Clinical psychology of Internet addiction: a review of its conceptualization, prevalence, neuronal processes, and implications for treatment

Research into Internet addiction (IA) has grown rapidly over the last decade. The topic has generated a great deal of debate, particularly in relation to how IA can be defined conceptually as well as the many methodological limitations. The present review aims to further elaborate and clarify issues that are relevant to IA research in a number of areas including: definition and characterization, incidence and prevalence rates, associated neuronal processes, and implications for treatment, prevention, and patient-specific considerations. It is concluded that there is no consensual definition for IA. Prevalence rates among nationally representative samples across several countries vary greatly (from 1% to 18.7%), most likely reflecting the lack of methodological consistency and conceptual rigor of the studies. The overlaps between IA and other more traditional substance-based addictions and the possible neural substrates implicated in IA are also highlighted. In terms of treatment and prevention, both psychological and pharmacological treatments are examined in light of existing evidence alongside particular aspects inherent to the patient perspective. Based on the evidence analyzed, it is concluded that IA may pose a serious health hazard to a minority of people

How does risk mediate the ability of adolescents and adults with intellectual and developmental disabilities to live a normal life by using the Internet?

The focus of this position paper is Internet use by adolescents and adults with intellectual and developmental disabilities. Drawing on existing literature in the field we will identify problems with and gaps in the current research. Our review is framed by three main questions: What constitutes a ‘normal’ life for adolescents and adults with intellectual and developmental disabilities? What constitutes ‘normal’ use of the Internet for adolescents and adults with intellectual and developmental disabilities? How does risk mediate the ability of adolescents and adults with intellectual and developmental disabilities to live a normal life by using the Internet? The key focus of this review is the complex relationship between adolescents and adults with intellectual and developmental disabilities and those providing support; how they negotiate access to and use of the Internet and how perceptions regarding risk and normalcy mediate this negotiation. As a result of this review will argue that identified gaps and problems in the research field need to be addressed by expanding both methodological and conceptual approaches. In particular we will propose the need for more in-depth qualitative research that is inclusive in nature. We will also propose that an adapted positive risk-taking framework might be useful in framing the design, implementation and analysis of future research

Internet addiction: a systematic review of epidemiological research for the last decade

In the last decade, Internet usage has grown tremendously on a global scale. The increasing popularity and frequency of Internet use has led to an increasing number of reports highlighting the potential negative consequences of overuse. Over the last decade, research into Internet addiction has proliferated. This paper reviews the existing 68 epidemiological studies of Internet addiction that (i) contain quantitative empirical data, (ii) have been published after 2000, (iii) include an analysis relating to Internet addiction, (iv) include a minimum of 1000 participants, and (v) provide a full-text article published in English using the database Web of Science. Assessment tools and conceptualisations, prevalence, and associated factors in adolescents and adults are scrutinised. The results reveal the following. First, no gold standard of Internet addiction classification exists as 21 different assessment instruments have been identified. They adopt official criteria for substance use disorders or pathological gambling, no or few criteria relevant for an addiction diagnosis, time spent online, or resulting problems. Second, reported prevalence rates differ as a consequence of different assessment tools and cut-offs, ranging from 0.8% in Italy to 26.7% in Hong Kong. Third, Internet addiction is associated with a number of sociodemographic, Internet use, and psychosocial factors, as well as comorbid symptoms and disorder in adolescents and adults. The results indicate that a number of core symptoms (i.e., compulsive use, negative outcomes and salience) appear relevant for diagnosis, which assimilates Internet addiction and other addictive disorders and also differentiates them, implying a conceptualisation as syndrome with similar etiology and components, but different expressions of addictions. Limitations include the exclusion of studies with smaller sample sizes and studies focusing on specific online behaviours. Conclusively, there is a need for nosological precision so that ultimately those in need can be helped by translating the scientific evidence established in the context of Internet addiction into actual clinical practice

ICT skills acquisition by older people: motivations for learning and barriers to progression

