Uso problemático de Internet, comorbilidad psicopatológica y factores de personalidad en población clínica adolescente
DOI:
https://doi.org/10.21134/989Keywords:
Problematic internet use, comorbidity, personality, emotional and behavioral problems, adolescentsAbstract
Introduction. Problematic Internet Use (PIU) is common in adolescents undergoing psychopathological treatment. This study analyzes the prevalence of PIU and its associations with sociodemographic, psychopathological, and personality characteristics in a clinical sample of adolescents. Additionally, it assesses the usefulness of the Internet Addiction Test - Youth version (IAT-Y) and its parent version (IAT-P) in detecting the clinical diagnosis of "Internet Addiction". Method. Ninety-two adolescents (12-17 years old) from child and youth mental health centers in two Spanish cities, and one of their parents, participated in the study. Adolescents reported their Internet use, personality traits and disorders, behavioral problems (internalizing and externalizing), and other sociodemographic and clinical characteristics. Parents reported their children's Internet use and behavioral problems. Results. The analysis revealed that 17.4% of patients received the clinical diagnosis of "Internet Addiction" based on the adapted DSM-5 criteria for "Internet Gaming Disorder". A total of 8.7% of young people (according to the IAT-Y) and 41.3% of parents (according to the IAT-P) recognized severe PIU (score ≥ 70). The IAT-Y score was positively associated with internalizing and externalizing behavior problems and with worse family functioning. It also correlated negatively with Agreeableness and Conscientiousness traits and positively with Neuroticism traits, as well as symptoms of Schizotypal, Histrionic, Borderline, and Avoidant Personality Disorders. Finally, the IAT-P was more accurate than the IAT-Y in detecting the diagnosis of "Internet Addiction". Conclusions. These findings underline the need to evaluate patients with PIU in personality, psychopathology, and family variables to tailor treatments according to the rest of the associated problems. Furthermore, evidence is provided on the usefulness of the IAT, especially the parents’ version (IAT-P) in the early detection of "Internet Addiction Disorder" in adolescents with mental disorders.
Downloads
References
Abad, J., Forns, M., Amador, J. A., & Martorell, B. (2000). Fiabilidad y validez del youth self report en una muestra de adolescentes. Psicothema, 12(1), 49-54.
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms & Profiles: An integrated system of multi-informant assessment. Aseba.
Albores-Gallo, L., Lara-Muñoz, C., Esperón-Vargas, C., Cárdenas Zetina, J. A., Pérez Soriano, A. M., & Villanueva Colin, G. (2007). Validity and reability of the CBCL/6-18. Includes DSM scales. Actas Españolas de Psiquiatría, 35(6), 393-399. https://actaspsiquiatria.es/index.php/actas/article/view/995
Alonso, C., & Romero, E. (2017). El uso problemático de nuevas tecnologías en una muestra clínica de niños y adolescentes. Personalidad y problemas de conducta asociados. Actas Españolas de Psiquiatría, 45(2), 62-70. https://actaspsiquiatria.es/index.php/actas/article/view/198
Alonso, C., & Romero, E. (2021). Problematic internet use in adolescents: personal risk factors and emotional and behavioral outcomes. Revista Iberoamericana de Psicología y Salud, 12(2), 76-89. https://doi.org/10.23923/j.rips.2021.01.046
Alonso-Vilar, C., Diaz-Hurtado, R., Navarro-Lazaro, E., Magallon-Neri, E., & Romero-Trinanes, E. (2023). Prácticas parentales y uso problemático de Internet en una muestra clínica de adolescentes. Health and Addictions / Salud y Drogas, 23(2), 177-191. https://doi.org/10.21134/haaj.v23i2.744
Anderson, E. L., Steen, E., & Stavropoulos, V. (2017). Internet use and Problematic Internet Use: a systematic review of longitudinal research trends in adolescence and emergent adulthood. International Journal of Adolescence and Youth, 22(4), 430-454. https://doi.org/10.1080/02673843.2016.1227716
APA, A. A. de P. (2014). Manual diagnóstico y estadístico de los trastornos mentales (DSM-5®) (5a Ed.). Asociación Americana de Psiquiatría.
