CBT-IA: The First Treatment Model for Internet Addiction

2011 ◽  
Vol 25 (4) ◽  
pp. 304-312 ◽  
Author(s):  
Kimberly S. Young
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Internet Addiction ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Second Phase ◽  
Addiction Recovery ◽  
Clinical Disorder ◽  
Third Phase ◽  
Client Population ◽  
Three Phase

Research has identified Internet addiction as a new clinical disorder that causes relational, occupational, and social problems. Cognitive behavioral therapy (CBT) has been suggested as the treatment of choice for Internet addiction, and addiction recovery in general has used CBT as part of treatment planning. This article outlines cognitive behavioral therapy–Internet addiction (CBT-IA), a uniquely designed model for treating Internet addiction applying CBT with harm reduction therapy (HRT). CBT-IA uses a three-phase approach. In the first phase, behavior modification is used to gradually decrease the amount of time the addict spends online. In the second phase, cognitive therapy is used to address denial that is often present among Internet addicts and to combat the rationalizations that justify excessive online use. The third phase applies HRT to identify and treat coexisting issues involved in the development of compulsive Internet use. As the first model of its kind, it can be used both on an outpatient and inpatient basis to deal with this emergent client population.

scholarly journals Treatment Outcomes in Patients with Internet Addiction: A Clinical Pilot Study on the Effects of a Cognitive-Behavioral Therapy Program

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
K. Wölfling ◽  
M. E. Beutel ◽  
M. Dreier ◽  
K. W. Müller
Keyword(s):  
Pilot Study ◽  
Cognitive Behavioral Therapy ◽  
Internet Addiction ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Health Concern ◽  
Treatment Programs ◽  
Psychopathological Symptoms ◽  
Therapy Program

Internet addiction is regarded as a growing health concern in many parts of the world with prevalence rates of 1-2% in Europe and up to 7% in some Asian countries. Clinical research has demonstrated that Internet addiction is accompanied with loss of interests, decreased psychosocial functioning, social retreat, and heightened psychosocial distress. Specialized treatment programs are needed to face this problem that has recently been added to the appendix of the DSM-5. While there are numerous studies assessing clinical characteristics of patients with Internet addiction, the knowledge about the effectiveness of treatment programs is limited. Although a recent meta-analysis indicates that those programs show effects, more clinical studies are needed here. To add knowledge, we conducted a pilot study on the effects of a standardized cognitive-behavioral therapy program for IA. 42 male adults meeting criteria for Internet addiction were enrolled. Their IA-status, psychopathological symptoms, and perceived self-efficacy expectancy were assessed before and after the treatment. The results show that 70.3% of the patients finished the therapy regularly. After treatment symptoms of IA had decreased significantly. Psychopathological symptoms were reduced as well as associated psychosocial problems. The results of this pilot study emphasize findings from the only meta-analysis conducted so far.

scholarly journals The Comparative Efficacy for Children and Young Adults With Internet Addiction/Internet Gaming Disorder: An Updated Meta-Analysis

2021 ◽  
Author(s):  
Yue-Cune Chang ◽  
Yun-Chieh Huang ◽  
Luke Yang ◽  
Ruu-Fen Tzang
Keyword(s):  
Young Adults ◽  
Cognitive Behavioral Therapy ◽  
Effective Treatment ◽  
Internet Addiction ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Cognitive Behavioral ◽  
Gaming Disorder ◽  
Children And Young Adults ◽  
Multi Level

