Problematic Internet use: Proposed classification and diagnostic criteria

Problematic Internet use: Proposed classification and diagnostic criteria
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DOI:
10.1002/da.10094
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发表时间:
2003-01-01
影响因子:
7.4
通讯作者:
Stein, DJ
Stein, DJ
中科院分区:
医学1区
文献类型:
--
作者:
Shapira, NA;Lessig, MC;Stein, DJ

文献摘要

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自20世纪90年代中期以来,经常有关于个人使用计算机和互联网有问题的报道。考虑到最近的扩张以及未来几年互联网可用性和使用的预期增加,重要的是要让医疗保健专业人员了解这种行为及其相关问题。最近,心理学和精神病学文献描述了表现出有问题的互联网使用的个人,他们经常患有其他精神疾病。在面对这种合并症,这是至关重要的,以评估这些人是否代表一个独特的类的障碍,或表现/应对机制相关的其他潜在的诊断。无论哪种情况,有问题的互联网使用都会对社交和情感功能产生负面影响。根据目前有限的经验证据,有问题的互联网使用最好被归类为冲动控制障碍。因此,必须在有症状的个人中适当识别有问题的互联网使用。出于这些原因,我们提出了具体的诊断标准,将允许一致的识别,并协助进一步研究这种行为。(C)2003 Wiley-Liss,Inc.
Since the mid-1990s, there have been frequent reports of individuals whose use of the computer and internet is problematic. Given the recent expansion and the expected increase in internet availability and usage in the coming years, it is important that healthcare professionals be informed about this behavior and its associated problems. Recently, psychological and psychiatric literature has described individuals that exhibit problematic internet use who often suffer from other psychiatric disorders. In the face of this comorbidity, it is essential to evaluate whether these individuals represent a distinct class of disorder, or a manifestation/coping mechanism related to other underlying diagnosis. In either event, problematic internet use negatively impacts social and emotional functioning. Based on the current limited empirical evidence, problematic internet use may best be classified as an impulse control disorder. It is therefore imperative that problematic internet use be appropriately identified among symptomatic individuals. For these reasons, we propose specific diagnostic criteria that will allow for consistent identification and assist in further study of this behavior. (C) 2003 Wiley-Liss, Inc.