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internet addiction, psychopathology of internet addiction, pseudo/genuine internet addiction, resiliency on internet addiction despite exposure

internet addiction, psychopathology of internet addiction, pseudo/genuine internet addiction, resiliency on internet addiction despite exposure

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    Internet addictio nfinalxxxxxxxxxxx Internet addictio nfinalxxxxxxxxxxx Presentation Transcript

    • TEMPORAL PRESENTATION OF SYMPTOMS OF INTERNET ADDICTION AMONG FILIPINO ADOLESCENTS USING THE ISIA IAT SCALE (presented at the 2nd annual convention of International Society of Internet Addiction at Seoul, South Korea held October 18, 2013) MILEN SANTIAGO RAMOS MA, MSC, PHD PHILIPPINES
    • The purpose of the study is to develop stages of symptoms of internet addiction as a reflection of development of pathology thereby aiding its recognition as a disorder.
    • Time related questionaires were taken from the assessment tool develop by International Society of Internet Addiction (ISIA) with reference to time. Portion of the questionnaire is focused on the symptom that develop after exposure of one (1) week (taken from PART 5 consisting of 20 items), two (2) weeks (taken from PART 7 consisting of 13 items ) three (3) months (taken from PART 4 consisting of 26 items) of the original ISIA internet addiction questionnaire
    • Internet addiction disorder (IAD) is excessive computer use that interferes with daily life. As defined by wikipedia.
    • IAD was originally proposed as a disorder in a satirical hoax by Ivan Goldberg, M.D., in 1995 He took pathological gambling as diagnosed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) as his model for the description of IAD. It is listed as a "condition for further study" in DSM-5 from 2013 (this year), but not recognized as a disorder.
    • CULLING OF DATA Responses of one thousand adolescents were used to determine which among the items in the time referenced questionaires will give statistically significant results One thousand (1000) answered questionaires was gathered by 10 students. Each handling 100 cases It is anticipated that not all 26 items from PART 4, not all 13 items from PART 7, and not all 20 items from PART 5 will give statistically significant result. It is expected to give out the best items /behavior that will characterize one week use, 2 weeks use as well as 3 months use of internet exposure.
    • ISIA QUESTIONAIRES USED
    • INSTRUCTIONS USED
    • PART 5 Below is a list of some of the ways you may have felt or behaved. Please indicate how often you‘ve felt this way during the PAST WEEK. Please CIRCLE one option for each question only. **DURING THE PAST WEEK Rarely or none of the time (less than 1 day) 1 Some or a little of the time (1-2 days) 2 Occasionally or a moderate amount of time (3-4 days) 3 All of the time (5-7 days) 4
    • PART 7 Please answer questions with LAST TWO WEEKS in mind. Try to be honest and rate the most severe difficulty mentioned in a question. Please CIRCLE one option for each question only. DURING THE LAST TWO WEEKS Not at all 1 Insignificantly 2 Mild but Definitely 3 Moderately 4 Severely 5
    • PART 4 Focusing on the LAST 3 MONTHS, please rate the degree to which each of the following statement matches your experience. Please CIRCLE one option for each question only. **DURING THE LAST 3 MONTHS Does not match my experience at all 1 Probably does not match my experience 2 Probably matches my experience 3 Definitely matches my experience 4
    • SIGNIFICANT FINDINGS
    • ONE WEEK EXPOSURE 2.479 3.132 ITEM 2 2.611 2.549 2.718 2.799 2.919 ITEM 7 2.385 2.301 2.466 2. I did not feel like eating; my appetite was poor. 7. I felt that everything I did was an effort 2.854 ITEM 11 11. My sleep was restless 2.84 2.965 ITEM 13 13.I talked less than usual 2.734 2.65 3.113 ITEM 16 16. I enjoyed life 3.024 ITEM 17 17.I had crying spells. 2.669 2.63 2.49 2.54777 8 2.35
    • TWO WEEKS EXPOSURE 1.773 2.168 ITEM 2 1.717 1.418 suffered from lack of concentration or restlessness? 2.013 ITEM 5 1.745 1.591 1.578 1.674 1.662 experienced difficulties keeping up with your usual educational abilities? 1.979 ITEM 11 difficult to look after yourself or take responsibility for your independence? 1.879 ITEM 12 1.485 been troubled by relationships in your family or substitute home?
