Scientific evidence related to internet addiction disorders: A scope review
DOI:
https://doi.org/10.14482/psdc.43.1.369.121Keywords:
Keywords: Internet Addiction Disorder; Meta-analysis; Cognitive-Behavioral Therapy.Abstract
Objective: To synthesize scientific evidence related to internet addiction disorders, seeking to identify the contributions of cognitive-behavioral therapy, in this context. Method: Scoping review was conducted, involving meta-analysis research published between 2019 and 2024.
Results: A total of 28 publications were retrieved, covering the following aspects: “Diagnosis”, via imaging and its relationship related to personality traits; “Risk factors,” mainly related to childhood trauma, loneliness, internet use time, aggression, and impulsiveness in risky decisions; “Protective factors,” involving self-control, awareness, kindness, self-esteem, intelligence, life satisfaction, and education; “Prevalence,” which varied between 8% and 37% in different countries; “Comorbidities,” which included eating disorders; anxiety, depression; decision-making deficits and insomnia; “Treatments / Interventions,” highlighting the practice of physical exercise and mixed approaches, involving medications and cognitive-behavioral therapy associated with repetitive transcranial magnetic stimulation (rTMS); and lastly, impaired “Quality of life.”
References
Al-Khani, A. M., Saquib, J., Rajab, A. M., Khalifa, M. A., Almazrou, A., & Saquib, N. (2021). Internet addiction in Gulf countries: A systematic review and meta-analysis. Journal of behavioral addictions, 10(3), 601-610. https://doi.org/10.1556/2006.2021.00057
American Psychological Association. (2006). Evidence-based practice in psychology: APA presidential task force on evidence-based practice. American Psychologist, 61(4), 271-285. http://dx.doi.org/10.1037/0003-066X.61.4.271
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), 5 Ed, Text Revision. Washington, DC, American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425787
Andrade, A. L. M., Scatena, A., Bedendot, A., Machado, W. de L., Oliveira, W. A. de, Lopes, F. M., & Micheli, D. D. (2023). Uso excessivo de internet e smartphone e problemas emocionais em estudantes de psicologia e psicólogos. Estudos de Psicologia (Campinas), 40, e210010. https://doi.org/10.1590/1982-0275202340e210010
Borges, A. F. A., Carmo, L. S. S. do, Parente, M. P. P. D., Ferreira, A. A. M. F., Nogueira, L. T., & Oliveira, V. A. da S. (2025). Impacto do uso da internet na prevalência de transtornos mentais comuns: um estudo correlacional entre tempo de tela e saúde mental. Revista Eletrônica Acervo Saúde, 25(9), e20963. https://doi.org/10.25248/reas.e20963.2025
Chang, C. H., Chang, Y. C., Yang, L., & Tzang, R. F. (2022). The Comparative Efficacy of Treatments for Children and Young Adults with Internet Addiction/Internet Gaming Disorder: An Updated Meta-Analysis. International journal of environmental research and public health, 19(5), 2612. https://doi.org/10.3390/ijerph19052612
Cheng, C., Lau, Y. C., Chan, L., & Luk, J. W. (2021). Prevalence of social media addiction across 32 nations: Meta-analysis with subgroup analysis of classification schemes and cultural values. Addictive behaviors, 117, e106845. https://doi.org/10.1016/j.addbeh.2021.106845
Chung, W., Sun, C. K., Tsai, I. T., Hung, K. C., Chiu, H. J., Tzang, R. F., Yeh, P. Y., & Cheng, Y. S. (2021). A systematic review and meta-analysis on the clinical implications of probability discounting among individuals with Internet gaming disorder. Scientific reports, 11(1), 3177. https://doi.org/10.1038/s41598-021-82822-z
