Problematic Internet Use, Mental Health and Impulse Control in an Online Survey of Adults.

BACKGROUND AND AIMS Internet use has become a popular entertainment source and has become highly integrated into daily life. However, some people display problematic or addictive usage of the Internet. The present study attempts to fill current knowledge gaps regarding at-risk/problematic Internet use (ARPIU) and its relation to various health and functioning measures. METHODS Online survey data from 755 adults in the United States were analyzed using chi-square and ANOVAs. RESULTS The ARPIU group did not differ from the non-ARPIU group with respect to substance use. Individuals with ARPIU were, however, more likely to report at-risk/problematic engagement in video-game playing and gambling. Compared to the non-ARPIU group, the ARPIU group reported poorer self-control and higher levels of impulsivity and depression. CONCLUSIONS ARPIU appears associated with other risk behaviors, particularly those that might be performed on the Internet. Future studies should examine the extent to which the Internet may promote engagement in these risk behaviors and the extent to which preventative interventions targeting better self-control or negative mood states might help a range of non-substance-related addictive behaviors.

[1]  C. Ko,et al.  The association between Internet addiction and psychiatric disorder: A review of the literature , 2012, European Psychiatry.

[2]  MARK GRIFFITHS,et al.  Prevalence of Pathological Internet Use among University Students and Correlations with Self-Esteem, the General Health Questionnaire (GHQ), and Disinhibition , 2005, Cyberpsychology Behav. Soc. Netw..

[3]  R. Baumeister,et al.  Self-regulatory processes defend against the threat of death: Effects of self-control depletion and trait self-control on thoughts and fears of dying. , 2006, Journal of personality and social psychology.

[4]  D. Comings,et al.  Reward deficiency syndrome: genetic aspects of behavioral disorders. , 2000, Progress in brain research.

[5]  W. Bickel,et al.  A scale-free systems theory of motivation and addiction , 2007, Neuroscience & Biobehavioral Reviews.

[6]  M. Stoolmiller,et al.  The role of self-control in early escalation of substance use: a time-varying analysis. , 2002, Journal of consulting and clinical psychology.

[7]  Dan J Stein,et al.  Problematic internet use: Proposed classification and diagnostic criteria , 2003, Depression and anxiety.

[8]  W K Bickel,et al.  Impulsive and self-control choices in opioid-dependent patients and non-drug-using control participants: drug and monetary rewards. , 1997, Experimental and clinical psychopharmacology.

[9]  Marc N. Potenza,et al.  Video-Gaming Among High School Students: Health Correlates, Gender Differences, and Problematic Gaming , 2010, Pediatrics.

[10]  Douglas A. Gentile,et al.  A Conceptual Review of Research on the Pathological Use of Computers, Video Games, and the Internet , 2012, International Journal of Mental Health and Addiction.

[11]  Inger Johanne Bakken,et al.  Internet addiction among Norwegian adults: a stratified probability sample study. , 2009, Scandinavian journal of psychology.

[12]  A. Mack Correlates of At-Risk/Problem Internet Gambling in Adolescents , 2012 .

[13]  Mark D. Griffiths,et al.  Does Internet and Computer "Addiction" Exist? Some Case Study Evidence , 2000, Cyberpsychology Behav. Soc. Netw..

[14]  G J Barker,et al.  The neural basis of video gaming , 2011, Translational Psychiatry.

[15]  Mark D. Griffiths,et al.  Gaming Addiction : The Role of Sensation Seeking , Self-Control , Neuroticism , Aggression , State Anxiety , and Trait Anxiety , 2010 .

[16]  A. Huston,et al.  How young children spend their time: television and other activities. , 1999, Developmental psychology.

[17]  E. Butelman,et al.  Genetic influences on impulsivity, risk taking, stress responsivity and vulnerability to drug abuse and addiction , 2005, Nature Neuroscience.

[18]  J. Patton,et al.  Factor structure of the Barratt impulsiveness scale. , 1995, Journal of clinical psychology.

[19]  C. Ko,et al.  Proposed Diagnostic Criteria of Internet Addiction for Adolescents , 2005, The Journal of nervous and mental disease.

