Association between online gaming addiction and perceived stress: A cross- sectional study among adolescent students

Background: The rise of online gaming among adolescents has raised significant concerns about its potential psychological impacts, particularly its relationship with stress. This study aimed to assess the association between online gaming addiction and perceived stress levels in adolescents from urban and rural settings. Methods: A cross-sectional analytical study was conducted involving 265 adolescents aged from selected urban and rural schools. Participants completed a semi-structured questionnaire comprising demographic details, the Gaming Addiction Scale (GAS), and the Perceived Stress Scale (PSS-10). Results: Gaming addiction was present in 12.7% of urban adolescents compared to 2.4% of rural adolescents (p = 0.017). High perceived stress was reported by 74 % urban and 68 % rural adolescents, showing no significant difference between the two groups (p = 0.868). However, a strong association was observed between gaming addiction and high perceived stress levels (p = 0.010). Adolescents with screen time >4 hours were significantly more likely to exhibit gaming addiction and elevated stress levels (p < 0.001). Conclusion: It is concluded that online gaming addiction is significantly associated with high perceived stress among adolescents. Urban adolescents are more affected due to increased screen time and digital access. Early identification, digital wellness education, and stress management strategies are essential to address this emerging behavioural concern.