Orzack Maressa Hecht, Voluse Andrew C, Wolf David, Hennen John
Computer Addiction Study Center, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA.
Cyberpsychol Behav. 2006 Jun;9(3):348-60. doi: 10.1089/cpb.2006.9.348.
Exponential advances have been made regarding computer/Internet technology in the past decade. This growth, in large part, can be attributed to greater access to, affordability of, and anonymity while on the computer. However, this progress has also produced negative psychological issues. Problematic Internet-enabled sexual behavior (IESB) has increasingly affected individuals' family relationships, work productivity, and academic success. This article is the first-known, empirically based outcome study regarding the effectiveness of group therapy treatment for men with problematic IESB. These closed-groups, which ran for 16 weeks, used a combination of Readiness to Change (RtC), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing (MI) interventions. Five groups were analyzed for this paper (yielding a total N of 35), with the average member's age being 44.5 years old. Three different scales (the Orzack Time Intensity Survey, the BASIS-32, and the BDI) were used to track participants' progress across time. The results demonstrated that this group treatment intervention significantly increased members' quality of life and decreased the severity of their depressive symptoms. However, the protocol failed to reduce participants' inappropriate computer use. Regarding comorbidity, the results showed the following: members in the "anxiety" category responded best to the current treatment, those in the "mood" cluster responded relatively positively, and those in the "A-D/HD" category failed to respond significantly. It is clear from this report that more attention must be focused on the treatment of problematic IESB, as opposed to exploratory studies.
在过去十年中，计算机/互联网技术取得了指数级的进步。这种增长在很大程度上可归因于计算机使用的更多机会、可承受性以及匿名性。然而，这一进步也产生了负面的心理问题。有问题的网络性行为（IESB）越来越多地影响个人的家庭关系、工作效率和学业成就。本文是关于针对有问题的IESB男性进行团体治疗效果的首个基于实证的结果研究。这些为期16周的封闭团体采用了改变意愿（RtC）、认知行为疗法（CBT）和动机性访谈（MI）干预措施的组合。本文分析了五个团体（总样本量为35），成员的平均年龄为44.5岁。使用了三种不同的量表（奥尔扎克时间强度调查、BASIS - 32和BDI）来跟踪参与者随时间的进展。结果表明，这种团体治疗干预显著提高了成员的生活质量并减轻了他们抑郁症状的严重程度。然而，该方案未能减少参与者不当的计算机使用。关于共病情况，结果如下：“焦虑”类别的成员对当前治疗反应最佳，“情绪”组的成员反应相对积极，而“A - D/HD”类别的成员没有显著反应。从这份报告中可以清楚地看出，与探索性研究相比，必须更加关注有问题的IESB的治疗。
