Effects of a manualized short-term treatment of internet and computer game addiction (STICA): study protocol for a randomized controlled trial

BackgroundIn the last few years, excessive internet use and computer gaming have increased dramatically. Salience, mood modification, tolerance, withdrawal symptoms, conflict, and relapse have been defined as diagnostic criteria for internet addiction (IA) and computer addiction (CA) in the scientific community. Despite a growing number of individuals seeking help, there are no specific treatments of established efficacy.Methods/designThis clinical trial aims to determine the effect of the disorder-specific manualized short-term treatment of IA/CA (STICA). The cognitive behavioural treatment combines individual and group interventions with a total duration of 4 months. Patients will be randomly assigned to STICA treatment or to a wait list control group. Reliable and valid measures of IA/CA and co-morbid mental symptoms (for example social anxiety, depression) will be assessed prior to the beginning, in the middle, at the end, and 6 months after completion of treatment.DiscussionA treatment of IA/CA will establish efficacy and is desperately needed. As this is the first trial to determine efficacy of a disorder specific treatment, a wait list control group will be implemented. Pros and cons of the design were discussed.Trial RegistrationClinicalTrials (NCT01434589)

[1]  H. Freyberger,et al.  Taschenführer zur ICD-10-Klassifikation psychischer Störungen , 2012 .

[2]  Herta Flor,et al.  Psychophysiological responses to drug‐associated stimuli in chronic heavy cannabis use , 2008, The European journal of neuroscience.

[3]  S. Grüsser,et al.  Specific cue reactivity on computer game-related cues in excessive gamers. , 2007, Behavioral neuroscience.

[4]  Chih-Hung Ko,et al.  The Association between Adult ADHD Symptoms and Internet Addiction among College Students: The Gender Difference , 2009, Cyberpsychology Behav. Soc. Netw..

[5]  Kimberly Young,et al.  Cognitive Behavior Therapy with Internet Addicts: Treatment Outcomes and Implications , 2007, Cyberpsychology Behav. Soc. Netw..

[6]  C. Ko,et al.  The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[7]  H. Grabski.  Reliable und ökonomische Erfassung lebensgeschichtlich früher Traumatisierung : die deutsche Version des Adverse Childhood Experiences Questionnaire (ACE) , 2013 .

[8]  U. Kanning,et al.  NEO-Fünf-Faktoren-Inventar nach Costa und McCrae (NEO-FFI) , 2009 .

[9]  M. Rössler,et al.  Wender Utah Rating Scale (WURS-k) Die deutsche Kurzform zur retrospektiven Erfassung des hyperkinetischen Syndroms bei Erwachsenen , 2002, Der Nervenarzt.

[10]  V. Tschuschke,et al.  Relatedness, group work, and outcome in long-term inpatient psychotherapy groups. , 1993, The Journal of psychotherapy practice and research.

[11]  James Lani,et al.  Positive and Negative Affect Schedule (PANAS) , 2010 .

[12]  R. Stieglitz.  Diagnostische Kriterien DSM-IV. , 2000 .

[13]  Insa Klingberg,et al.  SCL-90-R, Symptom-Checkliste von L. R. Derogatis - Deutsche Version , 2003 .

[14]  P. Wender,et al.  [Wender Utah rating scale. The short-version for the assessment of the attention-deficit hyperactivity disorder in adults]. , 2002, Der Nervenarzt.

[15]  M. Bassler,et al.  Der "Helping Alliance Questionnaire" (HAQ) von Luborsky. Möglichkeiten zur Evaluation des therapeutischen Prozesses von stationärer Psychotherapie. , 1995 .

[16]  P. Peukert,et al.  Internet-und Computerspielabhängigkeit Phänomenologie , Komorbidität , Ätiologie , Diagnostik und therapeutische Implikationen für Betroffene und Angehörige Internet-and Computer Game Addiction Phenomenology , Comorbidity , Etiology , Diagnostics and Therapeutic Implications for the Addictives and t , 2010 .

[17]  Mark D. Griffiths,et al.  Does Internet and Computer "Addiction" Exist? Some Case Study Evidence , 2000, Cyberpsychology Behav. Soc. Netw..

[18]  P. Peukert,et al.  Internet- und Computerspielabhängigkeit , 2010 .

