Effects of different interventions on internet addiction: A meta-analysis of random controlled trials

Zhang, Xueqing; Zhang, Jianghui; Zhang, Kexin; Ren, Juan; Lu, Xiaoyan; Wang, Tianli; Yang, Huayu; Guo, Haiyun; Yuan, Guojing; Zhu, Zhihui; Hao, Jiahu; Sun, Ying; Su, Puyu; Yang, Linsheng; Zhang, Zhihua

doi:10.1016/j.jad.2022.06.013

Cited by 26 publications

(25 citation statements)

References 36 publications

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“…When a person changes their beliefs toward an object, their behavior will change accordingly. It has been suggested that CBT is an effective intervention for GD (46,47,78), and can help individuals to address maladaptive cognitions and social and behavioral deficits, and motivate them to change and reestablish alternative behaviors (79). One study in this review adopted a shortterm CBT intervention for young adults with a 15-week structure (43), which had three phases and 15 sessions: (1) early phase (sessions 1-3); (2) behavior modification (sessions 4-12); (3) and stabilization and relapse prevention (sessions [13][14][15].…”

Section: Short-term Cognitive Behavior Therapy (Cbt)mentioning

confidence: 99%

“…Regarding pharmacotherapy, because there is no medicine used to treat GD directly, pharmacological drugs like atomoxetine, bupropion, and methylphenidate are used to treat the comorbidity of GD, such as attention deficit and hyperactivity disorder (ADHD) and depression, to relieve the severity of GD symptoms. Comparing the effects of the different interventions, one research study ( 45 ) found that combining pharmacotherapy with CBT or multi-level counseling (MLC) may be the most effective treatment for teenagers with internet addiction (IA) or IGD, while another study ( 46 ) also indicated that combined interventions were more effective for IA. Table 1 presents the main types of GD interventions along with their theoretical principles and operative points.…”

Section: Introductionmentioning

confidence: 99%

“…An updated meta-analysis from 2022 ( 45 ) explored the efficacy of treatments for children with IA/GD, while an integrative review ( 47 ) assessed the effectiveness of psychological interventions for IA and/or GD. Additionally, a later meta-analysis ( 46 ) indicated the most effective intervention for IA was combined method but did not distinguish between the specific types of IA. IA is an umbrella term for various types of internet-based behavioral addiction ( 48 ), including social media addiction, short video addiction, cyber-sexual addiction, gambling addiction, and gaming addiction.…”

Section: Introductionmentioning

confidence: 99%

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Effective interventions for gaming disorder: A systematic review of randomized control trials

Chen

Lu²,

Gao³

2023

Front. Psychiatry

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ObjectiveTo identify effective intervention methods for gaming disorder (GD) through a rigorous assessment of existing literature.MethodsWe conducted a search of six databases (PubMed, Embase, PsycINFO, CNKI, WanFang, and VIP) to identify randomized controlled trials (RCTs) that tested GD interventions, published from database inception to December 31, 2021. Standardized mean differences with 95% confidence intervals were calculated using a random effects model. Risk of bias was assessed with the Risk of Bias 2 (RoB 2) tool.ResultsSeven studies met the inclusion criteria. Five interventions were tested in these studies: group counseling, craving behavioral intervention (CBI), transcranial direct current stimulation (tDCS), the acceptance and cognitive restructuring intervention program (ACRIP), and short-term cognitive behavior therapy (CBT). Four of the five interventions (the tDCS was excluded) were found to have a significant effect on GD. The results of the quality assessment showed that the included studies had a medium to high risk in the randomization process and a medium to high risk of overall bias.ConclusionRigorous screening identified that four interventions are effective for GD: group counseling, CBI, ACRIP, and short-term CBT. Additionally, a comprehensive review of the literature revealed that improvements could be made in the conceptualization of GD, experimental design, sample representativeness, and reporting quality. It is recommended that future studies have more rigorous research designs and be based on established standards to provide more credible evidence to inform the development of GD interventions.