Dalvi-Esfahani, M., Niknafs, A., Kuss, D. J., Nilashi, M., & Afrough, S. (2019). Social media addiction: Applying the DEMATEL approach. Telematics and Informatics, 43, e101250. https://doi.org/10.1016/j.tele.2019.101250
Darvesh, N., Radhakrishnan, A., Lachance, C. C., Nincic, V., Sharpe, J. P., Ghassemi, M., Straus, S. E., & Tricco, A. C. (2020). Exploring the prevalence of gaming disorder and Internet gaming disorder: a rapid scoping review. Systematic reviews, 9(1), 68. https://doi.org/10.1186/s13643-020-01329-2
Descritores em Ciências da Saúde: DeCS. (2023). ed. rev. e ampl. São Paulo: BIREME / OPAS / OMS, 2023. Recuperado de: http://decs.bvsalud.org/. Acesso em: 20 abr. 2024
Ding, H., Cao, B., & Sun, Q. (2023). The association between problematic internet use and social anxiety within adolescents and young adults: a systematic review and meta-analysis. Frontiers in public health, 11, e1275723. https://doi.org/10.3389/fpubh.2023.1275723
El Dib, R. (2022). How to interpret a meta-analysis? Jornal vascular brasileiro, 21, e20220043. https://doi.org/10.1590/1677-5449.202200431
Fernandes, B., Berta Rodrigues Maia, B., R., & Halley M. Pontes, H., M. (2019). Adição à internet ou uso problemático da internet? Qual dos termos usar? Psicologia USP, 30, e190020. http://dx.doi.org/10.1590/0103-6564e190020
Ferrari Junior, G. J., da Silva, A. B., Meneghetti, A., Leite, C. R., Brust, C., Moreira, G. C., & Felden, É. P. G. (2024). Relationships between internet addiction, quality of life and sleep problems: a structural equation modeling analysis. Jornal de pediatria, S0021-7557(23)00161-4. Advance on-line publication. https://doi.org/10.1016/j.jped.2023.09.015
Goslar, M., Leibetseder, M., Muench, H. M., Hofmann, S. G., & Laireiter, A. R. (2020). Treatments for internet addiction, sex addiction and compulsive buying: A meta-analysis. Journal of behavioral addictions, 9(1), 14-43. https://doi.org/10.1556/2006.2020.00005
Higgins, J. P. T., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., & Welch, V. A. (2022). Cochrane handbook for systematic reviews of interventions version 6.3. 2022. Recuperado de: https://training.cochrane.org/handbook/current Acesso em: 23 abr. 2024.
Hinojo-Lucena, F. J., Aznar-Díaz, I., Cáceres-Reche, M. P., Trujillo-Torres, J. M., & Romero-Rodríguez, J. M. (2019). Problematic Internet Use as a Predictor of Eating Disorders in Students: A Systematic Review and Meta-Analysis Study. Nutrients, 11(9), 2151. https://doi.org/10.3390/nu11092151
Instituto Brasileiro de Geografia e Estatística. (2022). PNAD Contínua: Acesso à internet e à televisão e posse de telefone móvel celular para uso pessoal 2021. IBGE. https://biblioteca.ibge.gov.br/
Instituto Brasileiro de Geografia e Estatística. (2023). PNAD Contínua: Acesso à internet e à televisão e posse de telefone móvel celular para uso pessoal 2022. IBGE. https://biblioteca.ibge.gov.br/
Instituto Brasileiro de Geografia e Estatística. (2024a). PNAD Contínua: Acesso à internet e à televisão e posse de telefone móvel celular para uso pessoal 2023. IBGE. https://biblioteca.ibge.gov.br/
Instituto Brasileiro de Geografia e Estatística. (2024b). PNAD Contínua: Acesso à internet e à televisão e posse de telefone móvel celular para uso pessoal 2024. IBGE. https://biblioteca.ibge.gov.br/
Ioannidis, K., Hook, R., Goudriaan, A. E., Vlies, S., Fineberg, N. A., Grant, J. E., & Chamberlain, S. R. (2019). Cognitive deficits in problematic internet use: meta-analysis of 40 studies. The British journal of psychiatry: the journal of mental science, 215(5), 639-646. https://doi.org/10.1192/bjp.2019.3
