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The association between Internet addiction and psychiatric disorder: A review of the literature

  • C.-H. Ko (a1) (a2) (a3), J.-Y. Yen (a2) (a3) (a4), C.-F. Yen (a2) (a3), C.-S. Chen (a2) (a3) (a4) and C.-C. Chen (a2) (a3) (a5)...


Internet addiction is a newly emergent disorder. It has been found to be associated with a variety of psychiatric disorders. Information about such coexisting psychiatric disorders is essential to understand the mechanism of Internet addiction. In this review, we have recruited articles mentioning coexisting psychiatric disorders of Internet addiction from the PubMed database as at November 3, 2009. We describe the updated results for such disorders of Internet addiction, which include substance use disorder, attention-deficit hyperactivity disorder, depression, hostility, and social anxiety disorder. We also provide discussion for possible mechanisms accounting for the coexistence of psychiatric disorders and Internet addiction. The review might suggest that combined psychiatric disorders mentioned above should be evaluated and treated to prevent their deteriorating effect on the prognosis of Internet addiction. On the other hand, Internet addiction should be paid more attention to when treating people with these coexisting psychiatric disorders of Internet addiction. Additionally, we also suggest future necessary research directions that could provide further important information for the understanding of this issue.


Corresponding author

* Corresponding author. Tel.: +886 7 7513171; fax: +886 7 7712494. E-mail, (C.-C. Chen).


