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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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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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