Horita Hideki, Seki Yoichi, Yamaguchi Takumi, Shiko Yuki, Kawasaki Yohei, Shimizu Eiji
Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba City, Japan.
Department of Occupational Therapy, International University of Health and Welfare, Narita City, Japan.
JMIR Pediatr Parent. 2024 Oct 3;7:e60604. doi: 10.2196/60604.
The rise in internet addiction, including web-based gaming and social networking services, is a serious concern. Even with access to medical institutions and counseling services, individuals with internet addiction, particularly adolescents, often refuse medical treatment or counseling. Parent-focused psychological intervention may lead to positive outcomes by improving the parent-adolescent relationship and helping parents identify and modify their adolescent's problematic behaviors, including internet addiction.
This study was a pilot randomized controlled trial to test the feasibility of remote cognitive behavioral therapy via videoconferencing for parents of adolescents with internet addiction.
A total of 13 parents of adolescents aged 12-20 years with internet addiction were recruited and randomly assigned to either 12 sessions of the videoconference-delivered cognitive behavioral therapy (vCBT) group (n=6, 46%) or the waitlist control group (n=7, 54%). The study period was from March 1, 2018, to March 31, 2022. The primary outcome was the scores of the Young Internet Addiction Test reported by the adolescents. The secondary outcomes were adolescents' hours of internet use per day (Internet Addiction Test), reported by the adolescents and by their parents; the Young Diagnostic Questionnaire, completed by the parents; and the quality of life of the adolescents and the parents, measured by the EQ-5D-5L. These were evaluated at weeks 0 and 13.
As the primary outcome, the mean total Internet Addiction Test score decreased from 67.7 (SD 18.3; 6/13, 46%) at week 0 to 56.2 (SD 25.1; 5/9, 56%) at week 13 in the vCBT group, compared to an increase from 66.9 (SD 21.9; 7/13, 54%) to 68.0 (SD 18.7; 4/9, 44%) in the control group. For all outcomes, no significant differences were found between the 2 groups (all P>.05).
This study suggested the practical feasibility of vCBT for parents of adolescents with internet addiction. Further large-scale, multicenter randomized controlled trials are necessary to examine the effectiveness.
UMIN Clinical Trials Registry UMIN000032483; https://tinyurl.com/yuhen6c9.
包括网络游戏和社交网络服务在内的网络成瘾现象日益严重，令人担忧。即使可以获得医疗机构和咨询服务，网络成瘾者，尤其是青少年，往往拒绝接受治疗或咨询。以父母为中心的心理干预可能通过改善亲子关系以及帮助父母识别和纠正青少年的问题行为（包括网络成瘾）而产生积极效果。
本研究是一项试点随机对照试验，旨在测试通过视频会议对青少年网络成瘾者的父母进行远程认知行为疗法的可行性。
共招募了13名12至20岁有网络成瘾问题的青少年的父母，并将他们随机分为两组，一组接受12次视频会议形式的认知行为疗法（vCBT）（n = 6，46%），另一组为等待名单对照组（n = 7，54%）。研究期间为2018年3月1日至2022年3月31日。主要结局是青少年报告的青少年网络成瘾测试得分。次要结局包括青少年及其父母报告的青少年每日上网时长（网络成瘾测试）、父母填写的青少年诊断问卷，以及通过EQ-5D-5L衡量的青少年和父母的生活质量。这些指标在第0周和第13周进行评估。
作为主要结局，vCBT组的青少年网络成瘾测试平均总分从第0周的67.7（标准差18.3；6/13，46%）降至第13周的56.2（标准差25.1；5/9，56%），而对照组则从66.9（标准差21.9；7/13，54%）增至68.0（标准差18.7；4/9，44%）。对于所有结局，两组之间均未发现显著差异（所有P>0.05）。
本研究表明vCBT对青少年网络成瘾者的父母具有实际可行性。有必要进行进一步的大规模、多中心随机对照试验以检验其有效性。
UMIN临床试验注册中心UMIN000032483；https://tinyurl.com/yuhen6c9 。
