Brief report: the influence of dissociative experiences and alcohol/drugs dependence on Internet addiction

Roberta Biolcati, Giacomo Mancini, Elena Trombini


The main aim of this study is to investigate the influence of dissociative experiences and alcohol/drugs dependence on Internet addiction. From a clinical point of view Internet addiction, an excessive or poorly controlled preoccupation, urges, and/or behaviors regarding Internet use, lead to emotional and social problems in several life domains. Moreover, the increased prevalence of Internet addiction among adolescents and young adults is cause of concerns. Data was collected on 441 undergraduate students (285 female), aging from 18 to 36, using an assessment self-reporting set consisting of the Young’s Internet Addiction Test, the Leeds Dependence Questionnaire and the Dissociative Experience Scale. Results converging for the three psychological phenomena involved are interrelated, corroborating the hypothesis of the search for an altered state of consciousness as their common underlying mechanism. Findings show that the tendency to escape from reality, through dissociation and substance abuse, are risk factors for Internet addiction in youngsters. The implications of these results are discussed in a preventive and clinical perspective.


Dissociative experiences; Internet addiction; Dependence

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American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders Fifth edition (DSM-5®). American Psychiatric Pub.

Bakken I.J., Wenzel H.G., Götestam K.G., Johansson A. & Øren A. (2009). Internet addiction among Norwegian adults: a stratified probability sample study. Scandinavian journal of psychology, 50(2), 121-127.

Banos R., Botella C., Garcia-Palacios A., Villa H., Perpiñá, C., & Gallardo M. (1999). Psychological variables and reality judgment in virtual environments: the roles of absorption and dissociation. CyberPsychology & Behavior, 2(2), 143-148.

Bernardi S. & Pallanti S. (2009). Internet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms. Comprehensive psychiatry, 50(6), 510-516.

Bernstein E.M., Putnam F.W. (2010). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 178:448-454.

Biolcati R. (2010). La vita online degli adolescenti: tra sperimentazione e rischio. Psicologia clinica e dello sviluppo, XIV(2): 267-291.

Bruno A., Scimeca G., Cava L., Pandolfo G., Zoccali R.A., & Muscatello M.R.A. (2014). Prevalence of internet addiction in a sample of southern Italian high school students. International Journal of Mental Health and Addiction, 12(6), 708-715.

Canan F., Ataoglu A., Ozcetin A. & Icmeli C. (2012). The association between Internet addiction and dissociation among Turkish college students. Comprehensive Psychiatry, 53(5): 422-6.

Cheng C. & Li A.Y. (2014). Internet addiction prevalence and quality of (real) life: a meta-analysis of 31 nations across seven world regions. Cyberpsychol. Behav. Soc. Netw.,17(12):755–760.

Craparo G., Messina R., Severino S., Fasciano S., Cannella V., Gori A. ... & Baiocco R. (2014). The relationships between self-efficacy, internet addiction and shame. Indian journal of psychological medicine, 36(3), 304.

De Berardis D., D'Albenzio A., Gambi F., Sepede G., Valcher, A., Conti C. M., ... & Serroni N. (2009). Alexithymia and its relationships with dissociative experiences and Internet addiction in a nonclinical sample. CyberPsychology & Behavior, 12(1), 67-69.

Fabbri Bombi A., Bertin I., Cristante F. & Colombo F. (1996). Un contributo alla standardizzazione della Dissociative Experiences Scale (DES) di Bernstein e Putnam. Bollettino di psicologia applicata, 219, 39-46.

Gefen D., Rigdon E. E. & Straub D. (2011). Editor's comments: an update and extension to SEM guidelines for administrative and social science research. MIS Quarterly, iii-xiv.

Griffiths M.D. (1996). Internet “addiction”: an issue for clinical psychology? Clinical Psychology Forum, 97:32–36.

Griffiths M.D. (2005). A “components” model of addiction within a biopsycho-social framework. J Subst Use, 10(4):191–197.

Griffiths M.D. (2010). The role of context in online gaming excess and addiction: some case study evidence. Int. J. Ment. Health Addict., 8(1): 119–125.

Griffiths M.D., Wood R. T.A., Parke J. & Parke A. (2006). Dissociative states in problem gambling. In C. Allcock (Ed.), Current issues related to dissociation (pp. 27–37). Melbourne: Australian Gaming Council 6.

Kandell J.J. (1998). Internet addiction on campus: the vulnerability of college students. CyberPsychology & Behavior, 1:11-17.

Karadağ E., Tosuntaş Ş.B., Erzen E., Duru P., Bostan N., Şahin B.M. ... & Babadağ B. (2015). Determinants of phubbing, which is the sum of many virtual addictions: A structural equation model. Journal of behavioral addictions, 4(2), 60-74.

Ko C.H., Yen J.Y., Yen C.F., Chen C.S., Weng C.C. & Chen C.C. (2008). The association between Internet addiction and problematic alcohol use in adolescents: the problem behavior model. CyberPsychology & Behavior, 11(5), 571-576.

Kuss D.J., Griffiths M.D. & Binder J. F. (2013). Internet addiction in students: Prevalence and risk factors. Computers in Human Behavior, 29(3), 959-966.

Kuss D.J., Griffiths M.D., Karila L. & Billieux J. (2014). Internet addiction: a systematic review of epidemiological research for the last decade. Current pharmaceutical design, 20(25), 4026-4052.

Kuss D.J., Van Rooij A.J., Shorter G.W., Griffiths M.D. & van de Mheen D. (2013). Internet addiction in adolescents: Prevalence and risk factors. Computers in Human Behavior, 29(5), 1987-1996.

