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Rehabilitation (Stuttg) 2018; 57(05): 321-333
DOI: 10.1055/s-0043-124392
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© Georg Thieme Verlag KG Stuttgart · New York

Diagnostik und Therapie der Internetabhängigkeit

Diagnosis and Therapy of Internet Addiction
Bert Theodor te Wildt
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Publication History

Publication Date:
16 October 2018 (online)

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Mindestens 1% der Jugendlichen oder Erwachsenen erfüllt die Suchtkriterien der Internetabhängigkeit – mit steigender Tendenz. Risiken dafür haben Personen mit geringer Offline-Selbstwirksamkeit. Diesen kann mit kognitiv-behavioraler Therapie geholfen werden.

ABSTRACT

Internet dependence, especially online computer games, social networks and online pornography, is increasingly understood as a behavioral addiction. Addiction criteria, as used in the diagnosis of substance-related addiction disorders, have also proven effective in these cases. Prevalence estimates for Germany assume a frequency of around 1%, although the proportion in younger populations is already significantly higher and is therefore expected to increase for the time being. In diagnosis and treatment, comorbid disorders such as depression, anxiety disorders, Attention-Deficit/Hyperactivity Disorder (ADHD) and substance-related dependencies should be taken into account, especially when psychopharmacotherapy is considered. The therapy of choice is psychotherapy. As a goal of abstinence a complete abstinence from those digital applications to which the addictive behavior refers is recommended. At the same time the treatment always focuses on opening up new possibilities for analogue action. In particularly severe and chronic cases, inpatient therapy may also be useful in specific psychotherapeutic treatment settings.

Keywords

internet addiction - internet dependance - social network - online pornography - addictive behavior - social media
 

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