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On these backgrounds, the concept of smartphone addiction has attracted the attentions of researchers from several countries (17–22), while debate about whether it is one of the behavioral addictions or not has been lasting (23).

Our previous study demonstrated that male internet users favored online gaming while female users were online for social networking services (SNSs) via their smartphones (24–26).

Internet addiction has not been listed as a psychiatric disorder in the DSM-5 in 2013 (12) nor the International Classification of Diseases (ICD)-11, which was released in June 2018 (13).

They were requested to complete the study questionnaire, which consisted of questions about demographics, internet use, the Internet Addiction Test (IAT), the Smartphone Addiction Scale (SAS)–Short Version (SV), the 25-item Hikikomori Questionnaire (HQ-25), etc.

We investigated the difference and correlation of the results between two groups based on the purpose of internet use or the total score of each self-rating scale, such as screened positive or negative for the risk of internet addiction, smartphone addiction, or hikikomori.

Discussion: Internet technology has changed our daily lives dramatically and altered the way we communicate as well.

As social media applications are becoming more popular, users are connected more tightly to the internet and their time spent with others in the real world continues to decrease.

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