Oppositional defiant disorder/conduct disorder co-occurrence increases the risk of Internet addiction in adolescents with attention-deficit hyperactivity disorder

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Gunes H., Tanidir C., Adaletli H., Kilicoglu A. G., Mutlu C., Bahali M. K., ...More

JOURNAL OF BEHAVIORAL ADDICTIONS, vol.7, no.2, pp.284-291, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 7 Issue: 2
  • Publication Date: 2018
  • Doi Number: 10.1556/2006.7.2018.46
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.284-291
  • Keywords: Internet addiction, adolescents, ADHD, oppositional defiant disorder, conduct disorder, PSYCHIATRIC-SYMPTOMS, SUICIDAL IDEATION, SUBSTANCE USE, ASSOCIATION, DEPRESSION, PREVALENCE, PREDICTORS, CHILDREN, SCHOOL, ADHD
  • Bezmialem Vakıf University Affiliated: Yes


Objectives: The aims of this cross-sectional study were to assess the prevalence of Internet addiction (IA) in a clinical sample of adolescents with attention-deficit hyperactivity disorder (ADHD) and to detect the moderating effects of co-occurring oppositional defiant disorder/conduct disorder (ODD/CD) on the association between ADHD and IA. Methods: The study group comprised 119 adolescent subjects who were consecutively referred to our outpatient clinic with a diagnosis of ADHD. The Turgay DSM-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale (T-DSM-IV-S) was completed by parents, and subjects were asked to complete the Internet Addiction Scale (IAS). Results: The IAS results indicated that 63.9% of the participants (n=76) fell into the IA group. Degree of IA was correlated with hyperactivity/impulsivity symptoms but not with inattention symptoms. As compared to the ADHD-only group (without comorbid ODD/CD), ADHD+ODD/CD subjects returned significantly higher scores on the IAS. Conclusions: As adolescents with ADHD are at high risk of developing IA, early IA detection and intervention is of great importance for this group. In addition, adolescents with ADHD+ODD/CD may be more vulnerable to IA than those in the ADHD-only group and may need to be more carefully assessed for IA.