Treatment of internet addiction: A meta-analysis

Winkler, Alexander W.; Dörsing, Beate; Rief, Winfried; Shen, Yu-Hui; Glombiewski, Julia Anna

doi:10.1016/j.cpr.2012.12.005

Cited by 347 publications

(246 citation statements)

References 58 publications

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“…A number of review papers on Internet addiction have been published since 2005 [22][23][24][25]. Some of the most recently published reviews specifically integrated treatment outcome research [26][27][28] and comorbidity [29], while others have looked at the biological basis and the psychological factors involved in the aetiology for the disorder [e.g., 30,31]. Another study [32] suggests that current Internet addiction assessment tools tap into the following dimensions of addiction: compulsive use, negative outcomes, salience, withdrawal symptoms, mood regulation, escapism and social comfort, which are comparable with Griffiths' [33] behavioural addiction components.…”

Section: Introductionmentioning

confidence: 99%

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Kuss¹,

Griffiths²,

Karila³

et al. 2014

CPD

1,088

857

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Abstract:In the last decade, Internet usage has grown tremendously on a global scale. The increasing popularity and frequency of Internet use has led to an increasing number of reports highlighting the potential negative consequences of overuse. Over the last decade, research into Internet addiction has proliferated. This paper reviews the existing 68 epidemiological studies of Internet addiction that (i) contain quantitative empirical data, (ii) have been published after 2000, (iii) include an analysis relating to Internet addiction, (iv) include a minimum of 1000 participants, and (v) provide a full-text article published in English using the database Web of Science. Assessment tools and conceptualisations, prevalence, and associated factors in adolescents and adults are scrutinised. The results reveal the following. First, no gold standard of Internet addiction classification exists as 21 different assessment instruments have been identified. They adopt official criteria for substance use disorders or pathological gambling, no or few criteria relevant for an addiction diagnosis, time spent online, or resulting problems. Second, reported prevalence rates differ as a consequence of different assessment tools and cut-offs, ranging from 0.8% in Italy to 26.7% in Hong Kong. Third, Internet addiction is associated with a number of sociodemographic, Internet use, and psychosocial factors, as well as comorbid symptoms and disorder in adolescents and adults. The results indicate that a number of core symptoms (i.e., compulsive use, negative outcomes and salience) appear relevant for diagnosis, which assimilates Internet addiction and other addictive disorders and also differentiates them, implying a conceptualisation as syndrome with similar etiology and components, but different expressions of addictions. Limitations include the exclusion of studies with smaller sample sizes and studies focusing on specific online behaviours. Conclusively, there is a need for nosological precision so that ultimately those in need can be helped by translating the scientific evidence established in the context of Internet addiction into actual clinical practice.

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Section: Introductionmentioning

confidence: 99%

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Kuss¹,

Griffiths²,

Karila³

et al. 2014

CPD

1,088

857

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“…In Australia, 78% of online gamers are emergent adults or adults, who predominantly play online videogames to positively moderate their feelings and relieve boredom (Brand & Todhunter, 2015). However, to date, there has been a dearth of longitudinal studies investigating IGD risk during this particular developmental time (Spekman et al, 2013;Stavropoulos et al, 2017a;Winkler et al, 2013). …”

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confidence: 99%

“…However, despite the increasing number of cross-sectional studies, there is a dearth of longitudinal studies examining risk and protective factors (especially related to the virtual-gaming context) of IGD behaviors (Kuss, 2013; Pontes & Griffiths, 2015). To help prioritize practical knowledge concerning vulnerable IGD populations, the present study focuses on emerging adulthood (as an age period; Spekman et al, 2013; 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Internet Gaming Disorder 5 Stavropoulos et al, 2017a;Winkler et al, 2013) and Massively Multiplayer Online (MMO) games (as the game genre; Billieux et al, 2015; Kuss, 2013;Stavropoulos et al, 2017a; Young, 2009) because these features are believed to be risk factors in developing IGD among the gamer population (Anderson et al, 2016). …”

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confidence: 99%

Internet Gaming Disorder: the interplay between physical activity and user–avatar relationship

