Clinical Trials Logo

Clinical Trial Summary

The general increase in screen time as a time-consuming leisure activity among children and youth has been a puzzle to the adult world. Specifically, parents and professionals who work with children and youth express concern for the effect excessive screen time including gaming may have for child and youth development. The clinical picture of problematic gaming and excessive screen time describes compulsion, psychiatric and physical symptoms, impaired cognitive development, and school performance. The aim of this project is to set up and evaluate an easily accessible family centered treatment intervention for a child and adolescent psychiatry population. This study can lead to reduced suffering by optimization the care interventions for patients with problematic gaming and gambling.


Clinical Trial Description

During the past 10 years, use of screen as in social media and video games has become one of the most common leisure activities for children and adolescents. According to the Swedish Internet Foundation, 94% of children in Sweden between ages 8 and 12 play internet games every day. Male and female screen behaviours and habits differ. Boys tend to play video games while girls are more active on social media. The general increase in screen time among children and youth, as a time-consuming leisure activity has been a puzzle to the adult world. Specifically, parents and professionals who work with children and youth express concern for the effect that screen time may have for child and youth development. Some research suggest that screen time in general and gaming in particular is an educational and skills training activity. Other research has concerns that video games can become a potentially pathological activity that interferes with everyday life with risks of developing psychiatric disorders such as internet gaming disorder (IGD). IGD is included in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), as a condition necessitating further clinical experience and research before inclusion as a formal disorder. The WHO, on the other hand, has included Gaming Disorder in the International Classification of Diseases, eleventh revision (ICD-11), as a formal diagnosis. Experiencing addictive problems as a child may pose threat for future psychosocial development, including mental health and socioemotional development. In that sense, child and youth mental health services need to put more efforts into developing interventions that target children at risk to prevent the development of mental health problems among children and youth. To date, there are no evaluated preventive programs for child and youth with excessive screen time or problematic gaming in Sweden. Our research group from Lund University and Region Skåne, with Emma Claesdotter-Knutsson (E C-K) as a PI, has evaluated Relapse prevention (RP) as an individual treatment for problematic gaming in a Random Controlled trial (RCT) among children 12-18 years old in a Child and Adolescent Psychiatry (CAP) setting. This was one of the first treatment studies for children with problematic gaming in Europe. Although we discovered that the individual treatment of children and youth has promising effect on their gaming, we also found that that there were important pieces lacking when providing treatment for children with problematic gaming. The most prominent one was the lack of family, including parents, involvement in the treatment. Children and their development need to be seen from a system perspective - children develop in interaction with their environment/family. For children, parents are the closest socializing agents in their environment who with their parenting behaviours and practices pave the way for child developmental transitions. In that sense, the development of certain behaviours, such as gaming and excessive screen use may, at least to some extent, be related to family factors. It is then possible that child problematic screen time/gaming is not only attributed to the child itself, but to the family as a system. Therefore, we believe that parents need to be included in the preventive interventions targeting children and their families. Instead of only focusing on the child, changing the family environment, including parent-child interactions at home, may pose significant changes in the child's screen behaviour. This is a recognized logic from other family interventions such as Strengthening families program targeting families with children with behavioural problems and Cool Kids program targeting families with children with anxiety. In fact, parents whose children have undergone the RP-treatment in our project state that they need to and want to be involved in the child's treatment. With this as a background, the overarching goal with this project is to develop and evaluate an easily accessible family program targeting children and adolescents with problematic gaming and excessive screen use. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT06098807
Study type Interventional
Source Region Skane
Contact Emma Claesdotter-Knutsson, MD, PhD
Phone +46 46 17 28 86
Email emma.claesdotter-knutsson@med.lu.se
Status Recruiting
Phase N/A
Start date February 29, 2024
Completion date July 1, 2024

See also
  Status Clinical Trial Phase
Completed NCT04110548 - Emotion and Craving Regulation Among Individuals With Internet Gaming Disorders N/A
Completed NCT03347643 - The Effectiveness of tDCS on Internet Game Addiction Phase 2
Not yet recruiting NCT05328596 - CBT Treatment of Internet Gaming Disorder N/A
Recruiting NCT06063642 - Neurofeedback for Internet Gaming Addiction N/A
Not yet recruiting NCT04965363 - Prevalence of IA and IGD Disorders Among Assiut University Students
Completed NCT03220581 - A Psychotherapy Development Study for Internet Gaming N/A
Completed NCT04631523 - Investigation of the Relationship Between Internet Gaming Disorder and Sensorimotor Functions in Adolescents
Recruiting NCT04180839 - Retrieval-extinction Paradigm on Internet Gaming Disorder N/A
Completed NCT05506384 - Treatment Study for Problematic Gaming and Gambling N/A
Completed NCT02550405 - The Behavioral and Brain Mechanism of IGD N/A
Recruiting NCT04257890 - A Cognitive Behavioral Therapy Intervention for Internet Gaming Disorder N/A
Not yet recruiting NCT03868488 - Mental Imagery Tasks to Reduce Internet Gaming Disorder (IGD) Cravings N/A
Not yet recruiting NCT03868501 - High Working Memory Load to Reduce Internet Gaming Disorder (IGD) Cravings N/A
Completed NCT02726880 - Reducing Internet Gaming N/A
Recruiting NCT05917977 - Collective Motivational Interviewing (CMI) for Adolescents With Internet Gaming Disorder N/A
Completed NCT03352973 - Regulation of Craving in Internet Gamers N/A
Recruiting NCT05289778 - Intergenerational Transmission & IGD
Recruiting NCT06018922 - Psychological Therapy for Gaming Disorder N/A
Recruiting NCT06165549 - Light Therapy for Internet Gaming Disorder N/A
Recruiting NCT05632471 - The Effect of Web-based Education Given to Parents on Children's Internet Gaming Disorder N/A