{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:08:47Z","timestamp":1790345327049,"version":"4.1.0"},"reference-count":94,"publisher":"Akademiai Kiado Zrt.","issue":"4","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["J Behav Addict"],"published-print":{"date-parts":[[2018,12,26]]},"abstract":"<jats:sec sec-type=\"background and aims\"><jats:title>Background and aims<\/jats:title><jats:p>Internet Addiction (IA) has consistently been related to comorbid psychiatric disorders and lowered self-esteem. However, most studies relied on self-report questionnaires using non-representative samples. This study aims to analyze the relative impact of self-esteem and comorbid psychopathology with lifetime IA in a population-based sample of excessive Internet users using clinical diagnoses assessed in a personal interview.<\/jats:p><\/jats:sec><jats:sec sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>The sample of this study is based on a general population survey. Using the Compulsive Internet Use Scale, all participants with elevated Internet use scores were selected and invited to a follow-up interview. Current DSM-5 criteria for Internet gaming disorder were rephrased to apply to all Internet activities. Out of 196 participants, 82 fulfilled the criteria for IA. Self-esteem was measured with the Rosenberg\u2019s Self-Esteem Scale.<\/jats:p><\/jats:sec><jats:sec sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Self-esteem is significantly associated with IA. For every unit increase in self-esteem, the chance of having IA decreased by 11%. By comparison, comorbidities such as substance-use disorder (excluding tobacco), mood disorder, and eating disorder were significantly more likely among Internet-addicted than in the non-addicted group. This could not be reported for anxiety disorders. A logistic regression showed that by adding self-esteem and psychopathology into the same model, self-esteem maintains its strong influence on IA.<\/jats:p><\/jats:sec><jats:sec sec-type=\"discussion and conclusions\"><jats:title>Discussion and conclusions<\/jats:title><jats:p>Self-esteem was associated with IA, even after adjustment for substance-use disorders, mood disorder, and eating disorder. Self-esteem and psychopathology should be considered in prevention, intervention measures, as well as in the conception of etiological models.<\/jats:p><\/jats:sec>","DOI":"10.1556\/2006.7.2018.130","type":"journal-article","created":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T10:07:26Z","timestamp":1545818846000},"page":"976-984","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":31,"title":["The role of self-esteem in Internet addiction within the context of comorbid mental disorders: Findings from a general population-based sample"],"prefix":"10.1556","volume":"7","author":[{"given":"Katrin","family":"Sevelko","sequence":"first","affiliation":[{"name":"1 Department of Psychiatry and Psychotherapy, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gallus","family":"Bischof","sequence":"additional","affiliation":[{"name":"1 Department of Psychiatry and Psychotherapy, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Bischof","sequence":"additional","affiliation":[{"name":"1 Department of Psychiatry and Psychotherapy, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Besser","sequence":"additional","affiliation":[{"name":"1 Department of Psychiatry and Psychotherapy, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"John","sequence":"additional","affiliation":[{"name":"2 Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Meyer","sequence":"additional","affiliation":[{"name":"2 Institute of Social Medicine and Prevention, University Medicine Greifswald, Greifswald, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-J\u00fcrgen","family":"Rumpf","sequence":"additional","affiliation":[{"name":"1 Department of Psychiatry and Psychotherapy, University of L\u00fcbeck, L\u00fcbeck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref421","volume-title":"M\u00fcnchener Composite International Diagnostic Interview (M-CIDI), Version 2.2.","author":"Wittchen","year":"1995"},{"key":"ref131","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1016\/j.addbeh.2014.07.031","article-title":"Comorbidity of psychiatric disorders with Internet addiction in a clinical sample: The effect of personality, defense style and psychopathology","volume":"39","author":"Floros","year":"2014","journal-title":"Addictive Behaviors,"},{"key":"ref321","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1111\/add.12849","article-title":"Prevalence of Internet gaming disorder in German adolescents: Diagnostic contribution of the nine DSM-5 criteria in a state-wide representative sample","volume":"110","author":"Rehbein","year":"2015","journal-title":"Addiction,"},{"key":"ref561","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1089\/cyber.2010.0199","article-title":"Regular and problematic leisure-time Internet use in the community: Results from a German population-based survey","volume":"14","author":"Beutel","year":"2011","journal-title":"Cyberpsychology, Behavior, and Social Networking,"},{"key":"ref821","first-page":"52","article-title":"Rosenberg Self-Esteem Scale (RSE). Acceptance and commitment therapy","volume":"61,","author":"Rosenberg","year":"1965","journal-title":"Measures Package,"},{"key":"ref191","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1111\/add.13763","article-title":"How can we conceptualize behavioural addiction without pathologizing common behaviours?","volume":"112","author":"Kardefelt-Winther","year":"2017","journal-title":"Addiction,"},{"key":"ref451","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.jadohealth.2007.02.002","article-title":"The comorbid psychiatric symptoms of Internet addiction: Attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility","volume":"41","author":"Yen","year":"2007","journal-title":"Journal of Adolescent Health,"},{"key":"ref731","first-page":"73","article-title":"Excessive Internet use and psychopathology: The role of coping","volume":"14","author":"Kuss","year":"2017","journal-title":"Clinical Neuropsychiatry: Journal of Treatment