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[1]Anderson, KJInternet use among college students: an exploratory study. J Am Coll Health 2000;50(1)2126
[2]American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC, US: American Psychiatric Publishing, Inc.; 1994.
[3]American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. (Fourth edition, Text Revision ed.) Washington, DC: American Psychiatric Association; 2003.
[4]Bai, YMLin, CCChen, JYInternet addiction disorder among clients of a virtual clinic. Psychiatr Serv 2001;52(10):1397
[5]Bakken, IJWenzel, HGGotestam, KGJohansson, AOren, AInternet addiction among Norwegian adults: a stratified probability sample study. Scand J Psychol 2009;50(2):121127
[6]Berger, AKofman, OLivneh, UHenik, AMultidisciplinary perspectives on attention and the development of self-regulation. Prog Neurobiol 2007;82(5):256286
[7]Bernardi, SPallanti, SInternet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms. Compr Psychiatry 2009;50(6):510516
[8]Block, JJIssues for DSM-V: Internet addiction. Am J Psychiatry 2008;165(3):306307
[9]Canan, FAtaoglu, ANichols, LAYildirim, TOzturk, OEvaluation of psychometric properties of the Internet addiction scale in a sample of turkish high school students. Cyberpsychol Behav 2009;13(0):14
[10]Cao, FSu, LInternet addiction among Chinese adolescents: prevalence and psychological features. Child Care Health Dev 2007;33(3):275281
[11]Castellanos, FXTannock, RNeuroscience of attention-deficit/hyperactivity disorder: the search for endophenotypes. Nat Rev Neurosci 2002;3(8):617628
[12]Chen, SHWeng, LCSu, YJWu, HMYang, PFDevelopment of Chinese Internet addiction scale and its psychometric study. Chinese J Psychol 2003;45(3):279294
[13]Choi, KSon, HPark, MHan, JKim, KLee, B, et al.Internet overuse and excessive daytime sleepiness in adolescents. Psychiatry Clin Neurosci 2009;63(4):455462
[14]De, BDD’Albenzio, AGambi, FSepede, GValchera, AConti, CM, et al.Alexithymia and its relationships with dissociative experiences and Internet addiction in a nonclinical sample. Cyberpsychol Behav 2009; 12: 6769
[15]Diamond, AAttention-deficit disorder: a neurobiologically and behaviorally distinct disorder from attention-deficit/hyperactivity disorder [with hyperactivity]. Dev Psychopathol 2005;17(3):807825
[16]Ha, JHYoo, HJCho, IHChin, BShin, DKim, JHPsychiatric comorbidity assessed in Korean children and adolescents who screen positive for Internet addiction. J Clin Psychiatry 2006;67(5):821826
[17]Han, DHLee, YSNa, CAhn, JYChung, USDaniels, MA, et al.The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Compr Psychiatry 2009;50(3):251256
[18]Holden, C‘Behavioral’ addictions: do they exist?. Science 2001;294(5544):980982
[19]Huang, HLeung, LInstant messaging addiction among teenagers in China: shyness. Alienation, and academic performance decrement. Cyberpsychol Behav 2009;12(6):675679
[20]Jang, KSHwang, SYChoi, JYInternet addiction and psychiatric symptoms among Korean adolescents. J Sch Health 2008;78(3):165171
[21]Kessler, RCThe epidemiology of dual diagnosis. Biol Psychiatry 2004;56(10):730737
[22]Kim, KRyu, EChon, MYYeun, EJChoi, SYSeo, JS, et al.Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: a questionnaire survey. Int J Nurs Stud 2006;43(2):185192
[23]Ko, CHYen, JYChen, CCChen, SHYen, CFProposed diagnostic criteria of Internet addiction for adolescents. J Nerv Ment Dis 2005;193(11):728733
[24]Ko, CHYen, JYYen, CFChen, CCYen, CNChen, SHScreening for Internet addiction: an empirical research on cut-off points for the Chen Internet Addiction Scale. Kaohsiung J Med Sci 2005; 21: 545551
[25]Ko, CHYen, JYChen, CCChen, SHWu, KYen, CFTridimensional personality of adolescents with Internet addiction and substance use experience. Can J Psychiatry 2006;51(14):887894
[26]Ko, CHYen, JYYen, CFLin, HCYang, MJFactors predictive for incidence and remission of Internet addiction in young adolescents: a prospective study. Cyberpsychol Behav 2007;10(4):545551
[27]Ko, CHYen, JYYen, CFChen, CSWeng, CCChen, CCThe association between Internet addiction and problematic alcohol use in adolescents: the problem behavior model. Cyberpsychol Behav 2008;11(5):571576
[28]Ko, CHYen, JYChen, CSChen, CCYen, CFPsychiatric comorbidity of Internet addiction in college students: an interview study. CNS Spectr 2008;13(2):147153
[29]Ko, CHYen, JYChen, SHYang, MJLin, HCYen, CFProposed diagnostic criteria and the screening and diagnosing tool of Internet addiction in college students. Compr Psychiatry 2009;50(4):378384
[30]Ko, CHYen, JYLiu, SCHuang, CFYen, CFThe associations between aggressive behaviors and Internet addiction and online activities in adolescents. J Adolesc Health 2009;44(6):598605
[31]Ko, CHYen, JYChen, CSYeh, YCYen, CFPredictive values of psychiatric symptoms for Internet addiction in adolescents: a 2-year prospective study. Arch Pediatr Adolesc Med 2009;163(10):937943
[32]Ko, CHLiu, GCHsiao, SYen, JYYang, MJLin, WC, et al.Brain activities associated with gaming urge of online gaming addiction. J Psychiatr Res 2009;43(7):739747
[33]Koepp, MJGunn, RNLawrence, ADCunningham, VJDagher, AJones, T, et al.Evidence for striatal dopamine release during a video game. Nature 1998;393(6682):266268
[34]Kraut, RKiesler, SBoneva, BCummings, JHelgeson, VCrawford, AInternet paradox revisited. J Soc Issues 2002;58(1):49
