Psychiatric features of individuals with problematic internet use

Shapira, Nathan A.; Goldsmith, Toby D.; Keck, Paul E.; Khosla, Uday M.; McElroy, Susan L.

doi:10.1016/s0165-0327(99)00107-x

Cited by 898Impact of Technology on AdolescentsSexuality, Behavior, and TechnologyGambling Behavior and Treatments

Psychiatric features of individuals with problematic internet use

Shapira, Nathan A., Goldsmith, Toby D., Keck, Paul E., Khosla, Uday M., McElroy, Susan L.·2000·Journal of Affective Disorders

DOI 10.1016/s0165-0327(99)00107-x

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Abstract

Background Problematic internet use has been described in the psychological literature as 'internet addiction' and 'pathological internet use'. However, there are no studies using face-to-face standardized psychiatric evaluations to identify behavioral characteristics, psychiatric comorbidity or family psychiatric history of individuals with this behavior. Methods Twenty individuals with problematic internet use were evaluated. Problematic internet use was defined as (1) uncontrollable, (2) markedly distressing, time-consuming or resulting in social, occupational or financial difficulties and (3) not solely present during hypomanic or manic symptoms. Evaluations included a semistructured interview about subjects' internet use, the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-IV (SCID-IV), family psychiatric history and the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) modified for internet use. Results All (100%) subjects' problematic internet use met DSM-IV criteria for an impulse control disorder (ICD) not otherwise specified (NOS). All 20 subjects had at least one lifetime DSM-IV Axis I diagnosis in addition to their problematic internet use (mean+/-SD=5.1+/-3.5 diagnoses); 14 (70.0%) had a lifetime diagnosis of bipolar disorder (with 12 having bipolar I disorder). Limitations Methodological limitations of this study included its small sample size, evaluation of psychiatric diagnoses by unblinded investigators, and lack of a cont…

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“La fréquence des comorbidités psychiatriques est également un point commun à l'ensemble des addictions, en particulier les troubles de l'humeur et les troubles anxieux [4, 7, 10, 19].”
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Authors: Shapira, N. A., Goldsmith, T. D., Keck, P. E., Khosla, U. M., & McElroy, S. L.
Affiliations: University of Florida (US)
University of Cincinnati Medical Center (US)
Corresponding author: Shapira, Nathan A.
ORCID: McElroy, Susan L.
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2000-01
Volume: 57
Issue: 1-3
Pages: 267-272
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/s0165-0327(99)00107-x
OpenAlex: W2080120652
Cited by: 898
References: 3
Citations by year: 2026: 9 · 2025: 16 · 2024: 29 · 2023: 41 · 2022: 48 · 2021: 46 · 2020: 48 · 2019: 44 · 2018: 50 · 2017: 63 · 2016: 46 · 2015: 57 · 2014: 60 · 2013: 57 · 2012: 49
FWCI: 23.67
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords: problematic internet use, internet addiction, impulse control disorders, bipolar disorder, psychiatric comorbidity, family history of mental illness, obsessive-compulsive symptoms, functional disability, DSM-IV diagnostic criteria
MeSH terms: Adult, Bipolar Disorder, Female, Humans, Disruptive, Impulse Control, and Conduct Disorders, Male, Obsessive-Compulsive Disorder, Internet

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Psychiatric features of individuals with problematic internet use

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