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Effects of Cognitive-Behavioral Therapy Based Music Therapy in Korean Adolescents with Smartphone and Internet Addiction

최태영|Won Geun Hui|Bong Su Hyun
대한신경정신의학회 (Korean Neuropsychiatric Association)|2021.02|PSYCHIATRY INVESTIGATION|제18권 제2호|pp. 110-117|DOI 10.30773/pi.2020.0155

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키워드

InternetSmartphoneMusic therapyAddictive behaviorCognitive-behavioral therapy.
주제분류정신과학

초록

Objective The purpose of this study was to evaluate the effects of adding music therapy (MT) to cognitive-behavioral therapy (CBT) on symptoms of smartphone/internet addiction and psychiatric comorbidities. Methods Overall, 155 patients diagnosed with addiction were assigned to either the CBT-MT group or CBT group. Both groups received CBT for 8 weeks, while the CBT-MT group received additional MT. The intervention was completed by 67 and 71 participants in the CBT-MT and CBT groups, respectively. Results The total scores of Young Internet Addiction Scale (YIAT) and Smartphone Addiction Proneness Scale (SAPS) decreased significantly (p<0.001 for both) in both groups, while the total scores of State Anxiety Inventory for Children (SAIC) (p<0.001), Trait Anxiety Inventory for Children (TAIC) (p<0.001), Conners-Wells’ Adolescent Self-Report Scale-Short form (CASS(S)) (p=0.048), and Barratt Impulsiveness Scale-11 (BIS-11) (p<0.001) decreased only in the CBT-MT group. The decrements in YIAT (p=0.025), SAIC (p=0.043), TAIC (p=0.011), and BIS-11 (p=0.012) in the CBT-MT group were significantly greater than those in the CBT group. Conclusion Combined MT and CBT improved the symptoms of smartphone/internet addiction, anxiety, and impulsivity in adolescents. This combination could therefore be an effective treatment of smartphone or internet addiction along with behavioral disorders such as anxiety and impulsivity.Objective The purpose of this study was to evaluate the effects of adding music therapy (MT) to cognitive-behavioral therapy (CBT) on symptoms of smartphone/internet addiction and psychiatric comorbidities. Methods Overall, 155 patients diagnosed with addiction were assigned to either the CBT-MT group or CBT group. Both groups received CBT for 8 weeks, while the CBT-MT group received additional MT. The intervention was completed by 67 and 71 participants in the CBT-MT and CBT groups, respectively. Results The total scores of Young Internet Addiction Scale (YIAT) and Smartphone Addiction Proneness Scale (SAPS) decreased significantly (p<0.001 for both) in both groups, while the total scores of State Anxiety Inventory for Children (SAIC) (p<0.001), Trait Anxiety Inventory for Children (TAIC) (p<0.001), Conners-Wells’ Adolescent Self-Report Scale-Short form (CASS(S)) (p=0.048), and Barratt Impulsiveness Scale-11 (BIS-11) (p<0.001) decreased only in the CBT-MT group. The decrements in YIAT (p=0.025), SAIC (p=0.043), TAIC (p=0.011), and BIS-11 (p=0.012) in the CBT-MT group were significantly greater than those in the CBT group. Conclusion Combined MT and CBT improved the symptoms of smartphone/internet addiction, anxiety, and impulsivity in adolescents. This combination could therefore be an effective treatment of smartphone or internet addiction along with behavioral disorders such as anxiety and impulsivity.

