Abstract
Zusammenfassung.Zielsetzung: Es wird der aktuelle Forschungsstand über den Zusammenhang von ADHS und Mediensucht dargestellt, die beide zu den häufigsten kinder- und jugendpsychiatrischen Störungen gehören. Methodik: Anhand einer systematischen Literaturrecherche wurden aus 190 relevanten Suchergebnissen zum Thema ADHS und Mediensucht bei Kindern und Jugendlichen 125 Artikel zum Download ausgewählt. 57 Veröffentlichungen konnten eingeschlossen werden. Ergebnisse: Es besteht eine klare Evidenz, dass ADHS mit einer hohen Rate an Mediensucht verbunden ist und andererseits bei Mediensucht eine hohe Rate an ADHS-Symptomen gefunden wird. Die meisten Studien belegen nur diese Korrelation ohne Kausalitätsnachweis. Ergebnisse der neurobiologischen Forschung weisen auf die Nähe von ADHS und Mediensucht hin. Schlussfolgerungen: Bei Diagnose einer ADHS muss insbesondere auch die Mediennutzung erfasst werden und bei Vorliegen einer Mediensucht sorgfältig auf ADHS untersucht werden. ADHS muss als Risikofaktor für die Entwicklung einer Mediensucht angesehen werden, adäquate Therapie der ADHS kann dieses Risiko verringern. Eine ausgedehnte Mediennutzung kann Hinweis auf eine ungenügend behandelte ADHS sein.
Abstract.Aims: ADHD and internet addiction are highly prevalent today among adolescents, and from a clinical perspective there seems to be an interaction. This systematic review gives an overview about the current literature pertaining to such overlaps and interactions. Methods: In a systematic database search, the relevant literature on ADHD and internet addiction in children and adolescents was screened and 125 publications were identified in a further content check. In the end, 57 publications were included in the analysis. Results: There is clear evidence that ADHD in children and adolescents has a high rate of co-morbid internet addiction. This association is supported by neurobiological associations. However, potential causal mechanisms of this association remain unclear. Conclusion: The current literature confirms ADHD and internet addiction as frequent co-morbidities. ADHD has to be considered a risk factor for developing internet addiction. Proper ADHD therapy could prevent the development of an internet addiction. The results underline the importance of an integrative diagnostic and therapeutic approach to treating ADHD and internet addiction.
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