Autism & Developmental

The 2-Year Course of Internet Addiction Among a Japanese Adolescent Psychiatric Clinic Sample with Autism Spectrum Disorder and/or Attention-Deficit Hyperactivity Disorder.

So et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Internet addiction in ASD or ADHD teens usually clears up on its own within two years.

✓ Read this if BCBAs counseling families of autistic or ADHD teens who game or scroll too much.
✗ Skip if Clinicians serving adults or kids under 10.

01Research in Context

01

What this study did

Doctors in Tokyo tracked 89 teens who had autism or ADHD. All were patients at a child psychiatry clinic.

For two years they checked if each teen still met criteria for internet addiction. No treatment was given.

02

What they found

over the study period, 60 out of every 100 teens no longer qualified as addicted. Only 5 new cases showed up.

The numbers matched rates seen in typical high-schoolers. Having autism or ADHD did not make the problem stick longer.

03

How this fits with other research

Bozoglan et al. (2022) found that harsh parenting and high parent stress drive screen problems in younger autistic kids. Ryuhei’s teens got better without fixing parenting, because the study watched, not intervened.

Germani et al. (2014) watched autistic symptoms for one year and saw little change. Ryuhei’s two-year window shows the same stability for internet habits, adding time depth.

Broadstock et al. (2007) remind us that almost no pills are proven for teens with ASD. Ryuhei’s natural-remission data support waiting before rushing to medication for screen issues.

04

Why it matters

You can reassure families: most ASD or ADHD teens outgrow internet addiction by age 16. Use parent-training only when screen use stays high after two years. Skip drugs unless clear harm persists.

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→ Action — try this Monday

Chart the teen’s daily screen hours for two weeks, then set a revisit date six months out instead of starting an immediate ban.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
89
Population
autism spectrum disorder, adhd
Finding
positive
Magnitude
medium

03Original abstract

Internet addiction (IA) has been reported as prevalent in adolescents with autism spectrum disorders (ASD) and attention-deficit hyperactivity disorder (ADHD). However, the course of IA in this population has not been elucidated. The authors performed a 2-year follow-up study including 89 out of 132 adolescents with ASD and/or ADHD in a psychiatric clinical setting who participated in the original cross-sectional study assessing IA prevalence. Within this sample of participants from both the original and the follow-up study, results showed a 2-year IA remission and incidence rate of 60% and 5%, respectively. Our findings imply that the course of IA in psychiatric populations with ASD and/or ADHD might be similar to reports from previous studies with general adolescent populations.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04169-9