Cited by 303Impact of Technology on AdolescentsSexuality, Behavior, and TechnologyChild Development and Digital Technology

Internet Addictive Behavior in Adolescence: A Cross-Sectional Study in Seven European Countries

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Tsitsika, Artemis, Janikian, Mari, Schoenmakers, Tim M., Tzavela, Eleni C., Ólafsson, Kjartan, Wójcik, Szymon, Macarie, George Florian, Tzavara, Chara +2 more·2014·Cyberpsychology, Behavior, and Social Networking

Abstract

A cross-sectional school-based survey study (N=13,284; 53% females; mean age 15.8±0.7) of 14-17-year-old adolescents was conducted in seven European countries (Greece, Spain, Poland, Germany, Romania, the Netherlands, and Iceland). The aim of the study was to investigate the prevalence of Internet addictive behavior (IAB) and related psychosocial characteristics among adolescents in the participating countries. In the study, we distinguish two problematic groups: adolescents with IAB, characterized by a loss of control over their Internet use, and adolescents "at risk for IAB," showing fewer or weaker symptoms of IAB. The two groups combined form a group of adolescents with dysfunctional Internet behavior (DIB). About 1% of adolescents exhibited IAB and an additional 12.7% were at risk for IAB; thus, in total, 13.9% displayed DIB. The prevalence of DIB was significantly higher among boys than among girls (15.2% vs. 12.7%, p<0.001) and varied widely between countries, from 7.9% in Iceland to 22.8% in Spain. Frequent use of specific online activities (e.g., gambling, social networking, gaming) at least 6 days/week was associated with greater probability of displaying DIB. Multiple logistic regression analysis indicated that DIB was more frequent among adolescents with a lower educational level of the parents, earlier age at first use of the Internet, and greater use of social networking sites and gaming sites. Multiple linear regression analysis showed that externalizing (i.e., behavioral) and internalizing (i.e., emotional) problems were associated with the presence of DIB.

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Crossref · 10.1089/cyber.2013.0382

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Authors
Tsitsika, A., Janikian, M., Schoenmakers, T. M., Tzavela, E. C., Ólafsson, K., Wójcik, S., Macarie, G. F., Tzavara, C., The EU NET ADB Consortium, & Richardson, C.
Affiliations
  • Adolescent Health Unit, Second Department of Pediatrics, National and Kapodistrian University of Athens, Athens, Greece.
  • National and Kapodistrian University of Athens (GR)
  • Erasmus MC (NL)
  • University of Akureyri (IS)
  • Nobody’s Children Foundation (PL)
  • Grigore T. Popa University of Medicine and Pharmacy (RO)
  • Panteion University (GR)
Venue
Cyberpsychology, Behavior, and Social Networking
Published
2014-08
Volume
17
Issue
8
Pages
528-535
ISSN
  • 2152-2715 (ISSN-L)
  • 2152-2723
OpenAlex
W2082016850
Cited by
303
References
42
Citations by year
2026: 10 · 2025: 14 · 2024: 20 · 2023: 31 · 2022: 32 · 2021: 42 · 2020: 36 · 2019: 26 · 2018: 30 · 2017: 21 · 2016: 25 · 2015: 13 · 2014: 3
FWCI
67.31
Type
journal article
Language
en
Open access
Locations
  • Cyberpsychology Behavior and Social Networking (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Topics
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
  • Social Sciences › Education › Child Development and Digital Technology
Keywords
adolescents, prevalence, at-risk youth, social networking sites, online games, online gambling, sex differences, parental education, externalizing problems, internalizing problems, cross-national comparison
MeSH terms
Adolescent, Cross-Sectional Studies, Europe, Female, Humans, Male, Surveys and Questionnaires, Schools, Prevalence, Behavior, Addictive, Internet

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