The Gender-Sensitive Social Risk Factors for Internet Addiction in College Undergraduate Students

ObjectiveThe current study aims to explore precipitating and social risk factors for internet addiction (IA) in university undergraduate students, and to provide evidence for interventions and the early prevention of IA in different genders. MethodsFour thousand eight hundred and fifty-eight college sophomores completed an online survey on their internet use-related behaviours and social risk factors. ResultsWe found that more male (8.3%) than female students (5.4%) had moderate and severe IA. The main online activity in the moderate and severe IA groups was online gaming in males and online streaming in females. Roommates engaging in similar internet-based entertainment was a risk factor of IA only for males, while not being in a romantic relationship was a risk factor of IA for females only. Infatuation with the internet before college and adjustment problems for college life were shared risk factors for both genders in the mild and moderate IA groups. ConclusionIA was a common phenomenon in college students with shared and unique precipitating and social risk factors in males and females. The gender-sensitive risk factors for IA warranted earlier and individualized intervention and prevention strategies for IA in this population.     

Prevalence rate of Internet addiction among Japanese college students: Two cross‐sectional studies and reconsideration of cut‐off points of Young's Internet Addiction Test in Japan

Aim

Due to variation in estimates of the prevalence of Internet addiction (IA) in prior research, we conducted two cross‐sectional studies over 2 years investigating the prevalence rate of IA in college students in Japan and reconsidered appropriate cut‐off points of a self‐rating scale to screen possible IA.

Methods

This study was composed of two parts: survey I in 2014 and survey II in 2016, which were conducted in the same schools with an interval of 2 years. The study questionnaire included questions about demographics and Internet use, and Young's Internet Addiction Test (IAT). Additionally, the subjects in survey II were asked about self‐reported IA.

Results

There were 1005 respondents in total with a mean age (± SD) of 18.9 ± 1.3 years. The mean IAT scores remained stable between 2014 and 2016: 45.2 ± 12.6 in survey I and 45.5 ± 13.1 in survey II (overall mean IAT score of 45.4 ± 13.0). With respect to self‐reported IA in survey II, a total of 21.6% admitted to having IA (score of 5 or 6 on a 6‐point Likert scale). We categorized these subjects as IA, and the remainder as non‐IA. The mean IAT score showed a significant difference between these two groups (57.8 ± 14.3 vs 42.1 ± 10.7, P < 0.001).

Conclusion

The severity of IA symptoms among Japanese college students has appeared stable in recent years, with mean IAT scores of over 40. Our results suggest that a screening score cut‐off of 40 on the IAT could be reconsidered and that 50 might be proposed for the cut‐off.

     

Internet Addiction and Its Associations with Clinical and Psychosocial Factors in Medical Students

ObjectiveExcessive internet use has been associated with various psychiatric symptoms and psychosocial factors. This study aimed to investigate the prevalence of internet addiction (IA) and its associations with clinical (depression/social anxiety) and psychosocial (self-esteem/perceived social support) factors in medical students. MethodsIn total, 408 medical students at one university in Korea were included in this study. IA symptoms were assessed with Young’s Internet Addiction Test, and scores of 50 or higher were considered to indicate IA. Participants were asked to complete the Beck Depression Inventory, Social Phobia Inventory, Rosenberg Self-Esteem Scale, and Duke-University of North Carolina Functional Social Support Questionnaire. A logistic regression model was constructed to examine the impact of clinical and psychosocial factors on IA. ResultsForty-seven participants (11.5%) were identified as having IA. Self-esteem was associated with a lower risk of IA, whereas depression and social anxiety were associated with a higher risk of IA. Depression, social anxiety, low self-esteem, and low perceived social support were found to be significant correlates of IA. Young’s Internet Addiction Test score positively correlated with Beck Depression Inventory and Social Phobia Inventory scores, but negatively correlated with Rosenberg Self-Esteem Scale and Duke-University of North Carolina Functional Social Support Questionnaire scores. Furthermore, the prevalence of IA was highest in first-year medical students. ConclusionThis study revealed the possible risk and protective factors of IA. Our findings indicate that strengthening self-esteem and reducing depression and social anxiety may contribute to the prevention and management of IA in medical students.     

Socioeconomic and Geographic Inequalities of Internet Addiction in Korean Adolescents

The aim of this study was to evaluate the social economic and geographic influences on Internet addiction in Korean youth using the Korean Youth Risk Behavior Web-Based Survey. Middle and high school students (n=73,238) were randomly selected from the respondents to a web-based survey using two-stage stratified complex sampling. A Geographical Information System was used to generate a Korean map of the level of Internet addiction for each province and complex sampling lower case logistic regression was used to investigate the relationship between social economic status (SES) and Internet addiction. Gyeonggi-do and Gyeongsang-namdo provinces have a higher total scores of Internet addiction. There were associations between Internet addiction and low SES (OR=1.504, 95% CI 1.156-1.956, p<0.01). There may need to be at multilevel approach which recognizes the different levels of need in provinces as well as trying to understand why the differences arise at an individual level.     

