The Relationship between Internet Gaming Disorder and Cognitive Status Disorders in Middle School Students in the Urban Area of Yogyakarta

Background: The emergence of Internet Gaming Disorder (IGD) is linked to the inability to regulate internet and video game usage. As technology advances, the occurrence of IGD tends to rise. Given the widespread access to the internet in the Indonesian population, rural areas are susceptible to this issue. IGD has adverse effects on cognitive functions, particularly attention, due to prolonged use of video games or the internet. This research aims to examine cognitive status disorders in junior high school adolescents affected by IGD. Objective: The objective of this study is to demonstrate the correlation between cognitive status disorders in junior high school adolescents affected by Internet Gaming Disorder in urban settings. Method: Conducted as a cross-sectional investigation, this study involved students from SMP N 1 Yogyakarta and SMP N 8 Yogyakarta as research subjects. Participants meeting the specified inclusion and exclusion criteria underwent the GAS-7 Ina examination and a cognitive status assessment utilizing the modified mini mental state examination –Ina (MMMSE-Ina). Statistical analysis was used to determine the connection between IGD and demographic characteristics. Results: Cognitive function was measured using the MMMSEC-Ina with a total of 37 consisting of 5 domains. Each cognitive domain was assessed with a maximum value of orientation of 12, registration of 3, calculation/attention of 7, recall of 3, and language of 12. The study revealed a significant association between decreased cognitive status and Internet Gaming Disorder (IGD) with a p-value of 0.014. In the bivariate analysis, the variable significantly linked to cognitive status was the type of game (p= 0.050). In multivariate analysis, IGD status (R2 = 0.469) was identified as a significant factor for CTS. Conclusion: Junior high school teenagers in urban Yogyakarta, who suffer from Internet Gaming Disorder (IGD), exhibit compromised cognitive function, particularly in the areas of attention, recall, and language.