    • THREE MONTHS EXPOSURE 2.012 ITEM 1 1.83 2.186 2.353 2.392 2.205 1.818 1.883 1.868 1.823 1.878 1.807 2.103 1.744 1.906 ITEM 3 ITEM4 ITEM5 ITEM6 ITEM 15 I was told more than once that I spend too much time online I feel restless and irritable when the Internet is disconnected or unavailable I feel energized online I stay online for longer periods of time than intended Going online has negatively affected my schoolwork or job Performance 1.936 ITEM 16 1.767 1.858 1.799 2.096 ITEM 20 1.899 1.887 1.711 1.756 1.877 I feel like I am missing something if I don’t go online for a certain period of time 1.915 ITEM 26 I feel tired during the day because of using the Internet late at night My life would be joyless without the Internet
    • INFERENCES Qualitative Quantitative
    • INITIAL STAGE - AFTER ONE WEEKS OF EXPOSURE 1. did not feel like eating; , appetite was poor 2.had crying spells 3. talked less than usual 4. felt that everything done was an effort 5. Sleep was restless MIDDLE STAGE AFTER TWO WEEKS OF EXPOSURE 6.Suffered from lack of concentration or restlessness 7.Experienced difficulties keeping up with usual educational activities 8. Difficult to look after oneself or take responsibility for one s Independence 9. Been troubled by relationships in one s own family or substitute home FINAL STAGE AFTER THREE MONTHS OF EXPOSURE 10 Feel energized online 11 Feel restless and irritable when the Internet is disconnected or unavailable 12 Stay online for longer periods of time than intended 13.Been spending longer and longer periods of time online 14. Life would be joyless without the interne 15. was told more than once that of spending too much time online 16. feel like I am missing something if not go online for a certain period of time 17.feel tired during the day because of using the Internet late at night 18. Going online has negatively affected my schoolwork or job performance
    • INITIAL STAGE INITIAL STAGE --AFTER ONE WEEK OF AFTER ONE WEEK OF EXPOSURE EXPOSURE 1. did not feel like eating; , ,appetite was poor 1. did not feel like eating; appetite was poor 2.had crying spells 2.had crying spells 3. talked less than usual 3. talked less than usual 4. felt that everything done was an effort 4. felt that everything done was an effort 5. Sleep was restless 5. Sleep was restless
    • MIDDLE STAGE MIDDLE STAGE AFTER TWO WEEKS OF AFTER TWO WEEKS OF EXPOSURE EXPOSURE 6.Suffered from lack of concentration or restlessness 6.Suffered from lack of concentration or restlessness 7.Experienced difficulties keeping up with usual 7.Experienced difficulties keeping up with usual educational educational abilities abilities 8. Difficult to look after oneself or take responsibility 8. Difficult to look after oneself or take responsibility for for one ssIndependence one Independence 9. Been troubled by relationships in one ssown family or 9. Been troubled by relationships in one own family or substitute home substitute home
    • FINAL STAGE AFTER THREE MONTHS OF FINAL STAGE AFTER THREE MONTHS OF EXPOSURE EXPOSURE 10 Feel energized online 10 Feel energized online 11 Feel restless and irritable when the Internet is disconnected 11 Feel restless and irritable when the Internet is disconnected or or unavailable unavailable 12 Stay online for longer periods of time than intended 12 Stay online for longer periods of time than intended 13.Been spending longer and longer periods of time online 13.Been spending longer and longer periods of time online 14. Life would be joyless without the interne 14. Life would be joyless without the interne 15. was told more than once that of spending too much time 15. was told more than once that of spending too much time online online 16. feel like IIam missing something if not go online for aa certain 16. feel like am missing something if not go online for certain period of time period of time 17.feel tired during the day because of using the Internet late at 17.feel tired during the day because of using the Internet late at night night 18. Going online has negatively affected my schoolwork or job 18. Going online has negatively affected my schoolwork or job performance performance
