The Internet is now all-pervasive across much of the globe. While it has positive uses (e.g. prompt access to information, rapid news dissemination), many individuals develop Problematic Use of the Internet (PUI), an umbrella term incorporating a range of repetitive impairing behaviours. The Internet can act as a conduit for, and may contribute to, functionally impairing behaviours including excessive and compulsive video gaming, compulsive sexual behaviour, buying, gambling, streaming or social networks use. There is growing public and National health authority concern about the health and societal costs of PUI across the lifespan. Gaming Disorder is being considered for inclusion as a mental disorder in diagnostic classification systems, and was listed in the ICD-11 version released for consideration by Member States (http://www.who.int/classifications/icd/revision/timeline/en/). More research is needed into disorder definitions, validation of clinical tools, prevalence, clinical parameters, brain-based biology, socio-health-economic impact, and empirically validated intervention and policy approaches. Potential cultural differences in the magnitudes and natures of types and patterns of PUI need to be better understood, to inform optimal health policy and service development. To this end, the EU under Horizon 2020 has launched a new four-year European Cooperation in Science and Technology (COST) Action Programme (CA 16207), bringing together scientists and clinicians from across the fields of impulsive, compulsive, and addictive disorders, to advance networked interdisciplinary research into PUI across Europe and beyond, ultimately seeking to inform regulatory policies and clinical practice. This paper describes nine critical and achievable research priorities identified by the Network, needed in order to advance understanding of PUI, with a view towards identifying vulnerable individuals for early intervention. The network shall enable collaborative research networks, shared multinational databases, multicentre studies and joint publications.

中文翻译：

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欧洲研究网络对互联网使用问题的宣言

互联网现在在全球大部分地区无处不在。尽管它具有积极的用途（例如，迅速获取信息、快速传播新闻），但许多人发展出了 Internet 的问题使用 (PUI)，这是一个包含一系列重复性损害行为的总称。互联网可以充当并可能导致功能损害行为的渠道，包括过度和强迫性的视频游戏、强迫性性行为、购买、赌博、流媒体或社交网络的使用。公众和国家卫生当局越来越关注 PUI 在整个生命周期中的健康和社会成本。正在考虑将游戏障碍作为一种精神障碍纳入诊断分类系统，并被列入 ICD-11 版本供成员国考虑（http://www.who. int/classifications/icd/revision/timeline/en/）。需要对疾病定义、临床工具验证、患病率、临床参数、基于大脑的生物学、社会-健康-经济影响以及经验验证的干预和政策方法进行更多研究。需要更好地理解 PUI 类型和模式的规模和性质方面的潜在文化差异，以便为最佳卫生政策和服务发展提供信息。为此，欧盟在地平线 2020 下启动了一项新的为期四年的欧洲科学技术合作 (COST) 行动计划 (CA 16207)，汇集了来自冲动、强迫和成瘾障碍领域的科学家和临床医生，推动跨欧洲及其他地区的 PUI 网络化跨学科研究，最终寻求为监管政策和临床实践提供信息。本文描述了该网络确定的九个关键且可实现的研究优先事项，以促进对 PUI 的理解，以期确定弱势个体以进行早期干预。该网络应支持协作研究网络、共享多国数据库、多中心研究和联合出版物。