A recent case study presented in the American Journal of Psychiatry (AJP) indicates that South Korea has the highest incidents in the world of demonstrated Internet addictions. All over the world the Internet is offering localized content specifically targeted at citizens and with an increasing number of activities available only through the World Wide Web. Among these activities are online casinos gambling, gaming, and social networking sites. Dr. Jerald Block is a psychiatrist currently based out of Portland, Oregon and working at the Oregon Health and Science University. His case study into South Korean Internet addiction found that though the problem was an obvious major concern for the country, other countries may also have high levels of internet addicts without any way to gather true statistics because addicts more often surf the internet in private settings in the U.S.

Block notes that the type of sites that Internet gambling addicts gravitate toward vary from pornography, to online casinos gambling, to internet gaming sites. "In Korea, it seems to be primarily gaming sites. In America, it seems to be Facebook. It's porn, it's games, it's gambling, it's chatting with friends. All these things existed before, but now they're a lot easier," Block emphasizes in the editorial in the AJP.

The problem with Internet addiction, (to gaming and online casinos sites) is a very real and immediate concern in South Korea where the nation has ten identifiable cases of deaths from Internet addiction. Addicts will sit at Internet café’s and other locations for so long – going without physical activity for very long stretches, that it causes blood clots. Other negative effects of online Internet addiction include addicts dropping out of school, quitting jobs, ending relationships – all of this as a way to increase the amount of time an addicted individual is able to spend on the Internet surfing the Web or playing at the online casinos.

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