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Section: Short-term Cognitive Behavior Therapy (Cbt)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effective interventions for gaming disorder: A systematic review of randomized control trials

Chen

Lu²,

Gao³

2023

Front. Psychiatry

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“…Despite the small number of sessions, a significant reduction in IUD severity and time spent online was found. Furthermore, a recently published meta-analysis concluded that online-based IUD treatment could effectively reduce the severity of IUD compared to no-treatment control groups (31).…”

Section: Online-based Treatment Of Iudsmentioning

confidence: 99%

A short-term manual for webcam-based telemedicine treatment of Internet use disorders

Pape

Geisler²,

Cornelsen

et al. 2023

Front. Psychiatry

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In recent decades, the number of people who experience their Internet use behavior as problematic has risen dramatically. In Germany, a representative study from 2013 estimated the prevalence of Internet use disorder (IUD) to be about 1.0%, with higher rates among younger people. A 2020 meta-analysis shows a global weighted average prevalence of 7.02%. This indicates that developing effective IUD treatment programs is more critical than ever. Studies show that motivational interviewing (MI) techniques are widely used and effective in treating substance abuse and IUDs. In addition, an increasing number of online-based health interventions are being developed to provide a low-threshold treatment option. This article presents a short-term online-based treatment manual for IUDs that combines MI techniques with therapy tools from cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). The manual includes 12 webcam-based therapy sessions, each lasting 50 min. Each session is framed by a standardized beginning, conclusion, outlook, and flexible session content. In addition, the manual contains example sessions to illustrate the therapeutic intervention. Finally, we discuss the advantages and disadvantages of online-based therapy compared to analog treatment settings and provide recommendations for dealing with these challenges. By combining established therapeutic approaches with an online-based therapeutic setting based on flexibility and motivation, we aim to provide a low-threshold solution for treating IUDs.

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“…The treatment cost and prognosis are better and more effective than later interventions in middle school and college. Currently, there have been some systematic reviews of prevention and intervention studies targeting Internet addiction among university students and adults, such as Zhang et al (2022), Xu et al (2021), Vondráčková and Gabrhelik (2016), and Kuss and Lopez-Fernandez, (2016) [ 25 , 26 , 27 , 28 ]. Still, none of them have reviewed those studies focusing on children and adolescents (ages 0–18), especially during the past 5 years (2018–2022).…”

Section: Introductionmentioning

confidence: 99%

Digital Addiction Intervention for Children and Adolescents: A Scoping Review

Ding

2023

IJERPH

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Digital devices play a significant role in the learning and living of children and adolescents, whose overuse or addiction has become a global concern. This scoping review seeks to synthesize existing studies to investigate relevant interventions and their effects on digital addiction in children (ages 0–18). To understand the latest advances, we have identified 17 studies published in international peer-reviewed journals between 2018–2022. The findings revealed that, first, most interventions for digital addiction in children and adolescents were cognitive–behavioral therapies (CBT) or CBT-based interventions, which could improve anxiety, depression, and related symptoms of digital addiction. Second, rather than directly targeting addictive behaviors, some family-based interventions aim to strengthen family functions and relationships. Finally, digital-based interventions, such as website-based, application-based, and virtual reality interventions, are promising in adolescent digital addiction interventions. However, these studies shared the same limitations: small sample sizes, short intervention durations, no control group, and nonrandomized assignments. The small sample size problem is difficult to solve by offline intervention. Meanwhile, online digital-based intervention is still in its infancy, resulting in limited generalizability of the findings and the inability to popularize digital intervention. Accordingly, future intervention studies should integrate various assessments and interventions to form an integrated platform to provide interventions for addicted children and adolescents worldwide.

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Effects of different interventions on internet addiction: A meta-analysis of random controlled trials

Cited by 26 publications

References 36 publications

Effective interventions for gaming disorder: A systematic review of randomized control trials

Effective interventions for gaming disorder: A systematic review of randomized control trials

A short-term manual for webcam-based telemedicine treatment of Internet use disorders

Digital Addiction Intervention for Children and Adolescents: A Scoping Review

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