This paper reports findings from one strand of an extensive research project investigating digital engagement of older people and the risks to sustained usage of information and communication technologies (ICTs). The factors that motivate older people to learn about ICTs, the barriers they face in the learning process and with on-going ICT use are examined. Research methods included focus groups (28 ICT learners aged 50+); questionnaires and interviews with seven 50+ learners; three interviews with ICT tutors; and observation sessions in three different ICT learning and support environments in England and Scotland. Findings show that while learning to use ICTs to ease the mechanics of daily life (e.g. on-line shopping) was a motivating factor for some, the more powerful drivers tended to be those applications seen as enriching quality of life e.g. using ICTs to keeping in contact with family and friends and using ICTs in pursuit of passions and interests. The key barriers relate to fear of using a computer; learning suppo rt ; quality and provision of ICT training; cost of training and technology; memory problems, and technology barriers. Implications of these findings for service providers, ICT designers and policy makers are identified and discussed

ICTs and Family Physicians Human Capital Upgrading.Delightful Chimera or Harsh Reality?

In the present paper we provide a quantitative assessment of ICTs role in Family Physicians/General Practitioners (GPs) medical daily practice and scientific performance. It focus on the Portuguese underexplored context, where the Health Sector has been under pressure for wide and profound reforms. These reforms have been extensively relying on ICTs, namely on the Internet. Based on the responses of 342 GPs, we concluded that 94% uses the Internet and 57% agrees that the Internet is essential to their medical daily practice. This is a slightly lower percentage than that observed for other European physicians (62%). GPs tend to use the Internet mainly for professional purposes. On average, they spend 10 hours/week on the Internet for professional purposes. Further data shows that to have or to be enrolled in advanced training fosters the use of the Internet for professional purposes, which in its turn, tends to grant GPs access to more and up-to-date information and knowledge on these matters. A worrisome evidence is that at the workplace, a substantial proportion of GPs (over 70%) do not use the Internet or other related ICTs, namely Telemedicine. Although Electronic Prescription is used by roughly 60% of the respondent GPs, for all other activities – teleconsultation, telediagnosis, and telemonitoring – only a meagre percentage of physicians (10%) claim to use such technologies. Thus, Telemedicine at the workplace is still a chimera. Notwithstanding such dishearten scenario, our data shows that the Internet for the respondent GPs has a critical role on updating and improving their professional knowledge basis. They recognise, however, that the vast majority of GPs lack specific and general training in ICT-related technologies. In fact, half of them agree that they need to attend specific training actions on ICTs. A large percentage of GPs admitted that in the previous year they did not take any professional training targeting ICTs and those who did undertook rather short-term (less than one week) courses: Because of that, such training handicap uncovers that a large part of Portuguese GPs may be unable to reap the benefits of ICTs in their daily medical practice.GPs; Human Capital; Information and Communication Technologies (ICTs)

Determinants of social and institutional beliefs about internet acceptance within developing country’s context: A structural evaluation of higher education systems in Pakistan

This study aims to extend a model of technology acceptance to suit in developing country’s context. The model attempts to identify relationship between social and institutional factors over behavioural intention and usage. Recently, ‘acceptance and adoption of information technology (IT) in multicultural setting’ is becoming topic of interest for IS researchers. In this line, numerous theories and models are proposed to contribute in examining factors of IT acceptance and reluctance. It is argued that the models in published literature are found culturally biased, which successfully present results in only American and European context, however, their validity became questionable when they were tested in south Asian countries context. Additionally, lack of research is observed to predict individual’s cognitive behaviour of acceptance, which are influenced by social factors (i.e. peer influence and superior influence, voluntariness, experience) and institutional factors (i.e. local institutional management influence and top-level governmental policies influence). This study used Structural Equation Modelling (SEM) based on Partial Least Square (PLS) method to analyse the data. The results reveal that the proposed conceptual model achieves acceptable fit and the hypothesised paths are valid