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006) were more frequent in the PIU group than the NIU group. Multivariable regression analysis revealed that PIU was independently associated with online gaming (OR 2.375, 95% CI 1.532-3.681), e-mail use (OR 1.864, 95% CI 1.170-2.971), social networking (OR 1.834, 95% CI 1.156-2.91, and Social Phobia Scale for Children and Adolescents (SPSCA) score (OR 1.058, 95% CI 1.020-1.098). PIU may be common among adolescents with ADHD. The severity of social phobia and particular online activities (playing online games, e-mailing, social networ