Problematic internet use: Proposed classification and diagnostic criteria

Nathan A. Shapira, Mary Lessig, Toby D. Goldsmith, Steven T. Szabo, Martin Lazoritz, Mark S. Gold, Dan J. Stein

Depression and Anxiety · 2003 · 762 citations · 46 references

Concepts

TL;DR

Problematic internet use has been reported since the mid‑1990s, is expected to rise with expanding access, and is frequently comorbid with other psychiatric disorders, underscoring the need for clinicians to be aware of its associated problems. The study aims to determine whether problematic internet use constitutes a distinct disorder or a coping mechanism for other conditions, and to develop diagnostic criteria for its identification. The authors propose specific diagnostic criteria to enable consistent identification and facilitate further research. Problematic internet use impairs social and emotional functioning and, based on limited evidence, may best be classified as an impulse control disorder.

Abstract

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.

References

46