Problematic internet use among older adolescents: A conceptual framework

Problematic internet use (PIU) is of growing significance to adolescent health, but lacks a strong conceptual framework to guide ongoing work. We used Concept Mapping methodology to construct a theoretical framework describing PIU. This validated approach includes five steps: preparation, generation (brainstorming), structuring (sort and rank), representation (statistical analysis) and interpretation (focus groups). Analysis included hierarchical cluster analysis over the overall square similarity matrix to determine a cluster map. A total of 193 college students participated in one or more phases of the study. Students were from 13 universities across 10 states, had an average age of 19.4 years (SD = 1.8), were 67% female and 77% Caucasian. A total of 20 health professionals participated. The seven clusters depicted on the PIU Concept Map include: psychosocial risk factors, physical impairment, emotional impairment, social/functional impairment, risky internet use, impulsive internet use and internet use dependence. The stress value for the fit of the multidimensional solution to the structuring data was 0.28, indicating adequate fit. The concept map may be used towards development of a future comprehensive model of PIU as well as scale development efforts.

► The concept map provides a framework to describe key constructs of PIU. ► Psychosocial risk factors include states that may increase vulnerability to PIU. ► Three clusters of impairment describe areas in which adolescents are affected by PIU. ► A triad of internet use constructs include risky, impulsive and dependent use. ► The PIU Concept Map may inform both future research and clinical practice.