Park Jennifer J, Stryjewski Adam, Chen Bryan, Potenza Marc N
Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Child Study Center, Yale School of Medicine, New Haven, CT, USA.
J Korean Acad Child Adolesc Psychiatry. 2025 Jul 1;36(3):106-121. doi: 10.5765/jkacap.250014.
Given the disproportionate burden of gaming disorder (GD) on younger populations, there is a need to comprehensively evaluate the current evidence base around treatment for children and adolescents. This systematic review aimed to summarize the available literature on GD treatment in younger populations.
A systematic search of five databases was conducted. Studies were eligible if they 1) evaluated psychological or pharmacological interventions targeting GD in children, adolescents, or parents seeking help for their children; 2) had at least one outcome of GD severity or gaming duration/frequency; and 3) employed a randomized controlled trial or quasi-experimental design. Study quality was assessed using the Effective Public Health Practice Project tool.
Thirty studies were included in the review, comprising 2157 participants. Interventions based on or delivered in combination with cognitive-behavioral therapy were the most frequently studied (n=19), while a diverse range of other treatments (e.g., pharmacotherapy, online psychoeducation, and equine-assisted therapy) were explored in fewer studies. Despite promising findings across studies, the overall quality of evidence was inconsistent, with many studies lacking randomization, control groups, and long-term follow-up. Additionally, cross-study comparisons may have been limited by the variability in GD measures across studies, with 19 different assessment tools identified.
Although research on the treatment of GD in children and adolescents has grown, it remains in its early stages. To advance evidence-based treatment, future research should prioritize methodologically rigorous designs, standardized outcome measures, and long-term follow-up assessments.
鉴于游戏障碍（GD）对年轻人群体造成的负担不成比例，有必要全面评估目前围绕儿童和青少年治疗的证据基础。本系统评价旨在总结有关年轻人群体GD治疗的现有文献。
对五个数据库进行了系统检索。如果研究符合以下条件则纳入：1）评估针对儿童、青少年或为其子女寻求帮助的父母的GD的心理或药物干预措施；2）至少有一个GD严重程度或游戏时长/频率的结果；3）采用随机对照试验或准实验设计。使用有效公共卫生实践项目工具评估研究质量。
该评价纳入了30项研究，共2157名参与者。基于认知行为疗法或与之联合实施的干预措施是研究最多的（n = 19），而其他各种治疗方法（如药物治疗、在线心理教育和马术辅助治疗）的研究较少。尽管各项研究都有一些有前景的发现，但证据的总体质量并不一致，许多研究缺乏随机分组、对照组和长期随访。此外，跨研究比较可能受到研究中GD测量方法变异性的限制，共识别出19种不同的评估工具。
尽管关于儿童和青少年GD治疗的研究有所增加，但仍处于早期阶段。为了推进循证治疗，未来的研究应优先采用方法严谨的设计、标准化的结局测量和长期随访评估。