Baer, S., Bogusz, E., & Green, D. A. (2011). Stuck on screens: Patterns of computer and gaming station use in youth seen in a psychiatric clinic. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 20(2), 86-94. https://pmc.ncbi.nlm.nih.gov/articles/PMC3085682/
Benarous, X., Morales, P., Mayer, H., Iancu, C., Edel, Y., & Cohen, D. (2019). Internet Gaming Disorder in Adolescents with Psychiatric Disorder: Two Case Reports Using a Developmental Framework. Frontiers in Psychiatry, 10(336). https://doi.org/10.3389/fpsyt.2019.00336
Bukhori, A. Z. B. M., & Hasni Jafar, M. (2024). Internet addiction among adolescents during the COVID-19 pandemic: Associations with sociodemographic and psychological distress. PeerJ, 12(6). https://doi.org/10.7717/peerj.17489
Cai, H., Zhao, Y. J., He, F., Li, S. Y., Li, Z. L., Zhang, W. Y., Zhang, Y., Cheung, T., Ng, C. H., Sha, S., & Xiang, Y. T. (2023). Internet addiction and residual depressive symptoms among clinically stable adolescents with major psychiatric disorders during the COVID-19 pandemic: a network analysis perspective. Translational Psychiatry, 13(1). https://doi.org/10.1038/s41398-023-02468-5
Carbonell, X., Chamarro, A., Griffiths, M., Oberst, U., Cladellas, R., & Talarn, A. (2012). Problematic Internet and cell phone use in Spanish teenagers and young students Xavier. Anales de Psicología, 28(3), 789-796. https://doi.org/10.6018/analesps.28.3.156061
Chen, Y.-L., Chen, S.-H., & Shur-Fen Gau, S. (2015). ADHD and autistic traits, family function, parenting style, and social adjustment for Internet addiction among children and adolescents in Taiwan: A longitudinal study. Research in Developmental Disabilities, 39, 20-31. https://doi.org/10.1016/j.ridd.2014.12.025
Cheng, C., & Li, A. Y. L. (2014). Internet addiction prevalence and quality of (real) life: A meta-Analysis of 31 nations across seven world regions. Cyberpsychology, Behavior, and Social Networking, 17(12), 755-760. https://doi.org/10.1089/cyber.2014.0317
Edalati, H., & Conrod, P. J. (2019). A review of personality-targeted interventions for prevention of substance misuse and related harm in community samples of adolescents. Frontiers in Psychiatry, 9(770). https://doi.org/10.3389/fpsyt.2018.00770
Fernández-Villa, T., Molina, A. J., García-Martín, M., Llorca, J., Delgado-Rodríguez, M., & Martín, V. (2015). Validation and psychometric analysis of the Internet Addiction Test in Spanish among college students. BMC Public Health, 15, 953. https://doi.org/10.1186/s12889-015-2281-5
Floros, G., Siomos, K., Stogiannidou, A., Giouzepas, I., & Garyfallos, G. (2014). Comorbidity of psychiatric disorders with Internet addiction in a clinical sample: The effect of personality, defense style and psychopathology. Addictive Behaviors, 39(12), 1839-1845. https://doi.org/10.1016/j.addbeh.2014.07.031
Fuchs, M., Riedl, D., Bock, A., Rumpold, G., & Sevecke, K. (2018). Pathological internet use—an important comorbidity in child and adolescent psychiatry: prevalence and correlation patterns in a naturalistic sample of adolescent inpatients. Biomed Research International, 2018. https://doi.org/10.1155/2018/1629147
Gansner, M., Belfort, E., Cook, B., Leahy, C., Colon-Perez, A., Mirda, D., & Carson, N. (2019). Problematic internet use and associated high-risk behavior in an adolescent clinical sample: results from a survey of psychiatrically hospitalized youth. Cyberpsychology, Behavior, and Social Networking, 22(5), 349-354. https://doi.org/10.1089/cyber.2018.0329
