A Case of Withdrawal Psychosis from Internet Addiction Disorder

Paik, Ahyoung; Oh, Daeyoung; Kim, Daeho

doi:10.4306/pi.2014.11.2.207

Cited by 25 publications

(22 citation statements)

References 10 publications

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“…In the previous study, Internet addiction and pathological Internet use have been revealed to induce negative outcomes such as uncontrolled Internet use, tolerance, withdrawal, social isolation, and poor academic or professional achievement ( 6 ). Previous research has suggested that individuals Internet addiction disorder (IAD) showed excessive use, tolerance, and withdrawal symptoms similar to substance use disorder ( 7 ). A study of the diagnostic criteria has revealed that 96% of individuals with IAD reported withdrawal symptoms ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Role of Frontostriatal Connectivity in Adolescents With Excessive Smartphone Use

et al. 2018

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As smartphone use has grown rapidly over recent decade, it has been a growing interest in the potential negative impact of excessive smartphone use. In this study, we aim to identify altered brain connectivity associated with excessive smartphone use, and to investigate correlations between withdrawal symptoms, cortisol concentrations, and frontostriatal connectivity. We focused on investigating functional connectivity in frontostriatal regions, including the orbitofrontal cortex (OFC), midcingulate cortex (MCC), and nucleus accumbens (NAcc), which is related to reward processing and cognitive control. We analyzed data from 38 adolescents with excessive smartphone use (SP) and 42 healthy controls (HC). In the SP group compared with HC, we observed lower functional connectivity between the right OFC and NAcc, and between the left OFC and MCC. Moreover, functional connectivity between the MCC and NAcc was greater in SP compared with HC. Subsequently, we examined the relationship between Internet use withdrawal symptoms, cortisol concentrations, and functional connectivity between the OFC and NAcc in SP and HC. We observed that more severe withdrawal symptoms were associated with higher cortisol concentrations in adolescents with excessive smartphone use. The most interesting finding was that we observed a negative correlation between OFC connectivity with the NAcc and both withdrawal symptoms and cortisol concentrations. The functional connectivity between the OFC and NAcc, and between the OFC and MCC are related to cognitive control of emotional stimuli including reward. The current study suggests that adolescents with SP had reduced functional connectivity in these regions related to cognitive control. Furthermore, Internet use withdrawal symptoms appear to elicit cortisol secretion, and this psychophysiological change may affect frontostriatal connectivity. Our findings provide important clues to understanding the effects of excessive use of smartphones on brain functional connectivity in adolescence.

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Section: Introductionmentioning

confidence: 99%

Role of Frontostriatal Connectivity in Adolescents With Excessive Smartphone Use

et al. 2018

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“…Today we live with computers as if they were humans -our employers, employees, personal assistants, best friends, life companions, family members and casual acquaintances. We nurture our devices as if they were living beings and many suffer psychological distress when separated from them (Männikkö et al 2017;Paik et al 2014). By "them" we mean computer-based human-like creatures -essentially all software that emulates some characteristic of humanness be the interaction in the form of text, video, audio, holograms, robots, androids etc.…”

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confidence: 99%

“Can Computer Based Human-Likeness Endanger Humanness?” – A Philosophical and Ethical Perspective on Digital Assistants Expressing Feelings They Can’t Have”

2019

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Digital assistants engage with us with increasingly human-like conversations, including the expression of human emotions with such utterances as "I am sorry…", "I hope you enjoy…", "I am grateful…", or "I regret that…". By 2021, digital assistants will outnumber humans. No one seems to stop to ask if creating more digital companions that appear increasingly human is really beneficial to the future of our species. In this essay, we pose the question: "How human should computer-based human-likeness appear?" We rely on the philosophy of humanness and the theory of speech acts to consider the long-term consequences of living with digital creatures that express human-like feelings. We argue that feelings are the very substance of our humanness and therefore are best reserved for human interaction.

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“…Among them, attention deficit hyperactivity disorder (ADHD) is the most commonly seen co-occurring diagnosis, with an incidence as high as 83.3%. The most serious co-occurring diagnosis was psychotic-like experiences 2 or reported withdrawal psychosis after IA 3,4 (one adult and one adolescent). The previous report of an adolescent introduced the psychosis but gave no possible reason for how the psycho-sis developed.…”

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confidence: 99%

Adolescent's psychotic‐like symptoms associated with Internet addiction

Tzang

Chang

2014

Psychiatry Clin Neurosci

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informed consent form regarding the purpose of therapy, possible results and authorizing publication. We administered tiapride at 75 mg/day for his irritability and aggression, but it was not effective. We then stopped the tiapride and started to administer risperidone at 2 mg/day. As his activities of daily life rapidly worsened, we stopped the risperidone immediately. After its cessation, he developed neuroleptic malignant syndrome (NMS), which included a decrease in the level of consciousness, increased fever, tachycardia, hyperreflexia, tremor, rigidity, over-sweating and polypnea. Blood chemical tests were as follows: Na 139, K 4.0, Cl 104, total protein 6.3, albumin 3.4, creatine phosphokinase 19 and WBC 9300. Intensive care, including cooling and i.v. drip infusion, was provided and he recovered after 2 days. This is the only report to suggest a relation between DNTC and NMS. Habuchi et al. reported on transactive response DNA binding protein of 43 kDa pathology in DNTC. They also pointed out that α-synucleinopathy was observed in eight of 10 cases.2 Therefore, we might speculate that DNTC is a strong risk factor of NMS, as in the case of dementia of Lewy bodies. REFERENCES

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A Case of Withdrawal Psychosis from Internet Addiction Disorder

Cited by 25 publications

References 10 publications

Role of Frontostriatal Connectivity in Adolescents With Excessive Smartphone Use

Role of Frontostriatal Connectivity in Adolescents With Excessive Smartphone Use

“Can Computer Based Human-Likeness Endanger Humanness?” – A Philosophical and Ethical Perspective on Digital Assistants Expressing Feelings They Can’t Have”

Adolescent's psychotic‐like symptoms associated with Internet addiction

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