Abstract

Objective The purpose of this study was to evaluate the effects of adding music therapy (MT) to cognitive-behavioral therapy (CBT) on symptoms of smartphone/internet addiction and psychiatric comorbidities. Methods Overall, 155 patients diagnosed with addiction were assigned to either the CBT-MT group or CBT group. Both groups received CBT for 8 weeks, while the CBT-MT group received additional MT. The intervention was completed by 67 and 71 participants in the CBT-MT and CBT groups, respectively. Results The total scores of Young Internet Addiction Scale (YIAT) and Smartphone Addiction Proneness Scale (SAPS) decreased significantly (p<0.001 for both) in both groups, while the total scores of State Anxiety Inventory for Children (SAIC) (p<0.001), Trait Anxiety Inventory for Children (TAIC) (p<0.001), Conners-Wells’ Adolescent Self-Report Scale-Short form (CASS(S)) (p=0.048), and Barratt Impulsiveness Scale-11 (BIS-11) (p<0.001) decreased only in the CBT-MT group. The decrements in YIAT (p=0.025), SAIC (p=0.043), TAIC (p=0.011), and BIS-11 (p=0.012) in the CBT-MT group were significantly greater than those in the CBT group. Conclusion Combined MT and CBT improved the symptoms of smartphone/internet addiction, anxiety, and impulsivity in adolescents. This combination could therefore be an effective treatment of smartphone or internet addiction along with behavioral disorders such as anxiety and impulsivity.

참고문헌 (66)

