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Effectiveness of an integrated motivational cognitive--behavioral group intervention for adolescents with gaming disorder: a randomized controlled trial.

Aims, Design and Setting: The aim of this study was to test the efficacy of the integrated cognitive--behavioral therapy with a strength-based motivational approach [integrated cognitive--behavioral therapy (ICBT)] intervention to change gaming disorder (GD) symptoms and other outcomes and to study...

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Published in:Addiction Vol. 118; no. 11; pp. 2093 - 2105
Main Authors: Yinan Ji, Fu Keung Wong, Daniel
Format: research tables/charts randomized controlled trial Journal Article
Published: Wiley-Blackwell Nov2023
Online Access:View this record in EBSCOhost
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        09652140
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      jtl: Addiction
      issn: 09652140
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      dt: Nov2023
      vid: 118
      iid: 11
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/add.16292
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        atl: Effectiveness of an integrated motivational cognitive--behavioral group intervention for adolescents with gaming disorder: a randomized controlled trial.
      aug:
        au:
          Yinan Ji
          Fu Keung Wong, Daniel
        affil: Department of Social Work, Hong Kong Baptist University, Hong Kong, China
      sug:
        subj:
          Motivation
          Cognitive Therapy Methods
          Psychotherapy, Group Methods
          Video Games
          Internet Addiction Therapy
          Treatment Outcomes
          Human
          Randomized Controlled Trials
          Random Assignment
          Health Care Delivery, Integrated
          Adolescence
          Prospective Studies
          China
          Vocational Education
          Students, High School Psychosocial Factors
          Male
          Female
          Comparative Studies
          Pretest-Posttest Design
          Cognition
          Depression Prevention and Control
          Anxiety Prevention and Control
          Adaptation, Psychological
          Confidence Intervals
          Descriptive Statistics
          Effect Size
          Schools, Secondary China
          Adolescent: 13-18 years
          Male
          Female
      ab: Aims, Design and Setting: The aim of this study was to test the efficacy of the integrated cognitive--behavioral therapy with a strength-based motivational approach [integrated cognitive--behavioral therapy (ICBT)] intervention to change gaming disorder (GD) symptoms and other outcomes and to study the therapeutic mechanism. A two-arm parallel randomized waiting-list controlled trial with 3- and 6-month follow-ups were conducted in a secondary vocational school in mainland China. Participants: Participants comprised 77 Chinese adolescents with GD symptoms with a mean age of 16.36 years [standard deviation (SD) = 0.93]; 88.3% were male Interventions: Participants were randomized into an ICBT group (n = 38) and a waiting-list control (WLC, n = 39) group. ICBT intervention comprised eight weekly sessions to encourage participants to identify their interests and strengths and set goals for developing personally meaningful real-life activities. Measurements and Findings: The outcomes were measured at pre-treatment (t0), post-treatment (t1), 3-month (t2) and 6-month (t3) follow-ups. The primary outcome was GD symptoms at t3. Secondary outcomes included GD symptoms at t1 and t2, and gaming motivation, maladaptive gaming cognition, depression and anxiety symptoms at t1, t2 and t3. With the intention-to-treat principle, the GD scores at t3 were significantly different between the CBT and WLC groups [mean difference 62.08 (SD = 10.48) versus 73.64 (SD = 11.70); Hedges' g = 1.15, 95% confidence interval = 0.67-1.62]. Linear mixed-effects modeling showed significant group x time interaction for the secondary outcomes (P < 0.01), with a moderate to strong between-group effect size in the reduction in depression symptoms (g = 0.67-0.84) and anxiety symptoms (g = 0.6--0.64). Path analysis shows ICBT leads to GD reduction through reducing gaming motivation and maladaptive gaming cognition. Conclusions: An integrated cognitive-behavioral therapy with strength-based motivational approach intervention reduced gaming disorder symptoms and time spent gaming over a 6-month period by decreasing maladaptive gaming motivation and cognition.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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