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Questions included on the IAT expand upon Young's earlier 8-question assessment in greater detail and include questions such as "Do you become defensive or secretive when anyone asks you what you do online? Laura Widyanto and Mary Mc Murran's 2004 article titled The Psychometric Properties of the Internet Addiction Test. Northrup and colleagues (2015) claim that Internet per se is simply the medium and that the people are in effect addicted to processes facilitated by the Internet." and "Do you find yourself anticipating when you go online again? The Test score ranges from 20 to 100 and a higher value indicates a more problematic use of the Internet: More recently, researchers Mark D. is created to measure the processes to which individuals are addicted.Diagnosis of Internet addiction disorder is empirically difficult.Various screening instruments have been employed to detect Internet addiction disorder.Brain function consequences Using an age- and gender-matched Chinese adolescent sample, Yan Zhou and associates (2009) demonstrate that IA adolescents have a lower brain gray matter density (GMD) in the "left anterior cingulate cortex, left posterior cingulate cortex, left insula, and left lingual gyrus" than adolescents in the control group, indicating the presence of brain structural changes in Internet addicts.Similar results have been confirmed by CB Weng and colleagues (2011) with a group of 17-year-olds who were diagnosed online game addiction (OGA) and another group without addiction.More recently, the concept has been applied to behavioral dependence The problem of Internet addiction evolves together with the development and spread of the Internet.As adolescents (12–17 years) and emerging adults (18–29 years) access the Internet more than any other age groups and undertake a higher risk of overuse of the Internet, the problem of Internet addiction disorder is most relevant to young people.

The notion of "Internet Addictive Disorder" was initially conjured up by Dr. Goldberg in 1995 as a joke to parody the complexity and rigidity of American Psychiatric Association's (APA) "Diagnostic and Statistical Manual of Mental Disorders (DSM)." In his first narration, Internet addictive disorder was described as having the symptoms of "important social or occupational activities that are given up or reduced because of Internet use," "fantasies or dreams about the Internet," and "voluntary or involuntary typing movements of the fingers." The definition of Internet addiction disorder has troubled researcher ever since its inception. As a result of its complex nature, some scholars do not provide a definition of Internet addiction disorder and throughout time, different terms are used to describe the same phenomenon of excessive Internet use.

Most recent research has focused on the biological causes of Internet addiction.

For a systematic review of the kind, please refer to the 2017 Springer book edited by Christian Montag and Martin Reuter: Internet Addiction: Neuroscientific Approaches and Therapeutical Implications Including Smartphone Addiction (3nd edition).

Different samples, methodologies, and screening instruments are employed across studies and therefore one should take caution interpreting and comparing the above-listed figures.

Interpersonal difficulties It is argued that interpersonal difficulties such as introversion, social problems, often lead to internet addiction.

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