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Abstract

Purpose: We evaluated the outcomes of a school-based group counseling program for adolescent Internet Gaming Disorder (IGD). The program aimed to enhance self-regulation, resilience, parent–child attachment, and parental supervision and reduce gaming hours, IGD severity, IGD symptoms, depression, and parent–child conflict. Method: In this quasi-experimental study, out of 115 sary school students in Singapore (M_age= 13.7, SD = 1.56) who reported five or more out of ten IGD symptoms, 61 participated in the intervention and 54 served as a nonintervention group. Results: Repeated Measures ANCOVA revealed that compared with the non-intervention, the program was effective in improving self-regulation (F = 7.84, p = .006), resilience (F = 4.90, p = .03), weekend gaming hours (F = 9.18, p = .003), IGD severity (F = 7.68, p = .007) and depression (F = 14.3, p < .000). Discussion: We suggest that the program improve parental support components while focusing on self-regulation.

Keywords

adolescent internet gaming disorder CBT family intervention internet gaming disorder treatment of internet gaming disorder

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References

Abelman

Pettey

G. R.

(1989). Child attributes as determinants of parental television-viewing mediation: The role of child giftedness. Journal of Family Issues, 10(2), 251–266. https://doi.org/10.1177/019251389010002006

Alim

T. N.

Lawson

W. B.

Feder

Iacoviello

B. M.

Saxeno

Bailey

C. R.

Greene

A. M.

Neumeister

(2012). Resilience to meet the challenge of addiction: Psychobiology and clinical considerations. Alcohol Research, 34(4), 506–515.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed. tex rev.). https://doi.org/10.1176/appi.books.9780890425787

Armsden

G. C.

Greenberg

M. T.

(1987). The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16, 427–454. https://doi.org/10.1007/BF02202939

Bandura

(2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26. https://doi.org/10.1146/annurev.psych.52.1.1

Bonnstetter

Suiter

(2004). The universal language DISC: A reference manual (10th ed.). Target Training International, Ltd.

Canale

Marino

Griffiths

M. D.

Scacchi

Monaci

M. G.

Vieno

(2019). The association between problematic online gaming and perceived stress: The moderating effect of psychological resilience. Journal of Behavioral Addictions, 8, 174–180. https://doi.org/10.1556/2006.8.2019.01

Choo

Gentile

D. A.

Sim

Khoo

Liau

A. K.

(2010). Pathological video-gaming among Singaporean youth. Annals, Academy of Medicine Singapore, 39, 822–829. https://doi.org/10.47102/annals-acadmedsg.V39N11p822

10.

Choo

Sim

Liau

A. K. F.

Gentile

D. A.

Khoo

(2015). Parental influences on pathological symptoms of video-gaming among children and adolescents: A prospective study. Journal of Child and Family Studies, 24(5), 1429–1441. https://doi.org/10.1007/s10826-014-9949-9

11.

Cohen

(1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

12.

Y. S.

Jiang

Vance

(2010). Longer term effect of randomized, controlled group cognitive behavioral therapy for internet addiction in adolescent students in Shanghai. Australian and New Zealand Journal of Psychiatry, 44(2), 129–134. https://doi.org/10.3109/00048670903282725

13.

Fam

J. Y.

(2018). Prevalence of internet gaming disorder in adolescents: A meta-analysis across three decades. Scandinavian Journal of Psychology, 59, 524–531. https://doi.org/10.1111/sjop.12459

14.

Gao

Y. X.

Wang

J. Y.

Dong

G. H.

(2022). 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, 35–43. https://doi.org/10.1016/j.jpsychires.2022.06.049

15.

Gentile

D. A.

(2009). Pathological video-game use among youth ages 8 to 18: A national study. Psychological Science, 20(5), 594–602. https://doi.org/10.1111/j.1467-9280.2009.02340.x

16.

Gentile

D. A.

Bailey

Bavelier

Brockmyer

J. F.

Cash

Coyne

S. M.

Doan

Grant

D. S.

Green

C. S.

Griffiths

Markle

Petry

N. M.

Prot

Rae

C. D.

Rehbein

Rich

Sullivan

Woolley

Young

(2017). Internet gaming disorder in children and adolescents. Pediatrics, 140(2), S81–S58. https://doi.org/10.1542/peds.2016-1758H

17.

Gentile

A. D.

Choo

Liau

A. K. F.

Sim

Fung

Khoo

(2011). Pathological video-gaming among Singaporean youth: A two-year longitudinal study. Pediatrics, 127(2), e319–e329. https://doi.org/10.1542/peds.2010-1353

18.