Gervasi, A. M., La Marca, L., Costanzo, A., Pace, U., Guglielmucci, F., & Schimmenti, A. (2017). Personality and internet gaming disorder: A systematic review of recent literature. Current Addiction Reports, 4, 293-307. https://doi.org/10.1007/s40429-017-0159-6
Gómez, P., Rial, A., Braña, T., Golpe, S., & Varela, J. (2017). Screening of problematic Internet use among Spanish adolescents: Prevalence and related variables. Cyberpsychology, Behavior, and Social Networking, 20(4), 259-267. https://doi.org/10.1089/cyber.2016.0262
Ho, R. C., Zhang, M. W. B., Tsang, T. Y., Toh, A. H., Pan, F., Lu, Y., Cheng, C., Yip, P. S., Lam, L. T., Lai, C., Watanabe, H., & Mak, K. (2014). The association between internet addiction and psychiatric co-morbidity: a meta-analysis. BMC Psychiatry, 183. https://doi.org/10.1186/1471-244X-14-183
Ioannidis, K., Treder, M. S., Chamberlain, S. R., Kiraly, F., Redden, S. A., Stein, D. J., Lochner, C., & Grant, J. E. (2018). Problematic internet use as an age-related multifaceted problem: Evidence from a two-site survey. Addictive Behaviors, 81, 157-166. https://doi.org/10.1016/j.addbeh.2018.02.017
Kaess, M., Durkee, T., Brunner, R., Carli, V., Parzer, P., Wasserman, C., Sarchiapone, M., Hoven, C., Apter, A., Balazs, J., Balint, M., Bobes, J., Cohen, R., Cosman, D., Cotter, P., Fischer, G., Floderus, B., Iosue, M., Haring, C., … Wasserman, D. (2014). Pathological Internet use among European adolescents: psychopathology and self-destructive behaviours. European Child and Adolescent Psychiatry, 23, 1093-1102. https://doi.org/10.1007/s00787-014-0562-7
Kayiş, A. R., Satici, S. A., Yilmaz, M. F., Şimşek, D., Ceyhan, E., & Bakioǧlu, F. (2016). Big five-personality trait and internet addiction: A meta-analytic review. Computers in Human Behavior, 63, 35-40. https://doi.org/10.1016/j.chb.2016.05.012
Kim, E. J., Namkoong, K., Ku, T., & Kim, S. J. (2008). The relationship between online game addiction and aggression, self-control and narcissistic personality traits. European Psychiatry, 23(3), 212-218. https://doi.org/10.1016/j.eurpsy.2007.10.010
Kim, S. J., Park, D.-H., Ryu, S.-H., Yu, J., & Ha, J. H. (2013). Usefulness of Young's Internet Addiction Test for clinical populations. Nordic Journal of Psychiatry, 67(393-399). https://doi.org/10.3109/08039488.2012.748826
Ko, C. H., Wang, P. W., Liu, T. L., Yen, C. F., Chen, C. S., & Yen, J. Y. (2015). Bidirectional associations between family factors and Internet addiction among adolescents in a prospective investigation. Psychiatry and Clinical Neurosciences, 69, 192-200. https://doi.org/10.1111/pcn.12204
Kuss, D., Griffiths, M., Karila, L., & Billieux, J. (2014). Internet addiction: A systematic review of epidemiological research for the last decade. Current Pharmaceutical Design, 20(25), 4026-4052. https://doi.org/10.2174/13816128113199990617
Kuss, D. J., & Lopez-Fernandez, O. (2016). Internet addiction and problematic Internet use: A systematic review of clinical research. World Journal of Psychiatry, 6(1), 143. https://doi.org/10.5498/wjp.v6.i1.143
Laconi, S., Rodgers, R. F., & Chabrol, H. (2014). The measurement of Internet addiction: A critical review of existing scales and their psychometric properties. Computers in Human Behavior, 41, 190-202. https://doi.org/10.1016/j.chb.2014.09.026
Lam, L. T. (2014). Risk factors of Internet addiction and the health effect of internet addiction on adolescents: a systematic review of longitudinal and prospective studies. Current Psychiatry Reports, 16(508). https://doi.org/10.1007/s11920-014-0508-2
