Cited by 566Impact of Technology on AdolescentsGambling Behavior and TreatmentsSexuality, Behavior, and Technology

The DOI matches its Crossref record; 156 of the 158 references it cites were found in a registry or an index.

Prefrontal Control and Internet Addiction: A Theoretical Model and Review of Neuropsychological and Neuroimaging Findings

Open access
Brand, Matthias, Young, Kimberly S., Laier, Christian·2014·Frontiers in Human Neuroscience

Abstract

Most people use the Internet as a functional tool to perform their personal goals in everyday-life such as making airline or hotel reservations. However, some individuals suffer from a loss of control over their Internet use resulting in personal distress, symptoms of psychological dependence, and diverse negative consequences. This phenomenon is often referred to as Internet addiction. Only Internet Gaming Disorder has been included in the appendix of the DSM-5, but it has already been argued that Internet addiction could also comprise problematic use of other applications with cybersex, online relations, shopping, and information search being Internet facets at risk for developing an addictive behavior. Neuropsychological investigations have pointed out that certain prefrontal functions in particular executive control functions are related to symptoms of Internet addiction, which is in line with recent theoretical models on the development and maintenance of the addictive use of the Internet. Control processes are particularly reduced when individuals with Internet addiction are confronted with Internet-related cues representing their first choice use. For example, processing Internet-related cues interferes with working memory performance and decision making. Consistent with this, results from functional neuroimaging and other neuropsychological studies demonstrate that cue-reactivity, craving, and decision making are important concepts for understanding Internet addiction. The findings on reductions in executive control are consistent with other behavioral addictions, such as pathological gambling. They also emphasize the classification of the phenomenon as an addiction, because there are also several similarities with findings in substance dependency. The neuropsychological and neuroimaging results have important clinical impact, as one therapy goal should enhance control over the Internet use by modifying specific cognitions and Internet use expectancies.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3389/fnhum.2014.00375

