Mental Disorder Clinical Trial
Official title:
Effects of an Internet Use Disorder and Internet Gaming Disorder Early Intervention Program
Background. In the last two decades Internet usage has grown vastly. Pathological Internet
usage (IUD; Internet Use Disorder) is associated with severe mental health problems affecting
social, academic and daily life functioning. Internet Gaming Disorder (IGD) has been already
included in the DSM-V. Recently, the WHO declared to include Gaming Disorder (GD) in the
upcoming ICD-11. Despite the increasing rates of adolescents with IUD and (I)GD, affected
people are treated unsystematically and there is a lack of evidence based treatment programs.
PROTECT+ is a low-threshold, cognitive behavioral short-term group intervention.
Methods. 54 patients, aged 9-19 years, received PROTECT+ intervention in Heidelberg, Germany.
The PROTECT+ intervention group underwent a cognitive-behavioral 4-session group therapy.
Follow-up data were collected at 1, 4, and 12 months after admission. Primary outcome was the
change in (I)GD and IUD related symptoms at the 12-months follow-up. Secondary outcomes were
changes in comorbid symptoms as well as in problem solving, cognitive restructuring and
emotion regulation skills
Discussion. Treatment of IUD and IGD is still in its early stages. Recent reviews report
increasing research on treatment but also a lack of well-designed studies and evidence based
treatment programs. The PROTECT+ intervention is a theory driven and evidence based therapy
program which is based on the PROTECT preventive intervention in school settings. In the
intervention group a reduction of (I)GD and IUD symptom severity is expected over 12 months.
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