Game on but pay the price: Hyperfocus, flow, escapism, self-efficacy, and burnout among video gamers with ADHD traits.

Hyperfocus-an intense, uncontrollable state of attention-has gained attention for its dual adaptive and maladaptive outcomes and its potential role in gaming experience. Although distinguishing hyperfocus from flow during gameplay may be challenging, their predictive factors (e.g., escapism motivation) and consequences (e.g., burnout, self-efficacy) may differentiate the two constructs. However, the distinction between hyperfocus and flow in gaming contexts - particularly regarding their psychological outcomes and statistical predictors - remains insufficiently understood. The aims of this study were to a) establish possible differences in hyperfocus and flow as potential predictors of negative (cognitive, emotional burnout) and positive (self-efficacy) psychological outcomes among adult video gamers with ADHD traits, and b) compare these outcomes between individuals with a formal ADHD diagnosis and with an ADHD self-diagnosis. Data from 310 participants with ADHD traits were analyzed. First, an exploratory correlation analysis was conducted. Then, the relationships between hyperfocus, flow, escapism motivation, self-efficacy, and burnout were compared between persons with a formal ADHD diagnosis (N = 174) and self-diagnosis (N = 136) using the Mann-Whitney test, network analysis, and two PLS-SEM models. Flow and hyperfocus differed in both predictors and outcomes, with flow associated with greater self-efficacy and hyperfocus predicting higher burnout. Group comparisons indicated complex patterns: self-suppression escapism predicted flow only in the self-diagnosis group, while also predicting hyperfocus in both groups. Hyperfocus and flow emerge as qualitatively distinct states with different predictors and consequences. Furthermore, systematic differences between formally diagnosed and self-diagnosed individuals with ADHD traits underscore the necessity of distinguishing these subgroups in research on ADHD-related experiences.