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Manifestations of Psychotic Symptomatology during Ex-cessive Internet Use

Published: 2 April 2013
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Abstract

The use, let alone the excessive use, of the internet is an expanding new social phenomenon. There is a growing reference to a problematic attitude called “internet addiction” as a candidate for a new psychiatric entity. Up to now, various psychiatric symptoms and disorders have been described which are related to the internet pathologic use: impulse control disorder, compulsive behavior, withdrawal symptoms, depressive mood, social phobia, attention deficit hyperactivity disorder, social isolation, functional decline. In this study, we report on three cases of first psychotic episodes following a period of aggravating internet overuse and we indicate a possible cycling relationship between this behavioral pattern and the emerging of a psychotic syndrome.

Published in Psychology and Behavioral Sciences (Volume 2, Issue 2)
DOI 10.11648/j.pbs.20130202.12
Page(s) 28-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Excessive internet use; Internet addiction; First psychotic episodes; Psychosocial factor

References
[1] Ko C., Yen J., Yen C., Chen C.S., Chen C.C. (2012). The association between Internet addiction and psychiatric dis-order: A review of the literature Eur Psychiatry. 27(1):1
[2] Morrison C.M., & Gore H. (2010). The Relationship be-tween Excessive Internet Use and Depression: A Question-naire-Based Study of 1,319 Young People and Adults. Psy-chopathology. 43:121-126
[3] Young K.S., & Rogers R.C. (1998).The Relationship Be-tween Depression and Internet Addiction. Cyberpsychol Behav. 1(1): 25-28.
[4] Shapira N.A., Goldsmith T.D., Keck P.E., Khosla U.M., McElroy S.L. (2000). Psychiatric features of individ-uals with problematic internet use. J Affect Disord. 57(1-3):267-72
[5] Bernardi S. & Pallanti S. (2009). Internet addiction: a de-scriptive clinical study focusing on comorbidities and disso-ciative symptoms. Compr Psychiatry. 50(6) : 510-516.
[6] Poppe H. (2010). S02-03 - Internet addiction and comorbid-ities Eur Psychiatry 25 (1): 55
[7] Podoll K., Mörth D., Sass H., Rudolf H. (2002). Selbsthilfe im Internet Chancen und Risiken der Kommunikation in elektronischen Netzwerken. Chancen und Risiken der Kommunikation in elektronischen Netzwerken [Self-help on the internet. Chances and risks of communication in electronic networks]. Nervenarzt. 73(1):85-9.
[8] Goldsmith TD, Shapira NA, Phillips KA and McElroy, SL. (1998). Obsessive-compulsive spectrum disorders. In Swinson R P., Antony MM., Rachman S., Richter M.A. (Eds), Obsessive-Compulsive Disorder: Theory, Research, and Treatment, Guilford Publications, New York: 397-425
[9] Shapira N.A., Lessig M.C., Goldsmith T.D., Szabo S.T., Lazoritz M., Gold M.S., Stein D.J. (2003). Problematic internet use: proposed classification and diagnostic criteria. Depress Anxiety. 17:207-216.
[10] Subrahmanyam K., Greenfield P., Kraut R., Gross E. (2001). The impact of computer use on children's and adolescents' development. Dev Psychol. 22(1) :7-30.
[11] Yen J.Y., Ko C.H., Yen C.F., Wu H.Y., Yang M.J. (2007). The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), de-pression, social phobia, and hostility. J Adolesc Health. 41(1):93-98
[12] Yang C.K., Choe B.M., Baity M., Lee J.H., Cho J.S. (2005). SCL-90-R and 16PF Profiles of Senior High School Stu-dents With Excessive Internet Use. Canadian Journal of Psychiatry 50(7):407-414.
