1. Computer-related
behavioral problems in
children and adolescents:
a growing concern
Speaker: dr. grace macapagal

2. Objectives
1. Discuss current studies about the use of computer in the educational
setting.
2.Define “Computer addiction” and related as it applies to clinical
practice.
3.Determine the effects of computer use on children’s development.
4.Discuss unhealthy computer use in children .
5.Identify risk factors for unhealthy / pathological computer use.
6.Determine the role of parents and teachers in children’s unhealthy
computer use.
7.Discuss preventive strategies.

3. Computer-related behavioral problems in children and adolescents:
a growing concern
Speaker: dr. grace macapagal

4. •
We all enjoy the benefits of the Internet, and for many of us it is also
an indispensable tool for work, education, and communication.
While time spent on the Internet can be hugely productive, for some
people compulsive Internet use can interfere with daily life, work and
relationships
•
When you feel more comfortable with your online friends than your
real ones, or you can’t stop yourself from playing games, gambling,
or compulsively surfing, even when it has negative consequences in
your life, then you may be using the Internet too much.
•
Learn about the signs and symptoms of Internet addiction and how
you can get balance back in your online life.

5. Benefits of computer use in children
- Computers help introduce children to an
important new technology
- Computers foster the development of
technical skills
- Computers may also facilitate learning

6. • 1989
• 1995
Dr. Edwin Golbert

7. Computer-related behavioral problems in children and adolescents:
a growing concern
Speaker: dr. grace macapagal

8. A Maladaptive Pattern of Internet use
I. Tolerance
II. Withdrawal
a. psychomotor agitation
b. anxiety
c. obsessive thinking
d. fantasies or dreams about the internet
e. voluntary or involuntary typing movements of the fingers
B. Use of internet or a similar on-line service is engaged in to relieve
or avoid withdrawal symptoms
III. Internet is often accessed more often for longer periods of time than
was intended.
IV. Persistent desire or unsuccessful efforts (to cut down or control
internet use)
V. A great deal of time is spent in activities related to internet use.
VI. Important family, social, occupational or recreational activities are
given up or reduced in duration and or frequency because of
internet.
VII. Internet use is continued despite knowledge of having a persistent.

9. Computer-related behavioral problems in children and adolescents:
a growing concern
Speaker: dr. grace macapagal

10. What is Internet addiction or computer addiction?
• Internet Addiction, otherwise known as computer addiction,
online addiction, or internet addiction disorder (IAD), covers a
variety of impulse-control problems, including:
•
•
•
•
•
Cybersex Addiction
Cyber-Relationship Addiction
Net Compulsions
Information Overload
Computer Addiction
• The most common of these Internet addictions are
cybersex, online gambling, and cyber-relationship
addiction

11. Psychopathology of Internet Addiction (ACE)
3 Underlying Rewards
accessibility
control
excitement
Presence of 3 rewards is a sign of pathological

12. Computer-related behavioral problems in children and adolescents:
a growing concern
Speaker: dr. grace macapagal

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14. Computer-related behavioral problems in children and adolescents:
a growing concern
Speaker: dr. grace macapagal

15. Unhealthy Computer use
Behavioral effects
Neo-biological effects

16. Landmark study
Mori 2002 ( Tokyo )
- 260 subjects with different ages
- check brain wave activity during computer game
- individual – hook
- focus on two brain activity – resting alpha waves

17. Computer-related behavioral problems in children and adolescents:
a growing concern
Speaker: dr. grace macapagal

18. • Bartolome 2006
– P300 response
– Specific tracing for people in shocking images
– To test if it true ,people exposed in violent
shows / images

19. Computer-related behavioral problems in children and adolescents:
a growing concern
Speaker: dr. grace macapagal

20. • Physical Effects
- computer vision syndrome (CVS)
- carpal tunnel syndrome
- risk of seizure
-obesity
- dry eyes
- migraine
- backaches
- eating irregularities
- sleep disturbances
- failure to attend to personal hygiene

21. Dangers of children on-line
•
•
•
•
•
Children accessing areas that are inappropriate or overwhelming
Online information that promotes hate, violence and pornography
Children being mislead and bombarded with intense advertising
Children being invited to register for prizes or to join a club when
they are providing personal or household information to an unknown
source
Hours spent online is time lost from developing real social skills and
from physical activity and exercise

22. •
Red Flags of unhealthy internet use
- feels guilty or defensive
- unsuccessful efforts to quit or limit usage
- lose track
- neglect friends , family and / or responsibilities
- lying to family
- feel anxious, depressed, or irritable when computer time is
shortened or interrupted
- use of computer repeatedly as an outlet
- school problems due to computer usage
- pre-occupied and anticipates using the computer

23. Parental involvement and monitoring may be especially important
mediating factors the effect of home computers on child and
adolescent outcomes:
1.
General eye care tips
2.
Encourage other interests and social activities
3.
Monitor computer time usage
4.
Monitor the content of the games / web sites / chat rooms they
are visiting
5.
Keep an open communication line with your child

24. Time Management Techniques
 external stoppers
 reminder cards

25. Prevent- Computer-related problems




talking to “screen names” in a “chat room”
never give out any personal information online
Never agree to meet someone
Never give a child credit card numbers or passwords
 Remind a child not everything on line is true
 Make use of the parental control features
 Obtain software programs that restrict access to websites
 Provide individual e-mail address only if a child is mature enough
 Monitor the content of a child’s personal webpage
 Teach child to use courtesy in communicating online
 Insist that a child follow the same guidelines at other computers