A cognitive behavioral treatment method for gaming disorder: pilot data findings from the GOT-TO-GO manual

Abstract

Background: Gaming disorder (GD) is a brand-new diagnosis included for the first time in the latest edition of the International Classification of Disease -11. Recently conducted international studies suggest a prevalence rate close to 2% for GD, highlighting the need for effective treatments for this patient population. Internationally there are very few studies investigating effective treatments for this condition. In this pilot study, we wanted to test a newly developed method, the Swedish GOT-TO-GO manual; a 15-week cognitive behavioral therapy treatment for GD. Method: This study utilized a single group design with pretest, post-test and a 3 and 6 month follow up with measures of severity of GD and mood. Patients (n=20) were treatment-seeking adults with GD (mean age 27). Results: Results show a statistically significant decrease in symptoms of GD after treatment. Hours of gaming per week also decreased concomitant with a 100 % increase in non-gaming leisure hours. The decrease in symptoms of GD was sustained at follow up 6 months after treatment. Correspondingly we saw a decrease in depression that was sustained 6 months after treatment. The drop-out rate was 20% and we were able to recruit 20 patients during the study period. Conclusion: As GD is a new diagnostic concept more research is needed to arrive at evidence-based conclusions on effective treatments. Considering the promising results in this small pilot study with large behavioral changes and reduced symptoms of GD, upheld at least 6 months after treatment, a larger randomized controlled study is warranted and considered to be feasible based on recruitment and drop-out rates. Trial registration: CBT treatment of gaming disorder (IGD RCT), NCT05328596 Registered 14 April 2022 - Retrospectively registered, https://www.clinicaltrials.gov/ct2/show/study/NCT05328596?term=NCT05328596&draw=2&rank=1