Children with autism spectrum disorders (ASD) often have strong preferences for screen-based media, particularly video games. Although a large body of research has demonstrated a clear effect of both video game content and genre on behavior problems among typically developing children and adolescents, the relationship between these variables has not been previously examined among children with ASD. This study examined the relationships between aspects of video game use and problem behaviors among a sample of 169 boys (ages 8–18) with ASD. Parents reported on their children's behavioral functioning and video game habits and preferences, including the average number of hours spent playing video games per day, preferred game types (genres), and problematic (e.g., addictive) video game play patterns.
The results indicated that amount of game play alone (an average of 2.4 hours a day) was not associated with problem behaviors. Rather, the most reliable predictors of problem behaviors, even when controlling for age and amount of time spent playing video games, were video game genre and problematic, or addictive, qualities of play. Specifically, significant positive relationships were found between problematic video games use and both inattention and oppositional symptoms. Boys who played Role-Playing (genre) games had higher levels of both problematic game use and oppositional behavior. Interestingly, however, hyperactivity was not significantly associated with either problematic video game use or video game genre. Lastly, educational and sports games predicted less oppositional behavior.
The results of this study are consistent, in part, with findings from the general population. For example, the significant association between problematic video game play, inattention, and oppositional behavior reported in the study is similar to those reported in adolescents and adults without ASD. The finding that Role-Playing games were highly associated with problematic video game play and externalizing problem behavior is also consistent with previous research among individuals without ASD
Mazurek, M.O. & Engelhardt, C.R. (2013). Video game use and problem behaviors in boys with autism spectrum disorders. Research in Autism Spectrum Disorders, 7, 316-324.
Lee A. Wilkinson, PhD, NCSP is a licensed and nationally certified school psychologist, registered psychologist, and certified cognitive-behavioral therapist. He provides consultation services and best practice guidance to school systems, agencies, advocacy groups, and professionals on a wide variety of topics related to children and youth with autism spectrum disorders. Dr. Wilkinson is author of the award-winning books, A Best Practice Guide to Assessment and Intervention for Autism and Asperger Syndrome in Schools and Overcoming Anxiety and Depression on the Autism Spectrum: A Self-Help Guide Using CBT. He is also editor of a best-selling text in the APA School Psychology Book Series, Autism Spectrum Disorder in Children and Adolescents: Evidence-Based Assessment and Intervention in Schools. His latest book is A Best Practice Guide to Assessment and Intervention for Autism Spectrum Disorder in Schools (2nd Edition)