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World J Psychiatry. Dec 19, 2025; 15(12): 110653
Published online Dec 19, 2025. doi: 10.5498/wjp.v15.i12.110653
Impact of video game addiction on social interaction: An observational review examining loneliness, social anxiety, and social activity
Haewon Byeon
Haewon Byeon, Worker’s Care and Digital Health Lab, Department of Future Technology, Korea University of Technology and Education, Cheonan 31253, South Korea
Author contributions: Byeon H contributed to this paper; involved in data interpretation; developed methodology; and wrote the article.
Supported by the Basic Science Research Program through the National Research Foundation of Korea Funded by the Ministry of Education, No. NRF- RS-2023-00237287.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Haewon Byeon, PhD, Associate Professor, Director, Worker’s Care and Digital Health Lab, Department of Future Technology, Korea University of Technology and Education, KUTE Main Campus: 1600 Chungjeol-ro, Cheonan 31253, South Korea. bhwpuma@naver.com
Received: June 12, 2025
Revised: July 7, 2025
Accepted: October 15, 2025
Published online: December 19, 2025
Processing time: 169 Days and 1.6 Hours
Abstract
BACKGROUND

Excessive video game use, recognized as internet gaming disorder in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition and Gaming Disorder in International Classification of Diseases, 11th Revision, has raised concerns regarding its effects on individuals’ social well-being.

AIM

To analyze the association between internet gaming disorder and social interaction across Western and Asian populations.

METHODS

The review examined 14 observational studies published between 2000 and 2025. It assessed the frequency and quality of face-to-face interactions, the shift towards online socialization, and the methodological quality of the included studies.

RESULTS

The findings generally indicate that gaming addiction is associated with a decrease in the frequency of offline social interaction. Addicted gamers reported spending less time with family and friends and experiencing increased isolation. Furthermore, the quality of social relationships appeared poorer, with addicted gamers reporting higher levels of loneliness, lower social support, and decreased relationship satisfaction. While online social interactions increased, they did not fully compensate for the loss of real-world connections.

CONCLUSION

This review highlights the potential of gaming addiction to negatively impact overall social lives, emphasizing the necessity for interventions focused on promoting real-world social engagement.

Keywords: Video game addiction; Internet gaming disorder; Social interaction; Loneliness; Social anxiety; Social activity

Core Tip: This review of observational studies (2000-2025) reveals a significant association between internet gaming disorder and decreased real-life social interaction. Addicted gamers experience more loneliness, social anxiety, and reduced social support. While online socializing increases, it doesn’t replace the benefits of face-to-face relationships. The findings suggest that excessive gaming often leads to social withdrawal and poorer quality social connections, highlighting the importance of addressing gaming addiction to improve individuals’ social well-being.