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      Internet addiction: coping styles, expectancies, and treatment implications

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          Abstract

          Internet addiction (IA) has become a serious mental health condition in many countries. To better understand the clinical implications of IA, this study tested statistically a new theoretical model illustrating underlying cognitive mechanisms contributing to development and maintenance of the disorder. The model differentiates between a generalized Internet addiction (GIA) and specific forms. This study tested the model on GIA on a population of general Internet users. The findings from 1019 users show that the hypothesized structural equation model explained 63.5% of the variance of GIA symptoms, as measured by the short version of the Internet Addiction Test. Using psychological and personality testing, the results show that a person’s specific cognitions (poor coping and cognitive expectations) increased the risk for GIA. These two factors mediated the symptoms of GIA if other risk factors were present such as depression, social anxiety, low self-esteem, low self-efficacy, and high stress vulnerability to name a few areas that were measured in the study. The model shows that individuals with high coping skills and no expectancies that the Internet can be used to increase positive or reduce negative mood are less likely to engage in problematic Internet use, even when other personality or psychological vulnerabilities are present. The implications for treatment include a clear cognitive component to the development of GIA and the need to assess a patient’s coping style and cognitions and improve faulty thinking to reduce symptoms and engage in recovery.

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          Most cited references87

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          A cognitive-behavioral model of pathological Internet use

          R.A. Davis (2001)
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            A ‘components’ model of addiction within a biopsychosocial framework

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              The neural basis of addiction: a pathology of motivation and choice.

              A primary behavioral pathology in drug addiction is the overpowering motivational strength and decreased ability to control the desire to obtain drugs. In this review the authors explore how advances in neurobiology are approaching an understanding of the cellular and circuitry underpinnings of addiction, and they describe the novel pharmacotherapeutic targets emerging from this understanding. Findings from neuroimaging of addicts are integrated with cellular studies in animal models of drug seeking. While dopamine is critical for acute reward and initiation of addiction, end-stage addiction results primarily from cellular adaptations in anterior cingulate and orbitofrontal glutamatergic projections to the nucleus accumbens. Pathophysiological plasticity in excitatory transmission reduces the capacity of the prefrontal cortex to initiate behaviors in response to biological rewards and to provide executive control over drug seeking. Simultaneously, the prefrontal cortex is hyperresponsive to stimuli predicting drug availability, resulting in supraphysiological glutamatergic drive in the nucleus accumbens, where excitatory synapses have a reduced capacity to regulate neurotransmission. Cellular adaptations in prefrontal glutamatergic innervation of the accumbens promote the compulsive character of drug seeking in addicts by decreasing the value of natural rewards, diminishing cognitive control (choice), and enhancing glutamatergic drive in response to drug-associated stimuli.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                11 November 2014
                2014
                : 5
                : 1256
                Affiliations
                [1] 1Department of General Psychology: Cognition, University of Duisburg-Essen Duisburg, Germany
                [2] 2Erwin L. Hahn Institute for Magnetic Resonance Imaging Essen, Germany
                [3] 3Center for Internet Addiction, Russell J. Jandoli School of Journalism and Mass Communication, St. Bonaventure University Olean, NY, USA
                Author notes

                Edited by: Ofir Turel, California State University, Fullerton and University of Southern California, USA

                Reviewed by: Aviv M. Weinstein, Hadassah Medical Organization, Israel; Daria Joanna Kuss, Nottingham Trent University, UK

                *Correspondence: Matthias Brand, Department of General Psychology: Cognition, University of Duisburg-Essen, Forsthausweg 2, 47057 Duisburg, Germany e-mail: matthias.brand@ 123456uni-due.de

                This article was submitted to Psychopathology, a section of the journal Frontiers in Psychology.

                Article
                10.3389/fpsyg.2014.01256
                4227484
                25426088
                cf967e16-b7a5-4344-b871-5907853210e6
                Copyright © 2014 Brand, Laier and Young.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 25 August 2014
                : 16 October 2014
                Page count
                Figures: 2, Tables: 4, Equations: 0, References: 118, Pages: 15, Words: 0
                Categories
                Psychology
                Original Research Article

                Clinical Psychology & Psychiatry
                internet addiction,personality,psychopathology,coping,cognitive-behavioral therapy

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