Leménager, T., Hoffmann, S., Dieter, J., Reinhard, I., Mann, K., & Kiefer, F. (2018). The links between healthy, problematic, and addicted Internet use regarding comorbidities and self-concept-related characteristics. Journal of Behavioral Addictions, 7(1), 31-43. https://doi.org/10.1556/2006.7.2018.13
Li, Z. L., Liu, R., He, F., Li, S. Y., Zhao, Y. J., Zhang, W. Y., Zhang, Y., Cheung, T., Jackson, T., Tang, Y. L., & Xiang, Y. T. (2021). Prevalence of internet addiction disorder and its correlates among clinically stable adolescents with psychiatric disorders in China during the COVID-19 outbreak. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.686177
Liberatore, K. A., Rosario, K., Martí, L. N. C. De, & Martínez, K. G. (2011). Prevalence of internet addiction in Latino adolescents with psychiatric diagnosis. Cyberpsychology, Behavior, and Social Networking, 14(6), 399-402. https://doi.org/10.1089/cyber.2010.0252
López-Fernández, F. J., Mezquita, L., Griffiths, M. D., Ortet, G., & Ibáñez, M. I. (2021). The role of personality on disordered gaming and game genre preferences in adolescence: Gender differences and person-environment transactions. Adicciones, 33(3), 263-272. https://doi.org/10.20882/adicciones.1370
López-Ibor, J. J., Pérez Urdániz, A., Rubio Larrosa, V., & WHO, W. H. O. (1996). Examen internacional de los trastornos de la personalidad (IPDE) - Módulo CIE-10. Organización Mundial de la Salud.
Lukavská, K., Hrabec, O., Lukavský, J., Demetrovics, Z., & Király, O. (2022). The associations of adolescent problematic internet use with parenting: A meta-analysis. Addictive Behaviors, 135(107423). https://doi.org/10.1016/j.addbeh.2022.107423
Magallón-Neri, E., Díaz, R., Forns, M., Goti, J., Canalda, G., & Castro-Fornieles, J. (2012). Subtipos de adolescentes con trastornos por uso de sustancias y comorbilidad psiquiátrica utilizando los análisis de clúster y discriminante de perfiles MMPI-A. Adicciones, 24(3), 219. https://doi.org/10.20882/adicciones.93
Marín-Vila, M., Carballo, J. L., & Coloma-Carmona, A. (2018). Rendimiento académico y cognitivo en el uso problemático de internet. Adicciones, 30(2), 101-110. https://doi.org/10.20882/adicciones.844
Martínez Pérez, J. A., & Pérez Martin, P. S. (2023). ROC curve. Semergen, 49(1), 101821. https://doi.org/10.1016/j.semerg.2022.101821
Martín-Fernández, M., Matalí, J. L., García-Sánchez, S., Pardo, M., Lleras, M., & Castellano-Tejedor, C. (2017). Adolescentes con Trastorno por juego en Internet (IGD): perfiles y respuesta al tratamiento. Adicciones, 29(2), 125-133. https://doi.org/10.20882/adicciones.890
Masi, G., Berloffa, S., Muratori, P., Paciello, M., Rossi, M., & Milone, A. (2021). Internet addiction disorder in referred adolescents: a clinical study on comorbidity. Addiction Research and Theory, 29(3), 205-211. https://doi.org/10.1080/16066359.2020.1772242
Mathews, J. (2015). Internet Addiction: A Causative Model Name. SSRN, 23529. http://dx.doi.org/10.2139/ssrn.2634393
Moon, S. J., Hwang, J. S., Kim, J. Y., Shin, A. L., Bae, S. M., & Kim, J. W. (2018). Psychometric properties of the Internet Addiction Test: A systematic review and meta-analysis. Cyberpsychology, Behavior, and Social Networking, 21(8), 473-484. https://doi.org/10.1089/cyber.2018.0154
Moretta, T., Buodo, G., Demetrovics, Z., & Potenza, M. N. (2022). Tracing 20 years of research on problematic use of the internet and social media: Theoretical models, assessment tools, and an agenda for future work. Comprehensive Psychiatry, 112, 152286. https://doi.org/10.1016/j.comppsych.2021.152286
Mottram, A. J., & Fleming, M. J. (2009). Extraversion, impulsivity, and online group membership as predictors of problematic Internet use. Cyberpsychology & behavior, 12(3), 319-321.