[20]  M. Potenza,et al.  Impulse control disorders in adult psychiatric inpatients. , 2005, The American journal of psychiatry.

[21]  T. Trull,et al.  Personality and disinhibitory psychopathology: alcoholism and antisocial personality disorder. , 1994, Journal of abnormal psychology.

[22]  B. Schmeichel,et al.  Trait self-control predicts performance on behavioral tests of self-control. , 2007, Journal of personality.

[23]  G. Willemsen,et al.  Prevalence and trends of alcohol use and misuse among adolescents and young adults in the Netherlands from 1993 to 2000. , 2005, Drug and alcohol dependence.

[24]  Chih-Hung Ko,et al.  Proposed diagnostic criteria and the screening and diagnosing tool of Internet addiction in college students. , 2009, Comprehensive psychiatry.

[25]  L. Weng,et al.  Development of a Chinese Internet addiction scale and its psychometric study , 2003 .

[26]  Michael J Crowley,et al.  Are Internet use and video-game-playing addictive behaviors? Biological, clinical and public health implications for youths and adults. , 2012, Minerva psichiatrica.

[27]  H. Kranzler,et al.  The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. , 1995, Journal of studies on alcohol.

[28]  Mark D. Griffiths,et al.  Videogame Addiction and its Treatment , 2009, Journal of Contemporary Psychotherapy.

[29]  K. Namkoong,et al.  The Relationship Between Online Game Addiction and Aggression, Self-Control and Narcissistic Personality Traits , 2008, European Psychiatry.

[30]  C. Ko,et al.  Predictive values of psychiatric symptoms for internet addiction in adolescents: a 2-year prospective study. , 2009, Archives of pediatrics & adolescent medicine.

[31]  S. Dawe,et al.  Impulsivity and adolescent substance use: Rashly dismissed as “all-bad”? , 2008, Neuroscience & Biobehavioral Reviews.

[32]  Chih-Hung Ko,et al.  The associations between aggressive behaviors and internet addiction and online activities in adolescents. , 2009, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[33]  D. Brooks,et al.  Evidence for striatal dopamine release during a video game , 1998, Nature.

[34]  C. Holden Psychiatry. Behavioral addictions debut in proposed DSM-V. , 2010, Science.

[35]  John Suler,et al.  To Get What You Need: Healthy and Pathological Internet Use , 1999, Cyberpsychology Behav. Soc. Netw..

[36]  Jerald J. Block Issues for DSM-V: internet addiction. , 2008, The American journal of psychiatry.

[37]  T. Field,et al.  The relationship of Internet use to depression and social isolation among adolescents. , 2000, Adolescence.

[38]  Maristela Monteiro,et al.  AUDIT - The alcohol use disorders identification test: guidelines for use in primary care. , 2001 .

[39]  Keith J. Anderson Internet Use Among College Students: An Exploratory Study , 2001, Journal of American college health : J of ACH.

[40]  Silu Chen,et al.  Factors Influencing Internet Addiction in a Sample of Freshmen University Students in China , 2009, Cyberpsychology Behav. Soc. Netw..

[41]  C. Ko,et al.  Brain activities associated with gaming urge of online gaming addiction. , 2009, Journal of psychiatric research.

[42]  Louis Leung,et al.  Net-Generation Attributes and Seductive Properties of the Internet as Predictors of Online Activities and Internet Addiction , 2004, Cyberpsychology Behav. Soc. Netw..

[43]  Kai W. Müller,et al.  Regular and Problematic Leisure-Time Internet Use in the Community: Results from a German Population-Based Survey , 2011, Cyberpsychology Behav. Soc. Netw..

[44]  G. Yuan,et al.  An event-related potential investigation of deficient inhibitory control in individuals with pathological Internet use , 2010, Acta Neuropsychiatrica.

[45]  Elias Aboujaoude,et al.  Potential Markers for Problematic Internet Use: A Telephone Survey of 2,513 Adults , 2006, CNS Spectrums.

