Internet Addiction Test Scores Research Articles

Online photography intervention reduces internet addiction during COVID-19: A randomised controlled trial.

The COVID-19 pandemic has escalated concerns regarding internet addiction. This study investigated the impact of an online photograph intervention on internet addiction and identified its effectiveness mechanisms. Individuals diagnosed with internet addiction (internet addiction test score > 36, Mage = 22.85, 78.6% women) were randomly allocated to either the intervention (n = 64) or control (n = 81) groups. For 10 days, the intervention group was tasked with photographing "things that make you feel a sense of control in life" and writing 100-word descriptions explaining the reason for the sense of control elicited by the image. Meanwhile, the control group participated only in the assessments. Assessments were conducted before the intervention, immediately afterward and 7 days later. A significant interaction between group and time was observed, with the intervention group showing a notable reduction in internet addiction and an increase in sense of control. The sense of control at post-test significantly mediated the intervention's effect on reducing internet addiction at follow-up, but only among individuals with high perceived social support. The findings indicate that online photography interventions can effectively diminish internet addiction, with a sense of control acting as a potent mechanism for intervention, particularly in individuals with substantial perceived social support.

Identification of patients with internet gaming disorder via a radiomics-based machine learning model of subcortical structures in high-resolution T1-weighted MRI

It is of vital importance to establish an objective and reliable model to facilitate the early diagnosis and intervention of internet gaming disorder (IGD). A total of 133 patients with IGD and 110 healthy controls (HCs) were included. We extracted radiomic features of subcortical structures in high-resolution T1-weighted MRI. Different combinations of four feature selection methods (analysis of variance, Kruskal–Wallis, recursive feature elimination and relief) and ten classification algorithms were used to identify the most robust combined models for distinguishing IGD patients from HCs. Furthermore, a nomogram incorporating radiomic signatures and independent clinical factors was developed. Calibration curve and decision curve analyses were used to evaluate the nomogram. The combination of analysis of variance selector and logistic regression classifier identified that the radiomic model constructed with 20 features from the right caudate nucleus and amygdala showed better IGD screening performance. The radiomic model produced good areas under the curves (AUCs) in the training, validation and test cohorts (AUCs of 0.961, 0.903 and 0.895, respectively). In addition, sex, internet addiction test scores and radiomic scores were included in the nomogram as independent risk factors for IGD. Analysis of the correction curve and decision curve showed that the clinical-radiomic model has good reliability (C-index: 0.987). The nomogram incorporating radiomic features of subcortical structures and clinical characteristics achieved satisfactory classification performance and could serve as an effective tool for distinguishing IGD patients from HCs.

Internet use and its association with physical activity among adolescents in Beni Municipality, Myagdi, Nepal.

Adolescence is a critical phase marked by distinct health and developmental needs and rights. It represents a pivotal time for the acquisition of knowledge, skills, emotional regulations, and relationship management. However, a recent surge in internet usage among adolescents has been observed, leading to a concerning decline in physical activity. This study aims to evaluate the level of physical activity and its correlation with internet use among adolescents. A cross-sectional study, conducted within educational institutions in Beni, Nepal, utilized a self-structured questionnaire to collect data on physical activity levels and associated factors. The relationship between physical activity and independent variables was assessed through the chi-square test, and regression analysis was employed to quantify the strength of this association. The study revealed that 75.3% of adolescents (out of 385) exhibited inadequate physical activity levels. Notably, late adolescents were more susceptible to insufficient physical activity than their middle adolescent counterparts were. Adolescents from nuclear families (UOR = 2.689, C.I = 4.074-22.822), those with higher monthly family income (UOR = 3.318, C.I = 1.209-9.105), and individuals using Wi-Fi (UOR = 1.801, C.I = 1.117-2.904) demonstrated a higher likelihood of internet addiction. Moreover, these groups were more prone to engage in inadequate physical activity (UOR = 1.1740, C.I = 0.938-3.226) compared to their counterparts not addicted to the internet. The study concludes that over two-thirds of adolescents were addicted to the Internet, and three-fourths were inadequately physically active, with late adolescents being more affected than middle adolescents. Inadequate physical activity was associated with various factors, including family type, monthly family income, monthly pocket money, father's occupation, type of school, type of internet access, and Internet Addiction Test (IAT) score. Internet-addicted adolescents were found to be more likely to be physically inactive.

