Saruhanjan Karina, Zarski Anna-Carlotta, Schaub Michael Patrick, Ebert David Daniel
Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Swiss Research Institute for Public Health and Addiction, University of Zurich, Zurich, Switzerland.
Front Psychiatry. 2020 Mar 17;11:190. doi: 10.3389/fpsyt.2020.00190. eCollection 2020.
Internet Use Disorder (IUD), characterized as the inability to control one's internet use, is emerging as an increasing societal concern as it is associated with reduced quality of life and mental health comorbidities. Evidence-based treatment options are, however, scarce due to the novelty of the diagnosis. Internet- and mobile-based interventions may be an effective means to deliver psychological treatment to individuals with IUD as they address individuals affected in their online setting. The aim of the study is to evaluate the efficacy of a newly developed, guided internet- and mobile-based intervention for IUD. In a two-armed randomized controlled trial ( = 130), individuals showing problematic internet use patterns (Internet Addiction Test ≥ 49) will be randomly allocated to the internet- and mobile-based intervention or a waiting control group. Assessments will take place at baseline, 7 weeks, 6- and 12 months after randomization. The primary outcome is internet addiction symptom severity (IAT) at 7 weeks. Secondary outcomes include quality of life, depressive symptoms, anxiety, and other psychosocial variables associated with IUD. The intervention consists of seven sessions: Goal setting and motivational interviewing, impulse control, problem solving, cognitive restructuring, self-worth, relapse prevention, and a booster session. Participants are supported by an eCoach who provides individual feedback after completion of each session. Participants can choose between several elective sessions based on individual need. This is the first study to evaluate an internet- and mobile-based intervention for IUD, which could be a promising first step to reduce individuals' disease burden. DRKS00015314. The study is currently ongoing. First participants were enrolled in the study on September 14th 2018. Recruitment will continue approximately through March 2020.
网络使用障碍（IUD），其特征为无法控制自身的网络使用，正日益成为社会关注的焦点，因为它与生活质量下降和心理健康合并症相关。然而，由于该诊断尚新，基于证据的治疗方案稀缺。基于网络和移动设备的干预措施可能是为患有IUD的个体提供心理治疗的有效手段，因为它们针对的是在网络环境中受到影响的个体。本研究的目的是评估一种新开发的、基于网络和移动设备的IUD引导干预措施的疗效。在一项双臂随机对照试验（n = 130）中，表现出有问题的网络使用模式（网络成瘾测试≥49）的个体将被随机分配到基于网络和移动设备的干预组或等待对照组。评估将在随机分组后的基线、7周、6个月和12个月进行。主要结局是7周时的网络成瘾症状严重程度（IAT）。次要结局包括生活质量、抑郁症状、焦虑以及与IUD相关的其他心理社会变量。该干预包括七个环节：目标设定和动机访谈、冲动控制、问题解决、认知重构、自我价值、预防复发以及强化环节。参与者由一名电子教练提供支持，该教练在每个环节完成后提供个人反馈。参与者可根据个人需求从几个选修环节中进行选择。这是第一项评估基于网络和移动设备的IUD干预措施的研究，这可能是减轻个体疾病负担的有前景的第一步。DRKS00015314。该研究目前正在进行中。首批参与者于2018年9月14日纳入研究。招募工作将持续到大约2020年3月。