https://doi.org/10.1089/cpb.2007.0170
Müller, K. W., Janikian, M., Dreier, M., Wölfling, K., Beutel, M. E., Tzavara, C., Richardson, C., & Tsitsika, A. (2015). Regular gaming behavior and internet gaming disorder in European adolescents: results from a cross-national representative survey of prevalence, predictors, and psychopathological correlates. European Child and Adolescent Psychiatry, 24, 565-574. https://doi.org/10.1007/s00787-014-0611-2
OEDA, O. E. de las D. y las A. (2022). Informe sobre Adicciones Comportamentales 2021. Ministerio de Sanidad y Delegación del Gobierno para el Plan Nacional sobre Drogas. https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/2021_Informe_adicciones_comportamentales.pdf
OMS, O. M. de la S. (1993). CIE 10 trastornos mentales y del comportamiento: criterios diagnósticos de investigación. MEDITOR.
Onukwuli, V. O., Onyinye, E. N., Udigwe, I. B., Umeh, U. M., Enebe, J. T., & Umerah, A. T. (2023). Internet addiction during the COVID-19 pandemic among adolescents in southeast Nigeria and implications for adolescent care in the post-pandemic era: A cross-sectional study. SAGE Open Medicine, 11. https://doi.org/10.1177/20503121231152763
Ortet, G., Escrivá, P., Ibáñez, M. I., Moya, J., Villa, H., Mezquita, L., & Ruipérez, M. A. (2010). Versión corta de la adaptación española para adolescentes del NEO-PI-R (JS NEO-S). International Journal of Clinical and Health Psychology, 10(2), 327-344. https://www.aepc.es/ijchp/articulos_pdf/ijchp-354.pdf
Ortet, G., Ibáñez, M. I., Moya, J., Villa, H., Viruela, A., & Mezquita, L. (2012). Assessing the five factors of personality in adolescents: The junior version of the Spanish NEO-PI-R. Assessment, 19(1), 114-130. https://doi.org/10.1177/1073191111410166
Pantic, I., Milanovic, A., Loboda, B., Błachnio, A., Przepiorka, A., Nesic, D., Mazic, S., Dugalic, S., & Ristic, S. (2017). Association between physiological oscillations in self-esteem, narcissism and internet addiction: A cross-sectional study. Psychiatry Research, 258, 239-243. https://doi.org/10.1016/j.psychres.2017.08.044
Pontes, H. M., Kuss, D. J., & Griffiths, M. D. (2015). Clinical psychology of internet addiction: A review of its conceptualization, prevalence, neuronal processes, and implications for treatment. Neuroscience and Neuroeconomics, 4, 11-23. https://doi.org/10.2147/NAN.S60982
Restrepo, A., Scheininger, T., Clucas, J., Alexander, L., Salum, G. A., Georgiades, K., Paksarian, D., Merikangas, K. R., & Milham, M. P. (2020). Problematic internet use in children and adolescents: Associations with psychiatric disorders and impairment. BMC Psychiatry, 20(252). https://doi.org/10.1186/s12888-020-02640-x
Salbach-Andrae, H., Klinkowski, N., Lenz, K., & Lehmkuhl, U. (2009). Agreement between youth-reported and parent-reported psychopathology in a referred sample. European Child and Adolescent Psychiatry, 18, 136-143. https://doi.org/10.1007/s00787-008-0710-z
Serrano, E., Matalí-Costa, J., Serrano-Troncoso, E., Pardo, M., Villar, F., & San, L. (2014). Social isolation and the “Sheltered” profile in adolescents with internet addiction. Journal of Child and Adolescent Behaviour, 2(139). https://doi.org/10.4172/jcalb.1000139
Shane-Simpson, C., Brooks, P. J., Obeid, R., Denton, E. G., & Gillespie-Lynch, K. (2016). Associations between compulsive internet use and the autism spectrum. Research in Autism Spectrum Disorders, 23, 152-165. https://doi.org/10.1016/j.rasd.2015.12.005
Siddik, M. A. B., Pervin, I., Syfullah, Md. K., Ali, A., Mahmud, A., Hasan, M., Hussen, S. M., Manjur, M., Ahmed, Z., & Rahman, M. M. (2024). Postâ€COVIDâ€19 internet addiction, depression, and pornography addiction among adolescents: Findings from a nationwide study in Bangladesh. Health Science Reports, 7(7). https://doi.org/10.1002/hsr2.2272
Smilkstein, G. (1978). The family APGAR: a proposal for a family function test and its use by physicians. Journal of Family Practice, 6(6), 1231-1239.
