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Matthew Edlund, M.D.

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Internet Gaming: The Latest Addiction

Posted: 03/11/2011 6:46 am

In 1967, Tom Simpson collapsed on the 13th stage of the Tour de France. The superb British cyclist had won considerable fame in his short life, and was expected to join the greats of the sport. The autopsy showed small amounts of amphetamine and methamphetamine, a combination that killed him climbing up stony Mt. Ventoux.

It also marked one of the first of the many doping scandals that bedevil professional sports yet. Lance Armstrong stands accused of hair-raising sessions of group intravenous drug and blood infusions in hotel bedrooms, while professional baseball has asterisks attached to many of its greatest performances.

Each month new drugs are devised in kitchen labs and garages to beat the standard testing protocols. Athletes take them. Sometimes they win their meets, sometimes they die. But winning athletes are often separated by the smallest of performance measures, and the tiniest change can lead to great fortune as well as immense fame.

Why do some internet gamers, who often play in total obscurity, keep playing until they die?

Recently a 24 year old gamer outside Beijing died after gaming in the same room for 86 straight hours. He had spent about $1,500 paying for games the month before, an enormous sum for a Chinese worker. In 2005 Seungseob Lee played 50 hours straight in Taegu, South Korea before collapsing with heart failure. Other young gamers have died in similar circumstances. Many have written about why internet games are so addictive. The reasons include:

1. A completely immersive environment. The game morphs into their world.

2. Social interaction. Major stories of addictive behavior generally come from multiplayer games, where gamers feel great responsibility for their own and their peers' success.

3. A better reality. The results are clear -- you win, you lose, you gain rewards. Success can be instantaneous, leading to more rewards and an encroaching sense of power, unusual in a time of economic uncertainty and personal chaos.

4. Multi sensory impact. The games include great level shifts in noise, vertiginous angles and stunning visuals, requiring constant attention and decision making. In the game life and death whoosh by in fractions of a second.

5. No closure. Games can go on and on; generally there is no final measure of success that cannot later be exceeded.

6. Competition. Humans are competitive animals, and games provide instant, continual, repetitive feedback that plays to some of our cortex's deepest sensitivities and responsiveness. In games you can become an actor in a drama determining the future on a mythic or cosmic scale.

And then there's sleep.

The Strange Effects of Sleep Deprivation

Internet games require machines. Machines do not renew themselves. They're not organisms. They stay on as long as the electricity stays on. Animals are different. While migrating, some birds can fly 24 hours a day, day after day. Yet animals cannot exist without rest.
That includes humans. Rest is how terrestrial life regenerates itself. Sleep deprive any animal in a laboratory and it eventually dies.

Deaths in internet gamers generally involve long bouts of gaming without sleep. Though the final, fatal gaming event may last two or three days, often the players have been playing addictively for weeks or months. Therein may lie another kind of attraction for long-period gamers. In most people -- kept up all night against their will -- sleep deprivation makes them depressed, anxious, and irritable. It's a different story with depressives -- and many young people. For them sleep deprivation may provoke a brief, high mood. Often depressives get a dramatic improvement in mood -- which disappears with even a brief nap. Young people like to stay up late. Some enjoy enthralling performances or social gatherings. Yet not a few also feel a brief euphoria after long hours awake.

Practitioners of strict meditation programs also can experience the strange euphoria that attends some bouts of sleep deprivation. With many hours of enforced meditation -- as in Japanese Zen temples -- practitioners find that lack of sleep may provoke a sense of great well-being. When meditators go days without sleep and food, they often see visions.

Gamers already experience visions playing -- right in front of them. In multiplayer games they may stay up many hours to keep playing with colleagues in different time zones and countries. Sometimes they experience the timelessness of flow experiences. They don't notice the clock. They don't notice themselves. They become one with the game. And they want to keep that feeling going. Here energy beverages play a role. Legal stimulants are abundant -- just a few feet away at the Internet café's kiosk. And stimulants can give you a sense that you don't need to sleep -- or eat.

Your Family's Health and Internet Games

Fortunately, deaths from gaming remain rare. Many times the worst results come not to the gamers but their charges -- like the South Korean couple whose infant died last year while they kept playing infant rearing games in another internet café.

The real dangers may arise when adolescents and young adults become socially isolated. The dangers will come through a combination of sleeplessness, lack of food, and stimulatory medications. Heart failure generally does not happen to physically healthy teenagers and 20-somethings. Yet the euphoria of sleep deprivation can be enhanced by energy beverages. And energy beverages, particularly those with high doses of caffeine, can cause arrythmias in perfectly normal hearts.

