Problematic interactive media use in teens: comorbidities, assessment, and treatment

Area of Science:

• Pediatric Health
• Digital Media Studies
• Mental Health

Background:

• Problematic Interactive Media Use (PIMU), including internet and video game addiction, is a growing concern in pediatric care.
• Youth extensively use mobile media, but uncontrolled usage of gaming, social media, and online content can lead to significant functional impairment.

Purpose of the Study:

• To review current understanding and approaches to Problematic Interactive Media Use (PIMU) in youth.
• To highlight the need for evidence-based diagnoses and therapeutic strategies for PIMU.
• To discuss the relationship between PIMU and pre-existing conditions like ADHD, affective disorders, and ASD.

Main Methods:

• Review of epidemiological and etiological data on PIMU.
• Analysis of existing literature on diagnostic challenges and therapeutic interventions.
• Examination of the comorbidity of PIMU with Attention-Deficit/Hyperactivity Disorder (ADHD), affective disorders, and Autism Spectrum Disorder (ASD).

Main Results:

• PIMU can lead to academic failure, social withdrawal, behavioral issues, family conflict, and physical/mental health problems.
• There is a lack of formal diagnosis and standardized treatments for the spectrum of PIMU behaviors.
• ADHD, affective disorders, and ASD may predispose individuals to PIMU and can also result from it.

Conclusions:

• Anticipatory guidance is crucial for identifying at-risk youth and empowering parents in prevention.
• Addressing underlying pathologies (ADHD, ASD, etc.) offers a pathway for effective PIMU treatment.
• Further efforts are needed to establish evidence-based diagnoses, develop therapeutic strategies, and train clinicians in PIMU care.