Comorbid Internet Addiction in Male Clients of Inpatient Addiction Rehabilitation Centers Psychiatric Symptoms and Mental Comorbidity

被引:26
作者
Woelfling, Klaus [1 ]
Beutel, Manfred E. [2 ]
Koch, Andreas [3 ]
Dickenhorst, Ulrike [4 ]
Mueller, Kai W. [1 ]
机构
[1] Johannes Gutenberg Univ Mainz, Outpatient Clin Behav Addict, Dept Psychosomat Med & Psychotherapy, Univ Med Ctr, D-55131 Mainz, Germany
[2] Johannes Gutenberg Univ Mainz, Dept Psychosomat Med & Psychotherapy, Univ Med Ctr, D-55131 Mainz, Germany
[3] Bundesverband Stationare Suchtkrankenhilfe eV Bus, Kassel, Germany
[4] Therapeut Guidance LWL Rehabil Ctr Ostwestfalen, Bernhard Salzmann Klin, Gutersloh, Germany
关键词
Addiction rehabilitation; comorbidity; Internet addiction; psychiatric symptoms; substance-related addiction; PROBLEMATIC INTERNET; DISCRIMINANT VALIDITY; COLLEGE-STUDENTS; ADOLESCENTS; ONLINE; STANDARDIZATION; PREVALENCE; VALIDATION; DISORDERS; SCL-90-R;
D O I
10.1097/NMD.0000000000000035
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Addictive Internet use has recently been proposed to be included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Still, little is known about its nosological features, including comorbidity with other mental disorders and disorder-specific psychopathological symptoms. To investigate whether Internet addiction (IA) is an issue in patients in addiction treatment, 1826 clients were surveyed in 15 inpatient rehabilitation centers. Male patients meeting criteria for comorbid IA (n = 71) were compared with a matched control group of male patients treated for alcohol addiction without addictive Internet use (n = 58). The SCL-90-R, the Patient Health Questionnaire, and the seven-item Generalized Anxiety Disorder were used to assess associated psychiatric symptoms and further comorbid disorders. Comorbid IA was associated with higher levels of psychosocial symptoms, especially depression, obsessive-compulsive symptoms, and interpersonal sensitivity. Moreover, the patients with IA more frequently met criteria for additional mental disorders. They display higher rates of psychiatric symptoms, especially depression, and might be in need of additional therapeutic treatment. In rehabilitation centers, a regular screening for IA is recommended to identify patients with this (non-substance-related) addiction and supply them with additional disorder-specific treatment.
引用
收藏
页码:934 / 940
页数:7
相关论文
共 51 条
[1]
Potential markers for problematic Internet use: A telephone survey of 2,513 adults [J].
Aboujaoude, Elias ;
Koran, Lorrin M. ;
Gamel, Nona ;
Large, Michael D. ;
Serpe, Richard T. .
CNS SPECTRUMS, 2006, 11 (10) :750-755
[2]
American Psychiatric Association, 2012, INT US DIS DSM 5 DEV
[3]
American Psychiatric Association, 2013, INT US DIS
[4]
[Anonymous], 2011, Prevalence of Internet dependency
[5]
[Anonymous], 2010, SUCHTMEDIZIN FORSCHU, DOI DOI 10.1055/S-0031-1275314]
[6]
Problematic Internet and mobile phone use and clinical symptoms in college students: The role of emotional intelligence [J].
Beranuy, Marta ;
Oberst, Ursula ;
Carbonell, Xavier ;
Chamarro, Ander .
COMPUTERS IN HUMAN BEHAVIOR, 2009, 25 (05) :1182-1187
[7]
Internet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms [J].
Bernardi, Silvia ;
Pallanti, Stefano .
COMPREHENSIVE PSYCHIATRY, 2009, 50 (06) :510-516
[8]
Clinical characteristics of computer game and internet addiction in persons seeking treatment in an outpatient clinic for computer game addiction [J].
Beutel, Manfred E. ;
Hoch, Christina ;
Woelfing, Klaus ;
Mueller, Kai W. .
ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE, 2011, 57 (01) :77-90
[9]
Clinical features, psychiatric comorbidity, and health-related quality of life in persons reporting compulsive computer use behavior [J].
Black, DW ;
Belsare, G ;
Schlosser, S .
JOURNAL OF CLINICAL PSYCHIATRY, 1999, 60 (12) :839-844
[10]
AN EXAMINATION OF THE FACTOR STRUCTURE AND CONVERGENT AND DISCRIMINANT VALIDITY OF THE SCL-90R IN AN OUTPATIENT-CLINIC POPULATION [J].
BROPHY, CJ ;
NORVELL, NK ;
KILUK, DJ .
JOURNAL OF PERSONALITY ASSESSMENT, 1988, 52 (02) :334-340