The heart is far more than a pump -- it is an exquisitely timed and tuned electrical system. Stimulants can disrupt that system for the briefest periods and cause sudden death. Tom Simpson died of stimulants at the Tour de France. Now, legally available stimulants may cause extreme, unexpected side effects to youthful gamers -- fatal ones.

Gamers need reminding that rest is more than regeneration. It's required to live.



 

Follow Matthew Edlund, M.D. on Twitter: www.twitter.com/therestdoctor

In 1967, Tom Simpson collapsed on the 13th stage of the Tour de France. The superb British cyclist had won considerable fame in his short life, and was expected to join the greats of the sport. The au...
In 1967, Tom Simpson collapsed on the 13th stage of the Tour de France. The superb British cyclist had won considerable fame in his short life, and was expected to join the greats of the sport. The au...
 
 
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HUFFPOST SUPER USER
hagagaga
You can't take the sky from me.
01:36 AM on 03/17/2011
We must dissent.
01:52 PM on 03/15/2011
Yes lets take a look at the handful of people who have died playing video games despite the millions of other people who play and lead perfectly normal lives. How about we look at the people who do nothing but sit in front of a video game for weeks on end instead of instantly blaming the video games that are used by millions with nowhere near the severe side effects.
04:35 PM on 03/13/2011
I play games often. Most recently an MMO called Rift. I am 24 and have spent hours upon hours in-game, feeling exactly what's described in the article. However, all gamers are not alike. The people I tend to meet in-game are much more like me than the solitaries mentioned here. They're people of all ages, male and female, with jobs and families and real responsibilities that always come first.
HUFFPOST SUPER USER
Judson Wallace
06:19 AM on 03/14/2011
Then why are they on the game?

If i had children, I'm not sure I could justify the time spent.
11:16 AM on 03/14/2011
My husband likes to play online games when he gets home from work. Kids are in bed and I work third shift. It's his way to "relax".
01:52 PM on 03/15/2011
So you don't do anything to relax at all and can't see how a parent would need to do the same?
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HUFFPOST SUPER USER
frank day
Obama cares about all of U.S.
10:41 AM on 03/13/2011
Its a new world.
Virtual reality is the new reality.
Those of you who don't get with the program will be left far behind. Slackers.
HUFFPOST SUPER USER
Judson Wallace
06:21 AM on 03/14/2011
LOL. Sorry, the future is not going to be filled with bleach eyed gamers locked in their basements in fantasy land.

Life will still go on outside of the silly games people waste their lives on.

The fact that you are equating your fantasy world with reality is the problem. That is a sure sign of addiction.
09:34 AM on 03/13/2011
Strange effects of sleep deprivation:

I developed bell's palsy my freshman year of college.

And I'm pretty sure I was always itchy.

Sleep, kids. Seriously.
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HUFFPOST SUPER USER
jobscabin
Its just as normal to be different
09:12 AM on 03/13/2011
Religion is the hardest addiction to break, the associated guilt can cause feelings of despair and depression. Becoming addicted to a new thing in life can often help break the clutches of entrapment. I broke the tobacco addiction 15 years ago by becoming addicted to sunflower seeds. Now I am addicted to commenting on HuffPost while I consume caffeinated beverages and consume large quantities of raisin bran with almond milk. Amen.
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HUFFPOST SUPER USER
frank day
Obama cares about all of U.S.
10:39 AM on 03/13/2011
Hallelujah! Bros. jobscabin. Amen.
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HUFFPOST SUPER USER
PMJ79
01:25 PM on 03/13/2011
@jobscabin

Religion =/= God

A very important distinction.
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HUFFPOST SUPER USER
ninetailedfox
banning people.....so childish
02:00 PM on 03/13/2011
@PMJ79

Jesus=/= Spirituality

A very important distinction.
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HUFFPOST SUPER USER
cylixdemas
08:22 AM on 03/13/2011
For the Alliance!
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HUFFPOST SUPER USER
hagagaga
You can't take the sky from me.
01:33 AM on 03/17/2011
no
HUFFPOST SUPER USER
Judson Wallace
05:21 AM on 03/13/2011
I stopped gaming, and I have since then been learning to read sheet music/play the piano and (attempting) to learn a foreign language. I read a lot more and I also write (fiction). Fun times :)

I am a much healthier person after removing video games from my life. I wouldn't say I played them to the degree many others do... But it was enough that I found myself thinking I could use the time better.

I know people that are heavily addicted to these games. Its sad to see the time and energy that they throw away this way. Several people I know have nearly "lost it" when their accounts were stolen and all their "hard work" was destroyed.