Prevalence, demographics and clinical characteristics of Internet addiction among Chinese adolescents with schizophrenia.

Several studies have reported that Internet addiction (IA) is more prevalent in the psychiatric disorder population. However, the prevalence of IA and its relationship with clinical variables among Chinese adolescents with schizophrenia is unclear. This study sought to investigate the prevalence of IA and its clinical correlates in Chinese adolescents with schizophrenia, which has not yet been reported. Seven hundred and six inpatient adolescents with schizophrenia were recruited. All patients underwent Young's Internet Addiction Test (IAT) to measure Internet addiction, as well as the Positive and Negative Syndrome Scale (PANSS) for psychopathology. Our results showed that 186 patients had a total IAT score of 50 or more, bringing the prevalence of IA to 26.3%. Girls (21.7%, 92/424) were less likely to have combined IA than boys (33.3%, 94/282). Compared to those patients without IA, patients with IA had better socioeconomic status, higher probability of living in the city, higher levels of depressive symptoms, excited symptoms, and lower levels of concrete symptoms and PANSS total scores (all p<0.05). Further binary logistic regression analysis indicated that good socioeconomic status, living in the city and PANSS total scores were significantly associated with IA. In addition, correlation analysis showed significant correlations between IA total score and the following parameters: good socioeconomic status, living in the city, negative subscore, concrete subscore, depression subscore, excited subscore and PANSS total score (Bonferroni corrected all p <0.05). The results of this study indicate that the prevalence of IA in Chinese adolescents with schizophrenia is higher than that in the general population. Several demographic and clinical variables are risk factors for IA in adolescents with schizophrenia.

Role of gender difference in Internet addiction and its association with family interaction among students

Abstract Introduction: Internet addiction (IA) has become a serious behavioral addiction pandemic. IA may potentially affect academic performance and family dynamics. Gender and geographic differences also exist in the ways that people use the Internet for entertainment. This study was conducted to evaluate if gender difference plays a role in IA. Objectives: To determine the association between gender with internet addiction and family interaction among the undergraduate college students and to find the prevalence of internet addiction among them. Materials and Methods: A sample of 252 currently enrolled undergraduate students, between 18 and 23 years of age, were included from three programs (Arts, Science, and Commerce) at a University in Odisha. Data were collected using the IA test (IAT) and the family interaction questionnaire (FIQ). Data were compiled into Microsoft Excel and analyzed using Epi-info software. Descriptive data were interpreted as frequencies and percentages. The independent t-test was used to compare the mean scores between IA and family interaction. The Chi-square test was used to test association. A P &lt; 0.05 was considered statistically significant. Results: The study included 113 (44.8%) males and 55.2% (139) females. The prevalence of IA was 64.8%. Female students had slightly higher mean IAT and FIQ scores than males. The difference in mean scores determined by independent t-tests between the genders was not statistically significant for both IAT (P = 0.054) and FIQ (P = 0.2). There was no significant association between gender with IA levels (P = 0.1507) and family interaction levels (P = 0.6125). Conclusion: The current study revealed there was IA in almost two-thirds of undergraduate students. There was a minor gender difference in IA and family interaction levels among the college students. It is crucial to educate the future generation, parents, and educators about the dangers of IA and the importance of family interaction in managing the problem.

Prediction of internet addiction among high school students in a rural Southern Karnataka, India-A cross-sectional study.

