Vladimir Carli|Tony Durkee|Danuta Wasserman|Gergö Hadlaczky|Romain Despalins|Emilia Kramarz|Camilla Wasserman|Marco Sarchiapone|Christina W. Hoven|Romuald Brunner|Michael Kaess
The Association between Pathological Internet Use and Comorbid Psychopathology: A Systematic Review
Karolinska Institutet|Karolinska Institutet|Karolinska Institutet|Karolinska Institutet|Karolinska Institutet|Karolinska Institutet|University of Molise|New York Psychoanalytic Society and Institute|Columbia University|University of Molise|Columbia University|Heidelberg University|Heidelberg University|Orygen Youth Health
pathological internet use piu conceptualized impulsecontrol disorder shares characteristics behavioral addiction research indicated potential link piu psychopathology however significance correlation remains ambiguous primary objective systematic review identify evaluate studies performed correlation piu comorbid psychopathology secondary aims map geographical distribution studies present current synthesis evidence assess quality available researchan electronic literature search conducted using following databases medline psycarticles psychinfo global health web science piu known synonyms included search data extracted based piu psychopathology including depression anxiety symptoms attention deficit hyperactivity disorder adhd obsessivecompulsive symptoms social phobia hostilityaggression effect sizes correlations observed identified either respective publication calculated using cohens r2 potential effect publication bias assessed using funnel plot model evaluated eggers test based linear regressionthe majority research conducted asia comprised crosssectional designs one prospective study identified twenty articles met preset inclusion exclusion criteria 75 reported significant correlations piu depression 57 anxiety 100 symptoms adhd 60 obsessivecompulsive symptoms 66 hostilityaggression study reported associations piu social phobia majority studies reported higher rate piu among males females relative risks ranged 102 1166 strongest correlations observed piu depression weakest hostilityaggressiondepression symptoms adhd appeared significant consistent correlation piu associations reported higher among males age groups limitations included heterogeneity definition diagnosis piu studies prospective designs western countries critically needed