They can't even see how regressive their behavior is.

The biggest offender is World of Warcraft.... which is basically a multi billion dollar addiction machine now. EWW.

IF you are a parent. MAKE YOUR KIDS PLAY AN INSTRUMENT or play sports instead. ANYTHING but these mindless video games.

IF you are a gamer: watch the South Park on WOW. You KNOW which one I am talking about. Now go look in the mirror. If you see any similarities, do some soul searching. Make some improvements. IF you are reading this article, you obviously think something is wrong!
HUFFPOST SUPER USER
Eraser
Reality has a well know liberal bias
11:04 AM on 03/13/2011
I play tons of video games and they are far from mindless. Quite frankly, interacting with people through the context of a game is much easier than going to a bar and talking to people there. And they have many positive effects. Hand-eye coordination, reflexes, multi-tasking, problem solving and management skills. This of course depends on what you play. A game like SimCity or Civilization is far more mentally stimulating than Doom, which does more for reflexes.

It's all about self control. Playing games are just like anything else, just because some people are alcoholics and drink their life away doesn't mean nobody should ever have a drink. People without self control will get addicted to something unhealthily no matter what.
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batmancw
Turn fear against those who prey on the fearful
11:46 AM on 03/13/2011
Good Point re: MODERATION.
H3!!, I've seen my wife get "sucked in" by Facebook for a couple of hours at a time on many occaisions, and many of us could likely say the same thing about HP.
When you can no longer feel your bu,t.t, it's time to get up and move!
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HUFFPOST SUPER USER
Lapis 29
05:09 PM on 03/13/2011
the multitasking thing has been proven to be a complete fallacy

You may THINK you are creating multitasking capabilities, when in reality you are just doing a crappy job at several things at the same time

There was a scientific study about this not too long ago
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HUFFPOST BLOGGER
James Napoli
I've Been Thinking
09:42 PM on 03/12/2011
I don't do any kind of Internet gaming, but just hang out on Twitter for an hour and see if you don't become a little obsessed with whether or not you've gotten on @mention. Fine line.
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WoodsideCraig
Author of the blog "The Weiler Psi"
07:18 PM on 03/12/2011
This is a great article and I'll finish reading it after I upgrade my Dark Night Elf Mage Warrior Rogue Druid's armor. I only need to play another 22 hours to accomplish it.
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HUFFPOST BLOGGER
James Napoli
I've Been Thinking
09:40 PM on 03/12/2011
I try to avoid acronyms, but that's pretty LOL, Woodside.
03:51 PM on 03/12/2011
oh wow a handful of people have died playing games for to long. Honestly why do you waste time on things like this. How about going after people who do things that causes them to die at high rates like people who drink to much, or maybe drug addicts.

You know people die or get very sick every year from not cooking their food properly? Go have a chat with them.
HUFFPOST SUPER USER
Judson Wallace
05:23 AM on 03/13/2011
sitting in front of a computer all day and hiding from the sun will raise your risk of all sorts of disease. obsessively firing off dopamine to get hot lootz will make things even worse.
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HUFFPOST SUPER USER
Rochelle MacDonald
Living life at the legally accepted maxium speed
10:54 AM on 03/12/2011
Casino owners have known about game addictions for many generations.
HUFFPOST SUPER USER
spitfiredd
My micro-bio has got it going on.
08:36 AM on 03/12/2011
False reality can be addictive....
HUFFPOST SUPER USER
Judson Wallace
05:24 AM on 03/13/2011
Uhhh... what?
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HUFFPOST SUPER USER
cylixdemas
08:23 AM on 03/13/2011
He is summarizing the article.
This user has chosen to opt out of the Badges program
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12:20 AM on 03/12/2011
Excellent article. As someone who occasionally chooses gaming as a form of procrastination and instant gratification (w/ BF2 specifically) and has a health science background, I can attest to the reasons listed above. For me, the extended gaming experience can be insidious and contribute to less productive days, leading to reflecting back on that "waste of a day" and the subsequent depression, back to wanting to play again to get the instant gratification - preferably by TV'ing an unsuspecting tank :-). As mentioned by others, moderation is the way to go, but if everybody had the self-control/chemistry to be moderate in their decisions, their wouldn't be such things as vices. No one said behavior modification is easy, I guess.
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12:30 AM on 03/12/2011
"...there wouldn't be..." Loss of patience to proofread before posting - another side effect!
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HUFFPOST COMMUNITY MODERATOR
Amalek
Highly decorated HP warrior
12:17 AM on 03/12/2011
OK, now you make me feel guilty.  Back to chapter 9.