According to the World Health Organization, there is an explosion in the use of electronic devices, the internet, and gaming platforms. In many countries, it is a significant public health concern, prompting calls to identify adequate public policy. We aimed to investigate the prevalence of internet addiction (IA) among high school students and to assess the relationship between the internet addiction level of high school students and their demographic features with internet use. A cross-sectional study was conducted among 424 high school children studying in eighth standard-tenth standard. Among 121 public and private high schools listed by the BEO (Block Education Officer) Office in Kolar Taluk four high schools were selected by lottery method from July 2021 to August 2021. The Internet Addiction Test (IAT) by Young was used to assess the intensity of internet usage. The mean IAT score of study participants was 29.6. The mean age of the study population was 14.4 ± 0.84 years. The odds of internet addiction among female students were 4.5 times higher than among male students. The majority (91.5%) of the students had used the internet for educational purpose and the other common reasons for internet usage is social media (43%), entertainment (43%), and gaming purpose (21%). The prevalence of IA among high school students is 14.6% with the moderate-risk population was 12.5% and the high-risk population was 2.1%. Students using the internet for both academic and non-academic purposes were more internet addicted. The real challenge is to have control over the usage of social sites-the amount of time being spent and the type of activities adolescents are doing online.

Problematic internet usage: can commitment and progress frameworks help regulate daily personal internet use?

ABSTRACT Objective Problem Internet Usage (PIU) is associated with numerous psychological concerns. The dynamics of self-regulation (DSR) model may provide a useful framework for psychological interventions with PIU, given previous research showing that the framework can be successfully applied to PIU behaviours. Method The authors conducted a randomised controlled trial (RCT) to evaluate the efficacy of an internet-based intervention to reduce daily personal internet hours, and PIU severity, for university students who reported PIU issues. Assessments were undertaken at baseline, on each day of the 21-day intervention, and 6-week follow-up. Seventy-four participants completed the intervention and 38 completed follow-up assessments. Results The experimental group reduced daily personal internet usage to a greater degree than the active control group at the end of the intervention. Findings also demonstrated a greater reduction in Internet Addiction Test (IAT) scores for the experimental group compared to the active control, with a third of participants in the experimental condition demonstrating clinically significant change in IAT scores. Conclusions Our findings suggest that the DSR framework may provide a promising approach to reducing PIU.

Genetic polymorphism in HTR2A rs6313 is associated with internet addiction disorder.

Internet addiction disorder (IAD) has grown into public health concern of global proportions. Previous studies have indicated that individuals with IAD may exhibit altered levels of serotonin and dopamine, which are known to play crucial roles in depression, anxiety, impulsivity, and addiction. Therefore, polymorphisms in the receptors that mediate the effects of serotonin and dopamine and affect their functional states as well as their activities are suspect. In this study, we aimed to investigate the association between IAD and rs6313 (T102C) polymorphism in the serotonin 2A receptor (5-HT2A) gene, (HTR2A). Twenty patients with IAD and twenty healthy controls (HCs) were included in this study. Young's Internet Addiction Test (IAT), Self-Rating Anxiety Scale, Self-Rating Depression Scale, Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Barratt Impulse Scale, Pittsburgh Sleep Quality Index (PSQI), and Social Support Rating Scale (SSRS) were used to assess the severity of internet addiction, mental status, impulsive traits, sleep quality, and social support. Genotyping was performed to identify rs6313 polymorphisms in the HTR2A gene of all participants. The frequencies of the C and T alleles of HTR2A T102C were 28% and 72% in the IAD group and 53% and 47% in the HCs group, respectively, indicating that the differences between these two groups were significant. No significant difference was observed in the distribution of the CC, CT, and TT genotypes of HTR2A gene T102C between the IAD and the HCs groups. Additionally, there was no difference in the distribution of the frequencies of the HTR2A gene T102C CC and CT+TT genotypes between the two groups. However, the distribution between the TT and CC+CT genotypes showed an apparent statistical difference in the HTR2A gene T102C between the two groups. Correlation analysis indicated that the IAT score was positively correlated with the Y-BOCS and BIS scores for the CC+CT genotype in patients with IAD. Moreover, the IAT score was positively correlated with the PSQI score in patients with IAD carrying the TT genotype. The present study demonstrates that rs6313 in HTR2A is associated with IAD, and that the T allele of rs6313 in HTR2A may be a risk factor for IAD.

