Background: Problematic Internet addiction or excessive Internet use is characterized by excessive or poorly controlled preoccupations, urges, or behaviors regarding computer use and Internet access that lead to impairment or distress. Currently, there is no recognition of internet addiction within the spectrum of addictive disorders and, therefore, no corresponding diagnosis. It has, however, been proposed for inclusion in the next version of the Diagnostic and Statistical Manual of Mental Disorder (DSM). Objective: To review the literature on Internet addiction over the topics of diagnosis, phenomenology, epidemiology, and treatment. Methods: Review of published literature between 2000–2009 in Medline and PubMed using the term “internet addiction.Results: Surveys in the United States and Europe have indicated prevalence rate between 1.5% and 8.2%, although the diagnostic criteria and assessment questionnaires used for diagnosis vary between countries. Crosssectional studies on samples of patients report high comorbidity of Internet addiction with psychiatric disorders, especially affective disorders (including depression), anxiety disorders (generalized anxiety disorder, social anxiety disorder), and attention deficit hyperactivity disorder (ADHD). Several factors are predictive of problematic Internet use, including personality traits, parenting and familial factors, alcohol use, and social anxiety. Conclusions and Scientific Significance: Although Internet-addicted individuals have difficulty suppressing their excessive online behaviors in real life, little is known about the patho-physiological and cognitive mechanisms responsible for Internet addiction. Due to the lack of methodologically adequate research, it is currently impossible to recommend any evidence-based treatment of Internet addiction.

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Internet Addiction or Excessive Internet Use

Recently, the American Psychiatric Association included Internet gaming disorder (IGD) in the appendix of the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The main aim of the current study was to test the reliability and validity of 4 survey instruments to measure IGD on the basis of the 9 criteria from the DSM-5: a long (27-item) and short (9-item) polytomous scale and a long (27-item) and short (9-item) dichotomous scale. The psychometric properties of these scales were tested among a representative sample of 2,444 Dutch adolescents and adults, ages 13-40 years. Confirmatory factor analyses demonstrated that the structural validity (i.e., the dimensional structure) of all scales was satisfactory. Both types of assessment (polytomous and dichotomous) were also reliable (i.e., internally consistent) and showed good criterion-related validity, as indicated by positive correlations with time spent playing games, loneliness, and aggression and negative correlations with self-esteem, prosocial behavior, and life satisfaction. The dichotomous 9-item IGD scale showed solid psychometric properties and was the most practical scale for diagnostic purposes. Latent class analysis of this dichotomous scale indicated that 3 groups could be discerned: normal gamers, risky gamers, and disordered gamers. On the basis of the number of people in this last group, the prevalence of IGD among 13- through 40-year-olds in the Netherlands is approximately 4%. If the DSM-5 threshold for diagnosis (experiencing 5 or more criteria) is applied, the prevalence of disordered gamers is more than 5%.

The Internet gaming disorder scale

https://www.pattivalkenburg.nl/images/artikelen_pdf/2011_lemmens_Valkenburg_Peter_psychosocial_pathological_gaming.pdf

Psychosocial causes and consequences of pathological gaming

This research uses a solution based on a combined grey-fuzzy DEMATEL method to deal with the objective of the study. This study is aimed to present a perception approach to deal with real estate agent service quality expectation ranking with uncertainty. The ranking of best top five real estate agents might be a key strategic direction of other real estate agents prior to service quality expectation. The solving procedure is as follows: (i) the weights of criteria and alternatives are described in triangular fuzzy numbers; (ii) a grey possibility degree is used to result the ranking order for all alternatives; (iii) DEMATEL is used to resolve interdependency relationships among the criteria and (iv) an empirical example of real estate agent service quality ranking problem in customer expectation is used to resolve with this proposed method approach indicating that real estate agent R1 (CY real estate agent) is the best selection in terms of service quality in customer expectation.

http://hmdrf.persiangig.com/document/2.pdf

A causal and effect decision making model of service quality expectation using grey-fuzzy DEMATEL approach

Problematic Internet use (PIU) is a growing problem in Chinese adolescents. Little is known about associations of PIU with physical and psychological health. This study was designed to investigate the prevalence of PIU and to test the relationships between PIU and psychosomatic symptoms and life satisfaction among adolescents in mainland China. A cross-sectional survey was conducted comprising a large representative sample of 17 599 students in eight cities of China. PIU was assessed by the 20-item Young Internet Addiction Test (YIAT). The Multidimensional Sub-health Questionnaire of Adolescents and the Multidimensional Students' Life Satisfaction Scale were administered to obtain information on psychosomatic symptoms and life satisfaction. Demographics and Internet usage patterns were also collected. Logistic regression was used to assess the effects of PIU on psychosomatic symptoms and life satisfaction. Approximately 8.1% of subjects showed PIU. Adolescents with PIU were associated with males, high school students, urban, eastern and western areas, upper self-report family economy, service type mostly used for entertainment and relieving loneliness and more frequency of Internet use. Compared with normal Internet users, adolescents with PIU were more likely to suffer from psychosomatic symptoms (P < 0.001), including lack of physical energy (P < 0.001), physiological dysfunction (P < 0.001), weakened immunity (P < 0.001), emotional symptoms (P < 0.001), behavioural symptoms (P < 0.001) and social adaptation problems (P < 0.001). Adolescents with PIU had lower scores on total and all dimensions of life satisfaction (all P < 0.001). Adjusted for the demographic and Internet-related factors, there was positive significant relationship between PIU and psychosomatic symptoms, but negatively related to life satisfaction. PIU is common among Chinese students, and PIU was significantly associated with psychosomatic symptoms and life satisfaction. Effective measures are needed to prevent the spread of this problem and interventions to prevent the effects of PIU on psychosomatic symptoms and life satisfaction should be conducted as early as possible.

