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Technological Addictions

  • Psychiatry in the Digital Age (J Shore, Section Editor)
  • Published:
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Abstract

Purpose of Review

Modern methods of communication and engagement, such as social media, video games, and online shopping, use a variety of behavioral techniques to encourage and reward frequent use, opening the door to addiction. The technological addictions (TAs) are a set of disorders that accompany the technological advances that define the digital age. The TAs are an active source of research in the literature, with promising treatment options already available.

Recent Findings

There are promising therapeutic and psychopharmacologic treatments for a broad range of TAs. Stimulants, antidepressants, and cognitive therapies may all be effective for internet gaming disorder (IGD). Cognitive therapies may be effective for other TAs, such as social media addiction (SMA), online shopping addiction (OSA), and online porn addiction.

Summary

Society’s dependence on addictive technologies will only increase. Many of the TAs can be addressed with medication and therapy, with more research and literature developing at a rapid pace.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. • Yau YHC, Potenza MN. Gambling disorder and other behavioral addictions: recognition and treatment Harv Rev Psychiatry 2015;23:134–146. This review summarizes recent advances in behavioral addictions.

  2. •• Li Y, Sun Y, Meng S, et al. Internet addiction increases in the general population during COVID-19: evidence from China. Am J Addict. 2021;30:389–397. This article comprehensively considers Internet addiction as a mental health epidemic and aims to guide both treatment and public policy.

  3. • Levounis P, Sherer J, APA Publishing (Eds). Technological addictions 1 American Psychiatric Association Publishing Washington, DC. 2002. This textbook comprehensively covers a range of technological addictions from diagnosis to treatment, and includes chapters on special populations who may be more susceptible.

  4. Gonchar M. Should there be limits on how much time young people spend playing video games? N. Y. Times. 2021.

  5. Kang C, Isaac M. State attorneys general open an inquiry into Instagram’s impact on teens. N. Y. Times. 2021.

  6. Analysis. In 2021, tech talked up ‘the metaverse.’ One problem: It doesn’t exist. Wash. Post.

  7. Potenza MN. The neurobiology of pathological gambling. Semin Clin Neuropsychiatry. 2001;6:217–26.

    Article  CAS  PubMed  Google Scholar 

  8. Den Ouden L, Suo C, Albertella L, et al. Transdiagnostic phenotypes of compulsive behavior and associations with psychological, cognitive, and neurobiological affective processing. Transl Psychiatry. 2022;12:10.

    Article  Google Scholar 

  9. Volkow ND, Wang G-J, Fowler JS, Tomasi D, Telang F. Addiction: beyond dopamine reward circuitry. Proc Natl Acad Sci. 2011;108:15037–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. • Carpita B, Muti D, Nardi B, Benedetti F, Cappelli A, Cremone IM, Carmassi C, Dell’Osso L. Biochemical correlates of video game use: from physiology to pathology A narrative review. Life 2021;11:775. This article reviews the neurobiological groundwork of IGD and in so doing suggests possible future interventions.

  11. Ariatama B, Effendy E, Amin MM. Relationship between internet gaming disorder with depressive syndrome and dopamine transporter condition in online games player. Open Access Maced J Med Sci. 2019;7:2638–42.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Weinstein AM. An update overview on brain imaging studies of internet gaming disorder. Front Psychiatry. 2017;8:185.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Rideout V, Robb M. The common sense consensus: media use by tweens and teens. Common Sense Media. 2019.

  14. Wallace W. Videogames are a bigger industry than movies and North American sports combined, thanks to the pandemic. MarketWatch. 2021.

  15. Mullan K, Hofferth SL. A comparative time-diary analysis of UK and US children’s screen time and device use. Child Indic Res. 2021. https://doi.org/10.1007/s12187-021-09884-3.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Ramírez S, Gana S, Garcés S, Zúñiga T, Araya R, Gaete J. Use of technology and its association with academic performance and life satisfaction among children and adolescents. Front Psychiatry. 2021;12: 764054.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Yalçın SS, Çaylan N, Erat Nergiz M, Oflu A, Yıldız D, Tezol Ö, Çiçek Ş, Yurdakök K. Video game playing among preschoolers: prevalence and home environment in three provinces from Turkey. Int J Environ Health Res. 2021;1–14.

