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Related Experiment Videos

A primary care pediatrician's guide to assessing problematic interactive media use.

Cameron Nereim1, David Bickham, Michael Rich

  • 1Department of Pediatrics, Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Current Opinion in Pediatrics
|April 30, 2019
PubMed
Summary

Problematic interactive media use (PIMU) is increasingly recognized as a mental health concern. Early identification and management of co-occurring conditions are key to effective PIMU treatment, with psychotherapy and behavioral interventions showing promise.

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Area of Science:

  • Psychiatry
  • Psychology
  • Digital Health

Background:

  • Problematic interactive media use (PIMU) is gaining recognition as a significant mental health issue.
  • Internet Gaming Disorder (IGD) is now included in the DSM-5 and ICD-11, reflecting its clinical importance.
  • High rates of media usage necessitate screening for PIMU in all children and adolescents.

Purpose of the Study:

  • To review existing literature on problematic interactive media use (PIMU).
  • To provide a clinical guide for assessing patients experiencing PIMU.
  • To inform healthcare professionals on the identification and management of PIMU.

Main Methods:

  • Literature review of studies on problematic interactive media use.
  • Analysis of diagnostic criteria for internet gaming disorder (IGD).

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  • Synthesis of treatment approaches for PIMU and associated comorbidities.

    • Main Results:

    • Internet Gaming Disorder (IGD) affects 0.3-1.0% of the global population.
    • Comorbid attention-deficit/hyperactivity disorder is prevalent in adolescents with internet addiction (26.8-83.3%).
    • IGD is linked to increased anxiety and social phobias; therapies like CBT and sports interventions show efficacy.

    Conclusions:

    • Effective PIMU treatment requires addressing comorbid mental and behavioral health issues.
    • Treatment may range from outpatient psychotherapy to residential programs based on impairment levels.
    • Pharmacological approaches targeting comorbidities may indirectly improve PIMU behaviors.