인터넷 게임 장애에 관한 인지행동치료 기반의 중재 효과: 체계적 문헌 고찰 및 메타분석
Effectiveness of CBT-based interventions for internet gaming disorder (IGD): A systematic review and meta-analysis
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Objectives: This study systematically evaluated the effectiveness of cognitive behavioral therapy (CBT) based interventions in reducing the severity of Internet Gaming Disorder (IGD) among adolescents and youths. Methods: A comprehensive search of MEDLINE, Embase, CINAHL, PsycINFO, Cochrane CENTRAL, and Korean databases (DBpia, KCI, RISS, KIST) identified relevant studies. Nine studies (six randomized controlled trials [RCTs] and three non-randomized trials [nRTs]) with 901 participants were included. Effect sizes (Hedges’s g) were calculated using a random-effects model, with 95% confidence intervals (CIs) and heterogeneity statistics (I2). Subgroup analyses assessed the effects of intervention duration, session, period, and participant characteristics. RoB 2.0 and ROBINS-I risk of bias tools were used to assess the risk of bias within the study. Results: Pooled analysis showed a significant reduction in IGD severity following CBT interventions (Hedges’s g = ‒0.916, 95% CI [‒1.363, ‒0.468], I2 = 87.52%), with higher efficacy observed in longer interventions (3-6 months) and more frequent sessions. The overall heterogeneity was high, and the quality of evidence was rated moderate. Conclusion: CBT-based interventions reduce IGD severity across diverse populations and study designs. Future research should focus on standardized tools, extended follow-up, and culturally tailored interventions to improve public health strategies.
Abstract
Objectives: This study systematically evaluated the effectiveness of cognitive behavioral therapy (CBT) based interventions in reducing the severity of Internet Gaming Disorder (IGD) among adolescents and youths. Methods: A comprehensive search of MEDLINE, Embase, CINAHL, PsycINFO, Cochrane CENTRAL, and Korean databases (DBpia, KCI, RISS, KIST) identified relevant studies. Nine studies (six randomized controlled trials [RCTs] and three non-randomized trials [nRTs]) with 901 participants were included. Effect sizes (Hedges’s g) were calculated using a random-effects model, with 95% confidence intervals (CIs) and heterogeneity statistics (I2). Subgroup analyses assessed the effects of intervention duration, session, period, and participant characteristics. RoB 2.0 and ROBINS-I risk of bias tools were used to assess the risk of bias within the study. Results: Pooled analysis showed a significant reduction in IGD severity following CBT interventions (Hedges’s g = ‒0.916, 95% CI [‒1.363, ‒0.468], I2 = 87.52%), with higher efficacy observed in longer interventions (3-6 months) and more frequent sessions. The overall heterogeneity was high, and the quality of evidence was rated moderate. Conclusion: CBT-based interventions reduce IGD severity across diverse populations and study designs. Future research should focus on standardized tools, extended follow-up, and culturally tailored interventions to improve public health strategies.
참고문헌 (46)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
- Andrade, L. H., "Barriers to mental health treatment : Results from the WHO World Mental Health surveys", Psychological Medicine, 44(6), pp.1303~1317 (2014)[DOI]
- Berg, J. M., "Parsing the heterogeneity of impulsivity : A meta-analytic review of the behavioral implications of the UPPS for psychopathology", Psychological assessment, 27(4), pp.1129~1146 (2015)[DOI]
- Burleigh, T. L., "Gaming disorder and internet addiction : A systematic review of resting-state EEG studies", Addictive Behaviors, 107, pp.106429~ (2020)[DOI]
- Cohen, J., "A power primer", Psychological Bulletin, 112(1), pp.155~159 (1992)[DOI]
- Danielsen, P. A., "Treatment effects of therapeutic interventions for gaming disorder : A systematic review and meta-analysis", Addictive Behaviors, 149, pp.107887~ (2024)[DOI]
- Deeks, J. J., "Cochrane handbook for systematic reviews of interventions", pp.241~284 (2019), John Wiley & Sons
- Fu, R., "Conducting quantitative synthesis when comparing medical interventions : AHRQ and the effective health care program", Journal of Clinical Epidemiology, 64(11), pp.1187~1197 (2011)[DOI]
- Gao, Y. -X., "The prevalence and possible risk factors of internet gaming disorder among adolescents and young adults : Systematic reviews and meta-analyses", Journal of Psychiatric Research, 154, pp.35~43 (2022)[DOI]
- Griffiths, M. D., "Internet addiction disorder and internet gaming disorder are not the same", Journal of Addiction Research & Therapy, 5(4), pp.e124~ (2014)[DOI]
- Han, D. H., "Bupropion in the treatment of problematic online game play in patients with major depressive disorder", Journal of Psychopharmacology, 26(5), pp.689~696 (2012)[DOI]
- Han, J., "Efficacy of cognitive behavioural therapy for internet gaming disorder", Clinical Psychology & Psychotherapy, 27(2), pp.203~213 (2020)[DOI]
- Hedges, L. V., "Statistical methods for meta-analysis" (1985), Academic Press
- Hong, J. S., "Effect of physical exercise intervention on mood and frontal alpha asymmetry in internet gaming disorder", Mental Health and Physical Activity, 18, pp.100318~ (2020)[DOI]
- Ji, Y., "Effectiveness of an integrated motivational cognitive-behavioral group intervention for adolescents with gaming disorder : A randomized controlled trial", Addiction, 118(11), pp.2093~2104 (2023)[DOI]
- Jiang, Y. -S., "Effects of non-pharmacological interventions on youth with internet addiction : A systematic review and meta-analysis of randomized controlled trials", Frontiers in Psychiatry, 14, pp.1327200~ (2024)[DOI]