  18. Macías N, Espinosa-Montero J, Monterrubio-Flores E, Hernández-Barrera L, Medina-Garcia C, Gallegos-Carrillo K, Campos-Nonato I. Screen-based sedentary behaviors and their association with metabolic syndrome components among adults in Mexico. Prev Chronic Dis. 2021;18: 210041.

    Article  Google Scholar 

  19. Combs V. 8 hours and 27 minutes. That’s how long the average gamer plays each week: TechRepublic; 2021.

    Google Scholar 

  20. Perrin A. 5 facts about Americans and video games. Pew Res. Cent. 2018.

  21. Twenge JM. Have smartphones destroyed a generation? In: The Atlantic. 2017. https://www.theatlantic.com/magazine/archive/2017/09/has-the-smartphone-destroyed-a-generation/534198/. (Accessed 16 Jan 2022).

  22. Li J. China’s crackdown on video games is getting more serious. In: Quartz. https://qz.com/2056875/chinas-crackdown-on-video-games-is-getting-more-serious/. (Accessed 17 Jan 2022)

  23. • Mihara S, Higuchi S. Cross-sectional and longitudinal epidemiological studies of Internet gaming disorder: a systematic review of the literature. Psychiatry Clin Neurosci 2017;71:425–444. This article highlights the importance of considering geographical differences when investigating IGD on a population level.

  24. Stevens MW, Dorstyn D, Delfabbro PH, King DL. Global prevalence of gaming disorder: a systematic review and meta-analysis. Aust N Z J Psychiatry. 2021;55:553–68.

    Article  PubMed  Google Scholar 

  25. •• Zajac K, Ginley MK, Chang R. Treatments of internet gaming disorder: a systematic review of the evidence. Expert Rev Neurother. 2020;20:85–93. This article comprehensively reviews the evidence for pharmacologic interventions for IGD.

  26. Song J, Park JH, Han DH, Roh S, Son JH, Choi TY, Lee H, Kim TH, Lee YS. Comparative study of the effects of bupropion and escitalopram on Internet gaming disorder. Psychiatry Clin Neurosci. 2016;70:527–35.

    Article  CAS  PubMed  Google Scholar 

  27. Han DH, Renshaw PF. Bupropion in the treatment of problematic online game play in patients with major depressive disorder. J Psychopharmacol Oxf Engl. 2012;26:689–96.

    Article  Google Scholar 

  28. Han DH, Lee YS, Na C, Ahn JY, Chung US, Daniels MA, Haws CA, Renshaw PF. The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Compr Psychiatry. 2009;50:251–6.

    Article  PubMed  Google Scholar 

  29. Han DH, Hwang JW, Renshaw PF. Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Exp Clin Psychopharmacol. 2010;18:297–304.

    Article  CAS  PubMed  Google Scholar 

  30. • Bae S, Hong JS, Kim SM, Han DH. Bupropion shows different effects on brain functional connectivity in patients with internet-based gambling disorder and internet gaming disorder. Front Psych. 2018;9:130. This article closely evaluates the efficacy of bupropion for IGD on a neurobiological level.

  31. •• Park JH, Lee YS, Sohn JH, Han DH. Effectiveness of atomoxetine and methylphenidate for problematic online gaming in adolescents with attention deficit hyperactivity disorder. Hum Psychopharmacol. 2016;31:427–432. This article presents compelling evidence for the use of stimulants for IGD and also considers the connection between IGD and ADHD.

  32. Nam B, Bae S, Kim SM, Hong JS, Han DH. Comparing the effects of bupropion and escitalopram on excessive internet game play in patients with major depressive disorder. Clin Psychopharmacol Neurosci Off Sci J Korean Coll Neuropsychopharmacol. 2017;15:361–8.

    Article  Google Scholar 

  33. • Stevens MWR, King DL, Dorstyn D, Delfabbro PH. Cognitive-behavioral therapy for Internet gaming disorder: a systematic review and meta-analysis. Clin Psychol Psychother. 2019;26:191–203. This article outlines the evidence for CBT in IGD treatment and highlights how positive results can be obtained in relatively few sessions.

