The Difference in Comorbidities and Behavioral Aspects between Internet Abuse and Internet Dependence in Korean Male Adolescents
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective This study examined the differences in psychiatric comorbidities and behavioral aspects in accordance with the severity of Internet addiction in male adolescents. Methods One hundred and twenty-five adolescents from four middle and high schools in Seoul were enrolled in this study. The subjects were divided into non-addict, abuse, and dependence groups according to a diagnostic interview by psychiatrists. The psychiatric comorbidities and behavioral aspects of subjects were evaluated through psychiatric clinical interviews based on the Diagnostic and Statistical Manual of Mental Disorders (4th edition), the Children’s Depression Inventory, the State-Trait Anxiety Inventory, the Internet Addiction Test, and a self-reported questionnaire about behavioral aspects. Results The psychiatric comorbidity distributions were significantly different in the abuse and dependence groups, particularly in terms of attention-deficit hyperactivity disorder and mood disorder items. The Children’s Depression Inventory, the State-Trait Anxiety Inventory, and the Internet Addiction Test scores were also significantly different among the three groups. There were significant differences in 10 of the 20 items of the Internet Addiction Test between the non-addict, abuse, and dependence groups. There were significant differences in seven items between the non-addict and abuse groups, but no differences between subjects in the abuse and dependence groups. Significant differences were observed in three items between the abuse and dependence groups, but there were no significant differences between the non-addict and abuse groups. In terms of behavioral aspects, scores for abusive, sexual, and decreased social interest behaviors were highest in the dependence group, and lowest in the non-addict group. However, the behavioral aspects of decreased interpersonal relationships did not show this difference between groups. Conclusion This study suggests that there are differences in psychiatric comorbidities and behavioral aspects between adolescent males with characteristics of Internet abuse and Internet dependence.
Abstract
Objective This study examined the differences in psychiatric comorbidities and behavioral aspects in accordance with the severity of Internet addiction in male adolescents. Methods One hundred and twenty-five adolescents from four middle and high schools in Seoul were enrolled in this study. The subjects were divided into non-addict, abuse, and dependence groups according to a diagnostic interview by psychiatrists. The psychiatric comorbidities and behavioral aspects of subjects were evaluated through psychiatric clinical interviews based on the Diagnostic and Statistical Manual of Mental Disorders (4th edition), the Children’s Depression Inventory, the State-Trait Anxiety Inventory, the Internet Addiction Test, and a self-reported questionnaire about behavioral aspects. Results The psychiatric comorbidity distributions were significantly different in the abuse and dependence groups, particularly in terms of attention-deficit hyperactivity disorder and mood disorder items. The Children’s Depression Inventory, the State-Trait Anxiety Inventory, and the Internet Addiction Test scores were also significantly different among the three groups. There were significant differences in 10 of the 20 items of the Internet Addiction Test between the non-addict, abuse, and dependence groups. There were significant differences in seven items between the non-addict and abuse groups, but no differences between subjects in the abuse and dependence groups. Significant differences were observed in three items between the abuse and dependence groups, but there were no significant differences between the non-addict and abuse groups. In terms of behavioral aspects, scores for abusive, sexual, and decreased social interest behaviors were highest in the dependence group, and lowest in the non-addict group. However, the behavioral aspects of decreased interpersonal relationships did not show this difference between groups. Conclusion This study suggests that there are differences in psychiatric comorbidities and behavioral aspects between adolescent males with characteristics of Internet abuse and Internet dependence.
참고문헌 (29)
- Young KS, "Caught in the Net: How to Recognize the Signs of Internet Addiction and a Winning Strategy for Recovery" (1998), John Wiley & Sons, Inc.
