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ADHD Attention Deficit and Hyperactivity Disorders

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01-12-2019 | Addiction | Original Article

Relationships of Internet addiction and Internet gaming disorder symptom severities with probable attention deficit/hyperactivity disorder, aggression and negative affect among university students

Authors: Cuneyt Evren, Bilge Evren, Ercan Dalbudak, Merve Topcu, Nilay Kutlu

Published in: ADHD Attention Deficit and Hyperactivity Disorders | Issue 4/2019

Abstract

The aim of the present study was to evaluate relationships of Internet addiction (IA) and Internet gaming disorder (IGD) symptom severities with probable attention deficit/hyperactivity disorder (ADHD) and aggression among university students, while controlling the effects of anxiety and depressive symptoms. The study was conducted with online survey among 1509 volunteered university students in Ankara who regularly use the Internet, among whom we conducted analyses related with IA. Among these students, 987 of them, who play video games, were included in the analyses related with IGD. Correlation analyses revealed that the severities of the scale scores were mildly correlated with each other both among students who regularly use the Internet and students who play video games. Probable ADHD was associated with the severity of IA symptoms, together with depression and aggression, particularly physical aggression and hostility, in ANCOVA analyses. Similarly probable ADHD was also associated with the severity of IGD symptoms, together with depression and aggression, particularly physical aggression, anger and hostility, in ANCOVA analyses. These findings suggest that the presence of probable ADHD is related with both severity of IA and IGD symptoms, together with aggression and depression.

Alavi SS, Maracy MR, Jannatifard F et al (2011) The effect of psychiatric symptoms on the internet addiction disorder in Isfahan’s University students. J Res Med Sci 16:793–800PubMedPubMedCentral

American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders: fourth edition (DSM-IV-TR). American Psychiatric Press, WashingtonCrossRef

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, ArlingtonCrossRef

Anderson CA, Bushman BJ (2002) Human aggression. Annu Rev Psychol 53:27–51PubMedCrossRef

Anderson CA, Shibuya A, Ihori N et al (2010) Violent video game effects on aggression, empathy, and prosocial behavior in eastern and western countries: a meta-analytic review. Psychol Bull 136:151–173PubMedCrossRef

Bácskai E, Czobor P, Gerevich J (2012) Trait aggression, depression and suicidal behavior in drug dependent patients with and without ADHD symptoms. Psychiatry Res 200:719–723PubMedCrossRef

Barlett CP, Harris RJ, Baldassaro R (2007) Longer you play, the more hostile you feel: examination of first person shooter video games and aggression during video game play. Aggress Behav 33:486–497PubMedCrossRef

Bielefeld M, Drews M, Putzig I et al (2017) Comorbidity of Internet use disorder and attention deficit hyperactivity disorder: two adult case–control studies. J Behav Addict 6:490–504PubMedPubMedCentralCrossRef

Bioulac S, Arfi L, Bouvard MP (2008) Attention deficit/hyperactivity disorder and video games: a comparative study of hyperactive and control children. Eur Psychiat 23:134–141CrossRef

Browne KD, Hamilton-Giachritsis C (2005) The influence of violent media on children and adolescents: a public-health approach. Lancet 365:702–710PubMedCrossRef

Bubenzer-Busch S, Herpertz-Dahlmann B, Kuzmanovic B et al (2016) Neural correlates of reactive aggression in children with attention-deficit/hyperactivity disorder and comorbid disruptive behaviour disorders. Acta Psychiatr Scand 133:310–323PubMedCrossRef

Buss AH, Perry M (1992) The aggression questionnaire. J Pers Soc Psychol 63:452–459PubMedCrossRef

Caplan SE (2002) Problematic Internet use and psycho-social wellbeing: development of a theory based cognitive-behavioral measurement instrument. Comput Human Behav 18:553–575CrossRef

