Internet addiction


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  • The Internet has become a basic tool for-Trading Entertainment Communication Education
  • "It often becomes a chicken and egg issue: are they online because they're depressed or are they depressed because they're spending inordinate amounts of time online?
  • An article published….
  • Kimberly S. Young-Studies on Internet addiction originated in the US
  • Young also developed the 7-item, 8-item, 10-item, and 20-item scales, namely, the Internet Addiction Test, for assessing "Internet dependent" or "Internet addicted" behavior
  • Need further research
  • educational resources on Internet addiction; a set of online self-assessment tools to determine whether one has Internet addiction; and different forms of counseling services for self-identified Internet addicts, including both face-to-face counseling for individuals, couples, and families and e-counseling through telephone and online communication. The major treatment strategy adopted in the center is the cognitive-behavioral therapy plus psycho-education. In addition, seminars and workshops are provided in the center to train mental health practitioners in diagnosis, clinical assessment, and treatment of Internet addiction.
  • Reality TherapyA counseling technique where the client is encouraged to focus on the here and now rather than on the past, complaints or symptoms in order to obtain better control over his or her life
  • Internet addiction

    1. 1. Internet addiction disorder Dr. Syed Faheem Shams Student, Dept of Psychiatry BSMMU
    2. 2. Internet has bring the world into the palm of our hand
    3. 3. Over 60% of American households have at least one PC Nearly 55% of households are connected to the Internet (U.S. Census Bureau, 2005)
    4. 4. Internet users distributed by Geographic Region,2010
    5. 5. Objectives 1. What is internet addiction disorder? 2. Historical view 3. Criteria 4. Why it is important? 5. Features 6. How can it be managed?
    6. 6. Do any of these stories sound familiar to you? A mother has difficulty getting her child to do homework when computer games occupy all after school time  A husband finds his wife increasingly neglects family duties, is irritable at family gatherings, and the net bill has risen astronomically
    7. 7. Various names Pathological Internet Use Problematic Internet Use Internetomania Computer Addiction
    8. 8. History  1995 "The Lure and Addiction of Life On Line," published in the New York Times  1995 Ivan Goldberg borrowed criteria for defining substance dependence and first coined the term "Internet addiction disorder" to represent those having problematic Internet use behavior /chapterdbid/333019.html
    9. 9. Dr. Kimberly Young presented the first research on Internet addiction in 1996 At the American Psychological Association’s annual conference held in Toronto in her paper Internet Addiction: The Emergence of a New Disorder
    10. 10.  1996 Young adapted the criteria for pathological gambling defined by the DSM-IV to diagnose the Internet addiction as a compulsive disorder
    12. 12. “ Internet addiction is defined as the compulsive urge to continually use the net, whether it be to spend hours surfing the web, hang around in chat rooms, or play on- line games” Book Reviews, Chris Mitchell Kimberly S. Young: Caught In The Net
    13. 13. Where does it fit? IAD Impulse control disorder Patholog ical gambling Substan ce use disorder OCD Over enthusia sm Transiti onal overuse
    14. 14. Young, Goldberg proposed seven criteria Internet use behavior meets three or more of the following criteria: • Criteria I - Tolerance • Criteria II - Withdrawal • Criteria III - The Internet is accessed more often or for longer periods of time than was intended. • Criteria IV - There is a persistent desire or unsuccessful efforts to cut down or control Internet use. • Criteria V - A great deal of time is spent in activities related to Internet use. • Criteria VI - Important social, occupational, or recreational activities are given up or reduced because of Internet use. • Criteria VII - Internet use is continued despite knowledge of having a persistent or recurrent physical, social, occupational, or psychological problem.
    15. 15. PROPOSED CRITERIA By Tao, Huang, Mai PREOCCUPATION WITH THE INTERNET (thinks about previous online activity or anticipates next online session) WITHDRAWAL, as manifested by a dysphoric mood, anxiety, irritability and boredom after several days without Internet activity At least one (or more) of the following: • TOLERANCE, marked increase in Internet use required to achieve satisfaction • PERSISTENT DESIRE and/or unsuccessful attempts to control, cut back or discontinue Internet use • CONTINUED EXCESSIVE USE of Internet despite knowledge of having a persistent or recurrent physical or psychological problems likely to have been caused or exacerbated by Internet use • LOSS OF INTEREST previous hobbies, entertainment as a direct result of, and with the exception of, Internet use • USES THE INTERNET TO ESCAPE or relieve a dysphoric mood (e.g. feelings of helplessness, guilt, anxiety) Functional impairments (reduced social, academic, working ability), including loss of a significant relationship, job, educational or career opportunities Course Criterion: • Duration of Internet addiction must have lasted for an excess of 3 months, with at least 6 hours Internet usage (non-business/non-academic) per day
    16. 16. Types The Centre for On-Line Addiction (1998) –Cyber sexual addiction –Cyber-relationship addiction –Net compulsions –Information overload –Computer addiction
    17. 17. Why internet is addictive?