‘Internet Addiction’: A Critical Review

It has been alleged by some academics that excessive Internet use can be pathological and addictive. This paper reviews what is known from the empirical literature on ‘Internet addiction’ and its derivatives (e.g., Internet Addiction Disorder, Pathological Internet Use, etc.) and assesses to what extent it exists. Empirical research into ‘Internet addiction’ can roughly be divided into five areas: (1) survey studies that compare excessive Internet users with non-excessive users, (2) survey studies that have examined vulnerable groups of excessive Internet use, most notably students, (3) studies that examine the psychometric properties of excessive Internet use, (4) case studies of excessive Internet users and treatment case studies, and (5) correlational studies examining the relationship of excessive Internet use with other behaviours (e.g., psychiatric problems, depression, self-esteem, etc.). Each of these areas is reviewed. It is concluded that if ‘Internet addiction’ does indeed exist, it affects a relatively small percentage of the online population. However, exactly what it is on the Internet that they are addicted to still remains unclear.     

A Case of Withdrawal Psychosis from Internet Addiction Disorder

Similar to substance use disorder, patients with Internet addiction disorder (IAD) show excessive use, tolerance and withdrawal symptoms. We report a case of a patient with withdrawal psychosis who showed persecutory delusion and disorganized behaviors in addition to common withdrawal symptoms such as agitation and irritability. A 25-year-old male developed a full-blown psychotic episode within one day after discontinuing an Internet game that he had been playing for at least eight hours a day for two years. Upon admission, he had no abnormal brain imaging findings and laboratory tests. With antipsychotic medication (quetiapine up to 800 mg), his psychotic symptoms rapidly subsided and after four days of treatment, he no longer showed any signs of psychosis. This case report suggests that brief psychosis can develop during withdrawal from long-term excessive use of an Internet and the central pathology beneath the IAD is more likely a form of addiction than impulse control.     

Standardization Study of Internet Addiction Improvement Motivation Scale

Objective

The purpose of this study was to develop a scale to measure motivation to improve Internet addiction. Motivation is known to be important to treat Internet addiction successfully. The reliability of the scale was assessed, and its concurrent validity was evaluated.

Methods

Ninety-two adolescents participated in this study. The basic demographic characteristics were recorded and the Korean version of the Stages of Readiness for Change and Eagerness for Treatment Scale for Internet Addiction (K-SOCRATES-I) was administered. Subsequently, the Internet Addiction Improvement Motivation Scale was developed using 10 questions based on the theory of motivation enhancement therapy and its precursor version designed for smoking cessation.

Results

The motivation scale was composed of three subscales through factor analysis; each subscale had an adequate degree of reliability. In addition, the motivation scale had a high degree of validity based on its significant correlation with the K-SOCRATES-I. A cut-off score, which can be used to screen out individuals with low motivation, was suggested.

Conclusion

The Internet Addiction Improvement Motivation Scale, composed of 10 questions developed in this study, was deemed a highly reliable and valid scale to measure a respondent''s motivation to be treated for Internet addiction.     

Internet addiction and problematic Internet use: A systematic review of clinical research

AIM: To provide a comprehensive overview of clinical studies on the clinical picture of Internet-use related addictions from a holistic perspective. A literature search was conducted using the database Web of Science. METHODS: Over the last 15 years, the number of Internet users has increased by 1000%, and at the same time, research on addictive Internet use has proliferated. Internet addiction has not yet been understood very well, and research on its etiology and natural history is still in its infancy. In 2013, the American Psychiatric Association included Internet Gaming Disorder in the appendix of the updated version of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) as condition that requires further research prior to official inclusion in the main manual, with important repercussions for research and treatment. To date, reviews have focused on clinical and treatment studies of Internet addiction and Internet Gaming Disorder. This arguably limits the analysis to a specific diagnosis of a potential disorder that has not yet been officially recognised in the Western world, rather than a comprehensive and inclusive investigation of Internet-use related addictions (including problematic Internet use) more generally. RESULTS: The systematic literature review identified a total of 46 relevant studies. The included studies used clinical samples, and focused on characteristics of treatment seekers and online addiction treatment. Four main types of clinical research studies were identified, namely research involving (1) treatment seeker characteristics; (2) psychopharmacotherapy; (3) psychological therapy; and (4) combined treatment. CONCLUSION: A consensus regarding diagnostic criteria and measures is needed to improve reliability across studies and to develop effective and efficient treatment approaches for treatment seekers.     