Carli V, Durkee T, Wasserman D et al (2013) The association between pathological Internet use and comorbid psychopathology: a systematic review. Psychopathology 46:1–13PubMedCrossRef

Chamberlain SR, Ioannidis K, Leppink EW, Niaz F, Redden SA, Grant JE (2017) ADHD symptoms in non-treatment seeking young adults: relationship with other forms of impulsivity. CNS Spectr 22:22–30PubMedCrossRef

Choo H, Gentile DA, Sim T et al (2010) Pathological video gaming among Singaporean youth. Ann Acad Med Singapore 39:822–829PubMed

Dag I (1991) Reliability and validity of Symptom Check List-90-Revised among university students. Turk Psikiyatri Derg 2:5–12

Dalbudak E, Evren C (2014) The relationship of Internet addiction severity with attention deficit hyperactivity disorder symptoms in Turkish university students; impact of personality traits, depression and anxiety. Compr Psychiatry 55:497–503PubMedCrossRef

Dalbudak E, Evren C, Aldemir S et al (2013) Relationship of internet addiction severity with depression, anxiety, and alexithymia, temperament and character in university students. Cyberpsychol Behav Soc Netw 16:272–278PubMedCrossRef

Dalbudak E, Evren C, Aldemir S et al (2015) The impact of sensation seeking on the relationship between attention deficit/hyperactivity symptoms and severity of Internet addiction risk. Psychiatry Res 228:156–161PubMedCrossRef

Derogatis LR (1983) SCL-90. Administration, Scoring and Procedure Manual-II for the revised version. Clinical Psychometric Research, Towson

Dogan S, Oncu B, Varol-Saracoglu G et al (2009) Validity and reliability of the Turkish version of the Adult ADHD Self-Report Scale (ASRS-v1.1). Anatol J Psychiatry 10:77–87

Dong G, Lu Q, Zhou H et al (2011) Precursor or sequela: pathological disorders in people with Internet addiction disorder. PLoS ONE 6:e14703PubMedPubMedCentralCrossRef

Evren C, Cinar O, Celik S et al (2011) Reliability and validity of Turkish Version the Buss-Perry’s Aggression Questionnaire in male alcohol dependent inpatients. Dusunen Adam J Psychiatry Neurol Sci 24:283–295CrossRef

Evren C, Dalbudak E, Topcu M et al (2018a) Psychometric validation of the Turkish nine-item Internet Gaming Disorder Scale-Short Form (IGDS9-SF). Psychiatry Res 265:349–354PubMedCrossRef

Evren B, Evren C, Dalbudak E et al (2018b) Relationship of internet addiction severity with probable ADHD and difficulties in emotion regulation among young adults. Psychiatry Res 269:494–500PubMedCrossRef

Evren B, Evren C, Dalbudak E et al (2019) Neuroticism and introversion mediates the relationship between probable ADHD and symptoms of Internet gaming disorder: results of an online survey. Psychiatry Clin Psychopharmacol 1:2. https://doi.org/10.1080/24750573.2018.1490095 CrossRef

Faraone SV, Biederman J, Mick E (2006) The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 36:159–165PubMedCrossRef

Gámez-Guadix M (2014) Depressive symptoms and problematic internet use among adolescents: analysis of the longitudinal relationships from the cognitive-behavioral model. Cyberpsychol Behav Soc Netw 17:714–719PubMedPubMedCentralCrossRef

Gentile DA, Choo H, Liau A et al (2011) Pathological video game use among youths: a two-year longitudinal study. Pediatrics 127:319–329CrossRef

González-Bueso V, Santamaría JJ, Fernández D et al (2018) Association between Internet gaming disorder or pathological video-game use and comorbid psychopathology: a comprehensive review. Int J Environ Res Public Health 15(4):688CrossRef

Griffiths M (2005) A “components” model of addiction within a biopsychosocial framework. J Subst Use 10:191–197CrossRef

