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Prefrontal Control and Internet Addiction: A Theoretical Model and Review of Neuropsychological and Neuroimaging Findings
Open accessAbstract
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.
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“Second, functional neuroimaging studies have shown that the same areas of the brain that are active in other substance and behavioral addictions are active in the brains of those who meet the diagnostic criteria for internet addiction (Brand, Young, & Laier, 2014; Han, Bolo, Daniels, Arenella, Lyoo, & Renshaw, 2011; Holden, 2001; Ko et al., 2009; Ko, Liu, Yen, Yen, Chen, & Lin, 2013; Kuss & Grif”
From Ethics of the Attention Economy: The Problem of Social Media Addiction (2021) · cites this paper as Brand, Young, & Laier, 2014
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“The neurobiological similarities between substance addiction and compulsive social media usage are striking, particularly in terms of prefrontal cortex (PFC) dysfunction, which is critical for impulse control and decision-making [32, 33].”
From The Impact of Social Media & Technology on Child and Adolescent Mental Health (2025) · cites this paper as [32]
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Cites
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“In the same vain, previous research has shown that modifying specific cognitions and expectations related to internet use can enhance internet self-control and reduce levels of PIU (62).”
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“Only a handful of studies have addressed cognitive functioning in problematic internet users.(23,41) In gamblers, we identified an association between problematic internet use and impaired spatial working memory, along with a nonglobal deficit in decision making (less modulation of behavior as a function of gambling r…”
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Psychological and neuroscientific advances to understand Internet Use Disorder
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“For instance, it may construe addictive behaviors as manifestations of pleasure (reward) (20).”
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“This is also similar to Brand’s description of the use of functional networks as a tool to handle daily needs and goals in a healthy way (M. Brand et al., 2014).”
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Biochemical Correlates of Video Game Use: From Physiology to Pathology. A Narrative Review
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“According to some authors [12], IGD may imply the release of strong dopaminergic bursts from striatal regions, which may feature functional changes in the dorsolateral prefrontal cortex, resulting in a reduction of the executive functions, with a potential gradual loss of control on gaming use.”
BackgroundWu, A. M. S., Lai, M. H. C., Zhang, M., Yogo, M., Yu, S. M., Mao, S., & Chen, J. H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052951 · Cited by 22
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“Another central symptom in the IA-RDS model was node IAT2 (“Neglect chores to spend more time online”), that aligns with commonly used IA criteria related to continued excessive use and loss of control of the Internet to the neglect of other responsibilities (62, 63).”
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“Similar to the phenomenon of “generalized Internet addiction” proposed by Brand et al 25 and Davis, 22 PIU encompasses all forms of Internet use and therefore reflects multi-dimensional overuse of the Internet.”
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“Pre-frontal cortical dysfunction has been linked to impaired emotion regulation, poor working memory and PUI (Brand et al., 2014; Han et al., 2011a, 2011b).”
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Clinical Considerations in Internet and Video Game Addiction Treatment
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“It has been widely highlighted in the literature that ADHD can be a significant predictor of both substance use disorder [15] and behavioral addictions [16], as these disorders share neuropsychological characteristics with ADHD [17,18].”
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“The results highlight that control processes related to the prefrontal cortex are reduced in internet addicted individuals and this may be related to the loss of control over internet use (Brand et al., 2014).”
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“Recent studies have linked IGD to disrupted function in brain reward circuitry (16), associated with abnormal sensitivity to reinforcement values (17) and impaired use of negative feedback to adjust ongoing behavior (18, 19).”
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“This area is involved in executive functions and other higher-order cognitions, which are the main neural correlates of problematic excessive behavior (14).”
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“This is in line with recent theoretical models on the development and maintenance of the addictive use of the Internet [8].”
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Montag, C., Duke, É., & Reuter, M. (2017) · Studies in neuroscience, psychology and behavioral economics · doi:10.1007/978-3-319-46276-9_12 · Cited by 18
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“IA was found to present similarities to SUD at the clinical level, in that it combined impaired inhibitory control with cue reactivity and increased craving, which is a strong desire or urge to use the Internet (Brand et al., 2014).”
