Internet-Based Self-Assessment for Symptoms of Internet Use Disorder-Impact of Gender, Social Aspects, and Symptom Severity: German Cross-sectional Study

被引:5
作者
Dieris-Hirche, Jan [1 ]
Bottel, Laura [1 ]
Herpertz, Stephan [1 ]
Timmesfeld, Nina [2 ]
te Wildt, Bert Theodor [1 ,3 ]
Woelfling, Klaus [4 ]
Henningsen, Peter [5 ]
Neumann, Anja [6 ]
Beckers, Rainer [7 ]
Pape, Magdalena [1 ]
机构
[1] Ruhr Univ Bochum, LWL Univ Hosp, Dept Psychosomat Med & Psychotherapy, Bochum, Germany
[2] Ruhr Univ Bochum, Dept Med Informat Biometry & Epidemiol, Bochum, Germany
[3] Psychosomat Hosp Diessen Monastery, Diessen, Germany
[4] Johannes Gutenberg Univ Mainz, Univ Med Ctr, Dept Psychosomat Med & Psychotherapy, Outpatient Clin Behav Addict, Mainz, Germany
[5] Tech Univ Munich, Univ Hosp Rechts Isar, Dept Psychosomat Med & Psychotherapy, Munich, Germany
[6] Univ Duisburg Essen, Inst Hlth Care Management & Res, Essen, Germany
[7] Competence Ctr Healthcare Telemat, Hagen, Germany
关键词
internet use disorder; eHealth; telemedicine; internet addiction; gaming disorder; OMPRIS; internet use; online self-assessment; self-assessment; eHealth services; GAMING DISORDER; COMPUTER GAME; ADDICTION; PREVALENCE; METAANALYSIS; SAMPLE;
D O I
10.2196/40121
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Internet use disorder (IUD) is a new type of behavioral addiction in the digital age. At the same time, internet applications and eHealth can also provide useful support in medical treatment. Objective: The purpose of this study is to examine if an internet-based eHealth service can reach individuals with IUD. In particular, it should be investigated whether both male and female individuals with more severe IUDs can be reached. Methods: Data were retrieved from the OMPRIS (online-based motivational intervention to reduce problematic internet use and promote treatment motivation in internet gaming disorder and internet use disorder) project (DRKS00019925), an internet-based motivational intervention to reduce problematic internet use and promote treatment motivation in internet gaming disorder and IUD. During the recruitment process (August 2020-March 2022), a total of 3007 individuals filled out the standardized scale for the assessment of internet and computer game addiction (AICA-S). The assessment was accessible via the project homepage. There was no preselection of participants at this stage of the study; however, the offer was addressed to people with hazardous internet use and IUDs. The web-based assessment was free and could be found via search engines, but attention was also drawn to the service via newspaper articles, radio reports, and podcasts. Results: Out of 3007 who participated in the web-based self-assessment, 1033 (34.4%) are female, 1740 (57.9%) are male, 67 (2.2%) are diverse individuals, and 167 (5.5%) did not disclose their gender. The IUD symptom severity score showed a wide range between the AICA-S extreme values of 0 and 27 points. On average, the total sample (mean 8.19, SD 5.47) was in the range of hazardous IUD behavior (AICA-S cutoff>7.0). Furthermore, 561 individuals (18.7% of the total sample; mean 17.42, SD 3.38) presented severe IUD (AICA-S cutoff>13.5). Focusing on female and male participants, 20.9% (363/1740) of the men and 14.9% (151/1033) of the women scored above 13.5 points, which can be considered pathological IUD behavior (chi(2)(2,2773)=16.73, P<.001, effect size: Cramer V=0.078). Unemployment, being in vocational training or studying at a university, and being male were significantly associated with high IUD symptoms. Conclusions: Using a large sample, the study showed that both mildly and severely IUD-affected individuals can be reached via the internet. An internet-based eHealth offer can thus be a good way to reach patients with IUD where they are addicted-on the internet. In addition, eHealth services increase the likelihood of reaching female patients, who hardly ever come to specialized outpatient clinics and hospitals. Since social problems, especially unemployment, have a strong association with disease severity, the integration of social counseling into treatment seems advisable in terms of a multidisciplinary approach.
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页数:13
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