Grüsser SM, Tahlemann R, Griffiths MD (2007) Excessive computer game playing: evidence for addiction and aggression? Cyberpsychol Behav 10:290–292PubMedCrossRef

Ha JH, Yoo HJ, Cho IH et al (2006) Psychiatric comorbidity assessed in Korean children and adolescents who screen positive for Internet addiction. J Clin Psychiat 67:821–826CrossRef

Hahn C, Kim DJ (2014) Is there a shared neurobiology between aggression and Internet addiction disorder? J Behav Addict 3:12–20PubMedPubMedCentralCrossRef

Han DH, Kim SM, Bae S et al (2017) Brain connectivity and psychiatric comorbidity in adolescents with Internet gaming disorder. Addict Biol 22:802–812PubMedCrossRef

Harty SC, Miller CJ, Newcorn JH et al (2009) Adolescents with childhood ADHD and comorbid disruptive behavior disorders: aggression, anger, and hostility. Child Psychiatry Hum Dev 40:85–97PubMedCrossRef

Ho RC, Zhang MW, Tsang TY et al (2014) The association between internet addiction and psychiatric co-morbidity: a meta-analysis. BMC Psychiatry 14:183PubMedPubMedCentralCrossRef

Holtz P, Appel M (2011) Internet use and video gaming predict problem behavior in early adolescence. J Adolesc 34:49–58PubMedCrossRef

Huesmann LR (2007) The impact of electronic media violence: scientific theory and research. J Adolesc Health 41:6–13CrossRef

Huesmann LR, Taylor LD (2006) The role of media violence in violent behavior. Annu Rev Public Health 27:393–415PubMedCrossRef

Hwang JY, Choi JS, Gwak AR et al (2014) Shared psychological characteristics that are linked to aggression between patients with Internet addiction and those with alcohol dependence. Ann Gen Psychiatry 13:6PubMedPubMedCentralCrossRef

Kahraman Ö, Demirci EÖ (2018) Internet addiction and attention-deficit-hyperactivity disorder: effects of anxiety, depression and self-esteem. Pediatr Int 60:529–534PubMedCrossRef

Kayri M, Gunuc S (2009) The adaptation of internet addiction scale into Turkish: the study of validity and reliability. AU J Fac Educ Sci 42:157–175

Kessler RC, Adler L, Ames M et al (2005a) The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population. Psychol Med 35:245–256PubMedCrossRef

Kessler RC, Chiu WT, Demler O (2005b) Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62:617–627PubMedPubMedCentralCrossRef

Kessler RC, Adler L, Barkley R et al (2006) The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 163:716–723PubMedPubMedCentralCrossRef

Kessler RC, Adler LA, Gruber MJ et al (2007) Validity of the World Health Organization Adult ADHD Self-Report Scale (ASRS) screener in a representative sample of health plan members. Int J Methods Psychiatr Res 16:52–65PubMedPubMedCentralCrossRef

Kim K (2013) Association between Internet overuse and aggression in Korean adolescents. Pediatr Int 55:703–709PubMedCrossRef

Kim EJ, Namkoong K, Ku T et al (2008) The relationship between online game addiction and aggression, self-control and narcissistic personality traits. Eur Psychiatry 23:212–218PubMedCrossRef

Kim BS, Chang SM, Park JE et al (2016) Prevalence, correlates, psychiatric comorbidities, and suicidality in a community population with problematic Internet use. Psychiatry Res 244:249–256PubMedCrossRef

Kim D, Lee D, Lee J et al (2017) Association between childhood and adult attention deficit hyperactivity disorder symptoms in Korean young adults with Internet addiction. J Behav Addict 6:345–353PubMedPubMedCentralCrossRef

Kim E, Yim HW, Jeong H et al (2018) The association between aggression and risk of Internet gaming disorder in Korean adolescents: the mediation effect of father-adolescent communication style. Epidemiol Health 40:e2018039PubMedPubMedCentralCrossRef