Hou

X. L.

Wang

H. Z.

Guo

Gaskin

Rost

D. H.

Wang

J. L.

(2017). Psychological resilience can help combat the effect of stress on problematic social networking site usage. Personality and Individual Differences, 109, 61–66. https://doi.org/10.1016/j.paid.2016.12.048

19.

Yin

M. X. C.

Zhang

A. Y.

Wong

D. F. K.

(2022). Risk and protective factors of internet gaming disorder among Chinese people: A meta-analysis. Australian & New Zealand Journal of Psychiatry, 56, 332–346. https://doi.org/10.1177/00048674211025703

20.

Kim

H. S.

Son

Roh

E. B.

Ahn

W. Y.

Kim

Shin

S. H.

Chey

Choi

K. H.

(2022). Prevalence of gaming disorder: A meta-analysis. Addictive Behaviors, 126, 107183. https://doi.org/10.1016/j.addbeh.2021.107183

21.

King

D. L.

Delfabbro

P. H.

A. M. S.

Doh

Y. Y.

Kuss

D. J.

Pallesen

Mentzoni

Carragher

Sakuma

(2017). Treatment of internet gaming disorder: An international systematic review and CONSORT evaluation. Clinical Psychology Review, 54, 123–133. https://doi.org/10.1016/j.cpr.2017.04.002

22.

Kuss

Griffiths

M. D.

Binder

J. F.

(2013). Internet addiction in students: Prevalence and risk factors. Computers in Human Behavior, 29, 959–966. https://doi.org/10.1016/j.chb.2012.12.024

23.

Lampropoulou

Siomos

Floros

Christodoulou

(2022). Effectiveness of available treatments for gaming disorders in children and adolescents: A systematic review. Cyberpsychology, Behavior, and Social Networking, 25, 5–13. https://doi.org/10.1089/cyber.2021.0067

24.

LaRose

Lin

C. A.

Eastin

M. S.

(2003). Unregulated internet usage: Addiction, habit, or deficient self-regulation? Media Psychology, 5, 225–253. https://doi.org/10.1207/S1532785XMEP0503_01

25.

Wang

(2013). The role of cognitive distortion in online game addiction among Chinese adolescents. Children and Youth Services Review, 35(9), 1468–1475. https://doi.org/10.1016/j.childyouth.2013.05.021

26.

Liau

A. K.

Neo

E. C.

Gentile

D. A.

Choo

Sim

Khoo

(2015). Impulsivity, self-regulation and pathological video-gaming among youth: Testing a mediation model. Asia-Pacific Journal of Public Health, 27(2), NP2188–NP2196. https://doi.org/10.1177/1010539511429369

27.

Lim

Broekman

Wong

(2011). The development and validation of the Singapore youth resilience scale (SYRESS). The International Journal of Educational and Psychological Assessment, 8(2), 16–30.

28.

Lim

D. Y. Z.

Wong

T. H.

Feng

Ong

M. E. H.

A. F. W.

(2021). Leveraging open data to reconstruct the Singapore housing Index and other building-level markers of socioeconomic status for health services research. International Journal for Equity in Health, 20, 1–9. https://doi.org/10.1186/s12939-020-01327-9

29.

Liu

Q. X.

Fang

X. Y.

Yan

Zhou

Z. K.

Yuan

X. J.

Lan

Liu

C. Y.

(2015). Multi-family group therapy for adolescent internet addiction: Exploring the underlying mechanism. Addictive Behaviors, 42, 1–8. https://doi.org/10.1016/j.addbeh.2014.10.021

30.

Liu

Liao

Smith

D. C.

(2012). An empirical review of internet addiction outcome studies in China. Research on Social Work Practice, 22(3), 282–292. https://doi.org/10.1177/1049731511430089

31.

Lortie

C. L.

Guitton

M. J.

(2013). Internet addiction assessment tools: Dimensional structure and methodological status. Addiction, 108(7), 1207–1216. https://doi.org/10.1111/add.12202

32.

Maxwell

S. E.

Delaney

H. D.

(2004). Designing experiments and analyzing data: A model comparison perspective. Lawrence Erlbaum Associates.

33.

Moilanen

K. L.

Padilla-Walker

L. M.

Blaacker

D. R.

(2018). Dimensions of short-term and long-term self-regulation in adolescence: Associations with maternal and paternal parenting and parent–child relationship quality. Journal of Youth and Adolescence, 47, 1409–1426. https://doi.org/10.1007/s10964-018-0825-6

34.

