Authors:
Klaus Wölfling Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Johannes Gutenberg University Mainz, Mainz, Germany

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Manfred E. Beutel Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Johannes Gutenberg University Mainz, Mainz, Germany

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Michael Dreier Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Johannes Gutenberg University Mainz, Mainz, Germany

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Kai W. Müller Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Johannes Gutenberg University Mainz, Mainz, Germany

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Background and aims

Behavioral addictions and bipolar disorders have a certain probability of co-occurrence. While the presence of a manic episode has been defined as an exclusion criterion for gambling disorder, no such exclusion has been formulated for Internet addiction.

Methods

A clinical sample of 368 treatment seekers presenting with excessive to addictive Internet use was screened for bipolar spectrum disorders using the Mood Disorder Questionnaire. Psychopathology was assessed by the Symptom Checklist 90R and a clinical interview was administered to screen for comorbid disorders.

Results

Comorbid bipolar disorders were more frequent in patients meeting criteria for Internet addiction (30.9%) than among the excessive users (5.6%). This subgroup showed heightened psychopathological symptoms, including substance use disorders, affective disorders and personality disorders. Further differences were found regarding frequency of Internet use regarding social networking sites and online-pornography.

Discussion

Patients with Internet addiction have a heightened probability for meeting criteria of bipolar disorders. It is not possible to draw conclusions regarding the direction of this association but it is recommended to implement screening for bipolar disorders in patients presenting with Internet addiction.

Conclusion

Similar to gambling disorder, it might prove necessary to subsume bipolar disorders as an exclusion criterion for the future criteria of Internet addiction.

  • American Psychiatric Association. (2013). The Diagnostic and Statistical Manual of Mental Disorders: DSM 5. bookpointUS

  • Bernardi, S. & Pallanti, S (2009). Internet addiction: A descriptive study focusing on comorbidities and dissociative symptoms. Comprehensive Psychiatry, 50(6), 510516

    • Search Google Scholar
    • Export Citation
  • Brophy, C. J., Norvell, N. K. & Kiluk, D. J. (1988). An examination of factor structure and convergent validity of the SCL-90-R in an outpatient clinic population. Journal of Personality Assessment, 52, 334340

    • Search Google Scholar
    • Export Citation
  • Carli, V., Durkee, T., Wasserman, D., Hadlaczky, G., Despalins, R., Kramarz, E., Wasserman, C., Sarchiapone, M., Hoven, C. W., Brunner, R. & Kaess, M. (2012). The association between pathological Internet use and comorbid psychopathology: A systematic review. Psychopathology, 46(1), 113

    • Search Google Scholar
    • Export Citation
  • Derogatis, L. R. (1977). SCL-90. Administration, scoring and proceduresmanual-I for the R (revised) version and other instrumentsof the Psychopathology Rating Scales Series. Chicago: Johns Hopkins University School of Medicine

    • Search Google Scholar
    • Export Citation
  • Frascella, J., Potenza, M. N., Brown, L. L. & Childress, A. R. (2010). Shared brain vulnerabilities open the way for nonsubstance addictions: Carving addiction at a new joint? Annals ofthe New York Academy of Sciences, 1187, 294315

    • Search Google Scholar
    • Export Citation
  • Hirschfeld, R. M. A., Williams, J. B. W., Spitzer, R. L., Calabrese, J. R., Flynn, L., Keck, P. E., Lewis, L., McElroy, S. L., Post, R. M., Rapport, D. J., Russell, J. M., Sachs, G. S. & Zajecka, J. (2000). Development and validation of a screening instrument for bipolar spectrum disorder: The Mood Disorder Questionnaire. American Journal of Psychiatry, 157, 18731875

    • Search Google Scholar
    • Export Citation
  • Kawa, I., Carter, J. D., Joyce, P. R., Doughty, C. J., Frampton, C. M., Wells, E., Walsh, A. E. S. & Olds, R. J. (2005). Gender differences in bipolar disorder: Age of onset, course, comorbidity, and symptom presentation. Bipolar Disorders, 7(2), 119125

