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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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ADHS und Mediensucht bei Kindern und Jugendlichen
Barth, G., & Renner, T. (2015) · SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice · doi:10.1024/0939-5911.a000385 · Cited by 5
İnternet Bağımlılığı İçin Kolaylaştırıcı Bir Faktör Olarak Sanal Dünyada Etik Duyarlılık Azalması
Yıldız, A. (2017) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.310777 · Cited by 4
The role of social media support as public health intervention strategy in Indonesia
Januraga, P. P. (2017) · Public Health and Preventive Medicine Archive · doi:10.15562/phpma.v5i1.32 · Cited by 4
Value computation and modulation: A neuroeconomic theory of self-control as constrained optimization
Brocas, I., & Carrillo, J. D. (2021) · Journal of Economic Theory · doi:10.1016/j.jet.2021.105366 · Cited by 4
Olivella-Cirici, M., Sánchez, E., Continente, X., Clotas, C., & Pérez, G. (2021) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-021-00228-0 · Cited by 5
“This use is associated with an excessive release of dopamine in the mesolimbic system, causing disinhibition in the user and, consequently, more compulsive use (Brand et al., 2014).”
BackgroundAddiction and Entertainment Products
Griffiths, M. D., & Pontes, H. M. (2016) · Springer eBooks · doi:10.1007/978-981-4560-50-4_10 · Cited by 4
Wang, J., Chen, Y., & Zhang, H. (2022) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2022.897536 · Cited by 4
Li, H., Meng, J., Sun, J., Feng, J., Qiu, L., & Yan, J. (2023) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2023.103682 · Cited by 4
The Human Connection Drug: Should Addiction to Social Media Be Legislated Out?
Hoanca, B. (2020) · IEEE Technology and Society Magazine · doi:10.1109/mts.2020.2967494 · Cited by 6
“Preliminary results indicate changes in the brains of those affected, involving both grey and white matter, along with changes in the dopaminergic system in the brain [4].”
BackgroundSmyth, S. J., Curran, K., & McKelvey, N. (2017) · Advances in human and social aspects of technology book series · doi:10.4018/978-1-5225-3477-8.ch002 · Cited by 4
“However certain individuals experience an inability to control their Internet use resulting in distressful symptoms of psychological dependence (Brand et al. 2014).”
BackgroundMa, X., Wei, M., Ni, H., Li, S., Wang, H., Liu, C., Song, X., & Dong, G. (2024) · Mindfulness · doi:10.1007/s12671-024-02480-w · Cited by 3
“For example, altered brain activations have been observed in executive control–related brain regions (Dong et al., 2017a), including the dorsolateral prefrontal cortex (DLPFC) and orbitofrontal cortex (Brand et al., 2014; Zheng et al., 2019).”
The interplay between social media use, poor sleep, and disordered eating: a narrative review
Cerolini, S., Nowicki, G. P., & Rodgers, R. F. (2025) · Cogent Mental Health · doi:10.1080/28324765.2025.2594799 · Cited by 4
“Regarding neural pathways, dopamine–rich brain regions such as the prefrontal cortex are implicated in reward processing and executive functioning, and may link problematic social media use, disordered eating, and poor sleep (Brand et al., 2014).”
Balconi, M. (2021) · Advances in mental health and addiction · doi:10.1007/978-3-030-82408-2_1 · Cited by 4
Agrawal, M., Rajaram, S., & Kumar, G. R. (2021) · Basic and Clinical Neuroscience Journal · doi:10.32598/bcn.2021.3295.2 · Cited by 3
Mukherjee, C., & Banerjee, U. (2022) · Mind and Society · doi:10.56011/mind-mri-112-202210 · Cited by 3
Amani, M. (2023) · addiction and health · doi:10.34172/ahj.2023.1344 · Cited by 3
Yüce, A. E. (2024) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1433144 · Cited by 3
Luo, X., Wang, H., Xu, X., Wei, M., Ni, H., Li, S., Liu, C., Song, X., Potenza, M. N., & Dong, G. (2025) · PNAS Nexus · doi:10.1093/pnasnexus/pgaf277 · Cited by 3
“Altered brain responses in executive-control-related frontal brain regions, including the dorsolateral prefrontal cortex (DLPFC) and or - bitofrontal cortex, have been implicated in IGD (7, 8).”
Diagnostik und Therapie der Internetabhängigkeit
Wildt, B. T. T. (2017) · PSYCH up2date · doi:10.1055/s-0042-119321 · Cited by 3
“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].”
BackgroundShin, Y.-M., & Hwan, P. K. (2018) · Locality and Globality Korean Journal of Social Sciences · doi:10.33071/ssricb.42.1.201804.223 · Cited by 3
Joshi, H., & Sondhi, N. (2022) · Behaviour and Information Technology · doi:10.1080/0144929x.2022.2148559 · Cited by 3
“Later, new constructs were de fi ned and included in subsequent models (Brand, Young, and Laier 2014; Dong and Potenza 2014; Brand et al. 2016).”
BackgroundInfluentialMorningness-Eveningness and Problematic Online Activities
Rigó, A., Tóth‐Király, I., Mägi, A., Eisinger, A., Griffiths, M. D., & Demetrovics, Z. (2023) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-023-01017-x · Cited by 5
“…POG and PSMU refer to overuse/problematic use in a specific activity domain of the Internet, PIU refers to individuals’ more general online overuse (Brand et al., 2014; Davis, 2001) that is not captured by either POG or PSMU due to their specificity, warranting the scientific investigation of all…”
Internet addiction induced critical fusion frequency among young adults
Aswathappa, J. (2023) · Bioinformation · doi:10.6026/97320630019816 · Cited by 3
Addiction Beyond Substances—What's Up with the DSM?
Hajela, R., & Love, T. (2017) · Sexual Addiction & Compulsivity The Journal of Treatment and Prevention · doi:10.1080/10720162.2017.1306468 · Cited by 3
Does mild internet use augment cognitive functions?: Preliminary evidence
Sharma, M., Archana, R., Kumar, J. K., & Marimuthu, P. (2019) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_488_19 · Cited by 3
“These included decision‐making deficits, reductions in prefrontal control and other executive functioning, and inability to inhibit responses to certain stimuli[17] Individuals with pathological internet use had dysfunction in response inhibition[18] However, the errors were higher in neuropsychological tests among in…”
BackgroundResultTreatment of Internet Addiction
Shen, L. (2019) · IGI Global eBooks · doi:10.4018/978-1-5225-8900-6.ch038 · Cited by 3
Problematic Internet use in adolescent psychosocial and physiological development
Krishna, S. N., Venkataramanan, V., & McNerney, M. W. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818872-9.00070-4 · Cited by 3
Carbonell, X., Panova, T., & Carmona, A. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.957163 · Cited by 5
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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