Liew

Stavropoulos

Adams

et al. 2018

Behaviour & Information Technology

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Understanding both the risk and protective factors associated with Internet Gaming Disorder (IGD) has been viewed by many in the gaming studies field as an area of research priority. The present study focused on the potential risk and protective effects of user-avatar (game figure) relationship and physical activity (PA) respectively. To address these aims, a cross-sectional and a longitudinal mixed-methods design were combined (comprising both psychological and physiological assessments). A sample of 121 emerging adult gamers (18-29 years) residing in Australia, who played massively multiplayer online games, were assessed in relation to their IGD behaviors using the nine-item Internet Gaming Disorder Scale-Short Form. Additionally, the Proto-Self-Presence scale was used to evaluate the extent to which gamers identified with the body of their avatar.Finally, a PA monitor (Fit-Bit Flex) measured levels of energy consumed during real world daily activities (active minutes). A number of linear regressions and moderation analyses were conducted. Findings confirmed that Proto-SelfPresence functioned as an IGD risk factor and that PA acted protectively, weakening the association between Proto-Self-Presence and IGD behaviors.Implications of these findings are discussed in relation to IGD treatment and gaming development aspects. Keywords:Internet Gaming Disorder; Proto-Self-Presence; Physical Activity; Emerging Adulthood; Massively Multiplayer Online games. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Internet Gaming Disorder 3 IntroductionInternet use has grown exponentially, constituting an inherent part of contemporary life (Anderson, Steen & Stavropoulos, 2016). In that context, the userinternet interplay (within the broader human computer interaction filed) has attracted the attention of researchers from a diverse range of scientific disciplines including psychology, information technology, computer science, and sociology (Lazar, Feng, & Hochheiser, 2017). One particularly popular and continuously expanding online application/activity that has gravitated research focus is Internet gaming (Andreassen et al., 2016). More specifically, the potentially positive (e.g., mental health improvements, cultural openness, a sense of meaning and accomplishment, collaboration and emotive stimulation; Smahel, Blinka, & Brown, 2012; Kaplan & Haenlein, 2010; Armitage, Claypool, & Branch, 2006; Billieux et al., 2015; Hsu, Wen, & Wu, 2009;Snodgrass, Lacy, Dengah, & Fagan, 2011) and negative effects (e.g., negative impact on identity formation, physical health and interpersonal relationships; Billieux et al., 2015; Hyun et al., 2015; Kuss, 2013; Hsu et al, 2009;Freeman, 2008) of Internet gaming, depending on the intensity of gaming involvement, have been demonstrated (Anderson et al., 2016). Additionally, the significance of the g...

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“…Considering the fact that IGD has many parallels to other addictions, adapting treatments used in substance-related addictions to fit IGD specific requirements could have a beneficial effect (Müller et al, 2014). On the same line of thinking, cognitive behavioral therapy is used as a tool for treating Internet Addiction and according to metanalytical findings it demonstrates positive therapeutic results (Winkler et al, 2013). Also, considering the social antecedents of IGD, group therapy could prove to be extremely advantageous for adolescents with social problems (Park & Kim, 2011).…”

Section: Applicationsmentioning

confidence: 99%

Online Gaming Behavior And Psychosocial Well-Being In Greek Adolescents

Pappa¹,

Apergi²,

Ventouratou³

et al. 2016

EJSBS

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Online gaming is an appealing and popular activity among adolescents. However, several studies have shown that excessive engagement is related to psychosocial problems. The present study is based on data from the EU NET ADB project and examined the association between problematic online gaming and psychosocial wellbeing in a Greek school-student's sample. Problematic online gaming is classified in the DSM-5 as Internet Gaming Disorder (IGD) and was measured with the Assessment of Internet and Computer game Addiction Scale -Gaming Module (AICA-S-gaming). Negative aspects of psychosocial well-being were operationally defined as a combination of behavioral, affective and cognitive problems and were assessed through the Youth Self-Report (YSR) scale. The results indicate that IGD has a significant impact on the externalizing and internalizing dimensions of the YSR scale and particularly in the subscales anxious-depressed, withdrawndepressed, social problems, thought problems, somatic complaints, rule-breaking behavior and aggressive behavior. Limitations and applications of the study are discussed.

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Treatment of internet addiction: A meta-analysis

Cited by 347 publications

References 58 publications

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Internet Addiction: A Systematic Review of Epidemiological Research for the Last Decade

Internet Gaming Disorder: the interplay between physical activity and user–avatar relationship

Online Gaming Behavior And Psychosocial Well-Being In Greek Adolescents

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