Advances in problematic usage of the internet research - A narrative review by experts from the European network for problematic usage of the internet.
Journal: Comprehensive psychiatry
Volume: 118
Issue:
Year of Publication: 2022
Affiliated Institutions:
Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK; School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK; School of Clinical Medicine, University of Cambridge, Cambridge, UK. Electronic address: naomi.fineberg@btinternet.com.
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, University of Barcelona, Cibersam, Barcelona, Spain.
Centre for Health Services and Clinical Research, University of Hertfordshire, Hatfield, UK.
Luigi Sacco University Hospital, Psychiatry Unit, University of Milan, Milan, Italy; "Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA; Centro per lo studio dei meccanismi molecolari alla base delle patologie neuro-psico-geriatriche", University of Milan, Milan, Italy.
General Psychology: Cognition and Center for Behavioral Addiction Research (CeBAR), University of Duisburg-Essen, Germany; Erwin L. Hahn Institute for Magnetic Resonance Imaging, Essen, Germany.
Departments of Psychiatry, Neuroscience and Child Study, Yale University School of Medicine, and Wu Tsai Institute, Yale University, New Haven, USA, New Haven, USA; Connecticut Council on Problem Gambling, Wethersfield, USA; Connecticut Mental Health Center, New Haven, USA.
Department of Psychiatry, Faculty of Medicine, University of Southampton, UK; Southern Health NHS Foundation Trust, Southampton, UK.
Luigi Sacco University Hospital, Psychiatry Unit, University of Milan, Milan, Italy.
SAMRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, South Africa.
Institute of Psychology, University of Lausanne (UNIL), Lausanne, Switzerland.
Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, Gibraltar; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Department of Psychiatry and Psychotherapy, Translational Psychiatry Unit, Research Group S:TEP (Substance use and related disorders: Treatment, Epidemiology and Prevention) University of Lübeck, Lübeck, Germany.
Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany.
Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Spain.
Autism and Obsessive Compulsive Spectrum Program, Psychiatric Research Institute at Montefiore-Einstein, Albert Einstein College of Medicine.
Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Vyduno al. , Palanga, Lithuania.
Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, University of Zurich, Zurich, Switzerland; Neuroscience Center Zurich, University of Zurich and ETH Zurich, Zurich, Switzerland; Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland.
Department of Clinical Pharmacological and Biological Science, University of Hertfordshire.
College of Education, Psychology, & Social Work, Flinders University, Adelaide, Australia.
SAMRC Unit on Risk & Resilience in Mental Disorders, Dept of Psychiatry & Neuroscience Institute, University of Cape Town.
Department of Psychiatry & Behavioral Neuroscience, University of Chicago.
Albert Einstein College of Medicine and Montefiore Medical Center, New York, USA; INS Istituto di Neuroscienze, Florence, Italy.
Cambridge University, UCL and NHS National Centre for gaming Disorders.
Deptartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK; Department of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands.
Post-Trauma Center, Sheba Medical Center, Tel Aviv University, Israel; Reichman University, The Data Science Institution, Herzliya, Israel.
Amsterdam UMC, Department of Psychiatry, University of Amsterdam, Amsterdam, the Netherlands; Amsterdam Institute for Addiction Research & Arkin, the Netherlands.
Department of Neuroscience, Imaging and Clinical Sciences, G. D'Annunzio University, Chieti, Italy.
Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal; Center for Psychology at University of Porto (CPUP), University of Porto, Porto, Portugal.
School of Health and Social Work, University of Hertfordshire, Hatfield, UK.
Macedonian Academy of Sciences and Arts, Skopje, MK, Macedonia.
Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Luigi Sacco University Hospital, Psychiatry Unit, University of Milan, Milan, Italy; "Aldo Ravelli" Center for Nanotechnology and Neurostimulation, University of Milan, Milan, Italy.
Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK; School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK.
Hertfordshire Partnership University NHS Foundation Trust, Hertfordshire, UK; Luigi Sacco University Hospital, Psychiatry Unit, University of Milan, Milan, Italy.
Department of Psychology and Cognitive Science, University of Trento, Trento, Italy.
School of Information and Communication Studies, University College Dublin.
Brain Park, Turner Institute for Brain and Mental Health, School of Psychological Sciences, and Monash Biomedical Imaging Facility, Monash University, Melbourne, Victoria, Australia.
Institute of Psychology, University of Lausanne, Lausanne, Switzerland.
Independent researchers.
Post-Trauma Center, Sheba Medical Center, Tel Aviv University, Israel.
Abstract summary
Global concern about problematic usage of the internet (PUI), and its public health and societal costs, continues to grow, sharpened in focus under the privations of the COVID-19 pandemic. This narrative review reports the expert opinions of members of the largest international network of researchers on PUI in the framework of the European Cooperation in Science and Technology (COST) Action (CA 16207), on the scientific progress made and the critical knowledge gaps remaining to be filled as the term of the Action reaches its conclusion. A key advance has been achieving consensus on the clinical definition of various forms of PUI. Based on the overarching public health principles of protecting individuals and the public from harm and promoting the highest attainable standard of health, the World Health Organisation has introduced several new structured diagnoses into the ICD-11, including gambling disorder, gaming disorder, compulsive sexual behaviour disorder, and other unspecified or specified disorders due to addictive behaviours, alongside naming online activity as a diagnostic specifier. These definitions provide for the first time a sound platform for developing systematic networked research into various forms of PUI at global scale. Progress has also been made in areas such as refining and simplifying some of the available assessment instruments, clarifying the underpinning brain-based and social determinants, and building more empirically based etiological models, as a basis for therapeutic intervention, alongside public engagement initiatives. However, important gaps in our knowledge remain to be tackled. Principal among these include a better understanding of the course and evolution of the PUI-related problems, across different age groups, genders and other specific vulnerable groups, reliable methods for early identification of individuals at risk (before PUI becomes disordered), efficacious preventative and therapeutic interventions and ethical health and social policy changes that adequately safeguard human digital rights. The paper concludes with recommendations for achievable research goals, based on longitudinal analysis of a large multinational cohort co-designed with public stakeholders.
Authors & Co-authors:
Fineberg Naomi A NA
Menchón José M JM
Hall Natalie N
Dell'Osso Bernardo B
Brand Matthias M
Potenza Marc N MN
Chamberlain Samuel R SR
Cirnigliaro Giovanna G
Lochner Christine C
Billieux Joël J
Demetrovics Zsolt Z
Rumpf Hans Jürgen HJ
Müller Astrid A
Castro-Calvo Jesús J
Hollander Eric E
Burkauskas Julius J
Grünblatt Edna E
Walitza Susanne S
Corazza Ornella O
King Daniel L DL
Stein Dan J DJ
Grant Jon E JE
Pallanti Stefano S
Bowden-Jones Henrietta H
Ameringen Michael Van MV
Ioannidis Konstantinos K
Carmi Lior L
Goudriaan Anna E AE
Martinotti Giovanni G
Sales Célia M D CMD
Jones Julia J
Gjoneska Biljiana B
Király Orsolya O
Benatti Beatrice B
Vismara Matteo M
Pellegrini Luca L
Conti Dario D
Cataldo Ilaria I
Riva Gianluigi M GM
Yücel Murat M
Flayelle Maèva M
Hall Thomas T
Griffiths Morgan M
Zohar Joseph J
Study Outcome
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