Examining the Application of the DC-IA-A Diagnostic Criteria for Internet XXXX in At-Risk College Students.

@entity988 @entity308 @entity74 @entity146
UNASSIGNED: @entity74 is a relatively new condition, and the criteria for its diagnosis have been developed only over the last several years. The criteria for @entity988 remain controversial. We strive to further elucidate the clinical validity of the diagnostic criteria for @entity988 . To test items of the diagnostic criteria for @entity988 among adolescents, we conducted a clinical interview study of college students based on longitudinal data on their risky use of the Internet. Forty-one high-risk cases were selected from a 3-year 5-time point longitudinal survey of 716 college freshmen. We examined disputes relevant to symptoms and impairment in the DC-IA-A (Diagnostic Criteria for Internet Addiction among Taiwanese Adolescents). Of the 41 cases, 21 were diagnosed with @entity988 via a @entity146 interview. In the @entity74 group, 23.8% of cases had a diagnosis of @entity308 , whereas only 15.0% of the cases in the non- @entity988 group had a diagnosis of @entity308 . Two major criteria (A8 and A3) had low incidences in these high-risk college students and thus did not help provide a differential diagnosis between the groups. We suggest that A8, 'excessive effort spent on activities necessary to obtain access to the Internet', should be omitted, and that A3, 'tolerance: a marked increase in the duration of Internet use needed to achieve satisfaction', should be modified. A1 and A9 should be discussed regarding their role in the diagnosis of @entity74 . Additional well-designed studies examining the diagnostic criteria and the relationship between factors are needed.
