The Gaming Disorder Identification Test (GADIT) – A screening tool for Gaming Disorder based on ICD-11

Chan, Gary C. K. and Saunders, John B. and Stjepanović, Daniel and McClure-Thomas, Caitlin and Connor, Jason and Hides, Leanne and Wood, Andrew and King, Daniel and Siste, Kristiana and Long, Jiang and Leung, Janni K. (2024) The Gaming Disorder Identification Test (GADIT) – A screening tool for Gaming Disorder based on ICD-11. JOURNAL OF BEHAVIORAL ADDICTIONS, 13 (3). pp. 729-741. ISSN 2062-5871 (print); 2063-5303 (online)

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Abstract

Background Gaming Disorder was included as an addictive disorder in the latest version of the International Classification of Diseases (ICD-11), published in 2022. The present study aimed to develop a screening tool for Gaming Disorder, the Gaming Disorder Identification Test (GADIT), based on the four ICD-11 diagnostic criteria: impaired control, increasing priority, continued gaming despite harm, and functional impairment. Method We reviewed 297 questionnaire items from 48 existing gaming addiction scales and selected 68 items based on content validity. Two datasets were collected: 1) an online panel (N = 803) from Australia, United States, United Kingdom and Canada, split into a development set (N = 589) and a validation dataset (N = 214); and 2) a university sample (N = 408) from Australia. Item response theory and confirmatory factor analyses were conducted to select eight items to form the GADIT. Validity was established by regressing the GADIT against known correlates of Gaming Disorder. Results Confirmatory factor analyses of the GADIT showed good model fit (RMSEA=<0.001–0.108; CFI = 0.98–1.00), and internal consistency was excellent (Cronbach's alphas = 0.77–0.92). GADIT scores were strongly associated with the Internet Gaming Disorder Test (IGDT-10), and significantly associated with gaming intensity, eye fatigue, hand pain, wrist pain, back or neck pain, and excessive in-game purchases, in both the validation and the university sample datasets. Conclusion The GADIT has strong psychometric properties in two independent samples from four English-speaking countries collected through different channels, and shown validity against existing scales and variables that are associated with Gaming Disorder. A cut-off of 5 is tentatively recommended for screening for Gaming Disorder.

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