Evaluation,"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1037\/adb0000160","article-title":"The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: A large-scale cross-sectional study","volume":"30","author":"Andreassen","year":"2016","journal-title":"Psychology of Addictive Behaviors,"},{"key":"ref341","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1159\/000354321","article-title":"Occurence of Internet addiction in a general population sample: A latent class analysis","volume":"20","author":"Rumpf","year":"2014","journal-title":"European Addiction Research,"},{"key":"ref361","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1016\/j.paid.2005.04.001","article-title":"Reasons for Internet use and social anxiety","volume":"39","author":"Shepherd","year":"2005","journal-title":"Personality and Individual Differences,"},{"key":"ref641","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/B978-0-12-407724-9.00006-9","article-title":"Social networking addiction: An overview of preliminary findings","volume-title":"Behavioral addictions","author":"Griffiths","year":"2014"},{"key":"ref951","doi-asserted-by":"crossref","first-page":"899","DOI":"10.2466\/pr0.1996.79.3.899","article-title":"Psychology of computer use: XL. Addictive use of the Internet: A case that breaks the stereotype","volume":"79","author":"Young","year":"1996","journal-title":"Psychological Reports,"},{"key":"ref461","doi-asserted-by":"crossref","first-page":"899","DOI":"10.2466\/pr0.1996.79.3.899","article-title":"Psychology of computer use: XL. 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Psychiatry,"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/B978-0-12-407724-9.00006-9","article-title":"Social networking addiction: An overview of preliminary findings","volume-title":"Behavioral addictions","author":"Griffiths","year":"2014"},{"key":"ref201","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1111\/j.1083-6101.2009.01478.x","article-title":"The role of Internet user characteristics and motives in explaining three dimensions of Internet addiction","volume":"14","author":"Kim","year":"2009","journal-title":"Journal of Computer-Mediated Communication,"},{"key":"ref601","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1089\/cyber.2011.0324","article-title":"\u201cThey are happier and having better lives than I am\u201d: The impact of using Facebook on perceptions of others\u2019 lives","volume":"15","author":"Chou","year":"2012","journal-title":"Cyberpsychology, Behavior, and Social Networking,"},{"key":"ref661","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1186\/1471-244X-14-183","article-title":"The association between Internet addiction and psychiatric co-morbidity: A meta-analysis","volume":"14","author":"Ho","year":"2014","journal-title":"BMC Psychiatry,"},{"key":"ref761","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1089\/cpb.2008.0181","article-title":"The Compulsive Internet Use Scale (CIUS): Some psychometric properties","volume":"12","author":"Meerkerk","year":"2009","journal-title":"CyberPsychology & Behavior,"},{"key":"ref811","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1111\/add.12849","article-title":"Prevalence of Internet gaming disorder in German adolescents: Diagnostic contribution of the nine DSM-5 criteria in a state-wide representative sample","volume":"110","author":"Rehbein","year":"2015","journal-title":"Addiction,"},{"key":"ref781","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1159\/000355832","article-title":"Investigating risk factors for Internet gaming disorder: A comparison of patients with addictive gaming, pathological gamblers and healthy controls regarding the Big Five personality traits","volume":"20","author":"M\u00fcller","year":"2014","journal-title":"European Addiction Research,"},{"key":"ref771","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1002\/mpr.1458","article-title":"The \u201cPathological Gambling and Epidemiology\u201d (PAGE) study program: Design and fieldwork","volume":"24","author":"Meyer","year":"2015","journal-title":"International Journal of Methods in Psychiatric Research,"},{"key":"ref961","first-page":"19","article-title":"Internet addiction: Symptoms, evaluation and treatment","volume-title":"Innovations in clinical practice: A source book","volume":"17,","author":"Young","year":"1999"},{"key":"ref91","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1037\/0022-006X.63.3.479","article-title":"Effects of psychotherapy on comorbid conditions in generalized anxiety disorder","volume":"63","author":"Borkovec","year":"1995","journal-title":"Journal of Consulting and Clinical Psychology,"},{"key":"ref591","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.neubiorev.2016.08.033","article-title":"Integrating psychological and neurobiological considerations regarding the development and maintenance of specific Internet-use disorders: An Interaction of Person-Affect-Cognition-Execution (I-PACE) model","volume":"71,","author":"Brand","year":"2016","journal-title":"Neuroscience and Biobehavioral Reviews,"},{"key":"ref741","doi-asserted-by":"crossref","first-page":"4026","DOI":"10.2174\/13816128113199990617","article-title":"Internet addiction: A systematic review of epidemiological research for the last decade","volume":"20","author":"Kuss","year":"2014","journal-title":"Current Pharmaceutical Design,"},{"key":"ref621","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1016\/j.addbeh.2014.07.031","article-title":"Comorbidity of psychiatric disorders with Internet addiction in a clinical sample: The effect of personality, defense style and psychopathology","volume":"39","author":"Floros","year":"2014","journal-title":"Addictive Behaviors,"},{"key":"ref651","first-page":"20108","article-title":"A brief overview of Internet Gaming Disorder and its treatment","volume":"2","author":"Griffiths","year":"2016","journal-title":"Australian Clinical Psychologist,"},{"key":"ref71","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1089\/cyber.2010.0199","article-title":"Regular and problematic leisure-time Internet use in the community: Results from a German population-based survey","volume":"14","author":"Beutel","year":"2011","journal-title":"Cyberpsychology, Behavior, and Social 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