Nomophobia: Dependency on virtual environments or social phobia?

Background: The increasing use of new technologies and virtual communication involving personal computers (PCs), tablets and mobile phones are causing changes in individuals' daily habits and behavior. We report the case of an individual with social phobia who developed a dependency on communication through virtual environments (i.e., nomophobia), and used a PC as a form of relating to the outside world to reduce stress and to avoid direct social relations. Nomophobia refers to the discomfort or anxiety caused by the non-availability of a mobile phone, PC or any another virtual communication device. Social phobia is described as an anxiety disorder of chronic evolution. Objective: To study nomophobia as a manifest behavior that might serve as an indication of a possible anxiety disorder. Methodology: The treatment consisted of the use of medication, cognitive-behavioral therapy (CBT) and the application of evaluation tools (interviews, scales, inventories and questionnaires). Results: The individual responded satisfactorily to medication and CBT treatment, which reduced his time using the PC and increased his exposure to real-life situations. Conclusion: Nomophobic behavior produces changes in daily habits and can reveal other aspects to be investigated, such as the presence of comorbid mental disorders.

[1]  M. Ibañez RESEÑA de : Joinson, Adam N. Understanding the psychology of internet behaviour virtual worlds, real lives. Gales : Palgrave MacMillan, 2003 , 2003 .

[2]  G. Gabbard,et al.  The development of the self in the era of the internet and role-playing fantasy games. , 2006, The American journal of psychiatry.

[3]  Ilya Prigogine The Networked Society , 2000 .

[4]  T. M. Flynn,et al.  Use of mobile phones in the behavioral treatment of driving phobias. , 1992, Journal of behavior therapy and experimental psychiatry.

[5]  A. Joinson Understanding the Psychology of Internet Behaviour: Virtual Worlds, Real Lives , 2002 .

[6]  W W Zung,et al.  A rating instrument for anxiety disorders. , 1971, Psychosomatics.

[7]  Adam N. Joinson,et al.  Privacy, Trust, and Self-Disclosure Online , 2010, Hum. Comput. Interact..

[8]  Chih-Hung Ko,et al.  Social Anxiety in Online and Real-Life Interaction and Their Associated Factors , 2012, Cyberpsychology Behav. Soc. Netw..

[9]  M. Liebowitz,et al.  Social phobia. , 2003, Collegium antropologicum.

[10]  Ana Maria Nicolaci-da-Costa Revoluções tecnológicas e transformações subjetivas , 2002 .

[11]  Janet B W Williams Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[12]  B. Bandelow,et al.  Assessing the efficacy of treatments for panic disorder and agoraphobia. II. The Panic and Agoraphobia Scale , 1995, International clinical psychopharmacology.

[13]  A. Sardinha,et al.  Historia e panorama atual das terapias cognitivas no Brasil , 2007 .

[14]  Melanie Remy,et al.  Wikipedia: The Free Encyclopedia200214Wikipedia: The Free Encyclopedia. 2001 – updated daily. Gratis http://www.wikipedia.com , 2002 .

[15]  A. Nardi,et al.  Nomophobia: The Mobile Phone in Panic Disorder With Agoraphobia: Reducing Phobias or Worsening of Dependence? , 2010, Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology.

[16]  A. Nardi,et al.  [Hyperventilation. The cognitive-behavior-therapy and the technique of the exercises in the induction of panic disorder symptoms]. , 2008, Revista portuguesa de pneumologia.