Psychiatric Quarterly

, Volume 87, Issue 2, pp 323–327 | Cite as

Psychiatrists’ Perceptions of World of Warcraft and Other MMORPGs

  • Eric Lis
  • Carl Chiniara
  • Megan A. Wood
  • Robert Biskin
  • Richard Montoro
Original Paper


Video game use, particularly massively-multiplayer online games (MMOs) and massively-multiplayer online role-playing games (MMORPGs), has been a focus of considerable research in recent years. However, little is known regarding how mental health workers perceive patients and clients who report playing them. The present study examines whether psychiatrists play MMOs/MMORPGs and how they perceive those who play them. Psychiatrists (N = 48) at a tertiary care centre in Canada completed a questionnaire assessing history of playing video games as well as whether they associate such use with psychopathology. Only 36.7 % believed there was an association between psychopathology and MMO/MMORPG use. Implications for clinical practice and future research are discussed.


World of Warcraft MMORPGs Role-playing games Video games Stereotypes Psychiatrists 


Compliance with Ethical Standards

Conflict of Interest

All authors declare that they have no conflict of interest.


No funding was provided for this research.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.


  1. 1.
    Pawlikowski M, Brand M: Excessive Internet gaming and decision making: do excessive World of Warcraft players have problems in decision making under risky conditions? Psychiatry Research 188:428–433, 2011.CrossRefPubMedGoogle Scholar
  2. 2.
    Peters CS, Malesky LA: Problematic usage among highly-engaged players of massively multiplayer online role playing games. Cyberpsychology and Behavior 11:481–484, 2008.CrossRefGoogle Scholar
  3. 3.
    Longman H, O’Connor E, Obst P: The effect of social support derived from World of Warcraft on negative psychological symptoms. Cyberpsychology and Behavior 12:563–566, 2009.CrossRefGoogle Scholar
  4. 4.
    Hahn T, Notebaert KH, Dresler T, Kowarsch L, Reif A, Fallgatter AJ: Linking online gaming and addictive behavior: converging evidence for a general reward deficiency in frequent online gamers. Frontiers in Behavioral Neuroscience 8:385, 2014.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Brehm AL: Navigating the feminine in massively multiplayer online games: gender in World of Warcraft. Frontiers in Psychology 4:903, 2013.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Graham LT, Gosling SD: Personality profiles associated with different motivations for playing World of Warcraft. Cyberpsychology, Behavior, and Social Networking 16:189–93, 2013.CrossRefGoogle Scholar
  7. 7.
    Oultram S: Virtual plagues and real-world pandemics: reflecting on the potential for online computer role-playing games to inform real world epidemic research. Medical Humanities 39:115–118, 2013.CrossRefPubMedGoogle Scholar
  8. 8.
    Yau YH, Crowley MJ, Mayes LC, Potenza MN: Are Internet use and video-game-playing addictive behaviors? Biological, clinical and public health implications for youths and adults. Minerva Psichiatrica 53:153–170, 2012.PubMedPubMedCentralGoogle Scholar
  9. 9.
    Bohannon J: The Gonzo Scientist: Slaying monsters for science. Science 320:1592, 2008.CrossRefGoogle Scholar
  10. 10.
    Blizzard Entertainment: World Of Warcraft®: Cataclysm™ One-Month Sales Top 4.7 Million. California: Blizzard Entertainment, 2011. Accessed 2 April 2015.
  11. 11.
    Lis E, Chiniara C, Biskin R, Montoro R: Psychiatrists’ perceptions of role-playing games. Psychiatric Quarterly 2015. doi: 10.1007/s11126-015-9339-5. Google Scholar
  12. 12.
    Lis E, Wood MA, Chiniara C, Biskin R, Montoro R: Psychiatrists’ perceptions of Facebook and other social media. Psychiatric Quarterly 2015. doi: 10.1007/s11126-015-9358-2.Google Scholar
  13. 13.
    Asch DA, Jedrziewski MK, Christakis NA: Response rates to mail surveys published in medical journals. Journal of Clinical Epidemiology 50:1129–36, 1997.CrossRefPubMedGoogle Scholar
  14. 14.
    Maheux B, Legault C, Lambert J: Increasing response rates in physicians’ mail surveys: An experimental study. American Journal of Public Health 79:638–9, 1989.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    VanGeest JB, Johnson TP, Welch VL: Methodologies for improving response rates in surveys of physicians: A systematic review. Evaluation and the Health Professions 30:303–21, 2007.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Eric Lis
    • 1
    • 2
  • Carl Chiniara
    • 1
    • 2
  • Megan A. Wood
    • 2
    • 3
  • Robert Biskin
    • 1
    • 2
  • Richard Montoro
    • 1
    • 2
  1. 1.Department of PsychiatryMcGill University Health CentreMontrealCanada
  2. 2.McGill University Psychiatry Perceptions of Emerging Technologies LabsMontrealCanada
  3. 3.Department of PsychologyConcordia UniversityMontrealCanada

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