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Problematic internet use (colloquially "internet addiction disorder") | |
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Internet addiction "disorder" (IAD), also known as problematic internet use, or pathological internet use, is a problematic compulsive use of the internet, particularly on social media, that impairs an individual's function over a prolonged period of time. Young people are at particular risk of developing internet addiction disorder,[1] with case studies highlighting students whose academic performance declines as they spend more time online.[2] Some experience health consequences from loss of sleep[3] as they stay up to continue scrolling, chatting, and gaming.[4]
Excessive Internet use is not recognized as a disorder by the American Psychiatric Association's DSM-5 or the World Health Organization's ICD-11.[5] However, gaming disorder appears in the ICD-11.[6] Controversy around the diagnosis includes whether the disorder is a separate clinical entity, or a manifestation of underlying psychiatric disorders. Definitions are not standardized or agreed upon, complicating the development of evidence-based recommendations.
Many different theoretical models have been developed and employed for many years in order to better explain predisposing factors to this disorder. Models such as the cognitive-behavioral model of pathological Internet have been used to explain IAD for more than 20 years. Newer models, such as the Interaction of Person-Affect-Cognition-Execution model, have been developed more recently and are starting to be applied in more clinical studies.[7]
In 2011 the term "Facebook addiction disorder" (FAD) emerged.[8] FAD is characterized by compulsive use of Facebook. A 2017 study investigated a correlation between excessive use and narcissism, reporting "FAD was significantly positively related to the personality trait narcissism and to negative mental health variables (depression, anxiety, and stress symptoms)".[9][10]
In 2020, the documentary The Social Dilemma, reported concerns of mental health experts and former employees of social media companies over social media's pursuit of addictive use. For example, when a user has not visited Facebook for some time, the platform varies its notifications, attempting to lure them back. It also raises concerns about the correlation between social media use and child and teen suicidality.[11]
Additionally in 2020, studies have shown that there has been an increase in the prevalence of IAD since the COVID-19 pandemic.[12] Studies highlighting the possible relationship between COVID-19 and IAD have looked at how forced isolation and its associated stress may have lead to higher usage levels of the Internet.[12]
Turning off social media notifications may help reduce social media use.[13] For some users, changes in web browsing can be helpful in compensating for self-regulatory problems. For instance, a study involving 157 online learners on massive open online courses examined the impact of such an intervention. The study reported that providing support in self-regulation was associated with a reduction in time spent online, particularly on entertainment.[14]