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Should DSM-V Designate "Internet Addiction" a Mental Disorder?
1Dr. Pies is Professor of Psychiatry, SUNY Upstate Medical University, Syracuse, New York, and Clinical Professor of Psychiatry, Tufts University School of Medicine, Boston, Massachusetts.
Internet addiction remains controversial, lacking sufficient evidence to be a distinct diagnosis. While not a discrete disease, individuals with internet addiction require professional care and further research.
Area of Science:
- Psychiatry
- Behavioral Science
- Mental Health Diagnosis
Background:
- Significant debate exists regarding the classification of internet addiction as a formal diagnosis.
- The relationship between "addiction" and compulsive behaviors is often unclear.
- Existing arguments for internet addiction mirroring substance use disorders lack robust physiological data.
Purpose of the Study:
- To evaluate the current evidence for internet addiction as a discrete disease entity.
- To explore the complexities of causality, comorbidity, and nosological decision-making for internet addiction.
- To determine if internet addiction warrants classification within the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
Main Methods:
- Review of existing literature and theoretical models of disease classification.
- Analysis of data concerning course, prognosis, temporal stability, and treatment response.
- Consideration of intrinsic suffering and incapacity as criteria for disease definition.
Main Results:
- Current evidence suggests it is premature to classify internet addiction as a discrete disease entity.
- Internet addiction frequently presents with comorbid conditions, complicating causal attributions.
- Physiological data supporting claims of withdrawal and tolerance in internet addiction are scarce.
Conclusions:
- Internet addiction does not currently meet criteria for a discrete disease entity based on established models.
- Individuals experiencing significant distress and impairment due to internet use require professional attention and treatment.
- Further rigorously controlled studies are necessary to resolve ongoing controversies surrounding internet addiction.
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