Does cognitive-behavioral therapy reduce internet addiction? Protocol for a systematic review and meta-analysis

Abstract

Background:Cognitive-behavioral therapy has been considered as a means for internet addiction, but its long-term effect and the impact of internet addiction types and culture are still unclear.Objective:This study aims to assess the efficacy of cognitive-behavior therapy for internet addiction symptoms and associated other psychopathological symptoms.Method and analysis:We will search PubMed, Web of Knowledge, Ovid Medline, Chongqing Vip Database, Wanfang, and China National Knowledge Infrastructure database. Random-effects model in comprehensive meta-analysis software will be used to conduct main meta-analysis. Cochran Q and I2 are be used to assess heterogeneity while funnel plots and the Egger test are used to assess publication bias. Risk of bias for each study included is assessed by using the Cochrane risk of bias tool. The primary outcome is internet addiction symptom while secondary outcomes are psychopathological symptoms, time spent online, and dropout.Trials registration number:PROSPERO CRD42019125667

Studi Pendahuluan: Pengaruh Cognitive Transcendence Strategy terhadap Stres dan Adiksi Internet pada Mahasiswa Kedokteran

“…Saat stres timbul, banyak diantara mahasiswa yang menggunakan internet secara berlebihan sehingga menyebabkan adiksi. 3 Saat ini ada beberapa metode yang digunakan untuk mewujudkan perbaikan adiksi internet 9 ataupun stres. Terapi ini memodifikasi perilaku melalui berbagai pendekatan yakni individu, kelompok, keluarga.…”

“…Dalam hal ini, pengurangan gejala adiksi internet diperoleh tetapi terbatas oleh efek jangka panjang. 9 Song dan Park (2019) menemukan bahwa metode mindfulness memiliki peluang dalam menciptakan perbaikan stres maupun adiksi internet. 12 Pelatihan mindfulness dalam penelitian Romadhoni dan Widiatie (2020) menunjukkan adanya perbaikan stress pada remaja 13 sedangkan mindfulness parenting pada dilakukan terhadap orang tua.…”

Perceptions Underlying Addictive Technology Use Patterns: Insights for Cognitive-Behavioural Therapy

“…Most individuals presenting with both substance-based and non-substance-based addictions have co-occurring mental health disorders, past traumas, and/or some level of functional impairments (e.g., cognitive, social) which may predict treatment outcome and appear to differ between addiction problems [ 5 , 6 ]. CBT is regarded as a ‘gold standard’ of psychotherapy in the treatment of most mental health including internet use-related addiction disorders [ 7 , 8 ]. However, current meta-analyses in the field of substance use disorders show that CBT can only be considered a preferred option for patients with comorbid anxiety and depression [ 9 , 10 ].…”

“…Previous research on CBT to reduce IA has shown that what is relevant for the user with an online addiction problem is understanding and evaluating the problematic event. In other words, cognitive reconstruction can support the transformation of the user’s negative thoughts to incorporate new meanings, feelings, and behaviours associated with online activities [ 7 ]. The modification of the cognitive and behavioural sphere that supports the unhealthy online habit requires a change in cognitive style (i.e., reconstruction), development of healthier and adaptable skills (i.e., skill-building), and acquisition of a new lifestyle (reorganising daily life).…”

“…The modification of the cognitive and behavioural sphere that supports the unhealthy online habit requires a change in cognitive style (i.e., reconstruction), development of healthier and adaptable skills (i.e., skill-building), and acquisition of a new lifestyle (reorganising daily life). In more in-depth approaches, such as the CBT-IA [ 7 ], the aim is to identify the underlying aetiology of IA by designing a plan to tackle the practical problems concerning the online habits so that IA symptoms can be improved. From a research perspective, not all the systematic reviews focussing on IA symptoms and psychology are congruent in the effects of CBT on GIA and SIA (e.g., such as time spent in gaming), as there is limited research concerning the psychological components related to internet use-related addiction problems.…”