A Healthy Mind for Problematic Internet Use

This article designed and tested a cognitive behavioral-based preventive intervention program for youths with problematic Internet use (PIU) behavior. The program is the Psychological Intervention Program-Internet Use for Youth (PIP-IU-Y). A cognitive-based therapy approach was adopted. A total of 45 secondary students from four schools completed the intervention program that was conducted in a group format by registered school counselors. Three sets of self-reported data on Problematic Internet Use Questionnaire (PIUQ), Social Interaction Anxiety Scale (SIAS), and Depression Anxiety Stress Scale (DASS) were collected at three time points: 1 week before the intervention, immediately after the last intervention session, and 1 month after the intervention. Paired t-test results showed that the program was effective in preventing negative progression into more serious Internet addiction stages, and reducing anxiety and stress and interaction phobia of the participants. The effect was evident immediately at the end of the intervention session and was maintained 1 month after the intervention. This study is among the first to develop and test a preventive intervention program for youths with PIU. The effectiveness of our program in preventing negative progression of PIU and its symptoms in problematic users has led us to postulate that the program will also prevent normal users from developing serious symptoms. The majority of the intervention programs reported in the literature merely tailor to those who already have problems.

[1]  R. Mattick,et al.  Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. , 1998, Behaviour research and therapy.

[2]  J. Henry,et al.  The Depression Anxiety Stress Scales (DASS): normative data and latent structure in a large non-clinical sample. , 2003, The British journal of clinical psychology.

[3]  James C. Raymondo,et al.  Statistical Analysis in the Behavioral Sciences , 1998 .

[4]  Sara Kiesler,et al.  Effects of Internet Use on Health and Depression: A Longitudinal Study , 2010, Journal of medical Internet research.

[5]  M. D. Murphy,et al.  Clinical practice as natural laboratory for psychotherapy research: a guide to case-based time-series analysis. , 2008, The American psychologist.

[6]  Daniel L. King,et al.  Internet gaming disorder treatment: a review of definitions of diagnosis and treatment outcome. , 2014, Journal of clinical psychology.

[7]  R. Leahy.  The Therapeutic Relationship in Cognitive-Behavioral Therapy , 2008, Behavioural and Cognitive Psychotherapy.

[8]  Huanhuan Li,et al.  The role of cognitive distortion in online game addiction among Chinese adolescents , 2013 .

[9]  Cecilia Cheng,et al.  Internet Addiction Prevalence and Quality of (Real) Life: A Meta-Analysis of 31 Nations Across Seven World Regions , 2014, Cyberpsychology Behav. Soc. Netw..

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

[11]  Louis Leung,et al.  Impacts of Net-generation attributes, seductive properties of the Internet, and gratifications-obtained on Internet use , 2003, Telematics Informatics.

[12]  Marc N. Potenza,et al.  Problematic Internet use and health in adolescents: data from a high school survey in Connecticut. , 2011, The Journal of clinical psychiatry.

[13]  Ching-Man Lai,et al.  The mediating role of Internet addiction in depression, social anxiety, and psychosocial well-being among adolescents in six Asian countries: a structural equation modelling approach. , 2015, Public health.

[14]  A. Beck,et al.  Cognitive behavior therapy : basics and beyond , 2011 .

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

[16]  A. Beck,et al.  THINKING AND DEPRESSION. II. THEORY AND THERAPY. , 1964, Archives of general psychiatry.

[17]  Zi-Wen Peng,et al.  [Prevalence of internet addiction and the related factors in middle school students in Guangzhou]. , 2010, Nan fang yi ke da xue xue bao = Journal of Southern Medical University.

[18]  Chih-Hung Ko,et al.  The associations between aggressive behaviors and internet addiction and online activities in adolescents. , 2009, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[19]  I. Lyoo,et al.  Depression and Internet Addiction in Adolescents , 2007, Psychopathology.

[20]  Feng-Yang Kuo,et al.  A Study of Internet Addiction through the Lens of the Interpersonal Theory , 2007, Cyberpsychology Behav. Soc. Netw..

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

[22]  L. García-López,et al.  The Social Phobia Scale and the Social Interaction Anxiety Scale: Factor Structure and Reliability in a Spanish-Speaking Population , 2001 .

[23]  Zsolt Demetrovics,et al.  The three-factor model of Internet addiction: The development of the Problematic Internet Use Questionnaire , 2008, Behavior research methods.

[24]  Satoko Mihara,et al.  Treatment with the Self-Discovery Camp (SDiC) improves Internet gaming disorder. , 2017, Addictive behaviors.

[25]  Csikszentmih Alyi,et al.  Flow and the Foundations of Positive Psychology , 2014 .

[26]  David Wolf,et al.  An Ongoing Study of Group Treatment for Men Involved in Problematic Internet-Enabled Sexual Behavior , 2006, Cyberpsychology Behav. Soc. Netw..

[27]  Farahmand Younes,et al.  Internet Addiction and Relationships with Insomnia, Anxiety, Depression, Stress and Self-Esteem in University Students: A Cross-Sectional Designed Study , 2016, PloS one.

[28]  M. Griffiths.  A ‘components’ model of addiction within a biopsychosocial framework , 2005 .

[29]  G. Gabbard,et al.  The development of the self in the era of the internet and role-playing fantasy games. , 2006, The American journal of psychiatry.

[30]  S. Kiesler,et al.  EFFECTS OF INTERNET USE AND SOCIAL RESOURCES ON CHANGES IN DEPRESSION , 2008 .

[31]  Chih-Hung Ko,et al.  Factors Predictive for Incidence and Remission of Internet Addiction in Young Adolescents: A Prospective Study , 2007, Cyberpsychology Behav. Soc. Netw..