Cites

156 of 156 references verified0 citation errors · 0 not checkable

Statistics

Figures

Figure 1 The proposed model on the development and maintenance of generalized and specific Internet addiction. (A) Demonstrates the proposed way of using the Internet as a tool for dealing with personal needs and goals in everyday-life. In (B), the proposed mechanisms underlying generalized Internet addiction (GIA) are summarized. (C) Illustrates the proposed processes involved in specific Internet addiction (SIA), for example the addictive use of certain Internet applications, such as gaming, cybersex, communication, and so on. We argue that in both conditions, GIA and SIA, reductions in prefrontal control processes are related to the individuals’ loss of control over their Internet use. As outlined in Section “General Comments on Neuropsychological Research in Addiction,” control processes are related to higher-order cognitive functions. We believe that if an individual with GIA faces the situation that he/she is confronted with the possibility to go online (or to use a certain Internet application in an individual with SIA), these cues are so strong that the individual reacts relatively automatically with a wanting reaction. Cognitive control over this reaction is difficult if the expectancies that using the Internet would reduce craving and result in positive and/or negative reinforcement. We will summarize neuropsychological and neuroimaging findings on the link between executive control functions, cue-reactivity, and an addicted use of the Internet in Sections “Neuropsychological Correlates of Internet Addiction” and “Neuroimaging Correlates of Internet Addiction.”
Figure 1 The proposed model on the development and maintenance of generalized and specific Internet addiction. (A) Demonstrates the proposed way of using the Internet as a tool for dealing with personal needs and goals in everyday-life. In (B), the proposed mechanisms underlying generalized Internet addiction (GIA) are summarized. (C) Illustrates the proposed processes involved in specific Internet addiction (SIA), for example the addictive use of certain Internet applications, such as gaming, cybersex, communication, and so on. We argue that in both conditions, GIA and SIA, reductions in prefrontal control processes are related to the individuals’ loss of control over their Internet use. As outlined in Section “General Comments on Neuropsychological Research in Addiction,” control processes are related to higher-order cognitive functions. We believe that if an individual with GIA faces the situation that he/she is confronted with the possibility to go online (or to use a certain Internet application in an individual with SIA), these cues are so strong that the individual reacts relatively automatically with a wanting reaction. Cognitive control over this reaction is difficult if the expectancies that using the Internet would reduce craving and result in positive and/or negative reinforcement. We will summarize neuropsychological and neuroimaging findings on the link between executive control functions, cue-reactivity, and an addicted use of the Internet in Sections “Neuropsychological Correlates of Internet Addiction” and “Neuroimaging Correlates of Internet Addiction.”CC BY · PubMed Central
Figure 2 The prefrontal cortex regions and associated brain structures most likely involved in development and maintenance of an addictive use of the Internet. (A) Shows the lateral view of the brain including medial parts such as anterior cingulate gyrus and amygdala, and (B) illustrates the medio-sagittal view of the prefrontal cortex. These cortical and subcortical brain regions are main correlates of substance addiction and other behavioral additions. The dorsolateral prefrontal cortex (dlPFC) plays a crucial role in executive functions, cognitive control, and decision making under explicit conditions. It is connected to several basal ganglia, in particular to the nucleus caudatus and putamen via the so-called fronto-striatal loops. The orbitofrontal cortex (OFC) and the ventromedial prefrontal cortex (vmPFC) are critically linked to reward anticipation, emotion processing, and decision making under ambiguity. These structures are connected with limbic structures (amygdala) and the ventral striatum (nucleus accumbens, Nc. acc.) via the limbic part of frontal–striatal loops. The nucleus accumbens receives direct dopaminergic and indirect (via glutamate and GABA) projections from the ventral tegmental area (VTA) of the midbrain. The dorsomedial prefrontal cortex (dmPFC) and the anterior cingulate cortex (ACC) receive dopaminergic projections from the nucleus accumbens, and they are most likely involved in the so-called wanting component of craving. The anterior cingulate gyrus has also been discussed as being critical for conflict processing.
Figure 2 The prefrontal cortex regions and associated brain structures most likely involved in development and maintenance of an addictive use of the Internet. (A) Shows the lateral view of the brain including medial parts such as anterior cingulate gyrus and amygdala, and (B) illustrates the medio-sagittal view of the prefrontal cortex. These cortical and subcortical brain regions are main correlates of substance addiction and other behavioral additions. The dorsolateral prefrontal cortex (dlPFC) plays a crucial role in executive functions, cognitive control, and decision making under explicit conditions. It is connected to several basal ganglia, in particular to the nucleus caudatus and putamen via the so-called fronto-striatal loops. The orbitofrontal cortex (OFC) and the ventromedial prefrontal cortex (vmPFC) are critically linked to reward anticipation, emotion processing, and decision making under ambiguity. These structures are connected with limbic structures (amygdala) and the ventral striatum (nucleus accumbens, Nc. acc.) via the limbic part of frontal–striatal loops. The nucleus accumbens receives direct dopaminergic and indirect (via glutamate and GABA) projections from the ventral tegmental area (VTA) of the midbrain. The dorsomedial prefrontal cortex (dmPFC) and the anterior cingulate cortex (ACC) receive dopaminergic projections from the nucleus accumbens, and they are most likely involved in the so-called wanting component of craving. The anterior cingulate gyrus has also been discussed as being critical for conflict processing.CC BY · PubMed Central

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 158 references

Research works printed but not linked: 2

  1. 2008, Executive Function and the Frontal Lobes: A Life Span Perspective
  2. Young, 1999, Internet addiction: symptoms, evaluation, and treatment, Innov. Clin. Pract., 17, 19

Cited by

Sorted by citations

Metadata

Authors
Brand, M., Young, K. S., & Laier, C.
Affiliations
  • Erwin L. Hahn Institute for Magnetic Resonance Imaging (DE)
  • St. Bonaventure University (US)
  • University of Duisburg-Essen (DE)
Corresponding author
Brand, Matthias
Venue
Frontiers in Human Neuroscience
Published
2014-05-27
Volume
8
Pages
375-375
ISSN
1662-5161 (ISSN-L)
OpenAlex
W2111982163
Cited by
565
References
158
Citations by year
2026: 42 · 2025: 50 · 2024: 42 · 2023: 50 · 2022: 62 · 2021: 58 · 2020: 33 · 2019: 49 · 2018: 43 · 2017: 44 · 2016: 38 · 2015: 43 · 2014: 9
FWCI
14.74
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Human Neuroscience (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DuEPublico (University of Duisburg-Essen) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
internet addiction, prefrontal control, executive function, cue reactivity, craving, decision-making, working memory, behavioral addiction, gambling addiction, internet gaming disorder, DSM-5, online shopping addiction, cybersex addiction

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review