The relationship between internet addiction and physical activity levels of university students in a province in eastern Turkey.

Internet addiction and physical inactivity are often a major public health problem. This study aimed to determine the relationship between internet addiction (IA) and physical activity (PA) levels of university students in a province in eastern Turkey. This cross-sectional study was conducted among 638 students. Internet Addiction Test (IAT), and International Physical Activity Questionnaire (IPAQ) were administered. Chi-square, independent sample t-test, correlation analysis, one-way analysis of variance tests (ANOVA), Tukey HSD test, and multivariate logistic regression analysis were performed. 64.6% of the participants were female, with a mean age of 20.4±2.4 and a mean body mass index (BMI) of 22.3±3.5. 83.4% of the participants were identified as those asymptomatic, 15.2% showed limited symptoms, and 1.4% were pathological internet users according to IAT. A statistically significant difference was found between IAT scores and gender, mother's education level, father's education level, academic success, smoking status, and alcohol use (p < 0.05). According to IPAQ scores, 28.1% of the students were inactive, 56.3% were moderate PA and 15.7% had vigorous PA levels. IPAQ total scores of male participants, smokers, and participants with exercise habits were found to be significantly higher (p < 0.05). The mean score IAT and IPAQ was found to be 30.9±18.9 and 1697.7±1847.0. A negative, significant correlation was found between students' PA and IA levels (p < 0.01). It has been observed that IA negatively affects PA. Seminars, conferences, and panels on the internet and physical activity should be organized for university students.

To Evaluate the Efficacy of Internet De-addiction Programme on Perceived Stress and Autonomic Functions in Young Adults

Internet addiction is characterized by excessive or poorly controlled preoccupations, urges or behaviors regarding computer use and internet access that lead to impairment or distress. The present study was conducted to evaluate the efficacy of internet de-addiction programme on stress and autonomic functions in young adults. 500 young adults (age group 18-35 years), using smartphones and other gadget frequently were asked to answer Kimberley Young’s Internet addiction test (IAT) questionnaire. As per their responses 31 moderates to severely addicted to internet addiction (IAT score 64.51 ± 16.94) were motivated to participate in a comprehensive internet de-addiction programme, based on repeated sessions of psychological counselling and behavioral therapy as advised by an expert clinical Psychologist. Baseline and follow up (after 6 weeks) recording of Heart rate, Blood pressure, Perceived stress scale, IAT, Autonomic functions based on frequency domain HRV were done. There was significant increase in total power of HRV whereas significant reduction in LF/HF ratio, Perceived stress scores (PSS), Internet addiction scores and average daily mobile usage time after 6 weeks of follow up. It can be concluded from this study that after six weeks of comprehensive sessions based on cognitive behaviour therapy and guiding for self-help approach there were significant decrease in the total daily mobile usages time, internet addiction score, perceived stress score and also simultaneous improvement in symptho-vagal tone and overall autonomic health of participants.