/pdf/problematic-internet-use-in-chinese-adolescents-and-its-1pt2zrplqj.pdf

Problematic Internet use in Chinese adolescents and its relation to psychosomatic symptoms and life satisfaction.

A comparative study of patients' and nurses' perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: a questionnaire survey.

The purpose of this study was to examine the levels of Internet addiction and interpersonal problems, explore the relationship between the two, and identify the relevant factors of Internet addiction in Korean middle school students. A cross-sectional survey design was used. The participants were 676 middle school students. A Korean version of the Internet addiction self-test scale and a Korean version of the Inventory of Interpersonal Problems were used. Among the participants, 547 (80.9%) were identified as general users, 108 (16%) were potential risk users, and 21 (3.1%) were high-risk users. There were statistically significant positive correlations between Internet addiction and interpersonal problems (r = 0.425, P = .000). There were significant positive correlations between Internet addiction and hours spent playing games. Internet-addicted adolescents also had more interpersonal problems. It is important to raise awareness about Internet addiction, and close attention must be paid not only to students at risk of Internet addiction but also to students at low risk to prevent students from becoming addicted to the Internet.

/pdf/internet-addiction-and-interpersonal-problems-in-korean-2bvtoqro0h.pdf

Internet addiction and interpersonal problems in korean adolescents.

Purpose: This study was to identify the factors that influence the burnout of clinical nurses. Methods: Subjects were 279 nurses in 3 university hospitals at Seoul and Gyunggi province. Data were collected with self-administered questionnaires and analyzed using SPSS 16.0 by applying t-test, ANOVA, Pearson correlation, and Stepwise multiple regression. Result: There are significant differences between burnout and demographic characteristics, such as, age, marital status, education level, clinical career, and position. All variables except emotional labor were negatively correlated with burnout. The emotional labor was positively correlated with burnout. Job satisfaction, emotional labor, self-efficacy, and age had significant influence on nurses' burnout. The explained variances for burnout was 54.8% and job satisfaction was the most significant factor of burnout of nurses. Conclusion: Emotional labor is found to be a new factor that influences burnout. Therefore, it is necessary to establish new organizational culture through emotional education programs at the organizational level to reduce nurses' emotional labor.

https://www.koreascience.or.kr:443/article/JAKO200934939513025.pdf

Factors Affecting the Burnout of Clinical Nurses - Focused on Emotional Labor -

Purpose: This study investigated correlates and predictors of organizational effectiveness, focusing on organizational culture and quality of work life. Design: Convenience sample of 145 nurses working in Korean university hospitals responded to a self-administered questionnaire. Findings: There were significant correlations between organizational culture, quality of work life, and organizational effectiveness. R2 was 44.7% in the hierarchical multiple regression model, explaining and predicting organizational effectiveness. Discussion: Intact organizational culture and quality of work life for nurses will undoubtedly lead to improved organizational effectiveness. Without efficient and effective nursing care, desired patient outcomes cannot be achieved.

Organizational culture, quality of work life, and organizational effectiveness in Korean university hospitals.

Aims and objectives.  To compare nurses’ and patients’ knowledge of, experience with and attitudes towards complementary and alternative medicine (CAM).

Background.  Despite increasing interest in, and use of, CAM among the public and health care providers, research on CAM-related nursing is limited. Furthermore, the level of knowledge and attitudes towards, and use of CAM between nurses and patients have never been studied in Korea. Therefore, a comparison is called for with regard to the knowledge, experience and attitudes of patients and nurses in Korea regarding CAM.

Designs.  A cross-sectional survey design was used.

Methods.  A convenience sample of 485 nurses and 367 patients responded to three questionnaires covering issues including their knowledge levels, attitudes towards and their use of CAM. Data were analysed using descriptive and inferential statistics.

Results.  Overall, nurses had significantly higher mean scores in their knowledge of CAM than patients. Most nurses and patients had heard about CAM, but few had sufficient knowledge to perform CAM. Nurses had more education, experience and positive attitudes regarding CAM than patients.

Conclusions.  Nurses need to be knowledgeable about CAM so that correct information and support can be provided to their patients.

Relevance to clinical practice.  Nurses need additional training or education on CAM, because they should be able to respond adequately to questions from patients. Ultimately, nurses have an important role in helping patients use CAM safely.

Young-Hee Yom

Papers

A comparative study of patients' and nurses' perceptions of the quality of nursing services, satisfaction and intent to revisit the hospital: a questionnaire survey.

Internet addiction and interpersonal problems in korean adolescents.

Factors Affecting the Burnout of Clinical Nurses - Focused on Emotional Labor -

Organizational culture, quality of work life, and organizational effectiveness in Korean university hospitals.

A comparison of the knowledge of, experience with and attitudes towards complementary and alternative medicine between nurses and patients in Korea