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders, Fourth Edition" (1994), American Psychiatric Press
- Jon EG, "Introduction to behavioral addiction", Am J Drug Alcohol Abuse, 36, pp.233~241 (2010)
- Fortson BL, "Internet use, abuse, and dependence among students at a southeastern regional university", J Am Coll Health, 56, pp.137~144 (2007)
- Anderson KJ, "Internet use among college students: an exploratory study", J Am Coll Health, 50, pp.21~26 (2001)
- Black DW, "Clinical features, psychiatric comorbidity, and health-related quality of life in persons reporting compulsive computer use behavior", J Clin Psychiatry, 60, pp.839~844 (1999)
- Shapira NA, "Psychiatric features of individuals with problematic internet use", J Affect Disord, 57, pp.267~272 (2000)
- Young KS, "The relationship between depression and Internet addiction", Cyberpsychol Behav, 1, pp.25~28 (1998)
- Petrie H, "Internet “Addiction”: the Effects of Sex, Age, Depression and Introversion", British Psychological Society London Conference (1998)
- Ha JH, "Depression and Internet addiction in adolescents", PSYCHOPATHOLOGY, 40(6), pp.424~430 (2007), KARGER
- Kim K, "Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: a questionnaire survey", Int J Nurs Stud, 43, pp.185~192 (2006)
- Ha JH, "Psychiatric comorbidity assessed in Korean children and adolescents who screen positive for Internet addiction", J Clin Psychiatry, 67, pp.821~826 (2006)
- Yoo HJ, "Attention deficit hyperactivity symptoms and Internet addiction", PSYCHIATRY AND CLINICAL NEUROSCIENCES, 58(5), pp.487~494 (2004), BLACKWELL PUBLISHING
- Ko CH, "Gender differences and related factors affecting online gaming addiction among Taiwanese adolescents", J Nerv Ment Dis, 193, pp.273~277 (2005)
- Laura W, "The psychometric properties of the internet addiction test", Cyberpsychol Behav, 7, pp.443~450 (2004)
- Panayiotis P, "Evaluation of the psychometric properties of the Internet Addiction Test in a sample of Cypriot high school students", Eur J Psychol, 8, pp.327~351 (2012)
- Cho SC, "Development of the Korean form of the Kovacs’ Children’s Depression Inventory", J Korean Neuropsychiatr Assoc, 29, pp.943~956 (1990)
- Spielberger CD, "Manual for the State-Trait Anxiety Inventory" (1970), Consulting Psychologist Press
- Kim CT, "A Study on Internet Addiction Counseling and the Development of Prevention Program" (2002), National IT Industrial Promotion Agency
- Castellanos FX, "Neuroscience of attention-deficit", hyperactivity disorder: the search for endophenotypes, 2002, pp.3, 617~628
- Diamond A, "Attention-deficit disorder (attention-deficit", hyperactivity disorder without hyperactivity): a neurobiologically and behaviorally distinct disorder from attention-deficit hyperactivity disorder (with hyperactivity), 2005, pp.17, 807~825
- Suler JR, "To get what you need: healthy and pathological Internet use", Cyberpsychol Behav, 2, pp.385~393 (1999)
- Tichon JG, "The process of sharing social support in cyberspace", Cyberpsychol Behav, 6, pp.161~170 (2003)
- Leung L, "Net-generation attributes and seductive properties of the Internet as predictors of online activities and Internet addiction", Cyberpsychol Behav, 7, pp.333~348 (2004)
- Kraut R, "Internet paradox revisited", J Soc Issues, 58, pp.49~74 (2002)
- Kim EJ, "The relationship between online game addiction and aggression, self-control and narcissistic personality traits", European Psychiatry, 23(3), pp.212~218 (2008), Elsevier BV
- Ko CH, "The associations between aggressive behaviors and Internet addiction and online activities in adolescents", J Adolesc Health, 44, pp.598~605 (2009)
- Cooper A, "Sexuality on the Internet:from sexual exploration to pathological expression", Prof Psychol Res Pract, 30, pp.154~164 (1999)
- Allison SE, "The Development of the Self in the Era of the Internet and Role-Playing Fantasy Games", Am J Psychiatry, 163, pp.381~385 (2006)