Raja

S. N.

McGee

Stanton

W. R.

(1992). Perceived attachments to parents and peers and psychological well-being in adolescence. Journal of Youth and Adolescence, 21, 471–485. https://doi.org/10.1007/BF01537898

35.

Roos

C. R.

Witkiewitz

(2017). A contextual model of self-regulation change mechanisms among individuals with addictive disorders. Clinical Psychology Review, 57, 117–128. https://doi.org/10.1016/j.cpr.2017.08.008

36.

Schneider

L. A.

King

D. L.

Delfabbro

P. H.

(2017). Family factors in adolescent problematic internet gaming: A systematic review. Journal of Behavioral Addictions, 6, 321–333. https://doi.org/10.1556/2006.6.2017.035

37.

Seay

A. F.

Kraut

R. E.

(2007, April). Project massive: Self-regulation and problematic use of online gaming. In Proceedings of the SIGCHI conference on human factors in computing systems (pp. 829–838). Association for Computing Machinery.

38.

She

Zhang

Yang

(2022). Parental factors associated with internet gaming disorder among first-year high school students: Longitudinal study. JMIR Serious Games, 10(4), e33806. https://doi.org/10.2196/33806

39.

Shek

D. T. L.

Tang

V. M. Y.

C. Y.

(2009). Evaluation of an internet addiction treatment program for Chinese adolescents in Hong Kong. Adolescence, 44(174), 359–373.

40.

Singapore Department of Statistics. (2012). Census of population 2010. Ministry of Trade and Industry. https://www.singstat.gov.sg/-/media/files/publications/cop2010/census_2010_release1/cop2010sr1.ashx

41.

Stevens

M. W.

Dorstyn

Delfabbro

P. H.

King

D. L.

(2021). Global prevalence of gaming disorder: A systematic review and meta-analysis. Australian & New Zealand Journal of Psychiatry, 55, 553–568. https://doi.org/10.1177/0004867420962851

42.

Strojny

Kiszka

Starosta

Szyszka

P. D.

Starzec

Winiarska

Strojny

Zajas

(2023). It’s not just about how long you play. Indirect gaming involvement and genre preferences in predicting gaming disorder risk: Evidence from preregistered studies. Frontiers in Psychiatry, 14, 1230774. https://doi.org/10.3389/fpsyt.2023.1230774

43.

Tirri

Nokelainen

(2008). Identification of multiple intelligences with the Multiple Intelligence Profiling Questionnaire III. Psychology Science, 50(2), 206.

44.

Warburton

W. A.

Parkes

Sweller

(2022). Internet gaming disorder: Evidence for a risk and resilience approach. International Journal of Environmental Research and Public Health, 19, 5587. https://doi.org/10.3390/ijerph19095587

45.

Watson

(2015). Internet addiction. In Smith

R. L.

(Ed.), Treatment strategies for substance and process addictions (pp. 293–312). American Counseling Association.

46.

Winkler

Dörsin

Rief

Shen

Glombiewski

J. A.

(2013). Treatment of internet addiction: A meta-analysis. Clinical Psychology Review, 33(2), 317–329. https://doi.org/10.1016/j.cpr.2012.12.005

47.

Woo

B. S. C.

Chang

W. C.

Fung

D. S. S.

Koh

J. B. K.

Leong

J. S. F.

Kee

C. H. Y.

(2004). Development and validation of a depression scale for Asian adolescents. Journal of Adolescence, 27(6), 677–689. https://doi.org/10.1016/j.adolescence.2003.12.004

48.

World Health Organization. (2020, October 22). Addictive behaviours: Gaming disorder. https://www.who.int/news-room/questions-and-answers/item/addictive-behaviours-gaming-disorder

49.

Yen

Lin

Chou

Liu

(2019). Associations among resilience, stress, depression and internet gaming disorder in young adults. International Journal of Environmental Research and Public Health, 16, 1–11. https://doi.org/10.3390/ijerph16173181

50.

Young

K. S.

(1998). Internet addiction: The emergence of a new clinical disorder. Cyberpsychology & Behavior, 1(3), 237–244. https://doi.org/10.1089/cpb.1998.1.237

51.

Zhong

Sha

Tao

Zhao

Yang

(2011). The effect of a family-based intervention model on internet-addicted Chinese adolescents. Social Behavior and Personality, 39(8), 1021–1034. https://doi.org/10.2224/sbp.2011.39.8.1021

Evaluation of a School-Based Group Counseling Program for Adolescent Internet Gaming Disorder

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