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On the Duty to Be an Attention Ecologist
Aylsworth, T., & Castro, C. (2022) · Philosophy & Technology · doi:10.1007/s13347-022-00514-6 · Cited by 17
“Brand et al. (2014) used neuroimaging to demonstrate the effect of internet addiction on prefrontal control.”
MethodLi, L., Niu, Z., Griffiths, M. D., & Mei, S. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00857-3 · Cited by 21
“Many scholars in the behavioral addiction field agree that internet addiction comprises two types: generalized internet addiction and specific internet addiction (Brand et al., 2014; Lopez-Fernandez, 2018; Montag et al., 2015).”
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“Brand et al. (2014) suggested that dysfunctional prefrontal control mechanisms are linked to impaired self-regulation and coping strategies, which may lead individuals to seek solace in the online world.”
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“Treating emotions and physical sensations as passing events can help people tolerate cravings and overcome addictions, whether it is for cigarettes [10] or potentially for other consumption-related risks for CVD such as overconsumption of high caloric palatable foods leading to obesity or sedentary activities such as…”
BackgroundTheoretical Models of the Development and Maintenance of Internet Addiction
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“Another aspect that is not explicitly included in our initial model (Brand et al. 2014b) is the potential impact of reduced executive functioning and reduced inhibitory control, the role of which has been described in detail in the aforementioned text.”
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“…investigate whether ADHD predisposes individuals to IGD, whether IGD exacerbates pre-existing ADHD symptoms, or whether both disorders are influenced by common etiological factors, such as deficits in executive functioning, difficulties in self-regulation, or psychological vulnerabilities [54,55].”
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“Although digital addiction has not been recognized as a formal mental disorder as yet, previous research shows that digital addiction shares similar symptoms to those seen in substance addiction [8,9].”
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“Moreover, frontal lobe structural abnormalities are associated with internet addictive behaviors [16].”
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“Moreover, substance use may affect an individual’s brain function, as well as their ability to self-regulate, leading to the development of depressive symptoms [16,17].”
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Baltic Journal of Psychology; Volume 20, Number 1&2
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“In contrast, people who exhibit PIU display a loss of cognitive control (Brand et al., 2014), accompanied by nonproductive use of the Internet (Caplan, 2010) and low selfdirectedness (Montag et al., 2010).”
Loewenstein Occupational Therapy Cognitive Assessment to Evaluate People with Addictions
Mota, G. R., Pérez, E. J. P., de León, J. M. R. S., León-Frade, I., Aldea-Poyo, P., Alonso-Rodríguez, M., Pedrero-Aguilar, J., & Morales-Alonso, S. (2017) · Occupational Therapy International · doi:10.1155/2017/2750328 · Cited by 13
“This happens in both cases of substance addictions [6] and cases of behavioral addictions [7].”
BackgroundDeveloping the AIlessphobia in education scale and examining its psychometric characteristics
Gezgin, D., & Kurtça, T. T. (2024) · Education and Information Technologies : Official Journal of the IFIP technical committee on Education · doi:10.1007/s10639-024-12984-6 · Cited by 14
“No Mobile Phone Phobia" are some of the negative consequences of this process on individuals (Brand et al., 2014; King et al., 2010).”
Turan, S., Çıray, R. O., Tunçtürk, M., Halaç, E., Bilgiç, B., Ağaç, N., & Ermiş, Ç. (2022) · Child Psychiatry & Human Development · doi:10.1007/s10578-022-01468-8 · Cited by 12
“It is also emphasized that there is a relationship between internet addiction and impairments in executive functions [15].”
Moshel, M. L., Warburton, W., Thomasius, R., & Paschke, K. (2025) · Journal of Medical Internet Research · doi:10.2196/68571 · Cited by 18
“This prevalence is concerning, given the particular susceptibility of adolescents to developing IGD [14-16], along with the neurological, psychological, and social consequences associated with its development [17-20].”
He, Z., & Ming-de, L. (2022) · The Journal of Genetic Psychology · doi:10.1080/00221325.2022.2025757 · Cited by 12
“Neuropsychological investigations have pointed out that certain prefrontal functions, in particular executive control functions, are related to symptoms of IA (Brand et al., 2014).”