Parent-Perceived Benefits and Harms Associated With Internet Use by Adolescent Offspring

Limited systematic information on familial factors and perception of the benefits and harms of internet use by youths is available. Much of the current research has been hampered by small nondiverse samples and limited information on key familial and offspring characteristics. To characterize parental perceptions and concerns about internet use associated with adolescent development, well-being, safety, family connectedness, and potential for problematic internet use. A 20-minute, English-language survey was developed with expert stakeholders using previously validated questionnaires and was conducted online between June 17 and July 5, 2022. Participants included 1005 parents of children and adolescents aged 9 to 15 years drawn from an online digital survey platform and calibrated for representation with post hoc weightings. Parent survey responses about family characteristics and internet use were used to compute Internet Addiction Test scores for parents and their offspring, Alabama Parenting Questionnaire scores, and an aggregate family connectedness score. The survey cohort of 1005 parents included 568 women (56.5%) and 437 men (43.5%) with a mean age (SD) of 39.5 (6.4) years. In terms of race and ethnicity, the most common categories included Black or African American (95 [9.5%]), Latinx or Hispanic (100 [10.0%]), White (602 [59.9%]), and 2 or more races or ethnicities (122 [12.1%]). Respondents endorsed parental concerns that included exposure to harmful content (646 [64.3%]) and online bullying (533 [53.0%]). Two hundred twenty-five parents (22.4%) had specific concerns about internet addiction in their adolescent offspring, and twice as many parents reported specific concerns about internet addiction than substance addiction. However, parents also indicated that internet use improved family connectedness among immediate families (468 [46.6%]) and extended families (568 [56.5%]). Internet Addiction Test scores in adolescent offspring were correlated with parent scores (β = 0.62 [SE = 0.02]; P < .001) and Alabama Parenting Questionnaire-Inconsistent Discipline scores (β = 0.23 [SE = 0.11]; P = .04). In this survey study of parent perceptions of internet use among adolescent offspring, parents believed the internet brought families closer yet also expressed concerns. Problematic internet use among youths was correlated with negative parenting styles and parent internet use. This research adds to the literature by suggesting that families, their communities, and industry may have common ground to collaborate on reducing the negative effects of internet use.

Mental health problems, perceived stress, and internet addiction among undergraduate college students of Kathmandu, Nepal

Introduction: The global burden of disease due to mental health problems is on a rise. One of the vulnerable groups are college going youths. The objective of the current study was to examine the frequency and pattern of mental health problems, perceived stress, and internet addiction and explore their relationship with each other among students reporting voluntarily during stress management program. Material and method: A cross-sectional study among 139 undergraduate students was conducted as a part of a program titled "Stress, drugs and internet among college students" during orientation program for undergraduate students of a management college in Kathmandu Valley. Mental Health Screening Questionnaire (MHS), Young's Internet addiction test (YIAT), perceived stress scale (PSS) were used for mental health problems, internet addiction and stress respectively. Results: As per mental health screening questionnaire, 64.7% (90/139) and 7.2% (10/139) participants reported somewhat difficulty and very much or extreme difficulty. There was mild internet addiction among 45.3% and moderate internet addiction among 18.7%. There was significant positive correlation of the MHS score (indicative of number of mental health problems) with the total YIAT score (ρ= 0.404, p&lt; 0.01) and PSS scores (ρ= 0.301, p&lt; 0.01). Also, severity of internet addiction and perceived stress levels were positively associated with each other (ρ= 0.303, p&lt; 0.01). Conclusion: There is significant burden of mental health problems, stress and problematic internet use among the undergraduate students in Nepal. There is also a significant positive correlation of the MHS score (indicative of number of mental health problems) with the Young’s internet addiction test score and perceived stress scale scores.

Effects of internet addiction scores on informational search by undergraduate students

The study examined the relationship between internet addiction and university students’ use of a network to gain information. Two hundred undergraduate students (aged 18–21 years) were recruited from Science, Social Science, and Arts faculties. They each had 30 min to browse one of two network architectures: a simple hierarchal structure, or a complex relational structure. After the session, they took a test on the content of the network, completed the Internet Addiction Test (IAT), and were asked about their time spent on the internet. There was no effect of university faculty (subject) on any of the results. More pages were revisited using the hierarchical than the relational network structure. However, there were interactions between levels of internet addiction (IAT score) and the type of network. Participants who had lower IAT scores, exposed to hierarchical network, visited a greater proportion of pages, revisited fewer pages, and achieved higher test scores, than lower IAT scorers exposed to the relational network. However, participants with higher IAT scores showed little difference in performance between the networks. There was little impact of IAT score on performance on hierarchical networks, but performance on relational networks improved as IAT scores increased. These data suggest that simple hierarchical networks are better for those with lower internet addiction (as measured by low IAT scores), but there is little difference in network for those with higher internet addiction (higher IAT scores).