    • CHARACTERIZATION OF THE STAGES Initial stage - affect is very much affected (i.e. crying spells, loss of appetite, talking less than usual, restlessness in sleep, talking less than usual – and also affecting the vegetative functions . NOTE: there is no mention here yet whatsoever of the internet Middle stage- executive function seems to be in distress (i.e. lack of concentration or restless ness, difficulties in keeping up with educational activities, difficulties in look after oneself or taking responsibility for one s independence Final stage- one s affective disposition and executive/decision making are down ….there is dependence ONLY on one thing …. Internet (i.e. feeling energized online, feeling life is joyless without the internet, staying online for longer and longer periods of time
    • ONE WEEK EXPOSURE EXPOSURE TWO WEEKS EXPOSURE 2.479 3.132 2.611 2.549 2.718 2.799 2.919 2.385 2.301 2.466 2.854 2.84 2.965 2.734 2.65 3.113 3.024 2.669 2.63 2.49 2.54777 8 2.35 1.773 2.168 1.717 1.418 2.013 1.745 1.591 1.578 1.674 1.662 1.979 1.879 1.485 THREE WEEKS 2.012 1.83 2.186 2.353 2.392 2.205 1.818 1.883 1.868 1.823 1.878 1.807 2.103 1.744 1.906 1.936 1.767 1.858 1.799 2.096 1.899 1.887 1.711 1.756 1.877 1.915
    • MEAN SCORE INITIAL STAGE 2.692081 MIDDLE STAGE 1.744769 FINAL STAGE 1.934962
    • HYPOTHETICAL DIAGNOSTICS AND BEYOND
    • REAL VS PSEUDOADDICTION (VERTICAL INTERPRETATION)
    • REAL VS PSEUDOADDICTION (VERTICAL INTERPRETATION)
    • QUICK VS SLOW STABILIZERS (HORIZONTAL INTERPRETATION)
    • CHARACTERIZATION OF THE STAGES (as based from numerical data) Initial stage - showed the most severe score as based from the mean suggestive that initial exposure would produce the greatest impact on the person Middle stage - showed the lowest mean which can be because of sensitization. Final stage – showed mean which is in the middle of the initial stage and middle stage suggestive that the condition had stabilized …. addiction had set in
    • and more …..
    • It is hypothesized that the greater the difference between the scores between the initial stage and the middle stage the more the REAL the addiction which we tested numerically..
    • pseudoaddiction/ resiliency despite exposure
    • testing genuine addiction numerically
    • ONE WEEK TWO WEEKS THREE MOS 1.82 1.704615385 0.12 1.835769231 2.778181818 1.683076923 0.65 2.037307692 2.553636364 1.610769231 0.83 2.095769231 2.917272727 1.727692308 0.94 1.823461538 2.709545455 2.05 1 1.953461538 2.836818182 1.835384615 2.841363636 1.585384615 1.15 1.899230769 2.720454545 1.872307692 1.15 1.99 2.820909091 1.676923077 1.19 1.975384615 2.859545455 1.701538462 1.26 1.805 1.09 1.934230769
    • the greater the difference between initial and middle stages the greater the stabilization score or posibility of REAL addictrion MIDDLE STAGE MEAN STABILIZATION SCORE 0.12 0.65 0.83 0.94 1 1.835769231 2.037307692 stabilized 2.095769231 1.78265 minimally 1.823461538 1.953461538 1.09 1.934230769 1.15 1.15 stabilized 1.899230769 1.902596 moderately 1.99 1.19 1.975384615 1.26 stabilized 1.805 1.923462 maximally
    • MIDDLE STAGE MEAN STABILIZATION SCORE 0.12 1.835769231 0.65 2.037307692 0.83 2.095769231 0.94 1.823461538 1 1.953461538 1.09 stabilized 1.78265 minimally 1.934230769 1.15 1.899230769 1.15 1.99 1.19 stabilized 1.902596 moderately 1.975384615 1.26 1.805 stabilized 1.923462 maximally
    • CONCLUSION
    • THAT INTERNET ADDICTION IS NOT AN ILLUSION THAT INDICATORS ARE POINTING THAT IT IS A DISORDER WHICH HAS TO BE ADDRESSED AS IT CAN BE DEBILITATING ON THE PERSON IT AFFECTS BOTH THE AFFECTIVE AND EXECUTIVE FUNCTIONS OF THE PERSON WE STILL HAVE TO PROVE THAT THE BEHAVIOR HAS STRONG LINKAGE WITH THE EXISTENCE OF DELTA FOS B .., THE MOLECULAR SWITCH IN BEHAVIORAL ADDICTION (AS PURPORTED BY ERIC NESTLER) IN HUMANS BUT WE ARE GOING THERE… PROBABLY ON OUR NEXT CONFERENCE
    • my final note It would be interesting to collate data from other Asian countries which used the same questionaire to see if it will bring out the same or differing results. Section 3 of DSM5 listed internet gaming disorder as supported by the evidences coming from studies in the Asian region
    • THANK YOU VERY MUCH FOR LISTENING