| Sumario: | Background: Internet gaming disorder (IGD) is a behavioural addiction that is recognized in both the DSM‐5 and ICD‐11. Alongside cognitive behavioural therapy (CBT), which has established efficacy in the treatment of IGD, mindfulness‐based interventions (MBIs) are gaining importance by enhancing self‐awareness and improving impulse control to reduce addictive behaviours related to video gaming. Method: This systematic review follows PRISMA guidelines and examines the role of MBIs in IGD treatment. Systematic searches in PubMed, PsycINFO, Cochrane Library and Google Scholar identified 1895 studies. After applying inclusion and exclusion criteria, 26 studies were analysed. Results: Findings from case reports, cross‐sectional studies, quasi‐experiments and randomized controlled trials (RCTs) show both CBT and MBIs reduce IGD symptoms, improve self‐regulation and emotional control and decrease impulsive behaviours. MBIs also enhance psychological flexibility and reduce gaming time. Limitations: Small samples, lack of randomization, diverse measurement tools, varied treatment methods and non‐standardized Likert scales limit validity and generalizability. Conclusion: This review highlights the comparative strengths of MBIs and CBT in treating IGD. While both CBT and MBIs are effective for IGD, they differ in methodology: MBIs foster mindful awareness of internal experiences, while CBT is problem‐ and goal‐oriented. Larger sample sizes and more RCTs are needed to evaluate effectiveness and explore potential synergies, as MBIs remain in early development. Summary: This review shows that both cognitive behavioural therapy and mindfulness‐based interventions can be effective in treating the symptoms of internet gaming disorder.While both approaches can influence patients self‐regulation, emotional control and impulsive behaviours, MBIs may additionally improve psychological flexibility and time spent gaming.Even though further research into combining the two approaches is needed, practitioners might consider adding elements of mindfulness into CBT treatments, especially for patients for whom improvements in psychological flexibility would be beneficial.
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