  34. Young KS, Brand M. Merging theoretical models and therapy approaches in the context of internet gaming disorder: a personal perspective. Front Psychol. 2017;8:1853.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Torres-Rodríguez A, Griffiths MD, Carbonell X, Oberst U. Treatment efficacy of a specialized psychotherapy program for internet gaming disorder. J Behav Addict. 2018;7:939–52.

    Article  PubMed  PubMed Central  Google Scholar 

  36. •• Kuss DJ, Griffiths MD, Karila L, Billieux J. Internet addiction: a systematic review of epidemiological research for the last decade. Curr Pharm Des. 2014;20:4026–4052. This article focuses on the epidemiology of IA but its findings could reasonably be applied to SMD as well.

  37. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. 2013. https://doi.org/10.1176/appi.books.9780890425596

  38. World Health Organization. International Statistical Classification of Diseases and Related Health Problems. 11th ed. 2019. https://icd.who.int/

  39. Isaac M, Frenkel S. Gone in minutes, out for hours: outage shakes Facebook. N. Y. Times. 2021.

  40. Andreassen CS, Pallesen S, Griffiths MD. The relationship between addictive use of social media, narcissism, and self-esteem: findings from a large national survey. Addict Behav. 2017;64:287–93.

    Article  PubMed  Google Scholar 

  41. Leaked Facebook Papers reveal social media giant targeted children as young as 6-years-old. Daily Mail Online. https://www.dailymail.co.uk/news/article-10146589/Leaked-Facebook-Papers-reveal-social-media-giant-targeted-children-young-6-years-old.html. (Accessed 21 Jan 2022).

  42. • Anxiety, loneliness and fear of missing out: the impact of social media on young people’s mental health. Centre for Mental Health. https://www.centreformentalhealth.org.uk/blogs/anxiety-loneliness-and-fear-missing-out-impact-social-media-young-peoples-mental-health. (Accessed 21 Jan 2022). This article can shed insight into the psychological pull of social media and the behavioral techniques that social media platforms use to strongly encourage persistent use.

  43. Horrigan JB. Information overload. Pew Research Center. Internet Sci. Tech. 2016.

  44. •• Eijnden van den RJJM, Lemmens JS, Valkenburg PM. The social media disorder scale. Comput Hum Behav. 2016;61:478 487. The social media scale is a powerful tool that clinicians could implement in a variety of practice settings to screen for problematic social media use.

  45. Griffiths M, Pontes H, Kuss D. Clinical psychology of Internet addiction: a review of its conceptualization, prevalence, neuronal processes, and implications for treatment. Neurosci Neuroeconomics 2015;11.

  46. Weinstein A, Curtiss Feder L, Rosenberg KP, Dannon P. Internet addiction disorder. In: Behav. Addict. Elsevier. 2014;99–117.

  47. Pontes HM, Kuss DJ, Griffiths MD. Clinical psychology of Internet addiction: a review of its conceptualization, prevalence, neuronal processes, and implications for treatment. Neurosci Neuroeconomics. 2015;4:11–23.

    Google Scholar 

  48. •• Wölfling K, Beutel ME, Dreier M, Müller KW. Treatment outcomes in patients with internet addiction: a clinical pilot study on the effects of a cognitive-behavioral therapy program. BioMed Res Int. 2014;425924. Wölfling demonstrates how CBT-IA, a version of CBT targeted at the TAs, can reduce problematic internet use.

  49. Zajac K, Ginley MK, Chang R, Petry NM. Treatments for internet gaming disorder and internet addiction: a systematic review. Psychol Addict Behav J Soc Psychol Addict Behav. 2017;31:979–94.

    Article  Google Scholar 

  50. Liu Q-X, Fang X-Y, Yan N, Zhou Z-K, Yuan X-J, Lan J, Liu C-Y. Multi-family group therapy for adolescent Internet addiction: exploring the underlying mechanisms. Addict Behav. 2015;42:1–8.