Ioannidis, K., Taylor, C., Holt, L., Brown, K., Lochner, C., Fineberg, N. A., Corazza, O., Chamberlain, S. R., Roman-Urrestarazu, A., & Czabanowska, K. (2021). Problematic usage of the internet and eating disorder and related psychopathology: A multifaceted, systematic review and meta-analysis. Neuroscience and biobehavioral reviews, 125, 569-581. https://doi.org/10.1016/j.neubiorev.2021.03.005
Jovanović, T., Višnjić, A., & Gmijović, M. (2021). The association between depression and anxiety symptoms with six core components of social networking sites addiction: A cross-sectional study in Serbia. Acta Medica Medianae, 60(1), 28-37
Karim, F., Oyewande, A. A., Abdalla, L. F., Chaudhry Ehsanullah, R., & Khan, S. (2020). Social Media Use and Its Connection to Mental Health: A Systematic Review. Cureus, 12(6), e8627. https://doi.org/10.7759/cureus.8627
Leonardi, J. L., & Meyer, S. B. (2015). Prática baseada em evidências em psicologia e a história da busca pelas provas empíricas da eficácia das psicoterapias. Psicologia: ciência e profissão, 35, 1139-1156. http://dx.doi.org/10.1590/1982-3703001552014
Leow, M. Q. H., Chiang, J., Chua, T. J. X., Wang, S., & Tan, N. C. (2023). The relationship between smartphone addiction and sleep among medical students: A systematic review and meta-analysis. PloS one, 18(9), e0290724. https://doi.org/10.1371/journal.pone.0290724
Li, S., Wu, Q., Tang, C., Chen, Z., & Liu, L. (2020b). Exercise-Based Interventions for Internet Addiction: Neurobiological and Neuropsychological Evidence. Frontiers in psychology, 11, 1296. https://doi.org/10.3389/fpsyg.2020.01296
Li, S., Wu, Z., Zhang, Y., Xu, M., Wang, X., & Ma, X. (2023). Internet gaming disorder and aggression: A meta-analysis of teenagers and young adults. Frontiers in public health, 11, 1111889. https://doi.org/10.3389/fpubh.2023.1111889
Li, Y., Li, G., Liu, L., & Wu, H. (2020a). Correlations between mobile phone addiction and anxiety, depression, impulsivity, and poor sleep quality among college students: A systematic review and meta-analysis. Journal of behavioral addictions, 9(3), 551-571. https://doi.org/10.1556/2006.2020.00057
Lima, M. E. F., Antunes da Silva, H. M., & Soares Martins, C. (2021). Adicção por internet e suas implicações para o transtorno de ansiedade social. Revista Brasileira De Iniciação Científica, 8, e021032. Recuperado de: https://periodicoscientificos.itp.ifsp.edu.br/index.php/rbic/article/view/496. Acesso em: 23 abr. 2024.
Liu, S., Xiao, T., Yang, L., & Loprinzi, P. D. (2019). Exercise as an Alternative Approach for Treating Smartphone Addiction: A Systematic Review and Meta-Analysis of Random Controlled Trials. International journal of environmental research and public health, 16(20), 3912. https://doi.org/10.3390/ijerph16203912
Lukose, J., Mwansa, G., Ngandu, R., & Oki, O. (2023). Investigating the Impact of Social Media Usage on the Mental Health of Young Adults in Buffalo City, South Africa. International Journal of Social Science Research and Review, 6(6), 303-314. https://doi.org/10.47814/ijssrr.v6i6.1365
Magalhães, J. R., Figueiredo, M. M. C., Santos, A. B. T. M., Cefali, F. B. P. C., Solfa, D. O., Madeira Neto, R. B., Fontenelle, S. G. P., Girão, M. V. F., Barreiro, R. M., Stangherlin, L., & Santos, J. C. C. (2024). The relationship between addictive use of social media and psychiatric disorders: The mediating role of emotion dysregulation. Brazilian Journal of Clinical Medicine and Review, 2(4), 34-43.
