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Treatment outcomes of a CBT-based group intervention for adolescents with Internet use disorders

Abstract Background and aims: Instances of Internet use disorders (IUD) including Internet gaming disorder (IGD) and non-gaming pathological Internet use (ng-PIU) have the extent that they are now a growing mental health issue. Individuals suffering from IUD show a large range of symptoms, high como...

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Main Authors: Szász-Janocha, Carolin (Author) , Vonderlin, Eva (Author) , Lindenberg, Katajun (Author)
Format: Article (Journal)
Language:English
Published: November 16, 2020
In: Journal of behavioral addictions
Year: 2020, Volume: 9, Issue: 4, Pages: 978-989
ISSN:2063-5303
DOI:10.1556/2006.2020.00089
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1556/2006.2020.00089
Verlag, lizenzpflichtig, Volltext: https://akjournals.com/view/journals/2006/9/4/article-p978.xml
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Author Notes:Carolin Szász-Janocha, Eva Vonderlin and Katajun Lindenberg
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Summary:Abstract Background and aims: Instances of Internet use disorders (IUD) including Internet gaming disorder (IGD) and non-gaming pathological Internet use (ng-PIU) have the extent that they are now a growing mental health issue. Individuals suffering from IUD show a large range of symptoms, high comorbidities and impairments in different areas of life. To date there is a lack of efficient and evidence-based treatment programs for such adolescents. The present registered single-arm trial (ClinicalTrials.gov:NCT03582839) program for adolescents with IUD. Methods N = 54 patients (16.7% female), aged 9-19 years M = 13.48, SD = 1.72) received the CBT group program PROTECT+. IUD symptom severity (primary outcome variable) as well as comorbid symptoms, risk-related variables and potentially protective skills (secondary outcome variables) were assessed at pretest, posttest, as well as 4 and 12 months after admission. Results Patients showed a significant reduction in IUD symptom severity at the 12-month follow-up. Effect sizes were medium to large depending on the measure. Beyond the statistical significance, the clinical significance was confirmed using the reliable change index. Secondary outcome variables showed a significant reduction in self-reported depression, social anxiety, performance anxiety and school anxiety as well as in parental-reported general psychopathology. Discussion and conclusions The present study shows long-term effects of a manual-based CBT treatment for adolescents suffering from IUD. The results indicate that even a 4-session brief intervention can achieve a medium to large effect over 12 months. Future work is needed to confirm the efficacy within a randomized controlled trial (RCT).
Item Description:Gesehen am 23.02.2021
Physical Description:Online Resource
ISSN:2063-5303
DOI:10.1556/2006.2020.00089

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