Medical history (history of illness) represents an important component in the diagnosis of Internet addiction.
Family history
- What is the general health of your family members?
- Are there any common mental disorders in your family?
- What is your father’s profession?
- What is the profession of your mother?
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- How many hours is your daily time budget that you have in addition to your job (school, work)? (Please indicate as number of hours)
- How many hours a day do you spend on the internet?
- How many hours a day do you listen to music?
- What is the total time spent in front of the screen of an electronic device?
- Have you ever tried to reduce the amount of internet use? If so, have you succeeded in doing so? (Please specify the number of hours reduced)
- Is there a psychological craving for internet use?
- Have you found that you have an increasing need to use the Internet lately?
- Have you found that spending time on the Internet makes you neglect other things? Neglect of:
- Friends?
- Hobbies?
- Obligations (e.g. school, job)?
- If you have temporarily already had to stop using the Internet for an extended period of time, then the following complaints have occurred:
- Restlessness? Nervousness?
- Dissatisfaction?
- Irritability?
- Aggressiveness?
- Are you more of a loner?
- What time do you usually go to bed? What time do you get up? (Total bedtime) [should not significantly exceed total sleep episode].
- What is the total time from falling asleep to waking up for the last time (total sleep episode)? [Normal value in older age: 6 to 8 hours]
- What is the time between extinguishing the light and the appearance of the first sleep signs? (Latency to fall asleep) [Normal value in older age: less than 30 minutes]
- Do you have frequent infections?
- Do you have back pain?
Vegetative anamnesis including nutritional anamnesis.
- Do you sleep regularly and sufficiently?
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Do you eat breakfast regularly?
- Do you skip meals?
- Do you eat a balanced diet?
- Do you like to drink coffee, black and green tea? If so, how many cups per day?
- Do you drink other or additional caffeinated beverages? If so, how much of each?
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (psychological problems such as depression, social withdrawal; sleep disorders; alcohol dependence; carpal tunnel syndrome (KTS; compression syndrome (bottleneck syndrome) of the median nerve in the region of the carpal canal).
- Operations
- Allergies
- Medication history