Treatment Outcomes in Patients with Internet Addiction: A Clinical Pilot Study on the Effects of a Cognitive-Behavioral Therapy Program

Internet addiction is regarded as a growing health concern in many parts of the world with prevalence rates of 1-2% in Europe and up to 7% in some Asian countries. Clinical research has demonstrated that Internet addiction is accompanied with loss of interests, decreased psychosocial functioning, social retreat, and heightened psychosocial distress. Specialized treatment programs are needed to face this problem that has recently been added to the appendix of the DSM-5. While there are numerous studies assessing clinical characteristics of patients with Internet addiction, the knowledge about the effectiveness of treatment programs is limited. Although a recent meta-analysis indicates that those programs show effects, more clinical studies are needed here. To add knowledge, we conducted a pilot study on the effects of a standardized cognitive-behavioral therapy program for IA. 42 male adults meeting criteria for Internet addiction were enrolled. Their IA-status, psychopathological symptoms, and perceived self-efficacy expectancy were assessed before and after the treatment. The results show that 70.3% of the patients finished the therapy regularly. After treatment symptoms of IA had decreased significantly. Psychopathological symptoms were reduced as well as associated psychosocial problems. The results of this pilot study emphasize findings from the only meta-analysis conducted so far.

[1]  Paul T. Costa,et al.  Personality in Adulthood: A Five-Factor Theory Perspective , 2005 .

[2]  P. Costa,et al.  Revised NEO Personality Inventory (NEO-PI-R) and NEO-Five-Factor Inventory (NEO-FFI) , 1992 .

[3]  Kai W. Müller,et al.  Prevalence of internet addiction in the general population: results from a German population-based survey , 2014, Behav. Inf. Technol..

[4]  Dan J Stein,et al.  Drop out from out-patient mental healthcare in the World Health Organization's World Menta Health Survey initiative , 2013, British Journal of Psychiatry.

[5]  F. H. Kanfer,et al.  Learning foundations of behavior therapy , 1970 .

[6]  The related factors to internet overuse in middle school students , 2006 .

[7]  Chih-Hung Ko,et al.  The Association between Internet Addiction and Problematic Alcohol Use in Adolescents: The Problem Behavior Model , 2008, Cyberpsychology Behav. Soc. Netw..

[8]  King-wa Fu,et al.  Internet addiction: prevalence, discriminant validity and correlates among adolescents in Hong Kong , 2010, British Journal of Psychiatry.

[9]  P. Renshaw,et al.  The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. , 2009, Comprehensive psychiatry.

[10]  J. Rabe-Jabłońska,et al.  [Affective disorders in the fourth edition of the classification of mental disorders prepared by the American Psychiatric Association -- diagnostic and statistical manual of mental disorders]. , 1993, Psychiatria polska.

[11]  Andrés Chamarro,et al.  Problematic Internet and mobile phone use and clinical symptoms in college students: The role of emotional intelligence , 2009, Comput. Hum. Behav..

[12]  Antonella D'Amico,et al.  Internet Addiction Disorder: An Italian Study , 2007, Cyberpsychology Behav. Soc. Netw..

[13]  M. Beutel,et al.  A contribution to the clinical characterization of Internet addiction in a sample of treatment seekers: validity of assessment, severity of psychopathology and type of co-morbidity. , 2014, Comprehensive psychiatry.

[14]  Eric Hollander,et al.  Escitalopram in the treatment of impulsive-compulsive internet usage disorder: an open-label trial followed by a double-blind discontinuation phase. , 2008, The Journal of clinical psychiatry.

[15]  C. Ko,et al.  The brain activations for both cue-induced gaming urge and smoking craving among subjects comorbid with Internet gaming addiction and nicotine dependence. , 2013, Journal of psychiatric research.

[16]  Elias Aboujaoude,et al.  Potential Markers for Problematic Internet Use: A Telephone Survey of 2,513 Adults , 2006, CNS Spectrums.

[17]  M. Griffiths,et al.  Internet and Gaming Addiction: A Systematic Literature Review of Neuroimaging Studies , 2012, Brain sciences.

[18]  G. Floros,et al.  Excessive Internet Use and Personality Traits , 2014, Current Behavioral Neuroscience Reports.

[19]  T. Miller The psychotherapeutic utility of the five-factor model of personality: a clinician's experience. , 1991, Journal of personality assessment.

[20]  M. Beutel,et al.  Addressing the Question of Disorder-Specific Risk Factors of Internet Addiction: A Comparison of Personality Traits in Patients with Addictive Behaviors and Comorbid Internet Addiction , 2013, BioMed research international.

[21]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[22]  M. Beutel,et al.  Investigating Risk Factors for Internet Gaming Disorder: A Comparison of Patients with Addictive Gaming, Pathological Gamblers and Healthy Controls regarding the Big Five Personality Traits , 2013, European Addiction Research.

[23]  G. Murray,et al.  NEO Five-Factor Inventory Scores: Psychometric Properties in a Community Sample , 2003 .

[24]  K. Wölfling,et al.  Construction of a Standardized Clinical Interview to Assess Internet addiction: First Findings Regarding the Usefulness of AICA-C , 2012 .

[25]  C. Brophy,et al.  An examination of the factor structure and convergent and discriminant validity of the SCL-90R in an outpatient clinic population. , 1988, Journal of personality assessment.

[26]  M. Johnston,et al.  Measures in Health Psychology: A User's Portfolio , 1995 .

[27]  G. Arbanas Diagnostic and Statistical Manual of Mental Disorders (DSM-5) , 2015 .

[28]  Eric J. Moody,et al.  Internet Use and Its Relationship to Loneliness , 2001, Cyberpsychology Behav. Soc. Netw..

[29]  Ya-song Du,et al.  Longer Term Effect of Randomized, Controlled Group Cognitive Behavioural Therapy for Internet Addiction in Adolescent Students in Shanghai , 2010, The Australian and New Zealand journal of psychiatry.

[30]  Winfried Rief,et al.  Treatment of internet addiction: a meta-analysis. , 2013, Clinical psychology review.

[31]  Karl Mann,et al.  Effects of a manualized short-term treatment of internet and computer game addiction (STICA): study protocol for a randomized controlled trial , 2012, Trials.

[32]  W. Dunlap,et al.  Meta-Analysis of Experiments With Matched Groups or Repeated Measures Designs , 1996 .

[33]  M. Potenza,et al.  Escitalopram treatment of pathological gambling with co-occurring anxiety: an open-label pilot study with double-blind discontinuation , 2006, International clinical psychopharmacology.