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Yıl:2016; Cilt: 6; Sayı: 3>> Özet
Psikiyatride Güncel; 2016;6(3):183-191
İnternet bağımlılığında tanı ve tedavi
E Dalbudak
Ankara
Özellikle ergenler ve genç erişkinler arasında internet kullanımı; akademik, eğlence, sosyalleşme ve bunun gibi amaçlar için tüm dünyada yaygındır. Davranışsal bağımlılık olarak kabul edilen internet bağımlılığı (İB); internet kullanımı üzerine kişinin kontrolünü kaybetmesi veya aşırı internet kullanımı olarak tanımlanabilir. Yine de, İB tanımı ve değerlendirmesi için standart, geçerli ve güvenilir değerlendirme araçları yetersizdir ve ülkeler arasındaki farklılıklar bu değerlendirmeyi kısıtlamaktadır. İB olan hastalar genel psikiyatri servislerine çok farklı klinik durumlar ile başvurabilmekte ve genel olarak tanı atlanabilmektedir. Ayrıca yapılan kesitsel çalışmalarda da psikiyatrik bozukluklarla İB’nin yüksek komorbitide gösterdiği bildirilmektedir. Özellikle İB’de en sık görülen psikiyatrik rahatsızlıklar ya da belirtiler depresyon, anksiyete, dikkat eksikliği ve hiperaktivite, alkol/madde kullanım bozukluğu ve B kümesi kişilik özellikleridir. Dolayısı ile klinisyenler bu hastalarda İB’yi ya da İB olanlarda bu hastalıkları sorgulaması gerekir. Sonuç olarak, İB tıpkı diğer bağımlılıklarda olduğu gibi yüksek komorbitide gösteren, sıklıkla atlanabilen bir klinik fenomendir. Dolayısı ile klinisyenler mutlaka İB’yi tanınmalı ve tedavi etmelidirler. Bu yazının amacı İB ve İB ile birlikte sıklıkla görülebilen diğer psikiyatrik tanılara dikkat çekmektir.
Diagnosis and treatment of internet addiction
The use of Internet is very common all around the world, especially among adolescents and young adults for academic, recreational, and such purposes, and socialization. Internet addiction (IA) which is accepted as a behavioral addiction may be defined excessive internet use and lack of control on internet using. The lack of a standardized definition and diagnostic instruments that show adequate reliability and validity across countries are significant limitations in evaluating IA. Patients with IA come across to general psychiatric services in different clinical situations and IA can be usually misdiagnosed. In addition, it is known that previous cross-sectional studies on IA show high comorbidity with other psychiatric disorders. Especially, some psychiatric disorders and symptoms such as depression, anxiety, attention deficit and hyperactivity, alcohol/substance abuse and cluster of B personality are the most common diagnoses in patients with IA. Therefore, clinicians must check these disorders among patients with IA. Similarly, clinicians must check IA among patients with these disorders. As a result, there is a high comorbidity of psychiatric disorders in IA which is a clinical phenomenon like in other addictive disorders. Thus, clinicians must recognize and treat patients with IA. The aim of the present article is to draw attention to IA and other psychiatric disorders, frequently seen with IA.

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