Proposed Diagnostic Criteria of Internet Addiction for Adolescents

Chih‐Hung Ko · Ju‐Yu Yen · Cheng‐Chung Chen · Sue‐Huei Chen · Cheng‐Fang Yen

353 citations0/0 files storedThe Journal of Nervous and Mental Disease

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Impact of Technology on Adolescents Gambling Behavior and Treatments Sexuality, Behavior, and Technology

Abstract

The aims of the present study were to develop diagnostic criteria of Internet addiction for adolescents and to examine the discriminating potential and validity of diagnostic criteria by an empirical community study among adolescent populations. We developed 13 candidate diagnostic criteria for characteristic symptoms of Internet addiction in adolescents. A total of 468 adolescents completed the Chen Internet Addiction Scale (CIAS) and were systematically assessed for Internet-using behaviors by seven psychiatrists using the diagnostic interview schedule. The sensitivity, specificity, and diagnostic accuracy of the 13 candidate diagnostic criteria were analyzed with references to the interviewers' global clinical impressions and CIAS results. The cutoff point of the diagnostic criteria to differentiate the Internet-addicted subjects with nonaddicted ones was then determined by the best diagnostic accuracy and the receiver operating characteristic curve. This study selected nine of the 13 candidate diagnostic criteria to construct the diagnostic criteria of Internet addiction for adolescents, which were composed of three main criteria: characteristic symptoms of Internet addiction, functional impairment secondary to Internet use, and exclusive criteria. The diagnostic criteria had high diagnostic accuracy, specificity, negative predictive value, accepted sensitivity, and accepted positive predictive rate. The validity of the diagnostic criteria proposed in this study was further confirmed by comparing the demographic and Internet-using characteristics between those with and without Internet addiction. The diagnostic criteria for Internet addiction can provide health care professionals with a means to communicate and make comparisons of clinical cases.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1998Internet Addiction: The Emergence of a New Clinical Disorder 2001Modification in the Proposed Diagnostic Criteria for Internet Addiction 2000Psychiatric features of individuals with problematic internet use 2003Problematic internet use: Proposed classification and diagnostic criteria 2002Sensation seeking and internet dependence of Taiwanese high school adolescents

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2008Internet Addiction and Psychiatric Symptoms Among Korean Adolescents 2010Problematic Internet use: an overview 2008Psychiatric symptoms in adolescents with Internet addiction: Comparison with substance use 2014Evaluation of the diagnostic criteria of Internet gaming disorder in the DSM-5 among young adults in Taiwan 2005Screening for Internet Addiction: An Empirical Study on Cut‐off Points for the Chen Internet Addiction Scale 2014The measurement of Internet addiction: A critical review of existing scales and their psychometric properties 2016Proposed Diagnostic Criteria for Smartphone Addiction

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