Kitazawa M, Yoshimura M, Murata M et al (2018) Associations between problematic Internet use and psychiatric symptoms among university students in Japan. Psychiatry Clin Neurosci 72:531–539PubMedCrossRef

Ko CH, Yen JY, Yen CF et al (2007) Factors predictive for incidence and remission of Internet addiction in young adolescents: a prospective study. Cyberpsychol Behav 10:545–551PubMedCrossRef

Ko CH, Yen JY, Chen CS et al (2009a) Predictive values of psychiatric symptoms for Internet addiction in adolescents: a 2-year prospective study. Arch Pediatr Adolesc Med 163:937–943PubMedCrossRef

Ko CH, Yen JY, Liu SC et al (2009b) The associations between aggressive behaviors and Internet addiction and online activities in adolescents. J Adolesc Health 44:598–605PubMedCrossRef

Kühn S, Kugler DT, Schmalen K et al (2018) Does playing violent video games cause aggression? A longitudinal intervention study. Mol Psychiatry. https://doi.org/10.1038/s41380-018-0031-7 CrossRefPubMedPubMedCentral

Lampe K, Konrad K, Kroener S et al (2007) Neuropsychological and behavioural disinhibition in adult ADHD compared to borderline personality disorder. Psychol Med 37:1717–1729PubMedCrossRef

LaRose R, Lin CA, Eastin MS (2003) Unregulated Internet usage: addiction, habit, or deficient self-regulation? Media Psychol 5:225–253CrossRef

Lee SY, Lee HK, Bang SY et al (2018) Aggression and harm-avoidant trait impede recovery from internet gaming disorder. Front Psychiatry 9:263PubMedPubMedCentralCrossRef

Leménager T, Hoffmann S, Dieter J et al (2018) The links between healthy, problematic, and addicted Internet use regarding comorbidities and self-concept-related characteristics. J Behav Addict 7:31–43PubMedPubMedCentralCrossRef

Lemmens JS, Valkenburg P, Peter J (2009) Development and validation of a game addiction scale for adolescents. Media Psychol 12:77–95CrossRef

Lim JA, Gwak AR, Park SM et al (2015) Are adolescents with internet addiction prone to aggressive behavior? The mediating effect of clinical comorbidities on the predictability of aggression in adolescents with internet addiction. Cyberpsychol Behav Soc Netw 18:260–267PubMedPubMedCentralCrossRef

Liu L, Yao YW, Li CR et al (2018) The comorbidity between Internet gaming disorder and depression: interrelationship and neural mechanisms. Front Psychiatry 9:154PubMedPubMedCentralCrossRef

Mannuzza S, Klein RG, Bessler A et al (1993) Adult outcome of hyperactive boys. Educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry 50:565–576PubMedCrossRef

Mazhari S (2012) Association between problematic internet use and impulse control disorders among Iranian university students. Cyberpsychol Behav Soc Netw 15:270–273PubMedCrossRef

Mehroof M, Griffiths MD (2010) Online gaming addiction: the role of sensation seeking, self-control, neuroticism, aggression, state anxiety, and trait anxiety. Cyberpsychol Behav Soc Netw 13:313–316PubMedCrossRef

Nichols LA, Nicki R (2004) Development of a psychometrically sound internet addiction scale: a preliminary step. Psychol Addict Behav 18:381–384PubMedCrossRef

Peng W, Liu M, Mou Y (2008) Do aggressive people play violent computer games in a more aggressive way? Individual difference and idiosyncratic game-playing experience. Cyberpsychol Behav 11:157–161PubMedCrossRef

Pontes HM, Griffiths MD (2015) Measuring DSM-5 Internet gaming disorder: development and validation of a short psychometric scale. Comput Human Behav 45:137–143CrossRef

Prada P, Hasler R, Baud P et al (2014) Distinguishing borderline personality disorder from adult attention deficit/hyperactivity disorder: a clinical and dimensional perspective. Psychiatry Res 217:107–114PubMedCrossRef

