Relapse prevention therapy for internet gaming disorder in Swedish child and adolescent psychiatric clinics : a randomized controlled trial
(2023) In Frontiers in Psychiatry 14.- Abstract
Objectives: To evaluate the effectiveness of relapse prevention (RP) as a treatment for internet gaming disorder (IGD). Design: Randomized controlled trial. Setting: Three child and adolescent psychiatry (CAP) units in Region Skåne, Sweden. Participants: Children aged 13–18 years, coming for their first visit to CAP during 2022, were screened for gaming behavior. Those who met the proposed DSM-5 criteria for IGD were offered participation in the trial, if they had the capacity to provide written informed consent and if they spoke Swedish. A total of 111 CAP patients agreed to participate. Out of those, 11 patients were excluded due to incorrect inclusion such as young age (n = 1), or due to the absence of responses to follow-up measures... (More)
Objectives: To evaluate the effectiveness of relapse prevention (RP) as a treatment for internet gaming disorder (IGD). Design: Randomized controlled trial. Setting: Three child and adolescent psychiatry (CAP) units in Region Skåne, Sweden. Participants: Children aged 13–18 years, coming for their first visit to CAP during 2022, were screened for gaming behavior. Those who met the proposed DSM-5 criteria for IGD were offered participation in the trial, if they had the capacity to provide written informed consent and if they spoke Swedish. A total of 111 CAP patients agreed to participate. Out of those, 11 patients were excluded due to incorrect inclusion such as young age (n = 1), or due to the absence of responses to follow-up measures (n = 9). After exclusion, 102 participants remained (intervention = 47, control = 55). Interventions: The intervention, RP, is based on cognitive behavioral treatment (CBT) and was provided individually, comprising of five to seven 45-min sessions over a period of 5 to 7 weeks versus treatment as usual. Outcome measures: Participants were assessed with Game Addiction Scale for Adolescents pre-treatment (GASA) (baseline), post-treatment (treatment group only), and 3 months after baseline (follow-up). Results: The repeated measures ANOVA showed a significant interaction effect between treatment and time. Both the control group and treatment group lowered their mean GASA score from baseline to follow-up significantly, but the improvement was greater in the treatment group (mean difference in control group −5.1, p < 0.001, 95% CI = − 3.390 to −6.755, mean difference in treatment group −9.9, p < 0.001, 95% CI = −11.746 to −8.105). Conclusion: RP was found to be superior to treatment as usual in terms of reduction of IGD symptoms. Future research should address which aspects within a given treatment are effective, who benefits from treatment, in what aspects, and why. Trial registration number: ClinicalTrials.gov, NCT05506384 https://clinicaltrials.gov/ct2/show/NCT05506384.
(Less)
- author
- André, Frida LU ; Kapetanovic, Sabina ; Einarsson, Isak LU ; Trebbin Harvard, Sunna ; Franzén, Leonard ; Möttus, Annika ; Håkansson, Anders LU and Claesdotter-Knutsson, Emma LU
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- CBT, gaming, GASA, internet gaming disorder, relapse prevention
- in
- Frontiers in Psychiatry
- volume
- 14
- article number
- 1256413
- publisher
- Frontiers Media S. A.
- external identifiers
-
- pmid:37928925
- scopus:85175861055
- ISSN
- 1664-0640
- DOI
- 10.3389/fpsyt.2023.1256413
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: Copyright © 2023 André, Kapetanovic, Einarsson, Trebbin Harvard, Franzén, Möttus, Håkansson and Claesdotter Knutsson.
- id
- 01933dd5-f8f1-40a6-8e6b-297e67e6e2e4
- date added to LUP
- 2023-12-05 15:58:58
- date last changed
- 2024-04-18 11:45:42
@article{01933dd5-f8f1-40a6-8e6b-297e67e6e2e4, abstract = {{<p>Objectives: To evaluate the effectiveness of relapse prevention (RP) as a treatment for internet gaming disorder (IGD). Design: Randomized controlled trial. Setting: Three child and adolescent psychiatry (CAP) units in Region Skåne, Sweden. Participants: Children aged 13–18 years, coming for their first visit to CAP during 2022, were screened for gaming behavior. Those who met the proposed DSM-5 criteria for IGD were offered participation in the trial, if they had the capacity to provide written informed consent and if they spoke Swedish. A total of 111 CAP patients agreed to participate. Out of those, 11 patients were excluded due to incorrect inclusion such as young age (n = 1), or due to the absence of responses to follow-up measures (n = 9). After exclusion, 102 participants remained (intervention = 47, control = 55). Interventions: The intervention, RP, is based on cognitive behavioral treatment (CBT) and was provided individually, comprising of five to seven 45-min sessions over a period of 5 to 7 weeks versus treatment as usual. Outcome measures: Participants were assessed with Game Addiction Scale for Adolescents pre-treatment (GASA) (baseline), post-treatment (treatment group only), and 3 months after baseline (follow-up). Results: The repeated measures ANOVA showed a significant interaction effect between treatment and time. Both the control group and treatment group lowered their mean GASA score from baseline to follow-up significantly, but the improvement was greater in the treatment group (mean difference in control group −5.1, p < 0.001, 95% CI = − 3.390 to −6.755, mean difference in treatment group −9.9, p < 0.001, 95% CI = −11.746 to −8.105). Conclusion: RP was found to be superior to treatment as usual in terms of reduction of IGD symptoms. Future research should address which aspects within a given treatment are effective, who benefits from treatment, in what aspects, and why. Trial registration number: ClinicalTrials.gov, NCT05506384 https://clinicaltrials.gov/ct2/show/NCT05506384.</p>}}, author = {{André, Frida and Kapetanovic, Sabina and Einarsson, Isak and Trebbin Harvard, Sunna and Franzén, Leonard and Möttus, Annika and Håkansson, Anders and Claesdotter-Knutsson, Emma}}, issn = {{1664-0640}}, keywords = {{CBT; gaming; GASA; internet gaming disorder; relapse prevention}}, language = {{eng}}, publisher = {{Frontiers Media S. A.}}, series = {{Frontiers in Psychiatry}}, title = {{Relapse prevention therapy for internet gaming disorder in Swedish child and adolescent psychiatric clinics : a randomized controlled trial}}, url = {{http://dx.doi.org/10.3389/fpsyt.2023.1256413}}, doi = {{10.3389/fpsyt.2023.1256413}}, volume = {{14}}, year = {{2023}}, }