Wartberg Lutz, Thomsen Monika, Moll Bettina, Thomasius Rainer
Prax Kinderpsychol Kinderpsychiatr. 2014;63(1):21-35.
Excessive Internet use and its severe form, pathological internet use, are currently increasing in many industrial nations in Asia, North America and Europe. According to recent epidemiological studies pathological internet use occurs more frequently in youth than in adults. In Germany between 4 and 6% of the adolescents use the internet in a pathological way. Only few studies have investigated therapeutic interventions and their effectiveness in affected adolescents. In this pilot study, we surveyed over a period of 15 months all minor participants (aged up to 17) of a cognitive behavioural group programme at the beginning and at the end of the treatment (pre-post design) with standardized questionnaires (CIUS, SPS-J). At the second point of measurement the adolescents (n = 18, 75 percent retention rate) reported a significantly lower severity of problematic internet use as well as reduced average usage times during the week and at the weekend. No changes were revealed in psychological well-being of the youth. The results of this pilot study indicate positive effects of a cognitive behavioural group programme with psychoeducative elements in the treatment of youth affected by pathological internet use.
在亚洲、北美和欧洲的许多工业化国家,过度使用互联网及其严重形式——病理性互联网使用,目前正在增加。根据最近的流行病学研究,病理性互联网使用在青少年中比在成年人中更频繁地出现。在德国,4%至6%的青少年以病理性方式使用互联网。只有少数研究调查了针对受影响青少年的治疗干预措施及其有效性。在这项试点研究中,我们在15个月的时间里,使用标准化问卷(CIUS、SPS-J),在治疗开始时和结束时(前后设计)对一个认知行为团体项目的所有未成年参与者(年龄在17岁及以下)进行了调查。在第二次测量时,青少年(n = 18,保留率75%)报告称,有问题的互联网使用严重程度显著降低,以及在工作日和周末的平均使用时间减少。青少年的心理健康没有变化。这项试点研究的结果表明,一个包含心理教育元素的认知行为团体项目对治疗受病理性互联网使用影响的青少年有积极效果。