  1. "2018 The survey on Smarphone overdependence"[URL]
  2. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
  3. "ICD-11 Revision 2018"[URL]
  4. King DL, "Internet gaming disorder treatment : a review of definitions of diagnosis and treatment outcome", J Clin Psychol, 70, pp.942~955 (2014)
  5. Han SA, "Concern with online game addiction and juvenile delinquency", Korean Crim Psychol Rev, 2, pp.229~244 (2006)
  6. Bozkurt H, "Prevalence and patterns of psychiatric disorders in referred adolescents with internet addiction", Psychiatry Clin Neurosci, 67, pp.352~359 (2013)
  7. Cao F, "The relationship between impulsivity and internet addiction in a sample of Chinese adolescents", Eur Psychiatry, 22, pp.466~471 (2007)
  8. Carli V, "The association between pathological internet use and comorbid psychopathology : a systematic review", Psychopathology, 46, pp.1~13 (2013)
  9. Kim K, "Internet addiction in Korean adolescents and its relation to depression and suicidal ideation : a questionnaire survey", Int J Nurs Stud, 43, pp.185~192 (2006)
  10. Lee YS, "Substance abuse precedes internet addiction", Addict behav, 38, pp.2022~2025 (2013)
  11. Mak KK, "Epidemiology of internet behaviors and addiction among adolescents in six Asian countries", Cyberpsychol Behav Soc Netw, 17, pp.720~728 (2014)
  12. Yen JY, "The comorbid psychiatric symptoms of Internet addiction : attention deficit and hyperactivity disorder(ADHD), depression, social phobia, and hostility", J Adolesc Health, 41, pp.93~98 (2007)
  13. Yoo YS, "Associations between overuse of the internet and mental health in adolescents", Nurs Health Sci, 16, pp.193~200 (2014)
  14. Young KS, "The relationship between depression and internet addiction", Cyberpsychol Behav, 1, pp.25~28 (1998)
  15. Beck AT, "Cognitive Therapy and the Emotional Disorders" (1976), International Universities Press
  16. Davis RA, "A cognitive-behavioral model of pathological internet use", Comput Hum Behav, 17, pp.187~195 (2001)
  17. Young KS, "Cognitive behavior therapy with internet addicts : treatment outcomes and implications", Cyberpsychol Behav, 10, pp.671~679 (2007)
  18. Young KS, "Treatment outcomes using CBT-IA with internet-addicted patients", J Behav Addict, 2, pp.209~215 (2013)
  19. Kim SM, "Combined cognitive behavioral therapy and bupropion for the treatment of problematic on-line game play in adolescents with major depressive disorder", Comput Hum Behav, 28, pp.1954~1959 (2012)
  20. 김상현, "The Effects of Group Cognitive Behavioral Therapy on the Improvement of Depression and Anxiety in Adolescents with Problematic Internet Use", Journal of the Korean Academy of Child and Adolescent Psychiatry, 29(2), pp.73~79 (2018), 대한소아청소년 정신의학회[DOI]
  21. Du YS, "Longer term effect of randomized, controlled group cognitive behavioural therapy for internet addiction in adolescent students in Shanghai", Aust N Z J Psychiatry, 44, pp.129~134 (2010)
  22. 이혁, "The Effect of Home-based Daily Journal Writing in Korean Adolescents with Smartphone Addiction", Journal of Korean Medical Science, 31(5), pp.764~769 (2016), 대한의학회
  23. Stevens MWR, "Cognitive-behavioral therapy for Internet gaming disorder : a systematic review and meta analysis", Clin Psychol Psychother, 26, pp.191~203 (2018)
  24. 채유경, "초등학생 게임 과몰입에 관한통합예술심리치료 프로그램 개발 및 효과검증", 상담학연구, 7(3), pp.885~898 (2006), 한국상담학회
  25. Aalbers S, "Music therapy for depression", Cochrane Database Syst Rev, 11, pp.CD004517~ (2017)
  26. Hohmann L, "Effects of music therapy and music-based interventions in the treatment of substance use disorders : a systematic review", PLoS One, 12, pp.e0187363~ (2017)
  27. 차은선, "집단음악치료가 인터넷중독 초등학생의 자기통제, 사회성 및 스트레스에 미치는 효과", 청소년시설환경, 11(1), pp.79~91 (2013), 한국청소년시설환경학회
  28. 이은희, "음악치료프로그램이 인터넷 게임중독 청소년의 자기효능감 향상에 미치는 효과에 관한 연구", 한국산학기술학회논문지, 13(6), pp.2520~2527 (2012), 한국산학기술학회[DOI]
  29. 여정윤, "인터넷 중독 청소년의 개별 음악치료 사례연구", 한국음악치료학회지, 12(1), pp.16~25 (2010), 한국음악치료학회[DOI]
  30. Czamanski-Cohen J, "The bodymind model : a platform for studying the mechanisms of change induced by art therapy", Arts Psychother, 51, pp.63~71 (2016)
  31. Kokal I, "Synchronized drumming enhances activity in the caudate and facilitates prosocial commitment--if the rhythm comes easily", PLoS One, 6, pp.e27272~ (2011)