Lam L.T., Peng Z.W., Mai J.C. & Jing J. (2009). Factors associated with Internet addiction among adolescents. CyberPsychology & Behavior, 12(5), 551-555.

Lee T.K., Roh S., Han J.H., Park S.J. & Soh M.A. (2015). PO-28: The influence of dissociation on Internet addiction among South Korean Internet users. Journal of Behavioral Addictions, 4(S1), 56-57.

Lee Y.S., Han D.H., Kim S.M. & Renshaw P. F. (2013). Substance abuse precedes internet addiction. Addictive behaviors, 38(4), 2022-2025.

Lee, T. K., Roh, S., Han, J. H., Park, S. J., Soh, M. A., Han, D. H., & Shaffer, H. J. (2016). The relationship of problematic internet use with dissociation among South Korean internet users. Psychiatry research, 241, 66-71.

Lin M.P., Ko H.C. & Wu J.Y.W. (2011). Prevalence and psychosocial risk factors associated with Internet addiction in a nationally representative sample of college students in Taiwan. Cyberpsychology, Behavior, and Social Networking, 14(12), 741-746.

Merckelbach H. & Muris P. (2001). The causal link between self-reported trauma and dissociation: a critical review. Behavior Research Therapy, 39:245-254.

Padilla-Walker L.M., Nelson L.J., Carroll J.S. & Jensen A.C. (2010). More than just a game: Video game and internet use during emerging adulthood. Journal of Youth and Adolescence, 39, 103−113 Published online January 10, 2009.

Paulhus D. L., & Vazire S. (2007). The self-report method. Handbook of research methods in personality psychology, 1, 224-239.

Pontes H.M., Kuss D.J. & Griffiths M.D. (2015). Clinical psychology of Internet addiction: a review of its conceptualization, prevalence, neuronal processes, and implications for treatment. Neuroscience & Neuroeconomics, 4, 11-23.

Raistrick D., Bradshaw J., Tober G., Weiner J., Allison J. & Healey C. (1994). Development of the Leeds Dependence Questionnaire (LDQ): a questionnaire to measure alcohol and opiate dependence in the context of a treatment evaluation package. Addiction, 89(5), 563-572.

Rücker J., Akre C., Berchtold A. & Suris J.C. (2015). Problematic Internet use is associated with substance use in young adolescents. Acta paediatrica, 104(5), 504-507.

Schauer M. & Elbert T. (2010). Dissociation following traumatic stress. Zeitschrift für Psychologie/Journal of Psychology. Vol. 218(2):109–127

Schimmenti A. & Caretti V. (2010). Psychic retreats or psychic pits? Unbearable states of mind and technological addiction. Psychoanalytic Psychology, 27:2, 115.

Scimeca G., Bruno A., Cava L., Pandolfo G., Muscatello M.R.A., & Zoccali R. (2014). The relationship between alexithymia, anxiety, depression, and internet addiction severity in a sample of Italian high school students. The Scientific World Journal.

Scimeca G., Bruno A., Crucitti M., Conti C., Quattrone D., Pandolfo G., ... & Muscatello M.R.A. (2017a). Abnormal illness behavior and Internet addiction severity: The role of disease conviction, irritability, and alexithymia. Journal of Behavioral Addictions, (0), 1-6.

Scimeca G., Muscatello M.R., Chisari C., Crucitti M., Pandolfo G., Zoccali R., & Bruno A. (2017b). The relationship between sexual behavior and internet addiction severity in a sample of heterosexual university students from italy. Clinical Neuropsychiatry, 14(1).

Shepherd R.M. & Edelmann R. (2005). Reasons for internet use and social anxiety. Personality and Individual Differences, 39:949-958.

Smahel D., Brown B.B. & Blinka L. (2012). Associations between online friendship and Internet addiction among adolescents and emerging adults. Developmental psychology, 48(2), 381.

Stavropoulos V., Alexandrak, K. & Motti-Stefanidi F. (2013). Recognizing internet addiction: Prevalence and relationship to academic achievement in adolescents enrolled in urban and rural Greek high schools. Journal of adolescence, 36(3), 565-576.Yao & Zhong, 2014;

Steinberg M. & Schnall M. (2001). The Stranger in the Mirror. Dissociation – The Hidden Epidemic. Publisched by arrangement with Harper Collins. (Tr. It. La dissociazione. I cinque sintomi fondamentali, Cortina, Milano, 2006).

Steiner J. (2003). Psychic retreats: Pathological organizations in psychotic, neurotic and borderline patients. Routledge.

Suler J.R. (1999). To get what you need: healthy and pathological Internet use. CyberPsychology & Behavior, 2(5):355-393.

Weinstein A., Feder L.C., Rosenberg K.P. & Dannon P. (2014). Internet addiction disorder: overview and controversies. In: K.P. Rosenberg, L.C. Feder editors. Behavioral Addictions. San Diego, CA, USA: Academic Press.

Whang L.S M., Lee S. & Chang G. (2003). Internet over-users' psychological profiles: a behavior sampling analysis on internet addiction. CyberPsychology & Behavior, 6(2), 143-150.

Wheeler A.L. & Frankland P.W. (2015). Drugs and the Adolescent Brain. In Brain Crosstalk in Puberty and Adolescence (pp. 1-14). Springer International Publishing.

Young K.S. & Rogers R.C. (1998). The relationship between depression and Internet addiction. CyberPsychology & Behavior, 1(1):25-28.

Young K.S. (1996). Internet addiction: the emergence of a new clinical disorder. CyberPsycology & Behavior, 3:237-244.

Young K.S. (1998). Internet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav., 1(3):237–244.



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