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网络成瘾管理:临床干预与模式的综合综述

Internet Addiction Management: A Comprehensive Review of Clinical Interventions and Modalities.

作者信息

Chadha Yatika, Patil Ragini, Toshniwal Saket, Sinha Nayan

机构信息

Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Mar 4;16(3):e55466. doi: 10.7759/cureus.55466. eCollection 2024 Mar.

Abstract

Internet addiction is a pervasive and complex issue that has gained increasing attention in the digital age. This comprehensive review provides an in-depth exploration of clinical interventions and modalities for managing internet addiction. It begins by examining the diagnostic criteria and assessment tools used to identify internet addiction, highlighting the diverse subtypes and varying degrees of severity. Subsequently, the review delves into various clinical interventions, including psychotherapeutic approaches like cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness-based interventions. Pharmacological interventions, technology-based tools, and integrative approaches are also thoroughly analyzed. The review also outlines various treatment settings and modalities such as inpatient treatment centers, outpatient clinics, telehealth, support groups, and prevention programs for schools and communities. Furthermore, it discusses the efficacy and challenges associated with managing internet addiction, emphasizing the need for effective interventions, relapse prevention, ethical considerations, and addressing stigma and access barriers. In conclusion, the review offers practical implications for clinical practice. It emphasizes future research's importance in refining diagnostic criteria, exploring emerging technologies, and adapting interventions to an ever-evolving digital landscape. This comprehensive review is a valuable resource for clinicians, researchers, and policymakers seeking to understand and address the complexities of internet addiction.

摘要

网络成瘾是一个普遍且复杂的问题,在数字时代受到了越来越多的关注。这篇全面综述深入探讨了管理网络成瘾的临床干预措施和方式。它首先审视了用于识别网络成瘾的诊断标准和评估工具,突出了不同的亚型和不同程度的严重程度。随后,综述深入探讨了各种临床干预措施,包括认知行为疗法(CBT)、辩证行为疗法(DBT)等心理治疗方法以及基于正念的干预措施。还对药物干预、基于技术的工具和综合方法进行了全面分析。综述还概述了各种治疗环境和方式,如住院治疗中心、门诊诊所、远程医疗、支持小组以及针对学校和社区的预防项目。此外,它讨论了与管理网络成瘾相关的疗效和挑战,强调了有效干预、预防复发、伦理考量以及应对污名化和获取障碍的必要性。总之,综述为临床实践提供了实际意义。它强调了未来研究在完善诊断标准、探索新兴技术以及使干预措施适应不断演变的数字环境方面的重要性。这篇全面综述对于寻求理解和应对网络成瘾复杂性的临床医生、研究人员和政策制定者来说是一份宝贵的资源。

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