Effectiveness of multimodal psychotherapeutic intervention for internet gaming disorder

Sharma, Manoj Kumar; Anand, Nitin; Tadpatrikar, Ashwini; Marimuthu, P; Narayanan, Gitanjali

doi:10.1016/j.psychres.2022.114633

Cited by 9 publications

(15 citation statements)

References 63 publications

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“…Concerning perceived stress and gaming, previous literature supports the bi-directional relationship between these two variables for the adolescent population (59) and loneliness as a gravitating factor toward disordered gaming among them (60). Furthermore, researchers have also shown several physiological and psychological consequences, such as body pain, strain in the eyes, sleep disturbance, irregular eating habits, inattention, cognitive difficulties (61,62), and academic decline (63) as a result of excessive gaming; these findings also resonated with the results of the current study.…”

Section: Discussionsupporting

confidence: 83%

Gaming among female adolescents: profiling and psychopathological characteristics in the Indian context

et al. 2023

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ObjectivesGaming is a predominant leisure time activity among adolescents, and the literature suggests that unrestrained gaming behavior might lead to gaming disorder. ICD-11 and DSM-5 have recognized gaming disorder as a psychiatric condition and grouped it under the behavioral addiction category. Research on gaming behavior and addiction is largely based on data from the male population, and problematic gaming has largely been understood from the male perspective. In this study, we are attempting to bridge the existing lacuna in the literature by exploring gaming behavior, gaming disorder, and its related psychopathological characteristics among female adolescents in India.MethodsThe study was conducted on a sample of 707 female adolescent participants who were contacted through schools and academic institutes in a city in Southern India. The study adopted a cross-sectional survey design, and data were administered using the mixed modality of online and offline data collection. The participants filled out the following set of questionnaires: socio-demographic sheet, Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), Strength and Difficulties Questionnaire (SDQ), Rosenberg self-esteem scale, and Brief sensation-seeking scale (BSSS-8). The data gathered from the participants were then statistically analyzed using SPSS software version 26.ResultsThe descriptive statistics revealed that 0.8% of the sample (i.e., five participants out of 707) obtained scores meeting gaming addiction criteria. Correlation analysis demonstrated a significant relationship between all the psychological variables with total IGD scale scores (p < 0.05). Total SDQ, total BSSS-8, and domain scores of SDQ, such as emotional symptoms, conduct, hyperactivity, and peer problems, were positively correlated, whereas total Rosenberg scores and domain scores of prosocial behaviors of SDQ were negatively correlated. The Mann–Whitney U-test was employed to compare “with gaming disorder” and “without gaming disorder” categories of female participants. Comparing these two groups revealed significant differences in emotional symptoms, conduct, hyperactivity/inattention, peer problem, and self-esteem scale scores. Furthermore, quantile regression was computed, showing that conduct, peer problem, and self-esteem displayed trend-level prediction for gaming disorder.ConclusionFemale adolescents prone to gaming addiction can be identified through psychopathological characteristics of conduct, peer problem, and low self-esteem. This understanding can be useful in developing a theoretical model focusing on early screening and preventive strategies for at-risk female adolescents.

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Section: Discussionsupporting

confidence: 83%

Gaming among female adolescents: profiling and psychopathological characteristics in the Indian context

et al. 2023

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“…It is difficult to compare results from different studies as there are no gold-standard instruments for measuring GD, and many different instruments have been used in previous studies ( 69 ). With this caveat in mind, we observe that in our study, as well as in earlier studies regarding adults with IA ( 26 , 28 ) and GD ( 23 , 24 ), we see substantial changes in symptoms after treatment compared to baseline. This also holds for changes in hours spent online in our as well as in other studies ( 26 , 28 ).…”