    Article  PubMed  Google Scholar 

  51. Shek DTL, Tang VMY, Lo CY. Evaluation of an Internet addiction treatment program for Chinese adolescents in Hong Kong. Adolescence. 2009;44:359–73.

    PubMed  Google Scholar 

  52. Dell’Osso B, Hadley S, Allen A, Baker B, Chaplin WF, Hollander E. Escitalopram in the treatment of impulsive-compulsive internet usage disorder: an open-label trial followed by a double-blind discontinuation phase. J Clin Psychiatry. 2008;69:452–6.

    Article  PubMed  Google Scholar 

  53. Infographic: How much of the internet consists of porn? In: Stat. Infographics. https://www.statista.com/chart/16959/share-of-the-internet-that-is-porn/. (Accessed 17 Jan 2022).

  54. LoveWriting C. Teledildonics gave me the gift of long-distance sex with a stranger. In: Christopher Trout. https://www.christophertrout.com/teledildonics-gave-me-the-gift-of-long-distance-sex-with-a-stranger/2018/12/04. (Accessed 17 Jan 2022).

  55. • Döring N, Daneback K, Shaughnessy K, Grov C, Byers ES. Online sexual activity experiences among college students: a four-country comparison. Arch Sex Behav. 2017;46:1641–1652. This study compares the frequency that college students across four countries engage in OSA and what implications this has for treatment broadly.

  56. Berg RC, Ross MW, Weatherburn P. Schmidt AJ (2013) Structural and environmental factors are associated with internalised homonegativity in men who have sex with men: findings from the European MSM Internet Survey (EMIS) in 38 countries. Soc Sci Med. 1982;78:61–9.

    Article  Google Scholar 

  57. Hertlein KM, Stevenson A. The seven as contributing to internet-related intimacy problems: a literature review. Cyberpsychology. 2010;4.

  58. •• Wéry A, Billieux J. Problematic cybersex: conceptualization, assessment, and treatment. Addict Behav 2017;64:238 246. This seminal article provides an extremely comprehensive way to conceptualize cybersex as a modern phenomenon that may be responsive to established treatments.

  59. Courtice EL, Shaughnessy K, Blom K, Asrat Y, Daneback K, Döring N, Grov C, Byers ES. Young adults’ qualitative self-reports of their outcomes of online sexual activities. Eur J Investig Health Psychol Educ. 2021;11:303–20.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Kraus SW, Krueger RB, Briken P, et al. Compulsive sexual behaviour disorder in the ICD-11. World Psychiatry Off J World Psychiatr Assoc WPA. 2018;17:109–10.

    Google Scholar 

  61. Derbyshire KL, Grant JE. Compulsive sexual behavior: a review of the literature. J Behav Addict. 2015;4:37–43.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Cooper A, Putnam DE, Planchon LA, Boies SC. Online sexual compulsivity: getting tangled in the net. Sex Addict Compulsivity. 1999;6:79–104.

    Article  Google Scholar 

  63. Cooper A, Delmonico D, Griffinshelley E, Mathy R. Online sexual activity: an examination of potentially problematic behaviors. Sex Addict Compulsivity. 2004;11:129–43.

    Article  Google Scholar 

  64. de Alarcón R, de la Iglesia JI, Casado NM, Montejo AL. Online porn addiction: what we know and what we don’t-a systematic review. J Clin Med. 2019;8:E91.

    Article  PubMed  Google Scholar 

  65. • Chen L, Jiang X. The assessment of problematic internet pornography use: a comparison of three scales with mixed methods. Int J Environ Res Public Health. 2020;17:E488. By comparing three rating scales for problematic cybersex use, Chen et al. allow providers to evaluate which of these screening tools may be of use in their practices.

  66. Twohig MP, Crosby JM. Acceptance and commitment therapy as a treatment for problematic internet pornography viewing. Behav Ther. 2010;41:285–95.

    Article  PubMed  Google Scholar 

  67. • Crosby JM, Twohig MP. Acceptance and commitment therapy for problematic internet pornography use: a randomized trial. Behav Ther. 2016;47:355–366. ACT has compelling evidence as treatment for overuse of internet pornography as outlined in this study.