Malinauskas, R., & Malinauskiene, V. (2019). A meta-analysis of psychological interventions for Internet/smartphone addiction among adolescents. Journal of behavioral addictions, 8(4), 613-624. https://doi.org/10.1556/2006.8.2019.72
Marengo, D., Sindermann, C., Häckel, D., Settanni, M., Elhai, J. D., & Montag, C. (2020). The association between the Big Five personality traits and smartphone use disorder: A meta-analysis. Journal of behavioral addictions, 9(3), 534-550. https://doi.org/10.1556/2006.2020.00069
Marin, M. G., Machado, A. B. C., Freitas, G. d. S., & Almeida, R. M. M. d. (2024). Internet addiction, sleeping habits and psychological distress in Brazilian adolescents and young adults. Psicologia: Reflexão e Crítica, 37(1). https://doi.org/10.1186/s41155-024-00323-0
Medical Subject Headings. U.S. National Library of Medicine. (2024). National Institutes of Health - NIH. Bethesda, Maryland, USA, 2024. Recuperado de: https://id.nlm.nih.gov/mesh/D000082424. Acesso em: 20 abr. 2024
Meng, S. Q., Cheng, J. L., Li, Y. Y., Yang, X. Q., Zheng, J. W., Chang, X. W., Shi, Y., Chen, Y., Lu, L., Sun, Y., Bao, Y. P., & Shi, J. (2022). Global prevalence of digital addiction in general population: A systematic review and meta-analysis. Clinical psychology review, 92, 102128. https://doi.org/10.1016/j.cpr.2022.102128
Mishra, J., Behera, M. R., Mitra, R., Samanta, P., Mahapatra, P. K., & Kar, S. (2024). Prevalence and impact of internet addiction disorder among adolescents and young adults. The Open Public Health Journal, 17(1), e18749445345806. http://dx.doi.org/10.2174/0118749445345806241010081642
Montag, C., Wegmann, E., Sariyska, R., Demetrovics, Z., & Brand, M. (2021). How to overcome taxonomical problems in the study of Internet use disorders and what to do with "smartphone addiction"? Journal of behavioral addictions, 9(4), 908-914. https://doi.org/10.1556/2006.8.2019.59
Müller, S. M., Antons, S., Wegmann, E., Ioannidis, K., King, D. L., Potenza, M. N., Chamberlain, S. R., & Brand, M. (2023). A systematic review and meta-analysis of risky decision-making in specific domains of problematic use of the internet: Evidence across different decision-making tasks. Neuroscience and biobehavioral reviews, 152, e105271. https://doi.org/10.1016/j.neubiorev.2023.105271
Noroozi, F., Hassanipour, S., Eftekharian, F., Eisapareh, K., & Kaveh, M. H. (2021). Internet Addiction Effect on Quality of Life: A Systematic Review and Meta-Analysis. The Scientific World Journal, 2021, e 2556679. https://doi.org/10.1155/2021/2556679
Ostinelli, E. G., Zangani, C., Giordano, B., Maestri, D., Gambini, O., D'Agostino, A., Furukawa, T. A., & Purgato, M. (2021). Depressive symptoms and depression in individuals with internet gaming disorder: A systematic review and meta-analysis. Journal of affective disorders, 284, 136-142. https://doi.org/10.1016/j.jad.2021.02.014
Padilha, S., Goldschmidt, T., Matteo, R. & Henrique, G. (2023). Relações entre Bem-Estar Subjetivo, “Fear of Missing Out” e Uso de Redes Sociais. Psicología desde el Caribe, 40(1), 97-114. Recuperado de: http://www.scielo.org.co/pdf/psdc/v40n1/2011-7485-psdc-40-01-114.pdf. Acesso em: 20 jul. 2024.
