University of Hertfordshire

From the same journal

By the same authors

Documents

  • Josè M Menchon
  • Bernardo Dell'Osso
  • Matthias Brand
  • Marc Potenza
  • Samuel R Chamberlain
  • Giovanna Cirnigliaro
  • Christine Lochner
  • Joël Billieux
  • Zsolt Demetrovics
  • Hans Jürgen Rumpf
  • Astrid Muller
  • Jesús Castro-Calvo
  • Eric Hollander
  • Julius Burkauskas
  • Edna Grünblatt
  • Susanne Walitza
  • Daniel L King
  • Dan J. Stein
  • Jon E Grant
  • Stefano Pallanti
  • Henrietta Bowden-Jones
  • Michael Van Ameringen
  • Konstantinos Ioannidis
  • Lior Carmi
  • Anna E Goudriaan
  • Giovanni Martinotti
  • Celia M Sales
  • Biljiana Gjoneska
  • Orsolya Király
  • Beatrice Benatti
  • Matteo Vismara
  • Lucas Pellegrini
  • Dario Conti
  • Ilaria Cataldo
  • Gianluigi M Riva
  • Murat Yücel
  • Maèva Flayelle
  • Thomas Hall
  • Morgan Griffiths
  • Joseph Zohar
View graph of relations
Original languageEnglish
Article number152346
Number of pages24
JournalComprehensive Psychiatry
Volume118
Early online date16 Aug 2022
DOIs
Publication statusPublished - 30 Oct 2022

Abstract

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.

Notes

© 2022 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND licence. https://creativecommons.org/licenses/by-nc-nd/4.0/

ID: 31509182