Assessment & Research

Network Analysis of Internet Addiction Symptoms Among a Clinical Sample of Japanese Adolescents with Autism Spectrum Disorder.

Hirota et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

In ASD teens, defensive and secretive internet-use behaviors are the most ‘central’ IA symptoms—target these first in caregiver psychoeducation.

✓ Read this if BCBAs running parent training or social-skills groups for autistic adolescents.
✗ Skip if Clinicians who only serve adults or clients without internet-access issues.

01Research in Context

01

What this study did

Hirota et al. (2021) looked at how internet-addiction symptoms connect in Japanese teens with autism.

They used network math to see which symptoms pull the others in.

All kids were outpatients at the same Tokyo psychiatric clinic.

02

What they found

The tightest knot was "defensive and secretive" acts like hiding screens or lying about time.

When those behaviors go up, the rest of the addiction web follows.

The team says aim caregiver talks at these two nodes first.

03

How this fits with other research

Kawabe et al. (2019) already showed that ASD teens who also have ADHD flags use portable games more.

Tomoya’s map adds where to intervene, not just who is at risk.

So et al. (2019) tracked the same clinic for two years and saw most kids lose the IA label naturally.

That looks like a clash—why treat if it fades?

The studies measure different things: Ryuhei counted yes-or-no diagnosis change, Tomoya shows which daily habits keep the problem alive.

Both can be true; symptoms can loosen over time yet still need early choke points.

Bozoglan et al. (2022) widened the lens to younger kids and found mom stress and harsh parenting feed IA scores.

Tomoya narrows the lens to the child’s own secretive acts, giving you two levels to hit.

04

Why it matters

You now have a clear first target: teach parents to spot and shape sneaky screen habits.

Do this while remembering that many ASD teens will outgrow the full diagnosis, so keep goals small and skills-based.

Pair caregiver psychoeducation with self-monitoring of hidden use—one concrete move you can add to this week’s session.

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Add a 5-minute role-play where the teen practices handing the tablet to mom without lying about time.

02At a glance

Intervention
not applicable
Design
other
Sample size
108
Population
autism spectrum disorder
Finding
not reported

03Original abstract

In the present study, we employed network analysis that conceptualizes internet addiction (IA) as a complex network of mutually influencing symptoms in 108 adolescents with autism spectrum disorder (ASD) to examine the network architecture of IA symptoms and identify central/influential symptoms. Our analysis revealed that defensive and secretive behaviors and concealment of internet use were identified as central symptoms in this population, suggesting that mitigating these symptoms potentially prevent the development and/or maintenance of IA in adolescents with ASD. Providing adolescents and their caregivers with psychoeducation on the role of central symptoms above in IA can be a salient intervention. Doing so may facilitate nonconflicting conversations between them about adolescents' internet use and promote more healthy adolescents' internet use behavior.

Journal of autism and developmental disorders, 2021 · doi:10.1016/j.psychres.2018.06.033