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上海青少年学生网络成瘾症随机对照分组认知行为疗法的长期效果。

Longer term effect of randomized, controlled group cognitive behavioural therapy for Internet addiction in adolescent students in Shanghai.

机构信息

Department of Child and Adolescent Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University, China.

出版信息

Aust N Z J Psychiatry. 2010 Feb;44(2):129-34. doi: 10.3109/00048670903282725.

DOI:10.3109/00048670903282725
PMID:20113301
Abstract

OBJECTIVE

The aim of the present study was to evaluate the therapeutic effectiveness of group cognitive behavioural therapy (CBT) for Internet addiction in adolescents.

METHOD

A total of 56 patients, who met Beard's diagnostic criteria for Internet addiction, aged 12-17 years, were divided randomly into an active treatment group (n = 32) and a clinical control group (n = 24). Participants in the active treatment group were treated with an eight-session multimodal school-based group CBT while participants in the clinical control group received no intervention. Internet use, time management, emotional, cognitive and behavioural measures were assessed for both groups at baseline, immediately after the intervention and at 6 month follow up by investigators blind to the participants' group status.

RESULTS

Internet use decreased in both groups while only the multimodal school-based group CBT evinced improved time management skills and better emotional, cognitive and behavioural symptoms.

CONCLUSIONS

Multimodal school-based group CBT is effective for adolescents with Internet addiction, particularly in improving emotional state and regulation ability, behavioural and self-management style.

摘要

目的

本研究旨在评估团体认知行为疗法(CBT)对青少年网络成瘾的治疗效果。

方法

共有 56 名符合 Beard 网络成瘾诊断标准的 12-17 岁青少年患者,随机分为主动治疗组(n=32)和临床对照组(n=24)。主动治疗组接受八次基于学校的团体 CBT 治疗,而临床对照组不接受任何干预。由对参与者分组情况不知情的研究者在基线、干预结束时和 6 个月随访时评估两组的网络使用情况、时间管理、情绪、认知和行为措施。

结果

两组的网络使用均有所减少,而只有基于学校的团体 CBT 改善了时间管理技能以及情绪、认知和行为症状。

结论

基于学校的团体 CBT 对青少年网络成瘾有效,特别是在改善情绪状态和调节能力、行为和自我管理方式方面。

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