  68. Hardy SA, Ruchty J, Hull TD, Hyde R. A preliminary study of an online psychoeducational program for hypersexuality. Sex Addict Compulsivity. 2010;17:247–69.

    Article  Google Scholar 

  69. Gola M, Potenza MN. Paroxetine treatment of problematic pornography use: a case series. J Behav Addict. 2016;5:529–32.

    Article  PubMed  PubMed Central  Google Scholar 

  70. US ecommerce sales increase 6.8% in Q3 2021. In: Digit. Commer. 360. https://www.digitalcommerce360.com/article/quarterly-online-sales/. (Accessed 21 Jan 2022).

  71. Are 70% of US Adults Amazon Prime Members? Snopes.com. https://www.snopes.com/fact-check/amazon-prime-adults/. (Accessed 21 Jan 2022).

  72. Here’s how ads are following you around on the internet. Business Insider India. https://www.businessinsider.in/tech/article/heres-how-ads-are-following-you-around-on-the-internet/articleshow/73272827.cms. (Accessed 21 Jan 2022).

  73. • Trotzke P, Starcke K, Pedersen A, Brand M. Dorsal and ventral striatum activity in individuals with buying-shopping disorder during cue-exposure: a functional magnetic resonance imaging study. Addict Biol. 2021. https://doi.org/10.1111/adb.13073. This article, via an exploration of the neurobiological underpinnings of addiction, discusses the importance of cues in relation to the TAs.

  74. Sun L, Zhao Y, Ling B. The joint influence of online rating and product price on purchase decision: an EEG study. Psychol Res Behav Manag. 2020;13:291–301.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Rose S, Dhandayudham A. Towards an understanding of Internet-based problem shopping behaviour: the concept of online shopping addiction and its proposed predictors. J Behav Addict. 2014;3:83–9.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Müller A, Steins-Loeber S, Trotzke P, Vogel B, Georgiadou E, de Zwaan M. Online shopping in treatment-seeking patients with buying-shopping disorder. Compr Psychiatry. 2019;94: 152120.

    Article  PubMed  Google Scholar 

  77. Mitchell JE, Burgard M, Faber R, Crosby RD, de Zwaan M. Cognitive behavioral therapy for compulsive buying disorder. Behav Res Ther. 2006;44:1859–65.

    Article  PubMed  Google Scholar 

  78. Bernik MA, Akerman D, Amaral JA, Braun RC. Cue exposure in compulsive buying. J Clin Psychiatry. 1996;57:90.

    CAS  PubMed  Google Scholar 

  79. Revista Brasileira de Psicodrama. The psychodrama in the addiction treatment of pathological gambling and buying behavior. 2021.

  80. HealthITAnalytics. Mobile app data reveals prevalence of urban food deserts. In: HealthITAnalytics. 2020. https://healthitanalytics.com/news/mobile-app-data-reveals-prevalence-of-urban-food-deserts. (Accessed 22 Jan 2022).

  81. • Petros L. Special report: be prepared to address technological addictions in psychiatric practice. Psychiatr News. 2022;57(2):1, 23–26. This article is a call to action for providers, who will be on the front lines treating TAs.

  82. • King DL, Chamberlain SR, Carragher N, Billieux J, Stein D, Mueller K, Potenza MN, Rumpf HJ, Saunders J, Starcevic V, Demetrovics Z, Brand M, Lee HK, Spada M, Lindenberg K, Wu AMS, Lemenager T, Pallesen S, Achab S, Kyrios M, Higuchi S, Fineberg NA, Delfabbro PH. Screening and assessment tools for gaming disorder: a comprehensive systematic review. Clin Psychol Rev. 2020;77:101831. ISSN 0272–7358. https://doi.org/10.1016/j.cpr.2020.101831. https://www.sciencedirect.com/science/article/pii/S0272735820300192. This article comprehensively covers the screening tools available for gaming disorder (GD).

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Sherer, J., Levounis, P. Technological Addictions. Curr Psychiatry Rep 24, 399–406 (2022). https://doi.org/10.1007/s11920-022-01351-2

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