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  • Psychometric validity and t...
    Razum, Josip; Baumgartner, Benedict; Glavak-Tkalić, Renata

    Clinical psychology review, April 2023, 2023-04-00, 20230401, Letnik: 101
    Journal Article

    Tolerance is a controversial but still an omnipresent criterion in measuring problematic gaming and Internet Gaming Disorder (IGD). Despite criticisms, a systematic review of its suitability has not been conducted until now. The aim of this study was to assess the evidence of psychometric validity and the appropriateness of tolerance as a criterion for IGD. A total of 61 articles were included in the review, 47 quantitative, 7 qualitative studies,plus 7 studies that introduce potential item wordings for operationalizing tolerance. Results showed that the tolerance item tends to have acceptable to high factor loadings on the single IGD factor. While tolerance sometimes did not adequately differentiate the engaged gamers from those with a probable disorder, it was endorsed at medium to high levels of IGD severity and had a good performance in the interviews. It, however, showed weak relations with distress and well-being. In qualitative studies, tolerance as currently defined by DSM-5 and measured by questionnaires (i.e., increasing amounts of time spent on gaming) was almost unequivocally rejected by gamers. The solid performance of tolerance in psychometric studies was probably due to deficiencies of the IGD construct, which also contains other disputed criteria. Tolerance lacks relevance in measuring IGD and care should be taken when using and interpreting IGD measures with this criterion. •We analyzed 61 studies containing data about tolerance in Internet Gaming Disorder (IGD).•Tolerance item showed acceptable to high factor loadings on the single IGD factor.•Tolerance was rejected by gamers and had relatively low criterion validity.•Tolerance in the DSM IGD lacks validity, adding up to deficiencies in IGD construct.•Criteria need to fit into gaming culture and context and have clinical utility.