- Kavanagh, M., "What is the reported relationship between self-esteem and gaming disorder? A systematic review and meta-analysis", Computers in Human Behavior, 145, pp.107776~ (2023)[DOI]
- King, D. L., "Gaming disorder among female adolescents : A hidden problem?", Journal of Adolescent Health, 66(6), pp.650~652 (2020)[DOI]
- King, D. L., "Toward a consensus definition of pathological video-gaming : A systematic review of psychometric assessment tools", Clinical Psychology Review, 33(3), pp.331~342 (2013)[DOI]
- Kolubinski, D. C., "A systematic review and meta-analysis of CBT interventions based on the Fennell model of low self-esteem", Psychiatry Research, 267, pp.296~305 (2018)[DOI]
- Komiya, N., "Emotional openness as a predictor of college students’attitudes toward seeking psychological help", Journal of Counseling Psychology, 47(1), pp.138~143 (2000)[DOI]
- Kuss, D. J., "Internet and gaming addiction : A systematic literature review of neuroimaging studies", Brain Sciences, 2(3), pp.347~374 (2012)[DOI]
- Kuss, D. J., "Internet gaming addiction : A systematic review of empirical research", International Journal of Mental Health and Addiction, 10(2), pp.278~296 (2012)[DOI]
- Lampropoulou, P., "Effectiveness of available treatments for gaming disorders in children and adolescents : A systematic review", Cyberpsychology, Behavior, and Social Networking, 25(1), pp.5~13 (2022)[DOI]
- Lee, H. -C., "A study on the development and effectiveness of cognitive-behavioral therapy for internet game addiction", The Korean Journal of Health Psychology, 7(3), pp.463~486 (2002)
- Li, H., "The role of cognitive distortion in online game addiction among Chinese adolescents", Children and Youth Services Review, 35(9), pp.1468~1475 (2013)[DOI]
- Lindenberg, K., "Effectiveness of cognitive behavioral therapy–based intervention in preventing gaming disorder and unspecified internet use disorder in adolescents : A cluster randomized clinical trial", JAMA Network Open, 5(2), pp.e2148995~ (2022)[DOI]
- Müller, K. W., "Investigating risk factors for Internet gaming disorder : A comparison of patients with addictive gaming, pathological gamblers and healthy controls regarding the big five personality traits", European Addiction Research, 20(3), pp.129~136 (2014)[DOI]
- Nam, B., "Comparing the effects of bupropion and escitalopram on excessive internet game play in patients with major depressive disorder", Clinical Psychopharmacology and Neuroscience, 15(4), pp.361~368 (2017)[DOI]
- Page, M. J., "The PRISMA 2020 statement : An updated guideline for reporting systematic reviews", Systematic Reviews, 10, pp.89~ (2021)[DOI]
- Park, S. Y., "The effects of a virtual reality treatment program for online gaming addiction", Computer Methods and Programs in Biomedicine, 129, pp.99~108 (2016)[DOI]
- Petry, N. M., "Internet gaming disorder in the DSM-5", Current Psychiatry Reports, 17(9), pp.72~ (2015)[DOI]
- Pontes, H. M., "Measuring DSM-5internet gaming disorder : Development and validation of a short psychometric scale", Computers in Human Behavior, 45, pp.137~143 (2015)[DOI]
- Pornnoppadol, C., "A comparative study of psychosocial interventions for internet gaming disorder among adolescents aged 13-17 Years", International Journal of Mental Health and Addiction, 18(4), pp.932~948 (2020)[DOI]
- Sawyer, M. G., "The mental health of 13-17 year-olds in Australia : findings from the national survey of mental health and well-being", Journal of Youth and Adolescence, 36(2), pp.185~194 (2007)[DOI]
- Sharma, R., "Recent treatment and novel imaging studies evaluating treatment of internet gaming disorder : A narrative review", Frontiers in Psychiatry, 15, pp.1408560~ (2024)[DOI]
- Sheu, H. -B., "An exploratory study of help-seeking attitudes and coping strategies among college students by race and gender", Measurement and Evaluation in Counseling and Development, 37(3), pp.130~143 (2004)[DOI]
- Stevens, M. W. R., "Global prevalence of gaming disorder : a systematic review and meta-analysis", Australian & New Zealand Journal of Psychiatry, 55(6), pp.553~568 (2021)[DOI]
- Stevens, M. W. R., "Cognitive-behavioral therapy for internet gaming disorder : A systematic review and meta-analysis", Clinical Psychology & Psychotherapy, 26(2), pp.191~203 (2019)[DOI]
- Thomason, S., "Compassion-focused therapies for self-esteem : A systematic review and meta-analysis", Psychology and Psychotherapy : Theory, Research and Practice, 94(3), pp.737~759 (2021)[DOI]
- Torres-Rodríguez, A., "Treatment efficacy of a specialized psychotherapy program for internet gaming disorder", Journal of Behavioral Addictions, 7(4), pp.939~952 (2018)[DOI]
- Wilson, G. T., "Psychological treatment of eating disorders", Annual Review of Clinical Psychology, 1, pp.439~465 (2005)[DOI]
- Wölfling, K., "Efficacy of short-term treatment of internet and computer game addiction : A randomized clinical trial", JAMA Psychiatry, 76(10), pp.1018~1025 (2019)[DOI]
- World Health Organization, "ICD-11 (International Classification of Diseases 11th revision)", World Health Organization, ~ (2019)
- Zajac, K., "Treatments for internet gaming disorder and internet addiction : A systematic review", Psychology of Addictive Behaviors, 31(8), pp.979~994 (2017)[DOI]
- Zeidi, I. M., "The effectiveness of group cognitive-behavioral therapy on general self-efficacy, self-control, and internet addiction prevalence among medical university students", Social Health and Behavior, 3(3), pp.93~102 (2020)