A scoping review on problematic Internet use and Substance Use Disorder among men

Abstract

Problematic Internet Use (PIU) and Substance Use Disorder (SUD) interact in complex ways that influence the current mental health landscape. Concurrently, the advent of the digital era has presented new difficulties, one of which is the emergence of problematic internet use as a significant issue that negatively impacts mental health. The increasing popularity of internet use has led to an increasing number of reports highlighting the potential negative consequences of overuse, such as substance use. Thus, the study aimed to synthesise literature on problematic internet use and substance use disorder, including the way in which they affect men, given that prior research has predominantly focused on women. The methods employed follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) which is largely based on a PRISMA statement and checklist, the JBI methodological guidance, and other approaches for undertaking scoping reviews. A total of 16 studies were eligible for final review, and the themes identified from the reviewed studies were obtained using Braun and Clarke's thematic analysis. An analysis of the articles showed a large focus on gender differences in addiction patterns, vulnerability to problematic internet use across age groups, associations between substance use and behavioural addictions, problematic internet use and mental health disorders, the psychological consequences of problematic internet use and substance use disorders, and the various risk factors associated with the development of problematic internet use and substance use disorder. A clear understanding and conceptualisation of this behavioural addiction is vital, including the development and utilisation of appropriate and validated diagnostic and screening tools to measure its presence and, in turn, address it as an emerging mental health disorder. Focus should be given to the assessment of problematic internet use by distinguishing the two different forms, namely the generalised and specific forms of problematic internet use. Additionally, given that there were very few to no qualitative studies conducted on the topic of problematic internet use, much less addressing the possible association with substance use disorder, an assessment of the individual's experience, especially that of men, is lacking. Future research could therefore aim to incorporate more qualitative studies to address the above. Further research is also needed to clarify the nature of the relationship between problematic internet use and substance use disorder for the purpose of establishing possible causality, including the neurobiological substrates involved.