Ramirez CA, Rosén LA, Deffenbacher JL et al (1997) Anger and anger expression in adults with high ADHD symptoms. J Atten Disord 2:115–128CrossRef

Saylor KE, Amann BH (2016) Impulsive aggression as a comorbidity of attention-deficit/hyperactivity disorder in children and adolescents. J Child Adolesc Psychopharmacol 26:19–25PubMedPubMedCentralCrossRef

Shapira NA, Lessig MC, Goldsmith TD et al (2003) Problematic Internet use: proposed classification and diagnostic criteria. Depress Anxiety 17:207–216PubMedCrossRef

te Wildt BT, Putzig I, Zedler M et al (2007) Internet dependency as a symptom of depressive mood disorders. Psychiatr Prax 34(Suppl 3):318–322 (German) CrossRef

Weinstein A, Weizman A (2012) Emerging association between addictive gaming and attention-deficit/hyperactivity disorder. Curr Psychiat Rep 14:590–597CrossRef

Yen JY, Ko CH, Yen CF et al (2007) The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. J Adolesc Health 41:93–98PubMedCrossRef

Yen JY, Ko CH, Yen CF et al (2008) Psychiatric symptoms in adolescents with Internet addiction: comparison with substance use. Psychiatry Clin Neurosci 62:9–16PubMedCrossRef

Yen JY, Yen CF, Wu HY et al (2011) Hostility in the real world and online: the effect of Internet addiction, depression, and online activity. Cyberpsychol Behav Soc Netw 14:649–655PubMedCrossRef

Yen CF, Chou WJ, Liu TL et al (2014) Cyberbullying among male adolescents with attention-deficit/hyperactivity disorder: prevalence, correlates, and association with poor mental health status. Res Dev Disabil 35:3543–3553PubMedCrossRef

Yen JY, Liu TL, Wang PW et al (2017a) Association between Internet gaming disorder and adult attention deficit and hyperactivity disorder and their correlates: impulsivity and hostility. Addict Behav 64:308–313PubMedCrossRef

Yen JY, Yeh YC, Wang PW et al (2017b) Emotional regulation in young adults with Internet gaming disorder. Int J Environ Res Public Health 15(1):30PubMedCentralCrossRef

Yu H (2016) Development of an Internet gaming disorder scale based on the DSM-5’s nine diagnostic criteria with South Korean gamer samples. In: Lex P, Lee A (eds) Transnational contexts of development history, sociality, and society of play: video games in East Asia. Palgrave Macmillan, New York, pp 211–236CrossRef

Yu H, Cho J (2016) Prevalence of Internet gaming disorder among Korean adolescents and associations with non-psychotic psychological symptoms, and physical aggression. Am J Health Behav 40:705–716PubMedCrossRef

Zboralski K, Orzechowska A, Talarowska M et al (2009) The prevalence of computer and Internet addiction among pupils. Postepy Hig Med Dosw (Online) 63:8–12

Title: Relationships of Internet addiction and Internet gaming disorder symptom severities with probable attention deficit/hyperactivity disorder, aggression and negative affect among university students
Authors: Cuneyt Evren
Bilge Evren
Ercan Dalbudak
Merve Topcu
Nilay Kutlu
Publication date: 01-12-2019
Publisher: Springer Vienna
Keywords: Addiction
Mood Disorders
Attention Deficit Hyperactivity Disorder
Addiction
Affective Disorder
Attention Deficit Hyperactivity Disorder
Anxiety
Published in: ADHD Attention Deficit and Hyperactivity Disorders / Issue 4/2019
Print ISSN: 1866-6116
Electronic ISSN: 1866-6647
DOI: https://doi.org/10.1007/s12402-019-00305-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Relationships of Internet addiction and Internet gaming disorder symptom severities with probable attention deficit/hyperactivity disorder, aggression and negative affect among university students

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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