    • Search Google Scholar
    • Export Citation
  • Ko, C. H., Yen, J. Y., Chen, C. C., Chen, S. H. & Yen, C. F. (2005). Proposed diagnostic criteria of Internet addiction for adolescents. Journal of Nervous and Mental Disease, 193(11), 728733

    • Search Google Scholar
    • Export Citation
  • Ko, C. H., Liu, G. C., Yen, J. Y., Chen, C. Y., Yen, C. F. & Chen, C. S. (2013). Brain correlates of craving for online gaming under cue exposure in subjects with Internet gaming addiction and in remitted subjects. Addiction Biology, 18(3), 559569

    • Search Google Scholar
    • Export Citation
  • Ko, C. H., Yen, J. Y., Yen, C. F., Chen, C. S. & Chen, C. C. (2012). The association between Internet addiction and psychiatric disorder: A review of the literature. European Psychiatry, 27(1), 18

    • Search Google Scholar
    • Export Citation
  • Kelley, K. J. & Gruber, E. M. (2013). Problematic Internet use and physical health. Journal of Behavioral Addictions, 2(2), 108112

  • Lish, J. D., Dime-Meenan, S., Whybrow, P. C., Price, R. A. & Hirschfeld, R. M. (1994). The National Depressive and Manic-Depressive Association (National DMDA) survey of bipolar members. Journal of Affective Disorders, 31(4), 281394

    • Search Google Scholar
    • Export Citation
  • Miller, C. J., Klugman, J., Berv, D. A., Rosenquist, K. J. & Ghaemi S. N. (2004). Sensitivity and specificity of the Mood Disorder Questionnaire for detecting bipolar disorder. Journal of Affective Disorders, 81(2), 167171

    • Search Google Scholar
    • Export Citation
  • Morrison, C. M. & Gore, H. (2010). The relationship between excessive Internet use and depression: A questionnaire-based study of 1, 319 young people and adults. Psychopathology, 43(2), 121126

    • Search Google Scholar
    • Export Citation
  • Müller, K. W., Beutel, M. E. & Wölfling, K. (2014). A contribution to the clinical characterization of Internet Addiction in a sample of treatment seekers: Validity of assessment, severity of psychopathology and type of co-morbidity. Comprehensive Psychiatry, 55(4), 770777

    • Search Google Scholar
    • Export Citation
  • Müller, K. W. & Wölfling, K. (2012). Clinical data on co-morbid bipolar symptoms in patients with Internet addiction. Bipolar Disorders, 14, 8 [Meeting Abstract]

    • Search Google Scholar
    • Export Citation
  • Müller, K. W., Glaesmer, H., Brähler, E., Wölfling, K. & Beutel, M. E. (2014). Internet addiction in the general population. Results from a German population-based survey. Behavior & Information Technology, 33(7), 757766

    • Search Google Scholar
    • Export Citation
  • Sapir, R., Zohar, A. H., Bersudsky, Y., Belmaker, R. H. & Osher, Y. (2013). Behavioral addictions in euthymic patients with bipolar I disorder: A comparison to controls. International Journal of Bipolar Disorders, 1(27), 16

    • Search Google Scholar
    • Export Citation
  • Shapira, N. A., Goldsmith, T. D., Keck, P. E., Khosla, U. M. & McElroy, S. L. (2000). Psychiatric features of individuals with problematic Internet use. Journal of Affective Disorders, 57(13), 267272

    • Search Google Scholar
    • Export Citation
  • Tonioni, F., D’Alessandris, L., Lai, C., Martinelli, D., Corvino, S., Vasale, M., Fanella, F., Aceto, P. & Bria, P. (2012). Internet addiction: Hours spent online, behaviors and psychological symptoms. General Hospital Psychiatry, 34(1), 8087