Correlation between the Internet addiction and affect score among medical students

Background: The Internet has become an integral part of our day-to-day life. It is one of the most influential media in the modern era and incorrect usage might be harmful. About 90% of adolescents use it for acquiring information. Its development has given lots of chance for exchange of information, communication, and social interactions. One of the major public health concerns accompanied with it is the internet addiction. Aims and Objectives: The objective of the study was to assess and to correlate the affect scores and Internet addiction test (IAT) score among medical college students using the positive and negative affect (NA) schedule scale and Young’s IAT. Materials and Methods: This cross-sectional study was conducted among the 1st-year and 2nd-year medical students to assess the Internet addiction and positive and NA score. They were asked to fill separate questionnaires. Results: The result showed that the duration spent in viewing the Internet and IAT score had a significant negative correlation with the positive affect score (P=0.001) and significant positive correlation with NA score (P≤0.001). Conclusion: Intervention measures should be taken to minimize the effects of internet addiction on affect score. Awareness about harmful effects of excess Internet use should be provided so as to enhance the academic performance of students.

Internet Addiction and Depression among Syrian College Students: A Cross-Sectional Study

Background: Problematic internet use (PIU) or internet addiction has become increasingly prevalent, and concerns about its impact on mental health and social functioning have grown. This study aimed to investigate the prevalence of PIU among Syrian university students and its relationship with their demographics, internet user behavior, and mental health. Methods: A cross-sectional study was conducted among undergraduate medical students in Syrian government universities between 12 April and 29 May 2022. The survey included the Beck Depression Inventory and the Internet Addiction Scale. Results: Out of 2891 participants, 75.2% were female, with an average age of 21.87. The average Internet Addiction Test (IAT) score was 49.4, and the overall prevalence of PIU was 89%. Furthermore, 93.0% of participants displayed possible signs and symptoms of depression. PIU was significantly linked with physical abuse (p = 0.001) and mental stress (p = 0.0001). Internet addiction is (AOR:1.723, COR:2.289) fold more likely to occur in those with more than 8 h of sleep per night than in those who sleep for less than 6 h (p-value &lt; 0.05). Unadjusted regression analysis showed that 13 predictors of the independent variables were statistically significant in predicting the presence of internet addiction, such as participants who suffered from a breakup (COR:2.039), domestic violence (COR:2.136), physical abuse (COR:2.190), or mental stress (COR:2.621) were more likely to be affected by internet addiction than those who did not (p-value &lt; 0.05). Conclusions: The study found a high rate of internet addiction among Syrian medical students, with those experiencing mental health problems and depression symptoms more likely to be internet addicts. To prevent PIU, students should be encouraged to participate in extracurricular activities, such as sports, and awareness programs should be enhanced to highlight the negative effects of internet addiction.

Static and dynamic changes of intrinsic brain local connectivity in internet gaming disorder