  32. Young KS, "Caught in the Net : How to Recognize the Signs of Internet Addiction and a Winning Strategy for Recovery" (1998), John Wiley
  33. Kim D, "Development of Korean smartphone addiction proneness scale for youth", PLoS One, 9, pp.e97920~ (2014)
  34. Kim MS, "Development of the Children’s Social Support Scale", Fam Environ Res, 33, pp.37~47 (1995)
  35. Barnes HL, "Parent-adolescent communication and the circumplex model", Child Develop, 56, pp.438~447 (1985)
  36. Beck AT, "Beck Depression Inventory-II" (1996), The Psychological Corporation
  37. 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구", 생물치료정신의학, 14(2), pp.201~212 (2008), 대한생물치료정신의학회
  38. Spielberger CD, "Manual for the State-Trait Anxiety Inventory for Children" (1970), Consulting Psychologists Press
  39. Cho SC, "Development of the Korean form of the State-Trait anxiety Inventory for Children", Seoul J Psychiatry, 14, pp.150~157 (1989)
  40. Rosenberg M, "Rosenberg Self-Esteem Scale(SES)" (1965), Princeton University Press
  41. Jeon BJ, "Self-esteem : a test of its measurability", Yonsei Nonchong, 11, pp.109~129 (1974)
  42. Bahn GH, "A preliminary study for the development of the assessment scale for ADHD in adolescents : reliability and validity for CASS(S)", J Korean Acad Child Adolesc Psychiatry, 12, pp.218~224 (2001)
  43. Barratt ES, "Anxiety and impulsiveness related to psychomotor efficiency", Percept Motor Skill, 9, pp.191~198 (1959)
  44. 이소라, "한국판 Barratt Impulsiveness Scale-11-Revised의 신뢰도 및 타당도 연구 ; 일반성인집단을 중심으로", 신경정신의학, 51(6), pp.378~386 (2012), 대한신경정신의학회
  45. "What is Music Therapy?"[URL]
  46. Edgerton CL, "The effect of improvisational music therapy on the communicative behaviors of autistic children", J Music Ther, 31, pp.31~62 (1994)
  47. Edwards J, "The Oxford Handbook of Music Therapy" (2016), Oxford University Press
  48. Geretsegger M, "Music therapy for people with autism spectrum disorder", Cochrane Database Syst Rev, 2014, pp.CD004381~ (2014)
  49. Pavlicevic MJ, "Improvisation in music therapy : human communication in sound", J Music Ther, 37, pp.269~285 (2000)
  50. Soshensky R, "Everybody is a star : recording, performing, and community music therapy", Music Ther Perspect, 29, pp.23~30 (2011)
  51. Zhang F, "Music therapy for attention deficit hyperactivity disorder(ADHD)in children and adolescents", Cochrane Database Syst Rev, pp.CD010032~ (2017)
  52. "Game immersion music therapy program manual. Game Culture Foundation"[URL]
  53. Winkler A, "Treatment of internet addiction : a meta-analysis", Clin Psychol Rev, 33, pp.317~329 (2013)
  54. 사공정규, "인터넷 중독증", 생물치료정신의학, 8(2), pp.176~185 (2002), 대한생물치료정신의학회
  55. 이혁, "인터넷·게임 중독의 심리 사회적 접근", 생물치료정신의학, 21(2), pp.65~72 (2015), 대한생물치료정신의학회
  56. Bolton OK, "Therapeutic engagement with adolescents in psychotherapy", Psychother-Theor Res, 40, pp.215~225 (2003)
  57. Kazdin AE, "Dropping out of child psychotherapy : issues for research and implications for practice", Clin Child Psychol Psychiatry, 1, pp.133~156 (1996)
  58. Minty B, "Non-attendance at initial out-patient appointments at a hospital-based child psychiatric clinic", Clin Child Psychol Psychiatry, 9, pp.403~418 (2004)
  59. 장혁준, "예술프로그램을 이용한 집단치료가 청소년의 인터넷", 스마트폰 중독행위에 미치는 효과 : 예비연구, 2017, pp.23(3), 171~180[DOI]
  60. Saba L, "Child art psychotherapy in CAMHS: which cases are referred and which cases drop out?", Springerplus, 5, pp.1816~ (2016)
  61. 연영란, "Effects of Psychosocial Interventions for Schoolaged Children’s Internet Addiction, Self-control and Self-esteem: Meta-Analysis", Healthcare Informatics Research, 22(3), pp.217~230 (2016), 대한의료정보학회[DOI]
  62. 서민재, "한국 청소년 정신병리와 스마트폰 중독 및 인터넷 중독의 상관성", 생물치료정신의학, 19(2), pp.154~162 (2013), 대한생물치료정신의학회
  63. Wong PWC, "Potential changes to the hikikimori phenomenon in the wake of the Covid-19 pandemic", Asian J Psychiatr, 54, pp.102288~ (2020)
  64. Kato TA, "Sartorius N, Shinfuku N. Forced social isolation due to COVID 19 and consequent mental health problems : Lessons from hikikomori", Psychiatry Clin Neurosci, 74, pp.506~507 (2020)
  65. Tateno M, "Internet addiction, smartphone addiction, and hikikomori trait in Japanese young adult : social isolation and social network", Front Psychiatry, 10, pp.455~ (2019)
  66. King DL, "Problematic online gaming and the COVID-19 pandemic", J Behav Addict, 9, pp.184~186 (2020)

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