Reducing compulsive Internet use and anxiety symptoms via two brief interventions: A comparison between mindfulness and gradual muscle relaxation

Background Compulsive Internet use (CIU) refers to those individuals who experience a loss of control regarding their online use. Although suffered by a minority, a much larger proportion of adults report to be experiencing early signs of CIU, which can become more problematic if sustained over time, especially when used as a coping mechanism for stress. Since compulsive behaviors are characterized by executing behaviors on “automatic pilot,” mindfulness techniques, which help individuals relate more consciously with their environment, could help develop a more adaptive relationship with technology. However, mindfulness interventions are often lengthy hence not ideal for busy individuals with early signs of CIU. Aims This study tested the effectiveness of a brief mindfulness intervention (10 min a day for 2 weeks) to reduce CIU and anxiety and depression symptoms, in relation to an equivalent length classic arousal descending technique (i.e., gradual-muscle-relaxation), and a wait-list control group. Methods A randomized controlled trial (RCT) was used with assessments at pre- and post-phases. Participants showing initial signs of CIU were allocated to a mindfulness-group (n = 343), gradual-relaxation (n = 301), or a wait-list control group (n = 350). Results The mindfulness and gradual-muscle-relaxation participants were equally effective in reducing anxiety and depression. The mindfulness intervention was more effective reducing CIU symptoms. Discussion Given the large sample sizes of this RCT, these results are promising, although follow-up studies are needed. Considering health hazards of the “always-on-culture” and the popularity of bite-sized learning, the effectiveness of easy-to fit-in daily life health practices is a positive development.

[1]  D. Pieper,et al.  The effect of a voucher incentive on a survey response rate in the clinical setting: a quasi-randomized controlled trial , 2018, BMC Medical Research Methodology.

[2]  Britta K. Hölzel,et al.  Common and Dissociable Neural Activity After Mindfulness-Based Stress Reduction and Relaxation Response Programs , 2018, Psychosomatic medicine.

[3]  D. Cosmelli,et al.  Effects of a brief mindfulness-meditation intervention on neural measures of response inhibition in cigarette smokers , 2018, PloS one.

[4]  E. Mohammadi,et al.  Barriers and facilitators related to the implementation of a physiological track and trigger system: A systematic review of the qualitative evidence , 2017, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[5]  Mark D. Griffiths,et al.  The impact of daily emotional demands, job resources and emotional effort on intensive internet use during and after work , 2017, Comput. Hum. Behav..

[6]  Sonja M. Geiger,et al.  Mindfulness and sustainable consumption: A systematic literature review of research approaches and findings , 2017 .

[7]  C. R. Glass,et al.  The Neuroscience of Mindfulness: How Mindfulness Alters the Brain and Facilitates Emotion Regulation , 2017 .

[8]  Thomas J. Dunn,et al.  Meditation awareness training for the treatment of workaholism: A controlled trial , 2017, Journal of behavioral addictions.

[9]  Thomas J. Dunn,et al.  Meditation awareness training for the treatment of fibromyalgia syndrome: A randomized controlled trial , 2017, British journal of health psychology.

[10]  David K. Lohrmann,et al.  Effects of preventive online mindfulness interventions on stress and mindfulness: A meta-analysis of randomized controlled trials , 2016, Preventive medicine reports.

[11]  M. Griffiths,et al.  Corporate use of mindfulness and authentic spiritual transmission: Competing or compatible ideals? , 2016 .

[12]  Mark D. Griffiths,et al.  Compulsive Internet use and workaholism: An exploratory two-wave longitudinal study , 2016, Comput. Hum. Behav..

[13]  Richard W. Robins,et al.  Mediating role of self-esteem on the relationship between mindfulness, anxiety, and depression , 2016 .

[14]  M. Griffiths,et al.  Mindfulness as a treatment for gambling disorder: Current directions and issues , 2016 .

[15]  Melissa Hunt,et al.  Effects of a brief mindfulness meditation intervention on student stress and heart rate variability. , 2016 .

[16]  E. Garland,et al.  Mindfulness-Oriented Recovery Enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: Proximal outcomes from a pragmatic randomized trial. , 2016, Behaviour research and therapy.

[17]  A. Compare,et al.  Buddhist-Derived Loving-Kindness and Compassion Meditation for the Treatment of Psychopathology: a Systematic Review , 2015 .

