Internet Gaming Disorder (IGD) has become an emerging public health concern among adolescents, particularly in low-resource setting. Despite growing international interest, little is known about how IGD symptoms interact and reinforce one another in these contexts. This study aimed to elucidate the symptom structure of IGD among Bangladeshi adolescents. Specifically, to (i) estimate the undirected network structure of IGD symptoms, (ii) identify central and predictable symptoms, (iii) examine gender-based differences in network structure, and (iv) explore directional symptom pathways using Bayesian Directed Acyclic Graphs (DAGs). A cross-sectional survey was conducted among 1030 secondary school students in northern Bangladesh. Data were collected using the nine-item Internet Gaming Disorder Scale–Short Form (IGDS9-SF), while both regularized partial correlation networks and DAGs were estimated to examine symptom associations and potential directional pathways. Subgroup comparisons by gender were conducted using the Network Comparison Test (NCT). The undirected network revealed strong conditional associations among core IGD symptoms, particularly between Preoccupation, Tolerance, and Withdrawal. Centrality analyses identified Give Up Activities, Withdrawal, and Preoccupation as the most structurally important symptoms, and predictability estimates indicated strong local symptom connectivity. The NCT showed no significant differences in network structure or global strength between males and females. DAG analysis highlighted Withdrawal as a likely initiating symptom, with strong probable directional paths toward Tolerance, Loss of Control, and Continued Use. These findings provide symptom-level insights into IGD's psychopathological structure and offer guidance for targeted, school-based mental health interventions in resource-constrained settings.
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