    • Search Google Scholar
    • Export Citation
  • Van Rooij, A. J. & Prause, N. (2014). A critical review of “Internet addiction” criteria with suggestions for the future. Journal of Behavioral Addictions, 3(4), 203213

    • Search Google Scholar
    • Export Citation
  • Wölfling, K., Müller, K. & Beutel, M. (2010). Diagnostische Testverfahren: Skala zum Onlinesuchtverhalten bei Erwachsenen (OSVe-S) [Diagnostic inventories: Scale for the Assessment of Internet and Computer Game Addiction (AICA-S)]. In D. Mücken, A. Teske, F. Rehbein & B. Wildt (Eds), Prävention, Diagnostikund Therapie von Computerspielabhängigkeit [Prevention, diagnostics, and therapy of computer game addiction] (pp. 212215). Lengerich, Germany: Pabst Science Publishers

    • Search Google Scholar
    • Export Citation
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Dr. Zsolt Demetrovics
Institute of Psychology, ELTE Eötvös Loránd University
Address: Izabella u. 46. H-1064 Budapest, Hungary
Phone: +36-1-461-2681
E-mail: jba@ppk.elte.hu

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2023  
Web of Science  
Journal Impact Factor 6.6
Rank by Impact Factor Q1 (Psychiatry)
Journal Citation Indicator 1.59
Scopus  
CiteScore 12.3
CiteScore rank Q1 (Clinical Psychology)
SNIP 1.604
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SJR index 2.188
SJR Q rank Q1

Journal of Behavioral Addictions
Publication Model Gold Open Access
Submission Fee none
Article Processing Charge 990 EUR/article
Effective from  1st Feb 2025:
1400 EUR/article
Regional discounts on country of the funding agency World Bank Lower-middle-income economies: 50%
World Bank Low-income economies: 100%
Further Discounts Corresponding authors, affiliated to an EISZ member institution subscribing to the journal package of Akadémiai Kiadó: 100%.
Subscription Information Gold Open Access

Journal of Behavioral Addictions
Language English
Size A4
Year of
Foundation
2011
Volumes
per Year
1
Issues
per Year
4
Founder Eötvös Loránd Tudományegyetem
Founder's
Address
H-1053 Budapest, Hungary Egyetem tér 1-3.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2062-5871 (Print)
ISSN 2063-5303 (Online)

Senior editors

Editor(s)-in-Chief: Zsolt DEMETROVICS

Assistant Editor(s): 

Csilla ÁGOSTON

Dana KATZ

Associate Editors

  • Stephanie ANTONS (Universitat Duisburg-Essen, Germany)
  • Joel BILLIEUX (University of Lausanne, Switzerland)
  • Beáta BŐTHE (University of Montreal, Canada)
  • Matthias BRAND (University of Duisburg-Essen, Germany)
  • Daniel KING (Flinders University, Australia)
  • Gyöngyi KÖKÖNYEI (ELTE Eötvös Loránd University, Hungary)
  • Ludwig KRAUS (IFT Institute for Therapy Research, Germany)
  • Marc N. POTENZA (Yale University, USA)
  • Hans-Jurgen RUMPF (University of Lübeck, Germany)
  • Ruth J. VAN HOLST (Amsterdam UMC, The Netherlands)