So, R., Makino, K., Fujiwara, M., Hirota, T., Ohcho, K., Ikeda, S., Tsubouchi, S., & Inagaki, M. (2017). The prevalence of internet addiction among a Japanese adolescent psychiatric clinic sample with autism spectrum disorder and/or attention-deficit hyperactivity disorder: a cross-sectional study. Journal of Autism and Developmental Disorders, 47, 2217-2224. https://doi.org/10.1007/s10803-017-3148-7
Tiego, J., Lochner, C., Ioannidis, K., Brand, M., Stein, D. J., Yücel, M., Grant, J. E., & Chamberlain, S. R. (2021). Measurement of the problematic usage of the Internet unidimensional quasitrait continuum with item response theory. Psychological Assessment, 33(7), 652-671. https://doi.org/10.1037/pas0000870
Wartberg, L., Kriston, L., Kramer, M., Schwedler, A., Lincoln, T. M., & Kammerl, R. (2017). Internet gaming disorder in early adolescence: Associations with parental and adolescent mental health. European Psychiatry, 43, 14-18. https://doi.org/10.1016/j.eurpsy.2016.12.013
Winds, K., Aebi, M., & Plattner, B. (2022). Problematic internet use among adolescent male and female psychiatric inpatients: a gender perspective. . Child Psychiatry and Human Development, 55(2), 497-509. https://doi.org/10.1007/s10578-022-01408-6
Wu, Q., Chen, T., Zhong, N., Bao, J., Zhao, Y., Du, J., & Zhao, M. (2023). Changes of internet behavior of adolescents across the period of COVID-19 pandemic in China. Psychology, Health and Medicine, 28(1), 37-47. https://doi.org/10.1080/13548506.2021.2019809
Young, K. S. (1998). Caught in the net: How to recognize the signs of internet addiction and a winning strategy for recovery. John Wiley & Sons, Inc.
Young, K. S., & Brand, M. (2017). Merging theoretical models and therapy approaches in the context of internet gaming disorder: A personal perspective. Frontiers in Psychology, 8(1853). https://doi.org/10.3389/fpsyg.2017.01853
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Rosa Díaz-Hurtado, Sandra Mateus-Gómez, Cristina Alonso-Vilar, Estrella Romero-Triñanes, Ariadna Castro-Mesa, Ernesto Magallón-Neri

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors publishing in this journal agree to the journal's statement of ethical principles and to the following terms:
The rights of the published material shall belong to their respective authors. Articles published in HAAJ may be used under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license, and may be read, copied, distributed, printed, searched, or linked to in the full text of this journal without prior permission from the publisher or author, provided that HAAJ and the authors are acknowledged and not used for commercial purposes.
Authors may include the work in institutional repositories or other publications as long as this journal is acknowledged and properly cited.
The HAAJ editorial team encourages authors to disseminate their published work through any means (conferences, classes, lectures, talks, etc.) and/or platforms (social networks, repositories, websites, etc.).
HAAJ follows the Core Practices of COPE (Committee on Publication Ethics).