addicted to gaming. However if a person is spending a great deal of time gaming and has some of the symptoms described in this leaflet then there is a problem that needs help.
It is very important to recognise and treat addiction to gaming at an early stage. Just like other addictions, gaming disorder (gaming addiction) can have severe effects on family, work/education and social life.
A colpo d'occhio
Gaming addiction is when gaming takes priority over other activities and causes harm to your life.
L'Organizzazione Mondiale della Sanità riconosce il disturbo da gioco come una condizione di salute mentale.
Symptoms include preoccupation with gaming, self-isolation, and withdrawal symptoms when not gaming.
Losing interest in hobbies, persistent tiredness, and problems at work or school can also be signs.
It is estimated that gaming addiction affects between 1-9 out of every 100 gamers.
If you think you might have a gaming addiction, early recognition and treatment are important.
Treatments include talking therapies like cognitive behavioural therapy.
What is a gaming addiction?
Gaming addiction is a pattern of gaming behaviour ('digital-gaming' or 'video-gaming') which:
Causes an overwhelming urge to spend all the time gaming.
Means that gaming is given priority over any other activity, work or school, or any other interest.
Continues or even increases the amount of time spent gaming, even though it is causing harmful effects on family, work/education and social life.
Gaming disorder is now recognised by the World Health Organization as a mental health condition. For the condition to be diagnosed as gaming disorder, the behaviour pattern must be severe enough to cause significant negative effects on personal, family, social, educational, occupational or other important life activities. The features of gaming disorder should have been continuing for at least 12 months.
Am I addicted to video games?
Gaming addiction can cause various symptoms and the severity will vary from person to person. Some of the symptoms can also be caused by other kinds of stress, so it can't always be assumed that it is gaming that's the cause of any problems. The symptoms of gaming addiction are as follows:
Gaming behaviour:
Preoccupation with games, constantly thinking about previous games and anticipating playing the next game. Gaming becomes the dominant activity in daily life.
Self-imposed isolation in order to guarantee uninterrupted play.
L'uso dei videogiochi per alleviare stati d'animo negativi, come il senso di colpa, ansia o disperazione.
The need to spend increasing amounts of time gaming.
Sintomi di astinenza quando il gioco viene tolto. Questi sintomi sono spesso descritti come irritabilità, irrequietezza, ansia, o depressione.
Deceiving family members or others about the amount of time spent gaming.
People with increased gaming symptoms may have greater levels of depression and also an increased tendency to become aggressive.
Effects on other activities:
Loss of interest in real-life relationships, previous hobbies, and other entertainment as a result of gaming.
Risk of losing, or actually losing, a job, educational or career opportunity, or a relationship due to gaming.
Persistent tiredness due to lack of sleep.
Continued excessive gaming despite being aware of the problems it's causing.
Being unable to reduce playing and having failed attempts to quit gaming.
If someone spends many hours at a time gaming, this does not necessarily mean that they have gaming addiction. However, that amount of time along with the signs listed above indicates a problem. If there is any chance an addiction exists, early recognition and treatment are very important.
How common is video game addiction?
Many millions of people throughout the world regularly spend time gaming. But gaming addiction is much less common. It is estimated that gaming addiction affects between 1 and 9 out of every 100 gamers.
The risk of gaming addiction is greater for people who tend to be impulsive. The risk also increases with increasing time spent gaming.
The games most likely to lead to addiction seem to be the massive multi-player online role-playing games. These role-playing games involve an ongoing story that is never quite finished. The story evolves with every play, and this encourages players to keep playing to keep the story going. However, even less intense games can lead to gaming addiction.
How to stop a gaming addiction
Attualmente manca una forte evidenza sui migliori trattamenti per la dipendenza da videogiochi. L'aiuto psicologico più ampiamente utilizzato è stato terapia cognitivo-comportamentale. Other approaches, including family therapy and motivational interviewing, have also been used.
Treating gaming addiction is based on an assessment of each individual person and the severity of their gaming addiction. The aim of treatment is usually to help the person completely avoid gaming because even a small amount of gaming may steadily increase back to a problem in a person who is susceptible to gaming addiction.
Treatment is based on helping a person with gaming addiction to:
Gradually reduce the amount of time spent gaming.
Recognise their own addictive behaviour.
Understand the causes or triggers of their gaming addiction and so develop strategies to overcome them.
Understand the harm their gaming addiction is causing.
It is also very important to teach families how to help and support the person with gaming addiction.
Qual è la prospettiva (prognosi)?
One study found that about 1 in 4 people with gaming addiction continued to have significant symptoms over a two-year period. Another study found that the symptoms resolved in about 1 in 2 people with gaming disorder over a one-year period.
Scelte del paziente per Dipendenza