Editorial Board

  • Sophia ACHAB (Faculty of Medicine, University of Geneva, Switzerland)
  • Alex BALDACCHINO (St Andrews University, United Kingdom)
  • Judit BALÁZS (ELTE Eötvös Loránd University, Hungary)
  • Maria BELLRINGER (Auckland University of Technology, Auckland, New Zealand)
  • Henrietta BOWDEN-JONES (Imperial College, United Kingdom)
  • Damien BREVERS (University of Luxembourg, Luxembourg)
  • Julius BURKAUSKAS (Lithuanian University of Health Sciences, Lithuania)
  • Gerhard BÜHRINGER (Technische Universität Dresden, Germany)
  • Silvia CASALE (University of Florence, Florence, Italy)
  • Luke CLARK (University of British Columbia, Vancouver, B.C., Canada)
  • Jeffrey L. DEREVENSKY (McGill University, Canada)
  • Geert DOM (University of Antwerp, Belgium)
  • Nicki DOWLING (Deakin University, Geelong, Australia)
  • Hamed EKHTIARI (University of Minnesota, United States)
  • Jon ELHAI (University of Toledo, Toledo, Ohio, USA)
  • Ana ESTEVEZ (University of Deusto, Spain)
  • Fernando FERNANDEZ-ARANDA (Bellvitge University Hospital, Barcelona, Spain)
  • Naomi FINEBERG (University of Hertfordshire, United Kingdom)
  • Sally GAINSBURY (The University of Sydney, Camperdown, NSW, Australia)
  • Belle GAVRIEL-FRIED (The Bob Shapell School of Social Work, Tel Aviv University, Israel)
  • Biljana GJONESKA (Macedonian Academy of Sciences and Arts, Republic of North Macedonia)
  • Marie GRALL-BRONNEC (University Hospital of Nantes, France)
  • Jon E. GRANT (University of Minnesota, USA)
  • Mark GRIFFITHS (Nottingham Trent University, United Kingdom)
  • Joshua GRUBBS (University of New Mexico, Albuquerque, NM, USA)
  • Anneke GOUDRIAAN (University of Amsterdam, The Netherlands)
  • Susumu HIGUCHI (National Hospital Organization Kurihama Medical and Addiction Center, Japan)
  • David HODGINS (University of Calgary, Canada)
  • Eric HOLLANDER (Albert Einstein College of Medicine, USA)
  • Zsolt HORVÁTH (Eötvös Loránd University, Hungary)
  • Susana JIMÉNEZ-MURCIA (Clinical Psychology Unit, Bellvitge University Hospital, Barcelona, Spain)
  • Yasser KHAZAAL (Geneva University Hospital, Switzerland)
  • Orsolya KIRÁLY (Eötvös Loránd University, Hungary)
  • Chih-Hung KO (Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Taiwan)
  • Shane KRAUS (University of Nevada, Las Vegas, NV, USA)
  • Hae Kook LEE (The Catholic University of Korea, Republic of Korea)
  • Bernadette KUN (Eötvös Loránd University, Hungary)
  • Katerina LUKAVSKA (Charles University, Prague, Czech Republic)
  • Giovanni MARTINOTTI (‘Gabriele d’Annunzio’ University of Chieti-Pescara, Italy)
  • Gemma MESTRE-BACH (Universidad Internacional de la Rioja, La Rioja, Spain)
  • Astrid MÜLLER (Hannover Medical School, Germany)
  • Daniel Thor OLASON (University of Iceland, Iceland)
  • Ståle PALLESEN (University of Bergen, Norway)
  • Afarin RAHIMI-MOVAGHAR (Teheran University of Medical Sciences, Iran)
  • József RÁCZ (Hungarian Academy of Sciences, Hungary)
  • Michael SCHAUB (University of Zurich, Switzerland)
  • Marcantanio M. SPADA (London South Bank University, United Kingdom)
  • Daniel SPRITZER (Study Group on Technological Addictions, Brazil)
  • Dan J. STEIN (University of Cape Town, South Africa)
  • Sherry H. STEWART (Dalhousie University, Canada)
  • Attila SZABÓ (Eötvös Loránd University, Hungary)
  • Hermano TAVARES (Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil)
  • Wim VAN DEN BRINK (University of Amsterdam, The Netherlands)
  • Alexander E. VOISKOUNSKY (Moscow State University, Russia)
  • Aviv M. WEINSTEIN (Ariel University, Israel)
  • Anise WU (University of Macau, Macao, China)
  • Ágnes ZSILA (ELTE Eötvös Loránd University, Hungary)

 

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