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Gaming disorder is commonly linked to excessive play and therefore people assume the solution is to simply limit the frequency of play. While nearly 25 percent of adult men gamers play four or more hours per day, Gentile’s previous research found gaming disorder rates are between 2 and 8 percent of gamers.

The researchers write that Van Cleave’s experience illustrates video game addiction is more than prolonged play.

In their paper, the researchers referenced a 2011 article from The Guardian, which featured the story of Ryan Van Cleave, an English professor who gamed to cope with work-related stress, relationship issues and day-to-day setbacks. This may mean they’re getting worse grades, they’re lying to people about time spent gaming or they’re performing poorly at work,” he said. “The issue is when the gaming begins to disrupt normal and healthy functioning. Similar to having a drink after a difficult day at work or following a stressful situation, Gentile says drinking – or video game play – is not a problem, until it is. Gentile is quick to point out not all video game play is bad. This paper is one of the first to provide evidence that using video games to cope with anxiety is an important factor to consider when diagnosing or treating video game addiction. The World Health Organization classified gaming disorder as a mental health disorder earlier this year, but Gentile says there is still a lot to learn about potential risk factors for addiction. “If students in the study were more stressed and they played video games specifically as a way of coping, then their risk of dysfunctional symptoms increased.” Loss of control is, of course, a hallmark of addiction,” Gentile said.

“For most people, playing video games is a normal, healthy way to relieve stress, but some reach a point and can no longer control that behavior.