Cognitive Behavior Therapy with Internet Addicts: Treatment Outcomes and Implications

Research over the last decade has identified Internet addiction as a new and often unrecognized clinical disorder that impact a user's ability to control online use to the extent that it can cause relational, occupational, and social problems. While much of the literature explores the psychological and social factors underlying Internet addiction, little if any empirical evidence exists that examines specific treatment outcomes to deal with this new client population. Researchers have suggested using cognitive behavioral therapy (CBT) as the treatment of choice for Internet addiction, and addiction recovery in general has utilized CBT as part of treatment planning. To investigate the efficacy of using CBT with Internet addicts, this study investigated 114 clients who suffered from Internet addiction and received CBT at the Center for Online Addiction. This study employed a survey research design, and outcome variables such as client motivation, online time management, improved social relationships, improved sexual functioning, engagement in offline activities, and ability to abstain from problematic applications were evaluated on the 3rd, 8th, and 12th sessions and over a 6-month follow-up. Results suggested that Caucasian, middle-aged males with at least a 4-year degree were most likely to suffer from some form of Internet addiction. Preliminary analyses indicated that most clients were able to manage their presenting complaints by the eighth session, and symptom management was sustained upon a 6-month follow-up. As the field of Internet addiction continues to grow, such outcome data will be useful in treatment planning with evidenced-based protocols unique to this emergent client population.

[1]  L. Vandecreek,et al.  Innovations in Clinical Practice: A Source Book , 1992 .

[2]  Scott E. Caplan.  Problematic Internet use and psychosocial well-being: development of a theory-based cognitive-behavioral measurement instrument , 2002, Comput. Hum. Behav..

[3]  Jeffrey Barlow,et al.  Internet and American Life Project , 2006 .

[4]  Robert E. Kraut,et al.  Internet paradox. A social technology that reduces social involvement and psychological well-being? , 1998, The American psychologist.

[5]  R. LaRose,et al.  A Social-Cognitive Approach to Uses and Gratifications , 2008 .

[6]  Viktor Brenner.  Psychology of Computer Use: XLVII. Parameters of Internet Use, Abuse and Addiction: The First 90 Days of the Internet Usage Survey , 1997, Psychological reports.

[7]  Lixuan Zhang,et al.  A Comparative Study of Internet Addiction between the United States and China , 2008, Cyberpsychology Behav. Soc. Netw..

[8]  Marilyn Freimuth,et al.  Expanding the Scope of Dual Diagnosis and Co-Addictions: Behavioral Addictions , 2008 .

[9]  R. Frances,et al.  Cognitive therapy of substance abuse , 1994 .

[10]  Amitai Etzioni.  Debating the Social Effects of the Internet: Connecting with the World , 2000 .

[11]  A. Brodsky,et al.  The truth about addiction and recovery: the life process program for outgrowing destructive habits. , 1992 .

[12]  Kimberly Young,et al.  Internet Addiction: The Emergence of a New Clinical Disorder , 1998, Cyberpsychology Behav. Soc. Netw..

[13]  Keith W. Beard,et al.  Modification in the Proposed Diagnostic Criteria for Internet Addiction , 2001, Cyberpsychology Behav. Soc. Netw..

[14]  Janet Morahan-Martin,et al.  The Relationship Between Loneliness and Internet Use and Abuse , 1999, Cyberpsychology Behav. Soc. Netw..

[15]  Abraham J. Twerski,et al.  Addictive Thinking: Understanding Self-Deception , 1990 .

[16]  KIMBERLY S. YOUNG,et al.  An Empirical Examination of Client Attitudes Towards Online Counseling , 2005, Cyberpsychology Behav. Soc. Netw..

[17]  B. Jaffe.  Cognitive Therapy and the Emotional Disorders , 1977 .

[18]  Philip C Cooley,et al.  Automating Telephone Surveys: Using T-ACASI to Obtain Data on Sensitive Topics. , 1998, Computers in human behavior.

[19]  J. Parsons,et al.  Internet Addiction: College Student Case Study Using Best Practices in Cognitive Behavior Therapy. , 2001 .

[20]  K. Young.  Caught in the Net: How to Recognize the Signs of Internet Addiction--and a Winning Strategy for Recovery , 1998 .

[21]  J. Schneider,et al.  Effects of cybersex addiction on the family: Results of a survey , 2000 .

[22]  S. Hucker,et al.  Disorders of Impulse Control , 2004 .

[23]  Al Cooper,et al.  Online infidelity: A new dimension in couple relationships with implications for evaluation and treatment , 2000 .

[24]  R. A. Davis,et al.  A cognitive-behavioral model of pathological Internet use , 2001, Comput. Hum. Behav..

[25]  Kenneth J. Sher,et al.  Disorders of Impulse Control , 2003 .

[26]  Dan J Stein,et al.  Problematic internet use: Proposed classification and diagnostic criteria , 2003, Depression and anxiety.

[27]  Jonathan J. Kandell,et al.  Internet Addiction on Campus: The Vulnerability of College Students , 1998, Cyberpsychology Behav. Soc. Netw..

[28]  Sylvain C. Boies,et al.  Online sexual compulsivity: Getting tangled in the net , 1999 .

[29]  J. Morahan-Martin,et al.  Incidence and correlates of pathological Internet use among college students ? ? Portions of this pa , 2000 .