Association between problematic smartphone use and gaming and disruptive behavioral disorder symptoms among Korean adolescents: a nationwide representative study - Report - MDSpire

Association between problematic smartphone use and gaming and disruptive behavioral disorder symptoms among Korean adolescents: a nationwide representative study

  • By

  • Yoo Jeong Lee

  • In Cheol Hwang

  • Hong Yup Ahn

  • June 24, 2026

  • 0 min

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Linking Excessive Smartphone and Gaming Use to Symptoms of Disruptive Behavioral Disorders

Overview

This study investigates the association between problematic smartphone use (PSU) and problematic gaming (PG) with disruptive behavioral disorders (DBDs) among Korean adolescents.

Background

Problematic smartphone and gaming use is increasingly recognized as a public health concern, particularly among adolescents. Disruptive behavioral disorders, including conduct disorder and ADHD, are linked to excessive digital device use, which can interfere with daily functioning and mental health.

Data Highlights

CharacteristicOdds Ratio (OR)Confidence Interval (CI)
PSU and Conduct Disorder (Urban)2.031.30–3.16
PG and ADHD-Inattentive Symptoms (Rural)4.222.15–8.30
PG and ADHD-Inattentive Symptoms (Urban)2.101.49–2.96
PSU and ODD (Highly Educated Mothers)3.64Not provided
PSU and Conduct Disorder (Less Frequent Father Drinking)2.151.34–3.45

Key Findings

  • Adolescents with PSU or PG showed significantly higher prevalence of all DBD subtypes (p<0.01).
  • PSU was associated with conduct disorder only in urban areas (OR=2.03).
  • PG was more strongly associated with ADHD-inattentive symptoms in rural areas (OR=4.22).
  • The association between PSU and oppositional defiant disorder was stronger among adolescents with highly educated mothers (OR=3.64).
  • The PSU-conduct disorder link was evident only when fathers drank less frequently (OR=2.15).

Clinical Implications

Clinicians should consider the impact of excessive smartphone and gaming use on adolescent behavioral health.

Conclusion

The study identifies associations between PSU, PG, and DBDs.

Related Resources & Content

  1. BMC Psychiatry (Springer), 2025 -- Reducing smartphone overuse for adolescents with attention-deficit hyperactive disorder: study protocol for a randomized controlled trial
  2. BMC Psychiatry, 2026 -- Impulsivity facets and internet gaming disorder symptoms in male adolescents with ADHD: an exploratory cross-sectional study from Turkiye
  3. Frontiers in Psychiatry, 2026 -- Association between problematic smartphone use and ADHD symptoms among nursing students at a Saudi public university
  4. BMC Psychiatry (Springer), 2025 -- The association between smartphone addiction and creativity in Chinese college students: the chain mediating effects of depression and executive function
  5. Gaming disorder, WHO -- Gaming disorder
  6. Problematic gaming, psychiatric comorbidities, and adolescence: A systematic review of the literature - ScienceDirect
  7. Gaming disorder
  8. Problematic gaming, psychiatric comorbidities, and adolescence: A systematic review of the literature - ScienceDirect

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