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      Risk and Protective Factors of Internet Addiction: A Meta-Analysis of Empirical Studies in Korea

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          Abstract

          Purpose

          A meta-analysis of empirical studies performed in Korea was conducted to systematically investigate the associations between the indices of Internet addiction (IA) and psychosocial variables.

          Materials and Methods

          Systematic literature searches were carried out using the Korean Studies Information Service System, Research Information Sharing Service, Science Direct, Google Scholar, and references in review articles. The key words were Internet addiction, (Internet) game addiction, and pathological, problematic, and excessive Internet use. Only original research papers using Korean samples published from 1999 to 2012 and officially reviewed by peers were included for analysis. Ninety-five studies meeting the inclusion criteria were identified.

          Results

          The magnitude of the overall effect size of the intrapersonal variables associated with internet addiction was significantly higher than that of interpersonal variables. Specifically, IA demonstrated a medium to strong association with "escape from self" and "self-identity" as self-related variables. "Attention problem", "self-control", and "emotional regulation" as control and regulation-relation variables; "addiction and absorption traits" as temperament variables; "anger" and "aggression" as emotion and mood and variables; "negative stress coping" as coping variables were also associated with comparably larger effect sizes. Contrary to our expectation, the magnitude of the correlations between relational ability and quality, parental relationships and family functionality, and IA were found to be small. The strength of the association between IA and the risk and protective factors was found to be higher in younger age groups.

          Conclusion

          The findings highlight a need for closer examination of psychosocial factors, especially intrapersonal variables when assessing high-risk individuals and designing intervention strategies for both general IA and Internet game addiction.

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          Most cited references220

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          A cognitive-behavioral model of pathological Internet use

          R.A. Davis (2001)
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            The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility.

            To: (1) determine the association between Internet addiction and depression, self-reported symptoms of attention deficit and hyperactivity disorder (ADHD), social phobia, and hostility for adolescents; and (2) evaluate the sex differences of association between Internet addiction and the above-mentioned psychiatric symptoms among adolescents. A total of 2114 students (1204 male and 910 female) were recruited for the study. Internet addiction, symptoms of ADHD, depression, social phobia, and hostility were evaluated by the self-report questionnaire. The results demonstrated that adolescents with Internet addiction had higher ADHD symptoms, depression, social phobia, and hostility. Higher ADHD symptoms, depression, and hostility are associated with Internet addiction in male adolescents, and only higher ADHD symptoms and depression are associated with Internet addiction in female students. These results suggest that Internet addiction is associated with symptoms of ADHD and depressive disorders. However, hostility was associated with Internet addiction only in males. Effective evaluation of, and treatment for ADHD and depressive disorders are required for adolescents with Internet addiction. More attention should be paid to male adolescents with high hostility in intervention of Internet addiction.
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              Relations among loneliness, social anxiety, and problematic Internet use.

              The model of problematic Internet use advanced and tested in the current study proposes that individuals' psychosocial well-being, along with their beliefs about interpersonal communication (both face-to-face and online) are important cognitive predictors of negative outcomes arising from Internet use. The study examined the extent to which social anxiety explains results previously attributed to loneliness as a predictor of preference for online social interaction and problematic Internet use. The results support the hypothesis that the relationship between loneliness and preference for online social interaction is spurious, and that social anxiety is the confounding variable.
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                Author and article information

                Journal
                Yonsei Med J
                Yonsei Med. J
                YMJ
                Yonsei Medical Journal
                Yonsei University College of Medicine
                0513-5796
                1976-2437
                01 November 2014
                08 October 2014
                : 55
                : 6
                : 1691-1711
                Affiliations
                Department of Psychology, College of Liberal Arts, Korea University, Seoul, Korea.
                Author notes
                Corresponding author: Jung-Hye Kwon, PhD, Department of Psychology, College of Liberal Arts, Korea University, 73 Inchon-ro, Seongbuk-gu, Seoul 136-705, Korea. Tel: 82-2-3290-2067, Fax: 82-2-3290-2060, junghye@ 123456korea.ac.kr
                Article
                10.3349/ymj.2014.55.6.1691
                4205713
                25323910
                ce80461a-268a-42bd-8f26-a97f35fff011
                © Copyright: Yonsei University College of Medicine 2014

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 08 October 2013
                : 19 April 2014
                : 30 April 2014
                Funding
                Funded by: Korea University
                Funded by: National Research Foundation of Korea
                Award ID: NRF-2011-330-B00240
                Categories
                Original Article
                Psychiatry, Psychology

                Medicine
                internet addiction,meta-analysis,risk factors,protective factors,psychological variables
                Medicine
                internet addiction, meta-analysis, risk factors, protective factors, psychological variables

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