[46]  A. Weinstein,et al.  Computer and Video Game Addiction—A Comparison between Game Users and Non-Game Users , 2010, The American journal of drug and alcohol abuse.

[47]  M. Griffiths,et al.  Prevalence of the Addictions: A Problem of the Majority or the Minority? , 2011, Evaluation & the health professions.

[48]  C. Ko,et al.  Tridimensional Personality of Adolescents with Internet Addiction and Substance Use Experience , 2006, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[49]  S. Pallanti,et al.  Internet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms. , 2009, Comprehensive psychiatry.

[50]  Ricardo A Tejeiro Salguero,et al.  Measuring problem video game playing in adolescents. , 2002, Addiction.

[51]  Stephen A. Dwight,et al.  Can asking questions by computer improve the candidness of responding? A meta-analytic perspective. , 2000 .

[52]  R. Volberg,et al.  An empirical evaluation of proposed changes for gambling diagnosis in the DSM-5. , 2013, Addiction.

[53]  C. Grilo,et al.  Significance of Overvaluation of Shape/Weight in Binge‐eating Disorder: Comparative Study With Overweight and Bulimia Nervosa , 2010, Obesity.

[54]  R. Baumeister,et al.  High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. , 2004, Journal of personality.

[55]  P. Renshaw,et al.  Depression like characteristics of 5HTTLPR polymorphism and temperament in excessive internet users. , 2008, Journal of affective disorders.

[56]  Sang Hee Kim,et al.  Reduced striatal dopamine D2 receptors in people with Internet addiction , 2011, Neuroreport.

[57]  Matt Stevenson,et al.  Alcohol Use Disorders Identification Test , 2010 .

[58]  L. Sharp,et al.  Screening for depression across the lifespan: a review of measures for use in primary care settings. , 2002, American family physician.

[59]  S. Dawe,et al.  The role of impulsivity in the development of substance use and eating disorders , 2004, Neuroscience & Biobehavioral Reviews.

[60]  Yan Zhou,et al.  Gray matter abnormalities in Internet addiction: a voxel-based morphometry study. , 2011, European journal of radiology.

[61]  A. V. van Rooij,et al.  Online video game addiction: identification of addicted adolescent gamers. , 2010, Addiction.

[62]  E. Kallen Label Me Human: Minority Rights of Stigmatized Canadians , 1989 .

[63]  A. Beck,et al.  Beck Depression Inventory–II , 2011 .

[64]  J. Morahan-Martin,et al.  Incidence and correlates of pathological Internet use among college students ? ? Portions of this pa , 2000 .

[65]  S. Dawe,et al.  Reward drive and rash impulsiveness as dimensions of impulsivity: implications for substance misuse. , 2004, Addictive behaviors.

[66]  J. Brewer,et al.  The neurobiology and genetics of impulse control disorders: relationships to drug addictions. , 2008, Biochemical pharmacology.

[67]  F. Cao,et al.  The relationship between impulsivity and Internet addiction in a sample of Chinese adolescents , 2007, European Psychiatry.

[68]  P. Richter,et al.  PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY , 1994 .

[69]  B. Wellman,et al.  The Global Villagers: Comparing Internet Users and Uses Around the World , 2008 .

[70]  Jin Jing,et al.  Factors Associated with Internet Addiction among Adolescents , 2009, Cyberpsychology Behav. Soc. Netw..

[71]  C. Ko,et al.  The association between harmful alcohol use and Internet addiction among college students: Comparison of personality , 2009, Psychiatry and clinical neurosciences.

[72]  M. Linnoila,et al.  Impulse Control Disorders , 2012 .

[73]  Marc N. Potenza,et al.  Problematic Internet use and health in adolescents: data from a high school survey in Connecticut. , 2011, The Journal of clinical psychiatry.

[74]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[75]  R. L. Collins,et al.  Self-control and alcohol restraint: an initial application of the self-control strength model. , 2002, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[76]  Jennifer Tichon,et al.  The Process of Sharing Social Support in Cyberspace , 2003, Cyberpsychology Behav. Soc. Netw..

