Potential markers for problematic internet use: A telephone survey of 2,513 adults

Impulse Control Disorders Clinic, Department of Psychiatry and Behavioral Medicine, Stanford University School of Medicine, Palo Alto, CA 94305, USA.
CNS spectrums (Impact Factor: 1.3). 10/2006; 11(10):750-5.
Source: PubMed

ABSTRACT The Internet has positively altered many aspects of life. However, for a subset of users, the medium may have become a consuming problem that exhibits features of impulse control disorders recognized in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition.
This is the first large-scale epidemiological study of problematic Internet use through a random-digit-dial telephone survey of 2,513 adults in the United States. Given the lack of validated criteria, survey questions were extrapolated from established diagnostic criteria for impulse control disorders, obsessive-compulsive disorder, and substance abuse. Four possible diagnostic criteria sets were generated. The least restrictive set required the respondent to report an unsuccessful effort to reduce Internet use or a history of remaining online longer than intended, Internet use interfering with relationships, and a preoccupation with Internet use when offline.
The response rate was 56.3%. Interviews averaged 11.3 minutes in duration. From 3.7% to 13% of respondents endorsed > or =1 markers consistent with problematic Internet use. The least restrictive proposed diagnostic criteria set yielded a prevalence of problematic Internet use of 0.7%.
Potential markers of problematic Internet use seem present in a sizeable proportion of adults. Future studies should delineate whether problematic Internet use constitutes a pathological behavior that meets criteria for an independent disorder, or represents a symptom of other psychopathologies.

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Available from: Richard T Serpe, Aug 07, 2015
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    • "Numerous studies of the past decade point to Internet addictive behavior as a growing health issue in different parts of the population. Prevalence estimations range up to 6.7% within adolescents and young adults in southeast Asia [1], 0.6% in the United States [2], and between 1 and 2.1% in European countries [3] [4] with adolescents showing even increased prevalence rates (e.g., [4]). Based on these observations, the APA has decided to include Internet Gaming Disorder—one common subtype of Internet addiction (IA)—into section III of the DSM-5 " as a condition warranting more clinical research and experience before it might be considered for inclusion in the main book as a formal disorder " [5]. "
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    BioMed Research International 07/2014; 2014:425924. DOI:10.1155/2014/425924 · 2.71 Impact Factor
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    • "IAD is not a recognized disease according to the 10th edition of the International Classification of Diseases (ICD-10), and the newly published Diagnostic and Statistical Manual of Mental Disorders (DSM-V) [3]. DSM-V states that a considerable nosological ambiguity is inevitable and there is still no universal definition or wellrecognized criterion for IAD today, but the new approach of RDoC [32] considers re-evaluating DSM because of the change in global prevalence [1] [35] [44] [52] of IAD from 0.3% to 38%. This obvious difference in the prevalence may be due to the subjects, cultural background, different methodologies, outcomes, and assessment tools [11]. "
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    ABSTRACT: Internet Addiction Disorder (IAD) has been proposed to describe uncontrollable, damaging use of Internet technology leading to some changes in the autonomic nervous system.IAD can be defined as an impulse-control disorder that does not involve an intoxicant. DSM-V does not recognize it as a disease but the new approach of Research Domain Criteria (RDoC) considers re-evaluating DSM because of the change in global prevalence of IAD from 0.3 to 38%. Treatment of IAD is still unsolved due to the lack of concrete evidence, knowledge and information about the disease. Some therapeutic examples are medications and psychotherapies such as Cognitive Behavioral Therapy (CBT). The CBT approach addresses dysfunctional emotions, maladaptive behaviors and cognitive processes. Modified CBT is used for the treatment of IAD but better results are observed when it is combined with other therapies. This commentary is based on full research papers and some specific case reports recording CBT as the treatment for IAD. Pub med, Scopus, Ovid, ProQuest, Science direct and Springer Link are the databases used for this commentary. More exhaustive research is needed in this field as to confirm the etiology of IAD and its intervention with CBT.
    01/2013; DOI:10.4303/jdar/235819
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    • "In the past few decades, several studies have examined the prevalence of youth Internet addiction, with the reported data varying across different areas of the world [7]. It has been found that the occurrence rate of Internet addiction among adolescents ranges from 1.98% to 35.8% in Western and Eastern societies [8] [9] [10]. Even in different Chinese communities, prevalence findings of Internet addiction were inconsistent. "
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