Risk Factors of Internet Addiction and the Health Effect of Internet Addiction on Adolescents: A Systematic Review of Longitudinal and Prospective Studies
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Internet gaming addiction was included in the latest version of the DSM-V as a possible disorder recently, while debate is still on-going as to whether the condition called “Internet Addiction” (IA) could be fully recognised as an established disorder. The major contention is how well IA could fulfil the validation criteria as a psychiatric disorder as in other well-established behavioural addictions. In addition to various proposed validation criteria, evidence of risk and protective factors as well as development of outcomes from longitudinal and prospective studies are suggested as important. A systematic review of available longitudinal and prospective studies was conducted to gather epidemiological evidence on risk and protective factors of IA and the health effect of IA on adolescents. Nine articles were identified after an extensive search of the literature in accordance to the PRISMA guidelines. Of these, eight provided data on risk or protective factors of IA and one focused solely on the effects of IA on mental health. Information was extracted and analysed systematically from each study and tabulated. Many exposure variables were studied and could be broadly classified into three main categories: psychopathologies of the participants, family and parenting factors, and others such as Internet usage, motivation, and academic performance. Some were found to be potential risk or protective factors of IA. It was also found that exposure to IA had a detrimental effect on the mental health of young people. These results were discussed in light of their implications to the fulfilment of the validation criteria.
KeywordsInternet addiction Risk factor Protective factor Health effect Adolescents Systematic review
Compliance with Ethics Guidelines
Conflict of Interest
Lawrence T. Lam declares that he has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
- 2.Potenza MN, Hollander E (2002) Pathological gambling and impulse control disorders. In: Davis KL et al (eds) Neuropsychopharmacology: the Fifth generation of Progress, 5th edn. Lippincott Williams & Wilkins, Baltimore, pp 1736–7Google Scholar
- 3.Scherer K (1997) College life on-line: healthy and unhealthy Internet use. JCSD 38:655–65Google Scholar
- 7.Petry NM, Rehbein F, Gentile DA, Lemmens JS, Rumpf HJ, Mößle T, Bischof G, Tao R, Fung DS, Borges G, Auriacombe M, González Ibáñez A, Tam P, O'Brien CP (2014) An international consensus for assessing internet gaming disorder using the new DSM-5 approach. Addiction. doi: 10.1111/add.12457 Google Scholar
- 10.Diagnostic and Statistical Manual of Mental Disorders. 5th edn. Washington, DC: American Psychiatric Association; 2013.Google Scholar
- 12.Pies R (2009) Should DSM-V designate “Internet Addiction” a mental disorder? Psychiat 6:31–7Google Scholar
- 15.George S, Lenihan F. Is Internet addiction a valid psychiatric disorder? Available on: http://priory.com/psychiatry/Internet_Addiction.htm. (last accessed 06/05/2014)
- 18.•Ko CH, Yen JY, Yen CF, Chen CS, Chen CC (2012) The association between Internet addiction and psychiatric disorder: a review of literature. Eur Psychiatry 27:1–8, The systematic review study provided a comprehensive review of the literature in the area of psychiatric co-morbidities of Internet Addiction from 2000 onward. Ko et al., provided a good summary of the reviewed studies broken down by types of psychiatric disorder while exploring the association of these disorders and Internet Addiction. It is a rather easy reading, but informative PubMedCrossRefGoogle Scholar
- 36.Sun P, Johnson CA, Palmer P, Arpawong TE, Unger JB, Xie B, Rohrbach LA, Spruijt-Metz D, Sussman S (2012) Concurrent and predictive relationships between compulsive internet use and substance use: findings from vocational high school students in China and the USA. Int J Environ Res Public Health 9:660–73PubMedCrossRefPubMedCentralGoogle Scholar
- 39.•Cho SM, Sung MJ, Shin KM, Lim KY, Shin YM (2013) Does psychopathology in childhood predict internet addiction in male adolescents? Child Psychiatry Hum Dev 44:549–55, Cho et al study on the aetiological relationship between childhood psychopathology and Internet Addiction in adolescents. This is the only longitudinal study that had a follow-up period longer than 3 years and covered the entire population of children in a city. In fact the full follow-up period of the cohort was 7 years since the baseline data collection. Moreover, this is the only longitudinal study that employed parents as informants instead of self-report by the participants so far. The short-coming of the study was that it had a rather high drop-out rate PubMedCrossRefGoogle Scholar