[19]  I. Lyoo,et al.  Attention deficit hyperactivity symptoms and Internet addiction , 2004, Psychiatry and clinical neurosciences.

[20]  P. Herschbach,et al.  Questions on Life Satisfaction (FLZM) - A Short Questionnaire for Assessing Subjective Quality of Life , 2000 .

[21]  Klaus Wölfling,et al.  Reliabilität und Validität der Skala zum Computerspielverhalten (CSV-S) , 2010, Psychotherapie, Psychosomatik, medizinische Psychologie.

[22]  M. Herrmann,et al.  Alcohol cue-reactivity in heavy and light social drinkers as revealed by event-related potentials. , 2001, Alcohol and alcoholism.

[23]  Gallus Bischof,et al.  Computerspiel- und Internetsucht. Ein kognitiv-behaviorales Behandlungsmanual , 2013, Suchttherapie.

[24]  Jee Hyun Ha,et al.  Psychiatric comorbidity assessed in Korean children and adolescents who screen positive for Internet addiction. , 2006, The Journal of clinical psychiatry.

[25]  Matthias Kleimann,et al.  Computerspielabhängigkeit im Kindes- und Jugendalter Empirische Befunde zu Ursachen, Diagnostik und Komorbiditäten unter besonderer Berücksichtigung spielimmanenter Abhängigkeitsmerkmale , 2009 .

[26]  Catriona M. Morrison,et al.  The Relationship between Excessive Internet Use and Depression: A Questionnaire-Based Study of 1,319 Young People and Adults , 2010, Psychopathology.

[27]  Franz Petermann,et al.  Beck-Depressions-Inventar Revision (BDI–II) , 2010 .

[28]  Carl-Walter Kohlmann,et al.  Untersuchungen mit einer deutschen Version der "Positive and Negative Affect Schedule" (PANAS). , 1996 .

[29]  Kai W. Müller,et al.  Regular and Problematic Leisure-Time Internet Use in the Community: Results from a German Population-Based Survey , 2011, Cyberpsychology Behav. Soc. Netw..

[30]  K. Wölfling,et al.  Pathologisches Glücksspiel und Computerspielabhängigkeit , 2010, Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz.

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

[32]  Rüdiger Zwerenz,et al.  Screening nach Depersonalisation-Derealisation mittels zweier Items der Cambridge Depersonalisation Scale , 2009, Psychotherapie, Psychosomatik, medizinische Psychologie.

[33]  Manfred E Beutel,et al.  [Clinical characteristics of computer game and internet addiction in persons seeking treatment in an outpatient clinic for computer game addiction]. , 2011, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.

[34]  Daniel L. King,et al.  Assessing clinical trials of Internet addiction treatment: a systematic review and CONSORT evaluation. , 2011, Clinical Psychology Review.

[35]  S. Cole,et al.  Assessment of differential item functioning in the Perceived Stress Scale-10. , 1999, Journal of epidemiology and community health.

[36]  K. Müller,et al.  [Pathological gambling and computergame-addiction. Current state of research regarding two subtypes of behavioural addiction]. , 2010, Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz.

[37]  Chih-Hung Ko,et al.  Psychiatric symptoms in adolescents with Internet addiction: Comparison with substance use , 2008, Psychiatry and clinical neurosciences.

[38]  Ralf Schwarzer,et al.  Assessment of perceived general self-efficacy on the Internet : Data collection in cyberspace , 1999 .

[39]  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.

[40]  F. Cao,et al.  The relationship between impulsivity and Internet addiction in a sample of Chinese adolescents , 2007, European Psychiatry.

[41]  Klaus Wölfling,et al.  Computerspielverhalten: Klinische Merkmale von Abhängigkeit und Missbrauch bei Jugendlichen , 2009, Wiener klinische Wochenschrift.

[42]  S. Pallanti,et al.  Internet addiction: a descriptive clinical study focusing on comorbidities and dissociative symptoms. , 2009, Comprehensive psychiatry.

[43]  Kyunghee Kim,et al.  Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: a questionnaire survey. , 2006, International journal of nursing studies.

[44]  Jerald J. Block.  Issues for DSM-V: internet addiction. , 2008, The American journal of psychiatry.