BackgroundStudies have revealed that intrinsic neural activity varies over time. However, the temporal variability of brain local connectivity in internet gaming disorder (IGD) remains unknown. The purpose of this study was to explore the alterations of static and dynamic intrinsic brain local connectivity in IGD and whether the changes were associated with clinical characteristics of IGD.MethodsResting-state functional magnetic resonance imaging (rs-fMRI) scans were performed on 36 individuals with IGD (IGDs) and 44 healthy controls (HCs) matched for age, gender and years of education. The static regional homogeneity (sReHo) and dynamic ReHo (dReHo) were calculated and compared between two groups to detect the alterations of intrinsic brain local connectivity in IGD. The Internet Addiction Test (IAT) and the Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the severity of online gaming addiction and sleep quality, respectively. Pearson correlation analysis was used to evaluate the relationship between brain regions with altered sReHo and dReHo and IAT and PSQI scores. Receiver operating characteristic (ROC) curve analysis was used to reveal the potential capacity of the sReHo and dReHo metrics to distinguish IGDs from HCs.ResultsCompared with HCs, IGDs showed both increased static and dynamic intrinsic local connectivity in bilateral medial superior frontal gyrus (mSFG), superior frontal gyrus (SFG), and supplementary motor area (SMA). Increased dReHo in the left putamen, pallidum, caudate nucleus and bilateral thalamus were also observed. ROC curve analysis showed that the brain regions with altered sReHo and dReHo could distinguish individuals with IGD from HCs. Moreover, the sReHo values in the left mSFG and SMA as well as dReHo values in the left SMA were positively correlated with IAT scores. The dReHo values in the left caudate nucleus were negatively correlated with PSQI scores.ConclusionsThese results showed impaired intrinsic local connectivity in frontostriatothalamic circuitry in individuals with IGD, which may provide new insights into the underlying neuropathological mechanisms of IGD. Besides, dynamic changes of intrinsic local connectivity in caudate nucleus may be a potential neurobiological marker linking IGD and sleep quality.

Enhanced Pavlovian-to-instrumental transfer in internet gaming disorder

The Pavlovian-to-instrumental transfer (PIT) effect is a phenomenon that Pavlovian conditioned cues that could influence one's instrumental behavior. In several substance and behavioral addictions, such as tobacco use disorder and gambling disorder, addiction-related cues could promote independently trained instrumental drug-seeking/drug-taking behaviors, indicating a specific PIT effect. However, it is unclear whether Internet gaming disorder (IGD) would show a similar change in PIT effects as other addictions. The study aimed to explore the specific PIT effects in IGD. We administrated a PIT task to individuals with IGD (n = 40) and matched health controls (HCs, n=50), and compared the magnitude of specific PIT effects between the two groups. The severity of the IGD symptoms was assessed by the Chinese version 9-item Internet Gaming Disorder Scale (IGDS) and the Internet Addiction Test (IAT). We found that: (1) related to the HCs group, the IGD group showed enhanced specific PITgame effects, where gaming-related cues lead to an increased choice rate of gaming-related responses; (2) in the IGD group, the magnitude of specific PITgame effects were positively correlated with IAT scores (rho = 0.39, p = 0.014). Individualswith IGD showed enhanced specific PIT effects related to HCs, which were associated with the severity of addictive symptoms. Our results highlighted the incentive salience of gaming-related cues in IGD.

Internet Addiction and Its Correlates among College Students of Surat City: A Cross Sectional Study

Introduction: The number of internet users in 2018 was 4.021 billion, increased 7 percent year-on-year. More than nine-tenths of Indian teens use Internet. Due to social distancing norms put forward due to COVID-19 dependency and availability of Internet usage has increased. Objective: To assess the extent of Internet addiction and determine its predictors among college students of Surat city. Method: A cross sectional study was conducted from March-September 2021 among 400 first- and second-year students selected by systematic random sampling from four colleges selected purposively. Outcome variables were Young's Internet addiction Test and Duke Health Profile Score which were assessed in terms of mean score. Univariate analysis was done, followed by t-test, ANOVA and Pearson Correlation to establish associations. Predictors were determined by Binary Logistic Regression. Results: Around one-tenth (12.8%) participants were seen with no Internet addiction, with majority being mild (44.8%) and moderately (36.5%) addicted. Severe addiction was seen in around one out of twenty participants (6.1%). Social networking (32%) and education (34.5%) were the major reasons for use of Internet. Higher pocket money (aOR=4.3), greater monthly internet expenditure (aOR=2.8), ownership of internet enabled mobile phone (aOR=3.9), lying down posture while accessing internet (aOR=4.8) and evening (aOR=2.2) or night time (aOR=8.7) of internet access were significant predictors for Internet addicts. Conclusion:In this study more than four fifth of the college students had Internet Addiction even at young age. Physical, Mental, Social and General health were significantly negatively correlated with internet addiction.

