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The fact that there is no end to the game can feel rewarding for some, and hence players are further engaged in the game.

Ferguson, Coulson and Barnett in a meta-analytic review of the research, concluded that the evidence suggests that video game addiction arises out of other mental health problems, rather than causing them.

While Internet gaming disorder is proposed as a disorder, it is still discussed how much this disorder is caused by the gaming activity itself, or whether it is to some extent an effect of other disorders.

Contradictions in research examining video game addictiveness may reflect more general inconsistencies in video game research.

In May 2013, the American Psychiatric Association (APA) proposed criteria for video game addiction in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders, concluding that there was insufficient evidence to include it as an official mental disorder.

However, proposed criteria for "Internet Gaming Disorder" were included in a section called "Conditions for Further Study".

A person in a position of trust (like a social worker, teacher or youth worker) has a responsibility to young people to work with them in a strictly professional way.

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This has been found similar to the same neurological reaction believed to be associated with gambling addiction.

In reference to gamers such as one suicide in China, the head of one software association was quoted, "In the hypothetical world created by such games, they become confident and gain satisfaction, which they cannot get in the real world." Griffiths has also proposed that another reason why online video games are potentially addictive is because they "can be played all day every day".

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