[77]  Sheri L. Johnson,et al.  Authentic and Hubristic Pride: Differential Relations to Aspects of Goal Regulation, Affect, and Self-Control. , 2010, Journal of research in personality.

[78]  C. Ko,et al.  The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[79]  T. Willoughby,et al.  A short-term longitudinal study of Internet and computer game use by adolescent boys and girls: prevalence, frequency of use, and psychosocial predictors. , 2008, Developmental psychology.

[80]  J. A. Johnson,et al.  Use of AUDIT-based measures to identify unhealthy alcohol use and alcohol dependence in primary care: a validation study. , 2013, Alcoholism, clinical and experimental research.

[81]  M. Brown,et al.  Commonalities in the Psychological Factors Associated with Problem Gambling and Internet Dependence , 2010, Cyberpsychology Behav. Soc. Netw..

[82]  C. Grilo,et al.  Diagnostic efficiency of DSM-IV indicators for binge eating episodes. , 2011, Journal of consulting and clinical psychology.

[83]  A. Meyer-Lindenberg,et al.  5-HTTLPR polymorphism impacts human cingulate-amygdala interactions: a genetic susceptibility mechanism for depression , 2005, Nature Neuroscience.

[84]  Debi A. LaPlante,et al.  Toward a Syndrome Model of Addiction: Multiple Expressions, Common Etiology , 2004, Harvard review of psychiatry.

[85]  M. Potenza,et al.  The relationship between age of gambling onset and adolescent problematic gambling severity. , 2012, Journal of psychiatric research.

[86]  R. Volk,et al.  The alcohol use disorders identification test: an aid to recognition of alcohol problems in primary care patients. , 2001, Preventive medicine.

[87]  A. Mueller,et al.  [Impulse control disorders]. , 2009, Psychotherapie, Psychosomatik, medizinische Psychologie.

[88]  Nicki A. Dowling,et al.  Screening for Internet Dependence: Do the Proposed Diagnostic Criteria Differentiate Normal from Dependent Internet Use? , 2009, Cyberpsychology Behav. Soc. Netw..

[89]  M. Potenza Should addictive disorders include non-substance-related conditions? , 2006, Addiction.

[90]  L. Clark,et al.  Impulsivity as a vulnerability marker for substance-use disorders: Review of findings from high-risk research, problem gamblers and genetic association studies , 2008, Neuroscience & Biobehavioral Reviews.

[91]  A. Weinstein,et al.  Internet Addiction or Excessive Internet Use , 2010, The American journal of drug and alcohol abuse.

[92]  Lawrence T Lam,et al.  Effect of pathological use of the internet on adolescent mental health: a prospective study. , 2010, Archives of pediatrics & adolescent medicine.

[93]  Shahrzad Mazhari,et al.  Association Between Problematic Internet Use and Impulse Control Disorders Among Iranian University Students , 2012, Cyberpsychology Behav. Soc. Netw..

[94]  Y M Bai,et al.  Internet addiction disorder among clients of a virtual clinic. , 2001, Psychiatric services.

[95]  Yanhui Wang,et al.  Stressful life events and problematic Internet use by adolescent females and males: A mediated moderation model , 2010, Comput. Hum. Behav..

[96]  Young-Chul Shin,et al.  Impulsivity in Internet Addiction: A Comparison with Pathological Gambling , 2012, Cyberpsychology Behav. Soc. Netw..

[97]  Michele J. Fleming,et al.  Extraversion, Impulsivity, and Online Group Membership as Predictors of Problematic Internet Use , 2009, Cyberpsychology Behav. Soc. Netw..

[98]  R. LaBrie,et al.  Pathological gambling among adolescents: Massachusetts Gambling Screen (MAGS) , 1994, Journal of Gambling Studies.

[99]  N. Volkow,et al.  Drug addiction: the neurobiology of disrupted self-control. , 2006, Trends in molecular medicine.

[100]  Chih-Hung Ko,et al.  The Association between Internet Addiction and Problematic Alcohol Use in Adolescents: The Problem Behavior Model , 2008, Cyberpsychology Behav. Soc. Netw..