Section: Discussionsupporting

confidence: 77%

Pilot data findings from the Gothenburg treatment for gaming disorder: a cognitive behavioral treatment manual

et al. 2023

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BackgroundGaming disorder (GD) is a new diagnosis included 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 few studies investigating effective treatments specifically designed for this condition. In this pilot study, we wanted to test a newly developed method, the Gothenburg Treatment for Gaming Disorder (GOT-TO-GO) manual; a 15-week cognitive behavioral therapy treatment for GD.MethodThis study utilized a single group design with pretest, post-test and a three- and six-month follow-up, with measures of severity of GD and mood. The participants (n = 28) were treatment-seeking adults with GD, aged 17 to 49 years.ResultsThe results show a statistically significant decrease in symptoms of GD after treatment. Hours of gaming per week also decreased concomitantly with a 100% increase in non-gaming leisure hours. The decrease in symptoms of GD was maintained at the 3-months follow-up after treatment. Correspondingly we saw a decrease in both depression and anxiety that also was upheld 3 months after treatment.ConclusionAs GD is a new diagnostic concept more research is needed, also taking psychiatric comorbidity into consideration, to arrive at evidence-based conclusions regarding effective treatments. Considering the promising results in this small pilot study with large behavioral changes and reduced symptoms of GD, upheld at least 3 months after treatment, a larger randomized controlled study is warranted.Clinical Trial Registration:https://www.clinicaltrials.gov/ct2/show/study/NCT05328596?term=NCT05328596&draw=2&rank=1, identifier NCT05328596.

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“…A multi-modal CBT intervention program was also developed and assessed for its utility in management of excessive use of technology. [ 12 ] The interventions included motivational enhancement strategies, cognitive restructuring, behavioral strategies and relapse prevention. It was given in 4 sessions each for 1 h for 2 weeks.…”

Section: Methodsmentioning

confidence: 99%

“…[ 11 ] In a recent single arm study, 10 sessions of multimodal counseling intervention were delivered to 33 subjects with excessive internet use and Internet gaming disorder. It was observed that although there was a significant favorable difference in Internet usage and gameplay in pre-post assessment,[ 12 ] demand for continued engagement of trained manpower and difficulty in maintaining adherence of the patients beyond the initial session was a major challenge. [ 13 ] Yoga therapy is another popular mind-body based nonpharmacological discipline which can be massively scalable, cost effective (can be offered in groups together), and self-empowering, especially as a treatment option (adjuvant or stand-alone) for common psychiatric conditions such as psychological stress, depression, anxiety, and substance use disorders.…”

Section: Introductionmentioning

confidence: 99%

An integrated yoga and cognitive behavioral therapy intervention for managing excessive use of internet among the youth: A case series

et al. 2023

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Background: Internet addiction is a behavioral problem that is managed by pharmacological and nonpharmacological methods. The nonpharmacological methods focus on enhancing skills for healthy use of technology and promoting mindfulness and mental relaxation. Yoga therapy is an effective tool to reduce psychological stress and promote self-regulation and mindfulness. Thus, present work focused on developing an integrated yoga and cognitive behavioral therapy intervention (Y-CBT) for the management of excessive use of technology amongst adolescents and young adult students. Methods: Feasibility of the Y-CBT program was tested by implementing 10 sessions of yoga and 6 sessions of CBT program for 2 weeks by certified Yoga therapist and psychologist, respectively. This was followed by online booster sessions once a week, and post assessments were conducted at 12 weeks. A total of 4 college-going students with the excessive use of technology were recruited from tertiary specialty service for promotion of healthy use of technology. Each participant was assessed using short-version of internet addiction test (s-IAT), Smartphone Addiction Scale-Short Version, Kessler’s Psychological distress scale for baseline, and follow-up assessment after completion of the program. Results: The Y-CBT program was found feasible and useful in reducing internet use, smart phone use, and psychological distress. There were no reported side-effects. A trend was observed for increase compliance toward treatment at follow-up. Future studies should explore this further with robust methodology.

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Effectiveness of multimodal psychotherapeutic intervention for internet gaming disorder

Cited by 9 publications

References 63 publications

Gaming among female adolescents: profiling and psychopathological characteristics in the Indian context

Gaming among female adolescents: profiling and psychopathological characteristics in the Indian context

Pilot data findings from the Gothenburg treatment for gaming disorder: a cognitive behavioral treatment manual

An integrated yoga and cognitive behavioral therapy intervention for managing excessive use of internet among the youth: A case series

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