Comparing the Efficacy of Mindfulness‐Based Interventions and Cognitive Behavioural Therapy in Treating Internet Gaming Disorder: A Systematic Review.

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 sel...

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Publicado en:Clinical Psychology & Psychotherapy Vol. 32; no. 6; pp. 1 - 24
Autores principales: Kunzmann, Timo, Behrendt, Corinna, Lepach‐Engelhardt, Anja Christina
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Nov/Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/cpp.70183
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        atl: Comparing the Efficacy of Mindfulness‐Based Interventions and Cognitive Behavioural Therapy in Treating Internet Gaming Disorder: A Systematic Review.
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        au:
          Kunzmann, Timo
          Behrendt, Corinna
          Lepach‐Engelhardt, Anja Christina
        affil: PFH Göttingen, Private University of Applied Sciences, Göttingen, Germany
      sug:
        subj:
          Mindfulness
          Cognitive Therapy
          Internet Addiction Prevention and Control
          Treatment Outcomes
          Combined Modality Therapy
          Human
          Systematic Review
          PubMed
          Psycinfo
          Cochrane Library
          Self Regulation
          Emotional Regulation
          Impulsive Behavior Prevention and Control
          Time Factors
          Cognitive Flexibility
          Video Games Adverse Effects
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Regression
          Descriptive Statistics
          Mediation Analysis
          After Care
          Pretest-Posttest Design
          Internet Addiction Symptoms
          Meditation
          Functional Status
          Severity of Illness
          Checklists
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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