Effects of an Internet Use Disorder and Internet Gaming Disorder Early Intervention Program
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mental Disorder
- Sponsor
- Pädagogische Hochschule Heidelberg
- Enrollment
- 54
- Primary Endpoint
- Changes in (I)GD/IUD symptom severity (self-report and parental report)
- Last Updated
- 7 years ago
Overview
Brief Summary
Background. In the last two decades Internet usage has grown vastly. Pathological Internet usage (IUD; Internet Use Disorder) is associated with severe mental health problems affecting social, academic and daily life functioning. Internet Gaming Disorder (IGD) has been already included in the DSM-V. Recently, the WHO declared to include Gaming Disorder (GD) in the upcoming ICD-11. Despite the increasing rates of adolescents with IUD and (I)GD, affected people are treated unsystematically and there is a lack of evidence based treatment programs. PROTECT+ is a low-threshold, cognitive behavioral short-term group intervention.
Methods. 54 patients, aged 9-19 years, received PROTECT+ intervention in Heidelberg, Germany. The PROTECT+ intervention group underwent a cognitive-behavioral 4-session group therapy. Follow-up data were collected at 1, 4, and 12 months after admission. Primary outcome was the change in (I)GD and IUD related symptoms at the 12-months follow-up. Secondary outcomes were changes in comorbid symptoms as well as in problem solving, cognitive restructuring and emotion regulation skills
Discussion. Treatment of IUD and IGD is still in its early stages. Recent reviews report increasing research on treatment but also a lack of well-designed studies and evidence based treatment programs. The PROTECT+ intervention is a theory driven and evidence based therapy program which is based on the PROTECT preventive intervention in school settings. In the intervention group a reduction of (I)GD and IUD symptom severity is expected over 12 months.
Investigators
Dr. Katajun Lindenberg
Jun.-Prof. Dr. K. Lindenberg
Pädagogische Hochschule Heidelberg
Eligibility Criteria
Inclusion Criteria
- •Adolescents aged 9 to 19 years Self-selection
Exclusion Criteria
- •Severe comorbid mental health disorder
Outcomes
Primary Outcomes
Changes in (I)GD/IUD symptom severity (self-report and parental report)
Time Frame: baseline, 1 month, 4-months, 12-months
(I)GD/IUD symptom severity is assessed via self-reports and via parental reports by the Video Game Dependency Scale (Computerspielabhängigkeitsskala; CSAS; Rehbein, Baier, Kleimann \& Mößle, 2015). The CSAS questionnaire has been adapted by including non-gaming IU.
Changes in (I)GD/IUD symptom severity (Clinical Interview based on DSM-5)
Time Frame: 12-months
At 12-months follow-up, we conduct a clinical interview based on the criteria of IGD according to the DSM-5. We adapted the criteria by non-gaming subtypes to assess IUD.
Changes in IUD symptom severity (self-report)
Time Frame: baseline, 1 month, 4-months, 12-months
IUD symptom severity is assessed by the Compulsive Internet Use Scale (CIUS; Meerkerk, Van Den Eijnden, Vermulst \& Garretsen, 2009). The CIUS is a broadly used and validated questionnaire including 14 Items assessing IUD.
Secondary Outcomes
- Emotion Regulation(baseline, 1 month, 4-months, 12-months)
- Depressive Symptoms(baseline, 1 month, 4-months, 12-months)
- Anxiety Disorders: Performance and School Anxiety(baseline, 1 month, 4-months, 12-months)
- Comorbid emotional, oppositional, antisocial and attention deficit/ hyperactivity disorders(baseline, 1 month, 4-months, 12-months)
- Procrastination(baseline, 1 month, 4-months, 12-months)
- Self-Efficacy(baseline, 1 month, 4-months, 12-months)
- Anxiety Disorders: Social Anxiety(baseline, 1 month, 4-months, 12-months)
- Social Behavior and Learning Behavior(baseline, 1 month, 4-months, 12-months)