[18]  R. Davidson,et al.  Conceptual and methodological issues in research on mindfulness and meditation. , 2015, The American psychologist.

[19]  Gregory M. Buchanan,et al.  A Brief Mindfulness Intervention for Healthy College Students and Its Effects on Psychological Distress, Self-Control, Meta-Mood, and Subjective Vitality , 2015 .

[20]  N. Kakabadse,et al.  Self-concept clarity, social support, and compulsive Internet use , 2015 .

[21]  Maryam Zargarzadeh,et al.  The effect of progressive muscle relaxation method on test anxiety in nursing students , 2014, Iranian journal of nursing and midwifery research.

[22]  Gregory M. Buchanan,et al.  A Brief Mindfulness Intervention for Healthy College Students and Its Effects on Psychological Distress, Self-Control, Meta-Mood, and Subjective Vitality , 2014, Mindfulness.

[23]  B. Ostafin,et al.  Affective Reactivity Mediates an Inverse Relation Between Mindfulness and Anxiety , 2014 .

[24]  John G McHaffie,et al.  Neural correlates of mindfulness meditation-related anxiety relief. , 2014, Social cognitive and affective neuroscience.

[25]  J. Thompson Coon,et al.  Effectiveness of mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic review and meta-analysis of randomised controlled trials. , 2014, Journal of psychosomatic research.

[26]  Eva Cyhlarova,et al.  Mindfulness online: an evaluation of the feasibility of a web-based mindfulness course for stress, anxiety and depression , 2013, BMJ Open.

[27]  Kate Cavanagh,et al.  A randomised controlled trial of a brief online mindfulness-based intervention. , 2013, Behaviour research and therapy.

[28]  M. Kenward,et al.  Differential dropout and bias in randomised controlled trials: when it matters and when it may not , 2013, BMJ.

[29]  M. Posner,et al.  Mechanisms of white matter changes induced by meditation , 2012, Proceedings of the National Academy of Sciences.

[30]  Hairul Anuar Hashim The Effects of Progressive Muscle Relaxation and Autogenic Relaxation on Young Soccer Players’ Mood States , 2011, Asian journal of sports medicine.

[31]  I. Franken,et al.  Is compulsive internet use related to sensitivity to reward and punishment, and impulsivity? , 2010, Comput. Hum. Behav..

[32]  C. Spitzer,et al.  A 4-item measure of depression and anxiety: validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. , 2010, Journal of affective disorders.

[33]  E. Lykins,et al.  Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples , 2008, Assessment.

[34]  A. Jha,et al.  Mindfulness training modifies subsystems of attention , 2007, Cognitive, affective & behavioral neuroscience.

[35]  John P. Charlton,et al.  Distinguishing addiction and high engagement in the context of online game playing , 2007, Comput. Hum. Behav..

[36]  G. Schwartz,et al.  A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction , 2007, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[37]  Sabine Sonnentag,et al.  Recovery as an explanatory mechanism in the relation between acute stress reactions and chronic health impairment. , 2006, Scandinavian journal of work, environment & health.

[38]  J. Kabat-Zinn,et al.  Mindfulness-Based Interventions in Context: Past, Present, and Future , 2003 .

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

[40]  M. Griffiths,et al.  Testing a eustress–distress emotion regulation model in British and Spanish front-line employees , 2017 .

[41]  J. Creswell Mindfulness Interventions. , 2017, Annual review of psychology.

[42]  Griffiths,et al.  Mindfulness in psychology: a breath of fresh air? , 2015 .

[43]  Cristina Quiñones-García,et al.  Self-concept clarity, social support, and compulsive Internet use: A study of the US and the UAE , 2015, Comput. Hum. Behav..

[44]  P. Mackereth,et al.  6 – Progressive muscle relaxation: a remarkable tool for therapists and patients , 2010 .

[45]  R. Ryan,et al.  The benefits of being present: mindfulness and its role in psychological well-being. , 2003, Journal of personality and social psychology.

[46]  Jon Kabat-Zinn,et al.  Wherever you go there you are , 1994 .

[47]  Matthew L. Dixon,et al.  Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners , 2014, Neuroscience & Biobehavioral Reviews.