Prevalence and Factors Associated with Smartphone Addiction among Adolescents–A Nationwide Study in Malaysia

Smartphone ownership among adolescents is getting common in this decade especially in Malaysia; Adolescent are strongly devoted to their smartphone and this may lead to smartphone addiction. Studies have reported that smartphone addiction has become an emerging social and health problem especially among the youth in many countries however there is lack of study among adolescents in Malaysia. This study aimed to examine the prevalence and factors associated with smartphone addiction among adolescents in Malaysia. This was a cross-sectional study involving adolescents from 15 primary care clinics throughout the country. Respondents were assessed on their smartphone activities using the Malaysian short version of the Smartphone addiction scale (SAS-M-SV). Multiple logistic regression was used to determine the predictors of smartphone addiction among adolescents. The study was conducted among 921 adolescents with 49.6% male (n = 457). The mean age of adolescents was 16.4 ± 2.4 years. The ethnicity distribution were 74.6% Malay, 7.3% Chinese, 4.7% Indian and 13.4% other ethnicities. The prevalence of smartphone addiction was 37.1% (342/921); 37.4% in male and 36.9% in female. Based on multiple logistic regression analysis, longer duration of smartphone use per week was associated with higher odds of smartphone addiction among adolescent (odd ratio = 1.005%, 95% confidence interval = 1.000–1.009, p-value = 0.039). Smartphone addiction is present in nearly four in ten adolescents in Malaysia. Adolescents who spend longer duration in smartphone usage per week were associated with higher odds of having smartphone addiction. Parents should be more alert and vigilant about this finding. Hence, parents should limit their children from spending too much of time with smartphone in order to prevent their children from getting smartphone addiction.     

Psychiatric symptoms in adolescents with Internet addiction: Comparison with substance use

Aims:  The aim of the present study was to compare psychiatric symptoms between adolescents with and without Internet addiction, as well as between analogs with and without substance use.
Methods:  A total of 3662 students (2328 male and 1334 female) were recruited for the study. Self-report scales were utilized to assess psychiatric symptoms, Internet addiction, and substance use.
Results:  It was found that Internet addiction or substance use in adolescents was associated with more severe psychiatric symptoms. Hostility and depression were associated with Internet addiction and substance use after controlling for other symptoms.
Conclusions:  This result partially supports the hypothesis that Internet addiction should 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. Moreover, more attention should be devoted to hostile and depressed adolescents in the design of preventive strategies and the related therapeutic interventions for Internet addiction.     

Internet Sexual Offending: Overview of Potential Contributing Factors and Intervention Strategies

As Internet accessibility and use increase dramatically, more and more people are turning to it for sexual purposes. This growing use of the Internet for sexual purposes indicates that the proportion of Internet sexual offences also will continue to rise dramatically. This article examines the impact of Internet problematic behaviours on the potential for recidivism among online sexual offenders. It argues for specialised treatment for these offenders whilst providing an overview of approaches that are currently used in other areas to treat problematic behaviours and how they could be used in the treatment of Internet sexual offenders.     

Measurement and analysis of the cognitive-behavioral model of generalized problematic Internet use among Mexican adolescents

The objectives of this study were to analyze the psychometric properties of the Generalized Problematic Internet Use Scale 2 (GPIUS2) and to examine the cognitive-behavioral theoretical model of problematic Internet use in a sample of 1491 Mexican adolescents (47.6% female, mean age = 14.51). Results showed that the GPIUS2 has adequate construct and convergent validity and internal consistency. Consistent with the hypotheses put forth by the cognitive-behavioral model, the findings indicate that preference for online social interaction and the use of the Internet for mood regulation increased the probability of reporting deficient self-regulation (i.e., compulsive Internet use and cognitive preoccupations with Internet use), which, in turn, was significantly associated with negative life outcomes. The fit of the model was adequate both for males and females, and there were no significant differences between them. Lastly, we discuss the contributions of this research to this field of study.     

The Effect of Stress on Internet Game Addiction Trends in Adults: Mindfulness and Conscientiousness as Mediators

ObjectiveThis study examined the mediating effect of mindfulness and consciousness among five factors on the effect of stress on Internet game addiction tendency. MethodsAn online survey was conducted on 400 men and women between their 20s and 40s across Korea. The scales used in the study were the Internet game addiction scale based on the DSM-5, Perceived Stress Scale, Mindfulness Scale, and Five-Factor Personality Scale. For data analysis, structural equation modeling was conducted, and Sobel verification was carried out to verify the significance of the mediating effects. ResultsThe results of the study are as follows: Stress showed a positive correlation with Internet game addiction tendency, mindfulness mediated the effect of stress on Internet game addiction tendency. ConclusionOf the five personality factors, conscientiousness also mediated the effect of stress on Internet game addiction tendency. This study highlights the need for further research for individuals with game addiction tendency.