Wang Ruofei, Zhang Yueqian, Liu Zikang, Dong Hanwen, Zhang Zhao, Yang Kebing, Liu Yan, Zhao Rongjiang, Yang Qingyan, Niu Yajuan
Department of Psychology, Chengde Medical University, Chengde, China.
Beijing Huilongguan Hospital, Beijing, China.
Front Psychiatry. 2025 Jul 10;16:1619138. doi: 10.3389/fpsyt.2025.1619138. eCollection 2025.
This study employed a systematic review and meta-analysis to evaluate the efficacy of standalone psychological interventions for internet gaming disorder in randomized controlled trials. It further compared the effectiveness of psychological interventions across domestic and international studies, various intervention modalities, and different intervention durations. The goal is to provide empirical support for optimizing intervention strategies.
A computerized search was conducted to identify randomized controlled trials on psychological interventions for gaming addiction published between 2015 and 2025 in EMBASE, the Cochrane Library, PubMed, CNKI, VIP, and Wanfang databases. Two researchers independently assessed the quality of the included studies and extracted relevant data. Meta-analysis was conducted using Review Manager 5.4 and Comprehensive Meta-Analysis Version 3. Subgroup analyses were performed with region, intervention modality, and intervention duration as moderator variables. A random-effects model was used to estimate the overall effect size. Heterogeneity among studies and publication bias were assessed.
In total, six studies were included, involving 372 participants. The results of the meta-analysis indicate that psychological interventions can alleviate symptoms of internet gaming disorder (SMD = -0.06, 95%CI: -0.99 to -0.20, P = 0.003). Subgroup analyses revealed that domestic psychological interventions (SMD = -0.89, 95%CI:-1.25 to -0.52, P < 0.00001), offline interventions (SMD = -0.67, 95%CI: -1.17 to -0.17, P = 0.008), and short-term interventions (SMD = -0.82, 95%CI: -1.27 to -0.37, P = 0.0004) were more effective in treating internet gaming disorder.
Psychological interventions demonstrated significant therapeutic effects on internet gaming disorder; Specifically, domestic psychological interventions, offline interventions, and short-term interventions demonstrated superior efficacy compared to foreign interventions, online interventions, and long-term interventions, respectively. However, due to the limited number of included studies and substantial heterogeneity, meta-regression was not conducted; instead, subgroup analyses were employed to explore potential sources of heterogeneity.
https://www.crd.york.ac.uk/prospero/, identifier CRD420251023957.
本研究采用系统评价和荟萃分析，以评估随机对照试验中单纯心理干预对网络游戏障碍的疗效。它进一步比较了国内外研究、各种干预方式以及不同干预持续时间的心理干预效果。目的是为优化干预策略提供实证支持。
通过计算机检索2015年至2025年间发表在EMBASE、Cochrane图书馆、PubMed、中国知网、维普和万方数据库中关于游戏成瘾心理干预的随机对照试验。两名研究人员独立评估纳入研究的质量并提取相关数据。使用Review Manager 5.4和Comprehensive Meta-Analysis Version 3进行荟萃分析。以地区、干预方式和干预持续时间作为调节变量进行亚组分析。采用随机效应模型估计总体效应大小。评估研究间的异质性和发表偏倚。
共纳入6项研究，涉及372名参与者。荟萃分析结果表明，心理干预可缓解网络游戏障碍症状（标准化均数差=-0.06，95%置信区间：-0.99至-0.20，P=0.003）。亚组分析显示，国内心理干预（标准化均数差=-0.89，95%置信区间：-1.25至-0.52，P<0.00001）、线下干预（标准化均数差=-0.67，95%置信区间：-1.17至-0.17，P=0.008）和短期干预（标准化均数差=-0.82，95%置信区间：-1.27至-0.37，P=0.0004）在治疗网络游戏障碍方面更有效。
心理干预对网络游戏障碍显示出显著的治疗效果；具体而言，国内心理干预、线下干预和短期干预分别比国外干预、在线干预和长期干预显示出更高的疗效。然而，由于纳入研究数量有限且异质性较大，未进行元回归；而是采用亚组分析来探索潜在的异质性来源。