BackgroundTerroso, L. B., Pante, M., Krimberg, J. S., & de Almeida, R. M. M. (2022) · Estudos de Psicologia (Campinas) · doi:10.1590/1982-0275202239e200024 · Cited by 14
Ji, L., Yu, Y., Wan, J., Zhang, Y., Chen, X., & Chen, C. (2023) · Current Psychology · doi:10.1007/s12144-023-05496-y · Cited by 13
“Most importantly, they are mentally immature and are at a critical stage in their social adjustment and emotional development in late adolescence (Brand et al., 2014).”
Wang, J., & Li, H. (2023) · Journal of Behavioral Addictions · doi:10.1556/2006.2023.00058 · Cited by 12
Psychological and cognitive complaints in individuals with love addiction
Giacobbe, C., Maggi, G., Borrello, L., Barone, A., Mastromarino, C., Antonelli, P., & Santangelo, G. (2024) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2024.100785 · Cited by 12
Lei, H., Zhu, C., Wang, Y., Shao, T., Lu, F., & Zhang, C. (2024) · Psychology Research and Behavior Management · doi:10.2147/prbm.s486149 · Cited by 11
“81–83 Similarly, a network analysis of core symptoms of problematic Internet use in early, middle, and late adolescence found that “increasing time for satisfaction” showed high strength centrality in all three stages.”
Studying Psychopathology in Relation to Smartphone Use
Rozgonjuk, D., Elhai, J. D., & Hall, B. J. (2019) · Studies in neuroscience, psychology and behavioral economics · doi:10.1007/978-3-030-31620-4_11 · Cited by 13
Neuropsychological Correlates of Internet Addiction
Pop-Jordanova, N. D., & Loleska, S. (2021) · PRILOZI · doi:10.2478/prilozi-2021-0031 · Cited by 11
“The prefrontal cortex regions and associated brain structures most likely involved in development and maintenance of an addictive use of the internet (Brand, 2014) [21]”
BackgroundMastropietro, S., Favieri, F., Forte, G., Locuratolo, N., Mannarelli, D., Pauletti, C., Fattapposta, F., & Casagrande, M. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00906-x · Cited by 13
“…characterized by alteration in similar brain areas (i.e., dorsolateral, orbital, and ventral medial prefrontal cortex; striatum; mesocorticolimbic system; see Brand et al., 2014; Dong et al., 2011; Gearhardt et al., 2011; Ko et al., 2009; Long et al., 2018; Yau & Potenza, 2015; Power et al., 2012).”
Wallinheimo, A.-S., & Evans, S. (2025) · PLoS ONE · doi:10.1371/journal.pone.0331961 · Cited by 13
“…(depressive symptoms in particular) can make individuals more impulsive by impairing prefrontal cortex executive control functions, raising the risk of addictive behaviour [40,41] and thus providing another mechanism linking poor mental health to enhanced risk of PSU and social media addiction.”
Shi, W., Zhao, Y., Zhou, J., & Shi, J. (2025) · Addictive Behaviors · doi:10.1016/j.addbeh.2025.108346 · Cited by 13
Sriwaranun, T., Sittanomai, N., Chantaratin, S., & Boon‐yasidhi, V. (2023) · Journal of Attention Disorders · doi:10.1177/10870547231171726 · Cited by 10
“Excessive use of electronic media has been found to be associated with physical and psychological adverse consequences including poor sleep, decreased social coping, and increased ADHD symptoms (Brand et al., 2014; Goldfield et al., 2011; Liu et al., 2016; Martinez-Gomez et al., 2010; Swing et al., 2010; Wu et al., 20…”
BackgroundSexual Addiction and Christian Education
Aghamiri, F. S., & Luetz, J. M. (2021) · Innovating Christian Education Research · doi:10.1007/978-981-15-8856-3_24 · Cited by 10
Internet Addiction among Secondary School Students in Upper Egypt
El-Mawgood, A. A., Yousef, F. M. A., & Ali, R. A. E. (2021) · Journal of High Institute of Public Health · doi:10.21608/jhiph.2021.191502 · Cited by 10
“Maladaptive and excessive Internet use, as proved by many evidences, may lead to addiction, which in turn could lead to psychosocial health problems.((3)) Although Internet addiction (IA) has not been officially recognized as a specific disease in the DSM-5((4)), problematic Internet use had been indicated by scientis…”
BackgroundInfluentialHarren, N., & Walburg, V. (2022) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-022-00280-4 · Cited by 11
Diagnostik und Therapie der Internetabhängigkeit
Wildt, B. T. T. (2018) · Die Rehabilitation · doi:10.1055/s-0043-124392 · Cited by 10
“Ein aktuelles Modell von Kimberly Young und Matthias Brand veranschaulicht, wie sich bestimmte kognitive Stile im Sinne von dysfunktionalen Internetnutzungserwartungen als auslösende und aufrechterhaltende Faktoren erweisen [7].”