[13] Mittal V.A., Tessner K.D., Walker E.F. (2007). Elevated social Internet use and schizotypal personality disorder in adolescents. Schizophr Res. 94(1-3):50–57.
[14] Yen J.Y, Ko C.H, Yen C.F, Chen S.H, Chung W.L, Chen C.C. (2008). Psychiatric symptoms in adolescents with Internet addiction: Comparison with substance use. Psychiatry Clin Neurosci. 62(1):9-16
[15] Siomos K., Dafouli E., Braimiotis D., Mouzas O, Angelopoulos N. (2008). Internet Addiction among Greek Adolescent Students. Cyberpsychol Behav.11(6): 653-657.
[16] Christakis D. Internet addiction: a 21st century epidemic? BMC Med. 8: 61.
[17] Freeman D., Pugh K., Antley A., Slater M., Bebbington P., Gittins M., Dunn G., Kuipers E., Fowler D., Garety P. (2008). Virtual reality study of paranoid thinking in the gen-eral population. Br J Psychiatry. 192(4):258-63.
[18] Freeman D, Slater M, Bebbington PE, Garety PA, Kuipers E, Fowler D, Met A, Read CM, Jordan J, Vinayagamoorthy V. (2003). Can virtual reality be used to investigate persecutory ideation? J Nerv Ment Dis. 191(8):509-14.
[19] Fornells-Ambrojo M., Barker C., Swapp D., Slater M., Ant-ley A., Freeman D. (2008). Virtual reality and persecutory delusions: safety and feasibility. Schizophr Res. 104(1-3):228-36.
[20] Freeman D. (2008). Studying and Treating Schizophrenia Using Virtual Reality: A New Paradigm Schizophr Bull. 34(4): 605–610
[21] Atmaka M. (2007). A case of problematic internet use suc-cessfully treated with an SSRI-antipsychotic combination. Prog Neuropsychopharmacol Biol Psychiatry. 31(4): 961-962.
[22] Romo L., Aubry C., Djordjian J., Fricot E., Adès J. (2004). La dépendance à l’Internet et la prise en charge cognitivo-comportementale Journal de Thérapie Comportementale et Cognitive 14 (3): 117-123
[23] Weinstein A. & Lejoyeux M. (2010). Internet addiction or excessive internet use. Am J Drug Alcohol Abuse 36(5):277-283.
[24] Ceyhan A.A. & Ceyhan E. (2008). Loneliness, depression, and computer self-efficacy as predictors of problematic in-ternet use. Cyberpsychol Behav. 11(6):699-701.
[25] Byun S., Ruffini C., Mills J.E., Douglas A.C., Niang M., Stepchenkova S., Lee S.K., Loutfi J., Lee J.K., Atallah M., Blanton M. (2009). Internet Addiction: Metasynthesis of 1996–2006. Cyberpsychol Behav. 12(2): 203-207.
[26] Shaw M. & Black D.W. (2008). Internet Addiction: Defini-tion, Assessment, Epidemiology and Clinical Management. CNS Drugs, 22(5): 353-365.
[27] Black D.W., Belsare G., Schlosser S. (1999). Clinical fea-tures, psychiatric comorbidity, and health-related quality of life in persons reporting compulsive computer use behavior. J Clin Psychiatry. 60(12):839-44.
[28] Bell V., Grech E., Maiden C., Halligan P.W., Ellis H.D. (2005). 'Internet delusions': a case series and theoretical in-tegration. Psychopathology.38(3):144-50.
[29] Catalano G., Catalano M.C., Embi C.S., Frankel R.L. (1999). Delusions about the Internet. South Med J. 92(6):609-10.
[30] Krishna N., Fischer B.A., M.D., Miller M., Register-Brown K., Patchan K., Hackman A. (2013) The role of social media networks in psychotic disorders: a case report. Gen Hosp Psychiatry (In press)
[31] Mendhekar D.N. & Chittaranjan A.N. (2012). Emergence of psychotic symptoms during Internet withdrawal. Psychia-try Clin Neurosci., 66(2):163.
[32] Nitzan U., Shoshan E., Lev-Ran S., Fennig S. (2011). Inter-net-related psychosis−a sign of the times. Isr J Psychiatry Relat Sci. 48 (3): 207–211
