ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2019
The "online brain": how the Internet may be changing our cognition.
Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 157 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
157 citing papers in PubMed, 7 syntheses or guidelines pooled it, 597 citations in OpenAlex.
- Association Between Short-Form Video Use and Mental Health: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Methodological Considerations and Effectiveness for Ecologically Valid Mental Fatigue Inducement in Sports: A Systematic Review.Sports medicine - open · 2025Pooled it
- Effectiveness of mHealth interventions targeting physical activity, sedentary behaviour, sleep or nutrition on emotional, behavioural and eating disorders in adolescents: a systematic review and meta-analysis.Frontiers in digital health · 2025Pooled it
- Adverse Events Reporting in Digital Interventions Evaluations for Psychosis: A Systematic Literature Search and Individual Level Content Analysis of Adverse Event Reports.Schizophrenia bulletin · 2024Pooled it
- Family-based therapy for internet addiction among adolescents and young adults: A meta-analysis.Journal of behavioral addictions · 2024Pooled it
- Internet addiction-induced brain structure and function alterations: a systematic review and meta-analysis of voxel-based morphometry and resting-state functional connectivity studies.Brain imaging and behavior · 2023Pooled it
- Medical Education e-Professionalism (MEeP) framework; from conception to development.Medical education online · 2021Pooled it
- Mitigating the Negative Effects of Internet Browsing on Young People's Resilience and Outlook on Life Through Classic Grimms' Fairy Tales: Exploratory Randomized Controlled Study.JMIR formative research · 2025Trial
- Resilience strengthening in youth with a chronic medical condition: a randomized controlled feasibility trial of a combined app and coaching program.European child & adolescent psychiatry · 2024Trial
- Exergames for falls prevention in sheltered homes: a feasibility study.Frontiers in public health · 2024Trial
- Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries.PloS one · 2019Trial
- Unpacking the Social Media Happiness Paradox: How Social Media Stressors Undermine Subjective Well-Being Through Social Media Fatigue.Behavioral sciences (Basel, Switzerland) · 2026Article
- From digital escape to memory impairment: The mediating role of digital dementia in the effect of digital fugue on digital amnesia.Psychology and psychotherapy · 2026Article
- Associations and Potential Pathways Linking Excessive Short-Video Use to Mental Health Among Vocational High School Students in China: An Integrated Analysis Based on Machine Learning and Path Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- Effects of Social Media Use on Brain Dynamics in Young Male Adults: Multistage Concurrent Electroencephalography-Functional Magnetic Resonance Imaging Study.JMIR medical informatics · 2026Article
- Neurotechnological Natives and the Neurotechnology Shift: A Research Agenda for the Brain-as-Interface Era.Annals of the New York Academy of Sciences · 2026Review
- Article
- Mobile App Use and Pregnancy Health Literacy: Cross-Sectional Study Using Bayesian Network Analysis.Journal of medical Internet research · 2026Article
- Science Is About Thinking: How Can We Protect Thinking Time in a Distracted Digital World?Brain sciences · 2026Review
- Meta-awareness, mind-wandering, and the control of automatic external and internal orientations of attention.Communications biology · 2026Article
97 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 10 institutions in 4 countries.
Funding
Abstract
The impact of the Internet across multiple aspects of modern society is clear. However, the influence that it may have on our brain structure and functioning remains a central topic of investigation. Here we draw on recent psychological, psychiatric and neuroimaging findings to examine several key hypotheses on how the Internet may be changing our cognition. Specifically, we explore how unique features of the online world may be influencing: a) attentional capacities, as the constantly evolving stream of online information encourages our divided attention across multiple media sources, at the expense of sustained concentration; b) memory processes, as this vast and ubiquitous source of online information begins to shift the way we retrieve, store, and even value knowledge; and c) social cognition, as the ability for online social settings to resemble and evoke real-world social processes creates a new interplay between the Internet and our social lives, including our self-concepts and self-esteem. Overall, the available evidence indicates that the Internet can produce both acute and sustained alterations in each of these areas of cognition, which may be reflected in changes in the brain. However, an emerging priority for future research is to determine the effects of extensive online media usage on cognitive development in youth, and examine how this may differ from cognitive outcomes and brain impact of uses of Internet in the elderly. We conclude by proposing how Internet research could be integrated into broader research settings to study how this unprecedented new facet of society can affect our cognition and the brain across the life course.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.