Hyperfocus symptom and internet addiction in individuals with attention-deficit/hyperactivity disorder trait.

Hyperfocus symptom is the intense concentration on a certain object. It is a common but often overlooked symptom in those with attention-deficit/hyperactivity disorder (ADHD). Hyperfocus disrupts attention control and results in a focus on inappropriate behaviors. It allows individuals to focus on internet use and make them use internet excessively. This excessive internet use can lead to an addiction. This study investigated the status of IA and hyperfocus, the mediation effect of hyperfocus in relation to IA, and the relationship between ADHD subtypes and hyperfocus in those with ADHD symptoms. This web-based cross-sectional study included 3,500 Japanese adults who completed internet-based questionnaires, which included the Adult ADHD Self-Report Scale (ASRS), Internet Addiction Test (IAT), and Hyperfocus Scale (HFS) to assess ADHD symptoms, internet dependence, and hyperfocus symptoms, respectively. The mediating role of HFS in the relationship between ASRS and IAT was assessed by mediation analysis. To analyze the relationship between hyperfocus symptoms and ADHD subtypes, we compared the correlation of HFS with the Inattention and Hyperactive Scores of ASRS. ADHD traits were associated with higher IAT scores (p < 0.001) and higher HFS scores (p < 0.001). Mediation analysis and bootstrap testing showed that HFS significantly mediated the association between ASRS and IAT. Analyses of ADHD subtypes demonstrated that HFS was significantly correlated with the Inattention (R = 0.597, p < 0.001) and Hyperactive (R = 0.523, p < 0.001) Scores. The correlation between HFS and the Inattention Score was significantly higher than that between HFS and the Hyperactive Score (p < 0.001). Our findings suggest that hyperfocus may play an important role in addictive behavior in ADHD as a manifestation of attentional control malfunction.

Gender difference in network relationship between inter-temporal decisions and prefrontal activation levels in internet gaming disorder.

Impulsivity and decision-making are key factors in addiction. However, little is known about how gender and time sensitivity affect impulsivity in internet gaming disorder (IGD). To investigate the gender difference of impulsive decision-making and relevant brain responses in IGD. We conducted a functional magnetic resonance imaging (fMRI) study with 123 participants, including 59 IGD individuals (26 females) and 64 matched recreational game users (RGUs, 23 females). Participants performed a delay-discounting task during fMRI scanning. We examined gender-by-group effects on behavioral and neural measures to explore the preference for immediate over delayed rewards and the associated brain activity. We also investigated the network correlations between addiction severity and behavioral and neural measures, and analyzed the mediating role of brain activity in the link between delay discounting parameters and IGD severity. We found significant gender-by-group interactions. The imaging results revealed gender-by-group interactions in the dorsolateral prefrontal cortex, medial frontal gyrus, and inferior frontal gyrus (IFG). Post hoc analysis indicated that, for females, RGUs showed higher activity than IGD individuals in these brain regions, while for males IGD individuals exhibited higher activity than RGUs. The activation in the left IFG mediated the relation between Internet Addiction Test score and discount rate in females. In males, the activation in the right dlPFC mediated the relation between IAT score and time sensitivity. Our findings imply that male IGD participants demonstrate impaired intertemporal decisions associated with neural dysfunction. Influencing factors for impulsive decision-making in IGD diverge between males (time sensitivity) and females (discount rate). These findings augment our comprehension of the neural underpinnings of gender differences in IGD and bear significant implications for devising effective intervention strategies for treating people with IGD.