[33] Cabrera-Abreu C. & Milev R.V. (2002). Web Fugue & Quot;: A new transient mental illness. Poster presented at the 3er Congreso virtual de Psychuiatria. Retreived Decemeber 12, 2011 from http://www.psiquiatria.com/bibliopsiquis/bitstream/10401/1953/1/interpsiquis_2002_6494.pdf
[34] Small G.W., Moody T.D., Siddarth P., Bookheimer S.Y. (2009). Your Brain on Google: Patterns of Cerebral Activa-tion during Internet Searching. Am J Geriatr Psychiatry 17(2): 116-126.
[35] Yan J. (2010). Brain Training May Be Next Fitness Craze. Psychiatric News. 45:17-27
[36] Carr, N. (2010). The Shallows: What the Internet Is Doing to Our Brains. W. W. Norton & Co.
[37] Greenfield P.M. (2009). Technology and Informal Education: What is taught, what is learned. Science. 323 (5910), 69-71.
[38] Zhou Y., Lin F., Du Y., Qin L., Zhao Z., et al. (2011). Gray Matter abnormalities in Internet addiction: A voxel-based morphometry study. Eur J Radiol. 79(1):92-95.
[39] Yuan K., Qin W., Wang G., Zeng F., Zhao L. et al. (2011). Microstructure abnormalities in adolescents with Internet Addiction Disorder. PLoS ONE 6(6): e20708
[40] He J.B., Liu C.J., Guo Y.Y., Zhao L. (2011). Deficits in ear-ly-stage face perception in excessive internet users. Cy-berpsychol Behav Soc Netw. 14(5):303-8.
[41] Sun D.L., Chen Z. J., Ma N., Zhanq X.C., Fu X.M., Zhang D. R. (2009). Decision-Making and Prepotent Response In-hibition Functions in Excessive Internet Users. CNS Spectr. 14(2):75-81.
[42] Dong G., Zhou H., Zhao X. (2010). Impulse inhibition in people with Internet addiction disorder: Electrophysiological evidence from a Go/NoGo study. Neurosci Lett. 485(2): 138–142.
[43] Yu H, Zhao X, Li N, Wang M, Zhou P. (2009). Effect of excessive Internet use on the time–frequency characteristic of EEG. Progress in Natural Science 19(10):1383-1387
[44] Barber A., & Carter C. (2005). Cognitive control involved in overcoming prepotent response tendencies and switching between tasks. Cereb Cortex. 15: 899–912.
[45] Groenewegen H. & Uylings H. (2000). The prefrontal cortex and the integration of sensory, limbic and autonomic infor-mation. Prog Brain Res. 126: 3–28
[46] Krawczyk D. (2002). Contributions of the prefrontal cortex to the neural basis of human decision making. Neuroscience & Biobehavioral Reviews. 26: 631–664
[47] Bechara A., Dolan S., Denburg N., Hindes A., Anderson S.W., Nathan P.E. (2001). Decision-making deficits, linked to a dysfunctional ventromedial prefrontal cortex, revealed in alcohol and stimulant abusers. Neuropsycholo-gia. 39(4):376-89.
[48] Fu L, Bi G, Zou Z, Wang Y, Ye E, et al. (2008). Impaired response inhibition function in abstinent heroin dependents: an fMRI study. Neurosci Lett.438: 322–326
[49] Hardin M.G. & Ernst M. (2009). Functional brain imaging of development-related risk and vulnerability for substance use in adolescents. J Addict Med.3(2):47-54.
[50] Ko C., Liu G., Hsiao S., Yen J., Yang M., Lin W, Yen C, Chen C.S. (2009). Brain activities associated with gaming urge of online gaming addiction. J Psychiatr Res. 43:739–747
[51] Volkow N., Fowler J., Wang G. (2003). The addicted human brain: Insights from imaging studies. J Clin Invest. 111 :1444–1451.
[52] Zhu X., Wang X., Xiao J., Zhong M., Liao J., et al. (2010). Altered white matter integrity in first-episode, treatment-naive young adults with major depressive disorder: A tract-based spatial statistics study. Brain Res. 1396: 223–229
[53] Sachs G, Anderer P, Margreiter N, Semlitsch H, Saletu B, Katschnig H. (2004). P300 event-related potentials and cog-nitive function in social phobia. Psychiatry Res. 131(3):249-61