Abstract Internet Game Disorder (IGD) is a formal mental disorder leading to bad outcomes for children and adolescents. While (Internet Addiction) IA/IGD is recognized, controversy remains about the treatment guidelines. This study comprehensively compares the estimated effect of various pharmacotherapy and psychosocial intervention for IGD from randomized controlled trials (RCT) by updated meta-analysis, meta-regression. A search of PubMed/MEDLINE, Cochrane Library, and Airiti Library between 2000 and 2017 was conducted for various IA/IGD intervention modals. 124 studies from 29 selected papers involving 5,601 children and young adults with IA/IGD were found. The preliminary random effect is 1.399 with 95% confidence interval of 1.272-1.527 by meta-analyzing pooled standardized mean difference (SMD), suggesting highly effective treatment of IA/IGD. After adjusting for the confounding risks of age, publication year, type of subjects, and type of study, this study reveals combining pharmacotherapy with cognitive behavioral therapy (CBT) or multi-level counseling (MLC) is the most effective treatment option. Using scale of Online time spent scale or the severity of IA symptom scale were more effective measurement with p-values = 0.006 and 0.002, respectively. IA/IGD patients comorbid with depression showed worse outcomes than youth comorbid with another comorbidity. The corresponding model goodness-of-fit indices were τ2 = 1.188; I2-Residual=89.74%; and Adjusted- R2 = 16.10%. This systemic review provides clinicians with evidence that pharmacotherapy combined with cognitive behavioral therapy (CBT) or multi-level counseling (MLC) is an effective treatment for gaming disorder in children and young adults.

scholarly journals Psychological effects of cognitive behavioral therapy on internet addiction in adolescents

Medicine ◽  
2020 ◽  
Vol 99 (4) ◽  
pp. e18456 ◽  
Author(s):  
Ying-ying Zhang ◽  
Jian-ji Chen ◽  
Hai Ye ◽  
Lupe Volantin
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Internet Addiction ◽  
Behavioral Therapy ◽  
Psychological Effects ◽  
Cognitive Behavioral

Cognitive Behavioral Therapy in Internet Addiction – A Case Series

2017 ◽  
Vol 41 (S1) ◽  
pp. s784-s784
Author(s):  
D. Vasile ◽  
O. Vasiliu ◽  
D.G. Vasiliu ◽  
F. Vasile
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Internet Addiction ◽  
Behavioral Therapy ◽  
Skills Training ◽  
Automatic Thoughts ◽  
Cognitive Behavioral ◽  
Close Relative ◽  
Relaxation Techniques ◽  
Addiction Therapy ◽  
On Line

Internet use increased significantly in the last decade through the development of portable technologies, like laptops, smart-phones, tablets etc. Time spent on Internet could became a problem for many users, some of them reporting a sense of control loss, as they begin to stay more on-line than they initially wanted. Gaming, shopping, gambling, social networking, visiting pornographic sites, e-mailing, all these activities could transform an apparently inoffensive mean of communication into the trigger of a behavioral addiction. We applied individual cognitive-behavioral therapy (CBT) in three cases of Internet addiction, with cognitive re-structuring based on a diary of dysfunctional thoughts, relaxation techniques, and coping skills training, with good results. CBT was structured in bi-weekly sessions, of 30 minutes duration, for 6 weeks. Time spent on-line and daily functioning were the main variables monitored. A very important issue is to address all potential factors that could maintain the disorder, like social skills deficits, personality disorders, other co-morbid addictions, anxiety or depressive symptoms etc. Elements of motivational interview could be helpful especially at first visit, but also during therapy, when danger of relapse surfaces. Cue exposure with prevention of response is another technique that had proven itself useful in several sessions, when automatic thoughts challenge appeared to have reached a dead point. An informant like a close relative of the patient should be involved in the therapy whenever possible, due to the fact that Internet addiction therapy, like any other addiction therapy, need a third party to offer feed-back regarding patient's changes under treatment.Disclosure of interestThe presenting author was speaker for Astra Zeneca, Bristol Myers Squibb, CSC Pharmaceuticals, Eli Lilly, Janssen Cilag, Lundbeck, Organon, Pfizer, Servier, Sanofi Aventis and participated in clinical research funded by Janssen Cilag, Astra Zeneca, Eli Lilly, Sanofi Aventis, Schering Plough, Organon, Bioline Rx, Forenap, Wyeth, Otsuka Pharmaceuticals, Dainippon Sumitomo, Servier.

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