BackgroundSprawność intelektualna osób o odmiennych chronotypach
Jankowski, K. S. (2021) · Wydawnictwo Liberi Libri eBooks · doi:10.47943/lib.9788363487515.rozdzial10 · Cited by 8
Inteligencja a funkcjonowanie w bliskich związkach
Leniarska, M., & Zajenkowski, M. (2021) · Wydawnictwo Liberi Libri eBooks · doi:10.47943/lib.9788363487515.rozdzial11 · Cited by 8
Inteligencja a agresja. Czy wysokie IQ może uchronić przed wkroczeniem na ścieżkę przestępczą?
Bodecka-Zych, M. (2021) · Wydawnictwo Liberi Libri eBooks · doi:10.47943/lib.9788363487515.rozdzial03 · Cited by 8
Inteligentny sport: o związkach inteligencji z aktywnością fizyczną i poziomem wykonania sportowego
Waleriańczyk, W., & Stolarski, M. (2021) · Wydawnictwo Liberi Libri eBooks · doi:10.47943/lib.9788363487515.rozdzial09 · Cited by 8
A Narrative Review of Digital Addiction and Health: A New Challenge for Modern Medicine
Patel, D. G., Kshatri, A. H. S., Kommuru, S., & Javvaji, C. K. (2025) · Cureus · doi:10.7759/cureus.100491 · Cited by 14
“They typically struggle to control their usage and continue despite impairments in daily functioning [33,34].”
InfluentialEquivalência semântica e confiabilidade da versão em português da Bergen Facebook Addiction Scale
Silva, H. R. D. S. E., Areco, K. C. N., Bandiera‐Paiva, P., Galvão, P. V. M., Garcia, A. N. D. M., & da Silveira, D. X. (2015) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085000000052 · Cited by 9
Wegmann, E., Brand, M., Snagowski, J., & Schiebener, J. (2016) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803395.2016.1201461 · Cited by 11
“Thus, Brand, Young, and Laier (2014), as well as Sun et al. (2009), recommend the use of addiction-related stimuli in such tasks, pertaining potentially also to functional imaging studies of cognitive control.”
BackgroundSelf-citationOdacı, H., & Çıkrıkçı, Ö. (2021) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-021-00394-3 · Cited by 11
ADIKSI INTERNET MENYEBABKAN MASALAH EMOSIONAL DAN PERILAKU PADA REMAJA
Herawati, E., & Utami, L. W. (2022) · Biomedika · doi:10.23917/biomedika.v14i1.17126 · Cited by 9
Brain Anatomy Alterations and Mental Health Challenges Correlate to Email Addiction Tendency
Sadeghi, S., Takeuchi, H., Shalani, B., Taki, Y., Nouchi, R., Yokoyama, R., Kotozaki, Y., Nakagawa, S., Sekiguchi, A., Iizuka, K., et al. (2022) · Brain Sciences · doi:10.3390/brainsci12101278 · Cited by 8
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
- Publisher
- Frontiers Media SA
- Published
- 2014-05-27
- Volume
- 8
- Pages
- 375-375
- ISSN
- 1662-5161 (ISSN-L)
- PMC
- PMC4034340
- 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
- gold
- doi.org
- 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
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