    18. 18. Possible causes Triple A Engine (Cooper, 1998) – Accessibility – Affordability – Anonymity The ACE Model (Young, 1996) – Anonymity – Convenience – Escape
    19. 19.  It is accessible 24/7  It can be anonymous  It feels secure  It is easy to use  It provides the illusion of connection  Inexpensive  It is fun and very engaging
    20. 20. DSM V Section 3 Disorders Internet use gaming disorder
    21. 21. Sales 66 billion worldwide in 2010 to $81 billion in 2016 (Takahashi 2011). As a point of reference, video game sales are now greater than those of the music industry. 0.2gm6aLuHeSs@.2a2cf120!comment=1
    23. 23. • Carpal Tunnel Syndrome • Dry Eyes • Headaches • Back Aches Physical • Sleep disturbances • Feeling empty, depressed, irritable when not at the computer • mood swings, anxiety, fear, irritability • Having a sense of well-being or euphoria while at the computer Psychological • Problems with school or job • Neglect of family and friends • Eating irregularities (skipping meals) Functional
    24. 24. Prevalence of Internet Addiction
    25. 25. USA Aboujaoude, Koran, Gamel, Large, & Serpe, 2006 A national telephone survey (N = 2,513 adults) 5.9% Excessive Internet use 3.7% Preoccupied by the Internet when off-line 13.7% Difficult to stay away from the Internet for several days at a time
    26. 26. Finland 4.7% internet addicted Norway 1.98% internet addicted Turkey 40% (?) Northern Cyprus 1.1% internet addicted
    27. 27. Country No of Studies No.of Respondent Avg.% Addiction China 8 7656 8.40 Taiwan 5 6463 17.55 Korea 6 4266 11.05 Hongkong 1 699 37.90
    28. 28. • India (2003) Nalwa & Anand conducted a study on Indian public school children 18% students were Internet dependent • In Bangladesh, 20% adolescent group of people. Significantly associated with Information seeking behavior & chatting. Significant problem was found in 3% and occasional problem was found in 59% (khan A et al, 2011)
    29. 29. Diagnoses, problems & comorbidity – Depression & Social Introversion (Widyanto & Griffiths, 2006) – Attention Deficit Hyperactivity Disorder (Yoo et al., 2004) – Social Phobia & depression (Yen, Ko, Yen, Wu, & Yang, 2007) – Sex addiction, i.e., cybersexual addiction/cyber affairs (Young et. Al., 2000) – Gambling (Potera, 1998) – Compulsive buying (Raab & Neuner, 2006) – Illegal activity (Hall & Parsons, 2001)
    30. 30. Australia 2.3 times depression at 9-month follow-up compared with students who did not exhibit pathologic Internet use. Arch Pediatr Adolesc Med. 2009;163:937-943
    31. 31. Tests  Young's Brief 8-Item Questionnaire (addiction)  Young's 10-Item Questionnaire (dependence)  Young's 7-Item Questionnaire (dependence)  Internet-Related Addictive Behavior Inventory (IRABI)  Compulsive internet use scale (CIUS)
    32. 32. Imaging findings Significant damage to white matter in the brain, mainly in the orbito-frontal regions physical-damage-brain-just-like-drugs-say-researchers.html#ixzz2Pt0eHQxg
    33. 33. glucose metabolism – right middle orbitofrontal gyrus left caudate nucleus right insula Altered Regional Cerebral Glucose Metabolism in Internet Game Overusers: A 18F-fluorodeoxyglucose Positron Emission Tomography Study, 2010;15(3):159-166
    34. 34. metabolism- bilateral postcentral gyrus left precentral gyrus bilateral occipital regions Altered Regional Cerebral Glucose Metabolism in Internet Game Overusers: A 18F-fluorodeoxyglucose Positron Emission Tomography Study, 2010;15(3):159-166
    35. 35. Intervention The first treatment facility designed to specifically deal with Internet addiction was Kimberly Young's Center for Internet Addiction Recovery, founded in 1995
    36. 36. In 2009, the first residential treatment center for Internet addiction in the United States, called reSTART The reSTART offers a 45-day abstinence- based recovery program for people with pathological computer use
    37. 37. •Psycho education •CBT •MI •Training of recreational activities •Reality therapy Individual •Psycho education •Family therapy Family •Vocational therapy •Social mixing •Group psychotherapy •Education at school Social
    38. 38. Measures taken by different countries in Asia • South Korea (Block, 2008) – Most serious public health issue (in South Korea) • 10 reported deaths (due to cardio-pulmonary reasons) • Several Internet game-related murders – As of 2007 • 1,043 counselors have been trained in treating and assessing Internet addiction • 190 hospital and treatment centers created • Preventative measures in schools • China (Block, 2008) – In 2007, China restricted computer game use • Current laws prohibit more than 3 hours of daily game use
    39. 39. Control yourself ! Use The Internet smartly !
    40. 40. Objectives 1. What is internet addiction disorder? 2. Historical view 3. Criteria 4. Why it is important? 5. Features 6. How can it be managed?
    41. 41. Are you net addicted? • on=com_bfquiz&view=onepage&catid=46&Ite mid=106 •
    42. 42. THANK YOU ALL