Comprehensive Psychiatry (Apr 2023)

A cross-national validation of the Internet Severity and Activities Addiction Questionnaire (ISAAQ)

  • Charlene Omrawo,
  • Konstantinos Ioannidis,
  • Jon E. Grant,
  • Nina Lutz,
  • Samuel R. Chamberlain,
  • Dan J. Stein,
  • Jeggan Tiego,
  • Martin Kidd,
  • Christine Lochner

Journal volume & issue
Vol. 122
p. 152378

Abstract

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Problematic usage of the internet (PUI) is of increasing concern in a digitalized world. While several screening tools have been developed to assess PUI, few have had their psychometric properties evaluated, and existing scales are also not typically designed to quantify both the severity of PUI and the nature of diverse problematic online activities. The Internet Severity and Activities Addiction Questionnaire (ISAAQ), consisting of a severity scale (ISAAQ Part A) and an online activities scale (ISAAQ part B) was previously developed to address these limitations. This study undertook psychometric validation of ISAAQ Part A using data from three countries. The optimal one-factor structure of ISAAQ Part A was determined in a large dataset from South Africa, then validated against datasets from the United Kingdom and United States. The scale had high Cronbach's alpha (≥0.9 in each country). A working operational cut-off point was determined to distinguish between those with some degree of problematic use and those without (ISAAQ Part A), and insight was given into the types of potentially problematic activities that may encompass PUI (ISAAQ Part B).

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