Treatment outcomes using CBT-IA with Internet-addicted patients

Background and aims: Internet Gaming Disorder, a subtype of Internet Addiction, is now classified in Section 3 of the DSM-5. Cognitive behavioral therapy (CBT) has been suggested in treating Internet addiction as this modality has been shown to be an effective treatment for similar impulse control disorders. Given the daily and necessary use of the Internet and technology in general compared to other compulsive syndromes, a specialized form of CBT has been developed called Cognitive-Behavioral Therapy for Internet Addiction (CBT-IA). CBT-IA is a comprehensive three phase approach that includes behavior modification to control compulsive Internet use, cognitive restructuring to identify, challenge, and modify cognitive distortions that lead to addictive use, and harm reduction techniques to address and treat co-morbid issues associated with the disorder. Methods: As the first model of its kind, this study examines 128 clients to measure treatment outcomes using CBT-IA. Clients were evaluated using the Internet Addiction Test (IAT) to classify subjects and were administered twelve weekly sessions of CBT-IA. Treatment outcomes were measured at the end of the twelve weeks, one-month, three months and at six month post-treatment. Results: Results showed that over 95% of clients were able to manage symptoms at the end of the twelve weeks and 78% sustained recovery six months following treatment. Discussion and Conclusions: Results found that CBT-IA was effective at ameliorating symptoms associated with Internet addiction after twelve weekly sessions and consistently over one-month, three months, and six months after therapy. Further research implications such as investigating long-term outcome effects of the model with larger client populations and treatment differences among the subtypes of Internet addiction or with other cultural populations using CBT-IA are discussed.

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

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

[3]  Louis Leung,et al.  Stressful Life Events, Motives for Internet Use, and Social Support Among Digital Kids , 2007, Cyberpsychology Behav. Soc. Netw..

[4]  Konstantinos Siomos,et al.  Internet Addiction among Greek Adolescent Students , 2008, 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]  R. LaRose,et al.  Understanding Internet Usage , 2001 .

[7]  Kimberly S. Young,et al.  Clinical Assessment of Internet‐Addicted Clients , 2012 .

[8]  K. Young.  Internet Addiction , 2004 .

[9]  Jin Jing,et al.  Factors Associated with Internet Addiction among Adolescents , 2009, Cyberpsychology Behav. Soc. Netw..

[10]  A. Johansson,et al.  Internet addiction: characteristics of a questionnaire and prevalence in Norwegian youth (12-18 years). , 2004, Scandinavian journal of psychology.

[11]  Arja Rimpelä,et al.  Internet addiction? Potentially problematic use of the Internet in a population of 12–18 year-old adolescents , 2004 .

[12]  K. Young,et al.  Psychology of Computer Use: XL. Addictive Use of the Internet: A Case That Breaks the Stereotype , 1996, Psychological reports.

[13]  T. Vahlberg,et al.  Attached to the web — harmful use of the Internet and its correlates , 2010, European Psychiatry.

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

[15]  Alireza Moradi,et al.  Prevalence of Internet Addiction and Comparison of Internet Addicts and Non-Addicts in Iranian High Schools , 2008, Cyberpsychology Behav. Soc. Netw..

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

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

[18]  S. Hansen,et al.  Excessive Internet usage or 'Internet Addiction'? The implications of diagnostic categories for student users , 2002, J. Comput. Assist. Learn..

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

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

[21]  Mark D. Griffiths,et al.  A Psychometric Comparison of the Internet Addiction Test, the Internet-Related Problem Scale, and Self-Diagnosis , 2011, Cyberpsychology Behav. Soc. Netw..

[22]  Martial Van der Linden,et al.  French Validation of the Internet Addiction Test , 2008, Cyberpsychology Behav. Soc. Netw..

[23]  Kausar Suhail,et al.  Effects of Excessive Internet Use on Undergraduate Students in Pakistan , 2006, Cyberpsychology Behav. Soc. Netw..

[24]  Barbora Simkova,et al.  Internet Addiction Disorder and Chatting in the Czech Republic , 2004, Cyberpsychology Behav. Soc. Netw..

[25]  G. A. Parks,et al.  Integrating Harm Reduction Therapy and Traditional Substance Abuse Treatment , 2001, Journal of psychoactive drugs.

[26]  D. Greenfeld,et al.  Virtual Addiction: Help for Netheads, Cyberfreaks, and Those Who Love Them , 1999 .

[27]  Scott E. Caplan.  A Social Skill Account of Problematic Internet Use , 2005 .

[28]  Matthias Brand,et al.  Watching Pornographic Pictures on the Internet: Role of Sexual Arousal Ratings and Psychological-Psychiatric Symptoms for Using Internet Sex Sites Excessively , 2011, Cyberpsychology Behav. Soc. Netw..

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