[54] Ernst M., Kimes A.S., London E.D., Matochik J.A., Eldreth D., Tata S., Contoreggi C., Leff M., Bolla K. (2003). Neural Substrates of Decision Making in Adults With Attention Deficit Hyperactivity Disorder Am J Psychiatr. 160:1061-1070
[55] Hall M.H., Frühling R., Kalidindi S., Schulze K., Kravariti E., Kane F., Sham P., Bramon E., Murray R. (2007). Genetic overlap between bipolar illness and event-related potentials. Psychol Med. 37 :667–678
[56] Bestelmeyer P.E., Phillips L.H., Crombie C., Benson P., St Clair D. (2009). The P300 as a possible endophenotype for schizophrenia and bipolar disorder: Evidence from twin and patient studies. Psychiatry Res. 169(3):212-9.
[57] Karaaslan F., Gonul A.S., Oguz A., Erdinc E., Esel E. (2003). P300 changes in major depressive disorders with and without psychotic features. J Affect Disord. 73(3):283-7.
[58] Ferrarelli F., Massimini M., Peterson M.J., Riedner B.A, Lazar M., Murphy M.J., Huber R., Rosanova M., Alexander A.L., Kalin N., Tononi G. (2008). Reduced Evoked Gamma Oscillations in the Frontal Cortex in Schi-zophrenia Patients: A TMS/EEG Study. Am J Psychiatry. 165(8):996-1005.
[59] Ford J. M. (1999). Schizophrenia: The broken P300 and beyond. Psychophysiology. 36: 667–682.
[60] Iwanami A., Yamashina M., Kazamatsuri H., Kamijima K. (1999). P300 and disability of daily life in schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 23(3):423-430.
[61] Onitsuka T., Tsunoda T., Ohara N. (2011). New Findings for Face Processing Deficits in the Mental Disorder of Schi-zophrenia In T. Barbu (ed.) Face Analysis, Modeling and Recognition Systems. In Tech.
[62] Pantelis C., Velakoulis D., McGorry P.D., Wood S.J., Suckling J., Phillips L.J., Yung A.R., Bullmore E.T., Brewer W., Soulsby B., Desmond P., McGuire P.K. (2003). Neuroanatomical abnormalities before and after onset of psychosis: a cross-sectional and longitudinal MRI comparison. Lancet 361(9354), 281-288
[63] Takayanagi Y., Takahashi T., Orikabe L., Mozue Y., KawasakiY., Nakamura K., Sato Y., Itokawa M., Yamasue H., Kasai K., Kurachi M., Okazaki Y., Suzuki M. (2011). Classification of First-Episode Schizophrenia Patients and Healthy Subjects by Automated MRI Measures of Regional Brain Volume and Cortical Thickness. PLoS One. 6(6): e21047.
[64] Cohen J.D., Braver T.S., O'Reilly R.C.(1996). A Computa-tional Approach to Prefrontal Cortex, Cognitive Control and Schizophrenia: Recent Developments and Current Challenges. Philos Trans R Soc Lond B Biol Sci. 351(1346):1515-27.
[65] Musso F., Jürgen Brinkmeyer J., Ecker D., London M.K., Thieme G., Warbrick, Wittsack H-J., Saleh A., Greb W., de Boer P., Winterer G. (2011). Ketamine effects on brain func-tion — Simultaneous fMRI/EEG during a visual oddball task. NeuroImage. 58(2), 508-525.
[66] Ko C., Hsiao S., Liu G., Yen J., Yang M., Yen C. (2010). The characteristics of decision making, potential to take risks, and personality of college students with Internet addiction. Psychiatry Res. 175:121–125.
[67] Luna B, Padmanabhan A, O’Hearn K. (2010). What has fMRI told us about the Development of Cognitive Control through Adolescence? Brain Cogn. 72 (1): 101-113
[68] Giedd JN., Keshavan M, Paus T. (2008).Why do many psy-chiatric disorders emerge during adolescence? Nat Rev Neurosci. 9(12):947-57
[69] Dong G, Lu Q, Zhou H, Zhao X (2011). Precursor or Se-quela: Pathological Disorders in People with Internet Addic-tion Disorder. PLoS ONE 6(2): e14703.
[70] Tonioni, F., & Corvino, S. (2011). Internet addiction and web-mediated psychopathology. Recenti progressi in medi-cina, 102(11), 417
Cite This Article
  • APA Style