[35]Lam, LTPeng, ZWMai, JCJing, JFactors associated with Internet addiction among adolescents. Cyberpsychol Behav 2009;12(5):551555
[36]Lee, YSHan, DHYang, KCDaniels, MANa, CKee, BS, et al.Depression-like characteristics of 5HTTLPR polymorphism and temperament in excessive Internet users. J Affect Disord 1091–22008 165169
[37]Leung, LNet-generation attributes and seductive properties of the Internet as predictors of online activities and Internet addiction. Cyberpsychol Behav 2004;7(3):333348
[38]Lin, SSJTsai, CCSensation seeking and Internet dependence of Taiwanese high school adolescents. Comput Hum Behav 2002;18(4):411426
[39]Milani, LOsualdella, DDi, BPQuality of interpersonal relationships and problematic Internet use in adolescence. Cyberpsychol Behav 2009;12(6):681684
[40]Morahan-Martin, JMThe relationship between loneliness and Internet use and abuse. Cyberpsychol Behav 1999;2(5):431439
[41]Mueser, KTDrake, REWallach, MADual diagnosis: a review of etiological theories. Addict Behav 1998;23(6):717734
[42]Ni, XYan, HChen, SLiu, ZFactors influencing Internet addiction in a sample of freshmen university students in China. Cyberpsychol Behav 2009;12(3):327330
[43]Niemz, KGriffiths, MBanyard, PPrevalence of pathological Internet use among university students and correlations with self-esteem, the General Health Questionnaire [GHQ], and disinhibition. Cyberpsychol Behav 2005;8(6):562570
[44]Pani, PPMaremmani, ITrogu, EGessa, GLRuiz, PAkiskal, HSDelineating the psychic structure of substance abuse and addictions: should anxiety, mood and impulse-control dysregulation be included?. J Affect Disord 2010;122(3):185197
[45]Park, SKKim, JYCho, CBPrevalence of Internet addiction and correlations with family factors among South Korean adolescents. Adolescence 2008;43(172):895909
[46]Rubia, KSmith, ABBrammer, MJToone, BTaylor, EAbnormal brain activation during inhibition and error detection in medication-naive adolescents with ADHD. Am J Psychiatry 2005;162(6):10671075
[47]Ryu, EJChoi, KSSeo, JSNam, BWThe relationships of Internet addiction, depression, and suicidal ideation in adolescents. Taehan Kanho Hakhoe Chi 2004;34(1):102110
[48]Shaffer, HJHall, MNVander, BJComputer addiction: a critical consideration. Am J Orthopsychiatry 2000;70(2):162168
[49]Shapira, NAGoldsmith, TDKeck, PE Jr.Khosla, UMMcElroy, SLPsychiatric features of individuals with problematic Internet use. J Affect Disord 2000; 57: 267272
[50]Shapira, NALessig, MCGoldsmith, TDSzabo, STLazoritz, MGold, MS, et al.Problematic Internet use: proposed classification and diagnostic criteria. Depress Anxiety 2003;17(4):207216
[51]Shek, DTTang, VMLo, CYInternet addiction in Chinese adolescents in Hong Kong: assessment, profiles, and psychosocial correlates. Sci World J 2008; 8: 776787
[52]Shepherd, RMEdelmann, RJReasons for Internet use and social anxiety. Personality Individual Diff 2005;39(5):949958
[53]Siomos, KEDafouli, EDBraimiotis, DAMouzas, ODAngelopoulos, NVInternet addiction among Greek adolescent students. Cyberpsychol Behav 2008;11(6):653657
[54]Suler, JRTo get what you need: healthy and pathological Internet use. Cyberpsychol Behav 1999;2(5):385393
[55]Tichon, JGShapiro, MThe process of sharing social support in cyberspace. Cyberpsychol Behav 2003;6(2):161170
[56]Volkow, NLi, TKThe neuroscience of addiction. Nat Neurosci 2005;8(11):14291430
[57]Wrase, JReimold, MPuls, IKienast, THeinz, ASerotonergic dysfunction: brain imaging and behavioral correlates. Cogn Affect Behav Neurosci 2006;6(1):5361
[58]Yang, CKChoe, BMBaity, MLee, JHCho, JSSCL-90-R and 16PF profiles of senior high school students with excessive Internet use. Can J Psychiatry 2005;50(7):407414
[59]Yen, JYKo, CHYen, CFWu, HYYang, MJThe comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder [ADHD], depression, social phobia, and hostility. J Adolesc Health 2007;41(1):9398
[60]Yen, JYKo, CHYen, CFChen, SHChung, WLChen, CCPsychiatric symptoms in adolescents with Internet addiction: comparison with substance use. Psychiatry Clin Neurosci 2008;62(1):916
[61]Yen, JYYen, CFChen, CSTang, TCKo, CHThe association between adult ADHD symptoms and Internet addiction among college students: the gender difference. Cyberpsychol Behav 2009;12(2):187191
[62]Yen, JYKo, CHYen, CFChen, CSChen, CCThe association between harmful alcohol use and Internet addiction among college students: comparison of personality. Psychiatry Clin Neurosci 2009;63(2):218224
[63]Yoo, HJCho, SCHa, JYune, SKKim, SJHwang, J, et al.Attention deficit hyperactivity symptoms and Internet addiction. Psychiatry Clin Neurosci 2004;58(5):487494
[64]Young, KSInternet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav 1998;1(3):237244
[65]Young, KSRogers, RCThe relationship between depression and Internet addiction. Cyberpsychol Behav 1998;1(1):2528


The association between Internet addiction and psychiatric disorder: A review of the literature

  • C.-H. Ko (a1) (a2) (a3), J.-Y. Yen (a2) (a3) (a4), C.-F. Yen (a2) (a3), C.-S. Chen (a2) (a3) (a4) and C.-C. Chen (a2) (a3) (a5)...


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The association between Internet addiction and psychiatric disorder: A review of the literature

  • C.-H. Ko (a1) (a2) (a3), J.-Y. Yen (a2) (a3) (a4), C.-F. Yen (a2) (a3), C.-S. Chen (a2) (a3) (a4) and C.-C. Chen (a2) (a3) (a5)...
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