Hofstedt Annika, Mide Mikael, Arvidson Elin, Ljung Sofia, Mattiasson Jessica, Lindskog Amanda, Söderpalm-Gordh Anna
Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Addiction and Dependency, Sahlgrenska University Hospital, Gothenburg, Sweden.
Front Psychiatry. 2023 Jun 6;14:1162492. doi: 10.3389/fpsyt.2023.1162492. eCollection 2023.
Gaming disorder (GD) is a new diagnosis included in the latest edition of the International Classification of Disease -11. Recently conducted international studies suggest a prevalence rate close to 2% for GD, highlighting the need for effective treatments for this patient population. Internationally there are few studies investigating effective treatments specifically designed for this condition. In this pilot study, we wanted to test a newly developed method, the Gothenburg Treatment for Gaming Disorder (GOT-TO-GO) manual; a 15-week cognitive behavioral therapy treatment for GD.
This study utilized a single group design with pretest, post-test and a three- and six-month follow-up, with measures of severity of GD and mood. The participants ( = 28) were treatment-seeking adults with GD, aged 17 to 49 years.
The results show a statistically significant decrease in symptoms of GD after treatment. Hours of gaming per week also decreased concomitantly with a 100% increase in non-gaming leisure hours. The decrease in symptoms of GD was maintained at the 3-months follow-up after treatment. Correspondingly we saw a decrease in both depression and anxiety that also was upheld 3 months after treatment.
As GD is a new diagnostic concept more research is needed, also taking psychiatric comorbidity into consideration, to arrive at evidence-based conclusions regarding effective treatments. Considering the promising results in this small pilot study with large behavioral changes and reduced symptoms of GD, upheld at least 3 months after treatment, a larger randomized controlled study is warranted. https://www.clinicaltrials.gov/ct2/show/study/NCT05328596?term=NCT05328596&draw=2&rank=1, identifier NCT05328596.
游戏障碍（GD）是最新版《国际疾病分类-11》中新增的一种诊断。近期开展的国际研究表明，游戏障碍的患病率接近2%，这凸显了为该患者群体提供有效治疗的必要性。在国际上，很少有研究专门针对这种情况调查有效的治疗方法。在这项试点研究中，我们想测试一种新开发的方法，即哥德堡游戏障碍治疗法（GOT-TO-GO）手册；这是一种针对游戏障碍的为期15周的认知行为疗法。
本研究采用单组设计，包括前测、后测以及三个月和六个月的随访，测量游戏障碍的严重程度和情绪。参与者（n = 28）为寻求治疗的患有游戏障碍的成年人，年龄在17至49岁之间。
结果显示，治疗后游戏障碍症状有统计学意义的下降。每周游戏时长也随之减少，非游戏休闲时长增加了100%。治疗后三个月的随访中，游戏障碍症状的减轻得以维持。相应地，我们还看到抑郁和焦虑症状均有所减轻，且在治疗后三个月仍保持这种状态。
由于游戏障碍是一个新的诊断概念，还需要更多研究，同时考虑精神共病情况，以得出关于有效治疗的循证结论。鉴于这项小型试点研究取得了有前景的结果，即行为有大幅改变且游戏障碍症状减轻，且在治疗后至少三个月得以维持，因此有必要开展更大规模的随机对照研究。https://www.clinicaltrials.gov/ct2/show/study/NCT05328596?term=NCT05328596&draw=2&rank=1，标识符NCT05328596 。
