The Association between Internet Addiction and Problematic Alcohol Use in Adolescents: The Problem Behavior Model

Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan.
Cyberpsychology & behavior: the impact of the Internet, multimedia and virtual reality on behavior and society (Impact Factor: 1.59). 10/2008; 11(5):571-6. DOI: 10.1089/cpb.2007.0199
Source: PubMed

ABSTRACT This study aimed to a) evaluate the association between Internet addiction and problematic alcohol use; b) based on problem behavior theory, explore whether Internet addiction, as well as problematic alcohol use, correlated with the psychosocial proneness of problem behaviors among adolescents. A total of 2,114 high school students (1,204 male and 910 female) were recruited to complete the questionnaire assessing Internet addiction, problematic alcohol use, and associated psychosocial variables. The result revealed that Internet addiction was associated with problematic alcohol use. Besides, the psychosocial proneness of problem behaviors is associated with Internet addiction as well as problematic alcohol use in adolescents. These results suggest Internet addiction might be included in the organization of problem behavior theory, and it is suggested that prevention and intervention can best be carried out when grouped with other problem behaviors.

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    • "Given the absence of previous research, a primary aim of the present study was to examine the association between comorbid behavioural and substance dependence, i.e. problematic Internet behaviour and excessive alcohol consum p tion, and cardiovascular and cortisol reactivity. Others have found that alcohol abuse is quite common among those that use the Internet excessively (Ko et al., 2008), with comorbid conditions often related to poorer health outcomes in comparison to single disorders (Vogeli et al., 2007). Our clear expectations – based on studies which showed individuals who had comorbid alcohol and substance dependency had the greatest blunting of heart rate (Panknin et al., 2002) and cortisol (Bernardy et al., 1996; Errico et al., 1993) responses relative to those who had single or no addictions – were that the group exhibiting both excessive Internet use and alcohol intake would show the most diminished stress reactivity. "
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    ABSTRACT: Background and aims Problematic Internet use and excessive alcohol consumption have been associated with a host of maladaptive outcomes. Further, low (blunted) cardiovascular and stress hormone (e.g. cortisol) reactions to acute psychological stress are a feature of individuals with a range of adverse health and behavioural characteristics, including dependencies such as tobacco and alcohol addiction. The present study extended this research by examining whether behavioural dependencies, namely problematic Internet use, excessive alcohol consumption, and their comorbidity would also be associated with blunted stress reactivity. Methods A large sample of university students (N = 2313) were screened using Internet and alcohol dependency questionnaires to select four groups for laboratory testing: comorbid Internet and alcohol dependence (N = 17), Internet dependence (N = 17), alcohol dependence (N = 28), and non-dependent controls (N = 26). Cardiovascular activity and salivary cortisol were measured at rest and in response to a psychological stress protocol comprising of mental arithmetic and public speaking tasks. Results Neither problematic Internet behaviour nor excessive alcohol consumption, either individually or in combination, were associated with blunted cardiovascular or cortisol stress reactions. Discussion It is possible that problematic Internet behaviour and excessive alcohol consumption in a student population were not related to physiological reactivity as they may not reflect ingrained addictions but rather an impulse control disorder and binging tendency. Conclusions The present results serve to indicate some of the limits of the developing hypothesis that blunted stress reactivity is a peripheral marker of the central motivational dysregulation in the brain underpinning a wide range of health and behavioural problems.
    Journal of Behavioural Addictions 05/2015; 4(2):1-9. DOI:10.1556/2006.4.2015.006 · 1.87 Impact Factor
    • "Problem drinking was assessed with the CRAFFT (mnemonic acronym for the six items of the scale; Car, Relax , Alone, Forget, Friends, Trouble) Screening Tool (Knight et al., 1999), which is a screening instrument used in clinical settings to identify adolescent problem drinkers. A modifi ed version of this scale, including only questions referring to alcohol, was used (Ko et al., 2008). In the original scale, the questions referred to alcohol or other drugs. "
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    ABSTRACT: Objective: Early onset of alcohol use and persistent use of alcohol during adolescence have been associated with later problem behavior, such as heavy drinking and the use of other substances. Several personality characteristics have been related to the onset and persistent use of alcohol during adolescence. In the present study, we examined the relationship between personality and different high-risk trajectories of alcohol use in adolescents. Method: Participants were 374 8th graders (330 boys; Mage = 13.6 years) from 17 different secondary special education schools (i.e., for adolescents with externalizing behavioral problems) in the Netherlands. Adolescents were followed for 2 years (i.e., four waves), and alcohol use and personality characteristics (Substance Use Risk Profile Scale) were assessed. Results: Using latent transition analysis, three trajectories of alcohol use were identified-a nondrinking group (reference group), an onset group (after Time 1), and an early-onset (before Time 1) persistent-drinking group. Baseline high sensation seeking predicted group membership in the onset group (odds ratio [OR] = 2.55) and the early-onset persistent-drinking group (OR = 3.57). Baseline low anxiety sensitivity predicted group membership in the early-onset persistent-drinking group (OR = 0.42). Particularly in this latter group, high prevalence rates of illegal substance use (i.e., cannabis, Ecstasy [3,4-methylenedioxymethamphetamine; MDMA], and cocaine) were found 2 years later. Conclusions: High sensation seeking and low anxiety sensitivity appear to be important predictors of the early onset of adolescents' alcohol use. Moreover, a combination of early onset and persistent alcohol use demonstrates a heightened risk for the use of other illegal substances in adolescence. Implications for interventions are discussed. (J. Stud. Alcohol Drugs, 75, 790-798, 2014).
    Journal of studies on alcohol and drugs 09/2014; 75(5):790-798. DOI:10.15288/jsad.2014.75.790 · 2.27 Impact Factor
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    • "This conclusion has emphasized the cognitive structure as a risk factor for problem drinking [6]. Considering the problematic behavioral model, Internet addiction is related to problematic alcohol use [7]. It has been also found that maladaptive perfectionism attitude that is not direct relationship with Internet addiction is related to Internet addiction [8]. "
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    ABSTRACT: Background The aim of the study was to investigate the relationship of dysfunctional attitudes, self-esteem, personality, and depression with internet addiction in university students. Methods A total of 720 university students participated in the study in Bülent Ecevit University English Preparatory School which offers intensive English courses. Students were evaluated with a sociodemographic data form, Beck Depression Inventory (BDI), Dysfunctional Attitudes Scale form A (DAS-A), Internet Addiction Scale (IAS), Rosenberg Self-Esteem Scale (RSES), Eysenck Personality Questionnaire Revised/Abbreviated Form (EPQR-A). Results The results indicated that 52 (7.2%) of the students had internet addiction. There were 37 (71.2%) men, 15 (28.8%) women in the addicted group. While the addicted groups’ BDI, DAS-A perfectionistic attitude, need for approval, RSES, EPQR-A neuroticism, psychoticism scores were significantly higher, EPQR-A lie scores were significantly lower than the non addicted group. According to the multiple binary logistic regression analysis, being male, duration of internet usage, depression, perfectionistic attitude have been found as predictors for internet addiction. It has been found that perfectionistic attitude is a predictor for internet addiction even depression, sex, duration of internet were controlled. Conclusions To the knowledge of the researchers, this study is the first study to show the dysfunctional attitudes in internet addiction. It can be important to evaluate dysfunctional attitudes, personality, self-esteem and depression in people with internet addiction. These variables should be targeted for effective treatment of people with internet addiction in cognitive behavioral therapy.
    Comprehensive Psychiatry 08/2014; 55(6). DOI:10.1016/j.comppsych.2014.04.025 · 2.26 Impact Factor
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