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI evidence synthesis, 18(10), 2119-2126. https://doi.org/10.11124/JBIES-20-00167
Ropovik, I., Martončik, M., Babinčák, P., Baník, G., Vargová, L., & Adamkovič, M. (2023). Risk and protective factors for (internet) gaming disorder: A meta-analysis of pre-COVID studies. Addictive behaviors, 139, e107590. https://doi.org/10.1016/j.addbeh.2022.107590
Shannon, H., Bush, K., Villeneuve, P. J., Hellemans, K. G., & Guimond, S. (2022). Problematic Social Media Use in Adolescents and Young Adults: Systematic Review and Meta-analysis. JMIR mental health, 9(4), e33450. https://doi.org/10.2196/33450
Sokolowski, F. R., Lopes, B. C., & Gutierres, A. (2025). Dependência de Internet e relação com distúrbios mentais em adolescentes. Debates em Psiquiatria, 15, 1-25. https://doi.org/10.25118/2763-9037.2025.v15.1414
Soriano-Molina, E., Limiñana-Gras, R. M., Patró-Hernández, R. M., & Rubio-Aparicio, M. (2025). The association between internet addiction and adolescents’ mental health: A meta-analytic review. Behavioral Sciences, 15(2), 116. https://doi.org/10.3390/bs15020116
Tang, H., Li, Y., Dong, W., Guo, X., Wu, S., Chen, C., & Lu, G. (2024). The relationship between childhood trauma and internet addiction in adolescents: A meta-analysis. Journal of behavioral addictions, 13(1), 36-50. https://doi.org/10.1556/2006.2024.00001
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., … & Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of internal medicine, 169(7), 467-473. https://doi.org/10.7326/M18-0850
Višnjić, A., Kök, K., Višnjić, J., Jovanović, T., & Marković, R. (2023). A longitudinal study of the association between depression, anxiety and stress symptoms of university students in Serbia with excessive social media use before and during COVID-19 pandemic. Frontiers in public health, 11, e1140961. https://doi.org/10.3389/fpubh.2023.1140961
Wang, J., Hao, Q. H., Tu, Y., Peng, W., Wang, Y., Li, H., & Zhu, T. M. (2022). Assessing the Association Between Internet Addiction Disorder and Health Risk Behaviors Among Adolescents and Young Adults: A Systematic Review and Meta-Analysis. Frontiers in public health, 10, e809232. https://doi.org/10.3389/fpubh.2022.809232
Wang, Y., & Zeng, Y. (2024). Relationship between loneliness and internet addiction: a meta-analysis. BMC public health, 24(1), 858. https://doi.org/10.1186/s12889-024-18366-4
Weinstein, A., & Lejoyeux, M. (2020). Neurobiological mechanisms underlying internet gaming disorder. Dialogues in clinical neuroscience, 22(2), 113-126. https://doi.org/10.31887/DCNS.2020.22.2/aweinstein
Wilcox, G., Schroeder, M., & Drefs, M. A. (2023). Clinical Reasoning: A Missing Piece for Improving Evidence-Based Assessment in Psychology. Journal of Intelligence, 11(2), 26. https://doi.org/10.3390/jintelligence11020026
World Health Organization. (2015). Public health implications of excessive use of the internet, computers, smartphones and similar electronic devices: Meeting report, Main Meeting Hall, Foundation for Promotion of Cancer Research, National Cancer Research Centre, Tokyo, Japan, 27-29 August 2014. World Health Organization. Recuperado de: https://www.who.int/publications/i/item/9789241509367. Acesso em: 06 mai. 2024
World Health Organization (2019). International classification of diseases 11th revision. [on-line] Geneva: Switzerland: World Health Organization, 2019. Recuperado de: https://icd.who.int/browse/2024-01/mms/en#338347362. Acesso em: 23 abr. 2024.
Wright, A. J., Pade, H., Gottfried, E. D., Arbisi, P. A., McCord, D. M., & Wygant, D. B. (2022). Avaliação psicológica clínica baseada em evidências (EBCPA): Revisão do estado atual da literatura e melhores práticas. Psicologia Profissional: Pesquisa e Prática, 53(4), 372-386. https://doi.org/10.1037/pro0000447
Yao, Y. W., Zhang, J. T., Fang, X. Y., Liu, L., & Potenza, M. N. (2022). Reward-related decision-making deficits in internet gaming disorder: a systematic review and meta-analysis. Addiction (Abingdon, England), 117(1), 19-32. https://doi.org/10.1111/add.15518
Yu, J., Abdullah, M. F. I. L., & Mansor, N. S. (2024). EEG components of inhibitory control ability in internet gaming disorder: A systematic review and meta-analysis of randomized controlled trials. Brain and behavior, 14(1), e3388. https://doi.org/10.1002/brb3.3388
Zhu, Y., Chen, H., Li, J., Mei, X., & Wang, W. (2023). Effects of different interventions on internet addiction: a systematic review and network meta-analysis. BMC psychiatry, 23(1), 921. https://doi.org/10.1186/s12888-023-05400-9
Zhuang, X., Zhang, Y., Tang, X., Ng, T. K., Lin, J., & Yang, X. (2023). Longitudinal modifiable risk and protective factors of internet gaming disorder: A systematic review and meta-analysis. Journal of behavioral addictions, 12(2), 375-392. https://doi.org/10.1556/2006.2023.00017
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