[32]  C. S. Warren.  Negotiating the Therapeutic Alliance: A Relational Treatment Guide , 2001 .

[33]  M. Beutel,et al.  Treatment Outcomes in Patients with Internet Addiction: A Clinical Pilot Study on the Effects of a Cognitive-Behavioral Therapy Program , 2014, BioMed research international.

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

[35]  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.

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

[37]  Young-Sik Lee,et al.  Combined cognitive behavioral therapy and bupropion for the treatment of problematic on-line game play in adolescents with major depressive disorder , 2012, Comput. Hum. Behav..

[38]  Fatemeh Khazaei,et al.  Positive psychology interventions for internet addiction treatment , 2017, Comput. Hum. Behav..

[39]  M. Csíkszentmihályi,et al.  Positive psychology. An introduction. , 2000, The American psychologist.

[40]  Antje Sommer,et al.  Single Case Research Methods For The Behavioral And Health Sciences , 2016 .

[41]  Kimberly Young,et al.  The Relationship Between Depression and Internet Addiction , 1998, Cyberpsychology Behav. Soc. Netw..

[42]  Jiaji Wang,et al.  Prevalence of internet addiction and its association with stressful life events and psychological symptoms among adolescent internet users. , 2014, Addictive behaviors.

[43]  Chih-Hung Ko,et al.  The exacerbation of depression, hostility, and social anxiety in the course of Internet addiction among adolescents: a prospective study. , 2014, Comprehensive psychiatry.

[44]  Michael G. Lacy,et al.  A vacation from your mind: Problematic online gaming is a stress response , 2014, Comput. Hum. Behav..

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

[46]  Kimberly S. Young,et al.  CBT-IA: The First Treatment Model for Internet Addiction , 2011, Journal of Cognitive Psychotherapy.

[47]  Guek Nee Ke,et al.  Outcome of the Psychological Intervention Program: Internet Use for Youth , 2018 .

[48]  Hatice Odaci,et al.  Problematic Internet use, loneliness and dating anxiety among young adult university students , 2010, Comput. Educ..

[49]  János Kállai,et al.  Confirmation of the Three-Factor Model of Problematic Internet Use on Off-Line Adolescent and Adult Samples , 2011, Cyberpsychology Behav. Soc. Netw..

[50]  Scott E. Caplan.  Preference for Online Social Interaction , 2003, Commun. Res..

[51]  Ying Sun,et al.  Problematic Internet use in Chinese adolescents and its relation to psychosomatic symptoms and life satisfaction , 2011, BMC public health.

[52]  P. Keck,et al.  Psychiatric features of individuals with problematic internet use. , 2000, Journal of affective disorders.

[53]  M. Antony,et al.  Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. , 1998 .

[54]  Sujin Lee,et al.  Internet Over-Users' Psychological Profiles: A Behavior Sampling Analysis on Internet Addiction , 2003, Cyberpsychology Behav. Soc. Netw..

[55]  R. Bar-On.  Emotional Quotient-Inventory , 2012 .

[56]  P. Lovibond,et al.  The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. , 1995, Behaviour research and therapy.

[57]  Daniel L. King,et al.  Cognitive-behavioral approaches to outpatient treatment of internet addiction in children and adolescents. , 2012, Journal of clinical psychology.

[58]  B. Fredrickson.  The role of positive emotions in positive psychology. The broaden-and-build theory of positive emotions. , 2001, The American psychologist.

[59]  David Lester,et al.  Shyness, Internet Use, and Personality , 2007, Cyberpsychology Behav. Soc. Netw..

[60]  Scott E. Caplan.  Relations Among Loneliness, Social Anxiety, and Problematic Internet Use , 2007, Cyberpsychology Behav. Soc. Netw..

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

[62]  Matthew O. Howard,et al.  Diagnostic Criteria for Problematic Internet Use among U.S. University Students: A Mixed-Methods Evaluation , 2016, PloS one.

[63]  Daniel L. King,et al.  Cognitive behavioral therapy for problematic video game players:Conceptual considerations and practice issues , 2010 .

[64]  Yonghui Li,et al.  The relationship between recent stressful life events, personality traits, perceived family functioning and internet addiction among college students. , 2014, Stress and health : journal of the International Society for the Investigation of Stress.

[65]  Jin Young Park,et al.  The effects of Internet addiction on the lifestyle and dietary behavior of Korean adolescents , 2010, Nutrition research and practice.

[66]  Kimberly S. Young,et al.  Treatment outcomes using CBT-IA with Internet-addicted patients , 2013, Journal of behavioral addictions.

[67]  Anat Shoshani,et al.  Positive Psychology at School: A School-Based Intervention to Promote Adolescents’ Mental Health and Well-Being , 2013, Journal of Happiness Studies.

[68]  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.

[69]  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.

[70]  D. Sanders,et al.  Cognitive Behaviour Therapy: Foundations for Practice , 2012 .

[71]  Mohammad Reza Maracy,et al.  The effect of psychiatric symptoms on the internet addiction disorder in Isfahan's University students , 2011, Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences.

[72]  Martin E. P. Seligman,et al.  STRENGTHS OF CHARACTER AND WELL-BEING , 2004 .

[73]  T. Schoenmakers,et al.  Treating Internet Addiction With Cognitive-Behavioral Therapy: A Thematic Analysis of the Experiences of Therapists , 2012, International Journal of Mental Health and Addiction.

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

[75]  T. Brown,et al.  Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. , 1997, Behaviour research and therapy.

[76]  Daniel T L Shek,et al.  Evaluation of an Internet addiction treatment program for Chinese adolescents in Hong Kong. , 2009, Adolescence.