    Konstantinos S. Bonotis, Evangelini S. Kita, Agisilaos D. Zerdelis, Odysseas D. Mouzas, Nikiforos V. Angelopoulos. (2013). Manifestations of Psychotic Symptomatology during Ex-cessive Internet Use. Psychology and Behavioral Sciences, 2(2), 28-35. https://doi.org/10.11648/j.pbs.20130202.12

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    ACS Style

    Konstantinos S. Bonotis; Evangelini S. Kita; Agisilaos D. Zerdelis; Odysseas D. Mouzas; Nikiforos V. Angelopoulos. Manifestations of Psychotic Symptomatology during Ex-cessive Internet Use. Psychol. Behav. Sci. 2013, 2(2), 28-35. doi: 10.11648/j.pbs.20130202.12

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    AMA Style

    Konstantinos S. Bonotis, Evangelini S. Kita, Agisilaos D. Zerdelis, Odysseas D. Mouzas, Nikiforos V. Angelopoulos. Manifestations of Psychotic Symptomatology during Ex-cessive Internet Use. Psychol Behav Sci. 2013;2(2):28-35. doi: 10.11648/j.pbs.20130202.12

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  • @article{10.11648/j.pbs.20130202.12,
      author = {Konstantinos S. Bonotis and Evangelini S. Kita and Agisilaos D. Zerdelis and Odysseas D. Mouzas and Nikiforos V. Angelopoulos},
      title = {Manifestations of Psychotic Symptomatology during Ex-cessive Internet Use},
      journal = {Psychology and Behavioral Sciences},
      volume = {2},
      number = {2},
      pages = {28-35},
      doi = {10.11648/j.pbs.20130202.12},
      url = {https://doi.org/10.11648/j.pbs.20130202.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pbs.20130202.12},
      abstract = {The use, let alone the excessive use, of the internet is an expanding new social phenomenon. There is a growing reference to a problematic attitude called “internet addiction” as a candidate for a new psychiatric entity. Up to now, various psychiatric symptoms and disorders have been described which are related to the internet pathologic use: impulse control disorder, compulsive behavior, withdrawal symptoms, depressive mood, social phobia, attention deficit hyperactivity disorder, social isolation, functional decline. In this study, we report on three cases of first psychotic episodes following a period of aggravating internet overuse and we indicate a possible cycling relationship between this behavioral pattern and the emerging of a psychotic syndrome.},
     year = {2013}
    }
    

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    N1  - https://doi.org/10.11648/j.pbs.20130202.12
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    AB  - The use, let alone the excessive use, of the internet is an expanding new social phenomenon. There is a growing reference to a problematic attitude called “internet addiction” as a candidate for a new psychiatric entity. Up to now, various psychiatric symptoms and disorders have been described which are related to the internet pathologic use: impulse control disorder, compulsive behavior, withdrawal symptoms, depressive mood, social phobia, attention deficit hyperactivity disorder, social isolation, functional decline. In this study, we report on three cases of first psychotic episodes following a period of aggravating internet overuse and we indicate a possible cycling relationship between this behavioral pattern and the emerging of a psychotic syndrome.
    VL  - 2
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Author Information
  • Department of Psychiatry, University of Thessaly Medical School, Larissa, Greece

  • Department of Psychiatry, University of Thessaly Medical School, Larissa, Greece

  • Department of Psychiatry, University of Thessaly Medical School, Larissa, Greece

  • Department of Psychiatry, University of Thessaly Medical School, Larissa, Greece

  • Department of Psychiatry, University of Thessaly Medical School, Larissa, Greece

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