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Ipersessualità
Il comportamento sessuale è una parte normale e sana della vita e molte persone si divertono ad avere rapporti con più partner o a cercare molteplici esperienze sessuali diverse. L'ipersexualità diventa un problema quando provoca un disagio significativo per la persona o la mette a rischio di farsi del male o di fare del male a qualcun altro.
di Dr Toni Hazell, MRCGP

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Le droghe ricreative sono sostanze chimiche assunte per divertimento piuttosto che per motivi medici. Alcol, tabacco e caffeina possono essere considerati droghe ricreative, ma non sono trattate in questa brochure. Le droghe ricreative vengono solitamente assunte per provare piacere o migliorare la vita in qualche modo. Tuttavia, possono portare a dipendenza, problemi di salute e sociali e alla criminalità. La maggior parte sono illegali, quindi il loro uso comporta tutte le conseguenze di infrangere la legge. Se tu o qualcuno che conosci avete un problema con le droghe, ci sono molti modi per ottenere aiuto.
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Domande frequenti
Qual è l'obiettivo principale del trattamento per la dipendenza da videogiochi?
The main goal of treatment is typically to help the individual completely avoid gaming. This is because even a small amount of gaming might gradually lead back to problematic patterns in someone prone to gaming addiction.
Are certain types of games more likely to cause addiction?
Massive multi-player online role-playing games appear to have a higher risk of leading to addiction. These games often have continuous, evolving storylines that encourage players to keep playing. However, it's important to note that even less intense games can still lead to gaming addiction.
How long does a pattern of severe gaming behaviour need to last to be considered a 'gaming disorder'?
For gaming behaviour to be diagnosed as a gaming disorder, the severe pattern of behaviour needs to have continued for at least 12 months.
Does playing video games for many hours automatically mean someone has a gaming addiction?
No, just spending many hours gaming does not automatically mean someone has an addiction. However, if this significant time commitment is combined with other signs of addiction, such as preoccupation, neglecting other activities, or withdrawal symptoms, it indicates a potential problem.
Can gaming addiction symptoms get better over time?
Studies have shown varying outcomes. One study found that about half of individuals with gaming disorder saw their symptoms resolve over a one-year period. However, another study indicated that approximately one in four people continued to experience significant symptoms over two years.
Ulteriori letture e riferimenti
- Disturbo da gioco d'azzardo; World Health Organization, January 2018
- Gentile DA et al; Internet Gaming Disorder in Children and Adolescents. American Academy of Pediatrics, November 2017, VOLUME 140/ISSUE Supplement 2.
- Internet Gaming; American Psychiatric Association
- Schneider LA, King DL, Delfabbro PH; Family factors in adolescent problematic Internet gaming: A systematic review. J Behav Addict. 2017 Sep 1;6(3):321-333. doi: 10.1556/2006.6.2017.035. Epub 2017 Aug 1.
Informazioni sull'autoreVisualizza il profilo completo

Dr Hayley Willacy, FRCGP
Medico di base, Autore medico
MBChB (1992), DRCOG, DFFP, MRCOG (Part 1) MRCGP (2007), DFSRH (2013), MSc - medical education (2020)
La Dott.ssa Hayley Willacy era un medico di base del NHS che lavorava nel nord-ovest dell'Inghilterra, e si è ritirata dalla pratica clinica nel 2022 dopo 30 anni.
Informazioni sul recensoreVisualizza il profilo completo

Dr Colin Tidy, MRCGP
Medico di base, Autore medico
MBBS, MRCGP, MRCP (Paediatrics), DCH
Il Dr Colin Tidy è un medico del NHS, con sede nell'Oxfordshire.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 18 Nov 2028
20 Nov 2023 | Ultima versione

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