Evaluation of an Internet addiction treatment program for Chinese adolescents in Hong Kong

Social Welfare Practice and Research Centre, Department of Social Work, The Chinese University of Hong Kong, Shatin, Hong Kong.
Adolescence (Impact Factor: 0.64). 06/2009; 44(174):359-73.
Source: PubMed


This paper described an indigenous multi-level counseling program designed for young people with Internet addiction problems based on the responses of 59 clients. Regarding objective outcome evaluation, pretest and posttest data generally showed that the Internet addiction problems of the participants decreased after joining the program and there were some slight positive changes in the parenting attributes. For the subjective outcome evaluation findings, participants generally perceived that the program was helpful. Findings based on these two evaluation strategies suggest this multi-level indigenous counseling program has promise for helping young people with Internet addiction problems.

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Available from: Daniel Shek, Jun 02, 2015
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    • ") have employed a clinical sample of adolescents; (b) type of intervention has varied greatly across studies, with cognitive-behavioral therapy (CBT) being the most common type of therapy (Du et al. 2010; Kim et al., 2012; Li & Wang, 2013); and (c) the suite of assessment tools developed by Young are the most frequently used measures (Han et al., 2010, 2009; Kim et al., 2012; Shek et al., 2009; Su, Fang, Miller, & Wang, 2011). With regard to " conceptual fit " of assessment tools with the DSM-5 criteria, the majority of studies employed measures that demonstrated good (but not complete) coverage of the IGD criteria. "
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    ABSTRACT: Internet gaming disorder (IGD) is a new disorder currently positioned in the appendix of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Few clinical studies report that psychological and pharmacological interventions can significantly reduce the severity of IGD symptomatology. The aim of this review was to assess current knowledge of the short- and long-term benefits of IGD interventions. This review presents a systematic evaluation of definitions of diagnosis and treatment outcomes employed in IGD treatment studies, including an assessment of goodness of fit with the DSM-5 classification. A computer database search of Academic Search Premier, PubMed, PsychINFO, ScienceDirect, Web of Science, and Google Scholar was conducted to identify all available research evidence on Internet gaming disorder treatment (N = 8 studies). Diagnostic and treatment outcome parameters were systematically evaluated. Several weaknesses of IGD treatment literature were identified. Only 2 treatment studies have employed an equivalent method of diagnosis for IGD. Studies have not assessed formative change in diagnostic status at posttreatment or follow-up. Duration of follow-up has been inadequate to assess relapse and remission. Posttreatment assessment has been predominantly limited to IGD symptomatology, comorbidity, and frequency of gaming behavior. Currently, there is insufficient evidence to warrant suggestion that trialled IGD interventions confer a long-term therapeutic benefit. Several improvements to study design and reporting are proposed to guide future studies of IGD.
    Full-text · Article · Oct 2014 · Journal of Clinical Psychology
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    • "Previous literature has documented the effects of parental style (e.g., lack of emotional warmth, overinvolvement, punitive treatment and rejection) and family characteristics (e.g., family communication, cohesion, family violence exposure) on adolescents' Internet addiction across different cultures [67] [68] [69] [70] [71]. Our results based on late adolescents or young adults lend strong evidence to support the relationship between family and parental process and Internet use in adolescents across several countries [67] [68] [69] [70] [71]. Further, the less parental support for the eveningness group in our study was consistent with our previous findings [22] [23]. "
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    ABSTRACT: Eveningness and Internet addiction are major concerns in adolescence and young adulthood. We investigated the relationship between morningness-eveningness and compulsive Internet use in young adults and explored the moderating effects of perceived parenting styles and family support on such relationships. The participants consisted of 2731 incoming college students (men, 52.4%; mean age, 19.4±3.6years) from a National University in Taiwan. Each participant completed the questionnaires, which included the Morningness-Eveningness Scale (MES), the Yale-Brown Obsessive Compulsive Scale modified for Internet use (YBOCS-IU), the Parental Bonding Instrument for parenting style, the Family Adaptation, Partnership, Growth, Affection, and Resolve questionnaire (APGAR) for perceived family support, and the Adult Self-Report Inventory-4 (ASRI-4) for psychopathology. The morning (n=459), intermediate (n=1878), and evening (n=394) groups were operationally defined by the MES t scores. The results showed that eveningness was associated with greater weekend sleep compensation, increased compulsive Internet use, more anxiety, poorer parenting styles, and less family support; additionally, the most associated variables for increased compulsive Internet use were the tendency of eveningness, male gender, more anxiety symptoms, less maternal affection/care, and a lower level of perceived family support. The negative association between the morning type and compulsive Internet use severity escalated with increased maternal affection/care and decreased with increased perceived family support. The positive association between the evening type and compulsive Internet use severity declined with increased maternal protection. However, the father's parenting style did not influence the relationship between morningness-eveningness and compulsive Internet use severity. Our findings imply that sleep schedule and the parental and family process should be part of specific measures for prevention and intervention of compulsive Internet use.
    Full-text · Article · Sep 2013 · Sleep Medicine
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    • "Therefore, the authors concluded that psychotherapy, in particular CT and BT were effective in treating middle school students with IAD. Shek, Tang, and Lo [71] described a multi-level counseling program designed for young people with IAD based on the responses of 59 clients. Findings of this study suggest this multi-level counseling program (including counseling, MI, family perspective, case work and group work) is promising to help young people with IAD. "
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    ABSTRACT: Problematic computer use is a growing social issue which is being debated worldwide. Internet Addiction Disorder (IAD) ruins lives by causing neurological complications, psychological disturbances, and social problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and 8.2% [1]. There are several reviews addressing the definition, classification, assessment, epidemiology, and co-morbidity of IAD [2-5], and some reviews [6-8] addressing the treatment of IAD. The aim of this paper is to give a preferably brief overview of research on IAD and theoretical considerations from a practical perspective based on years of daily work with clients suffering from Internet addiction. Furthermore, with this paper we intend to bring in practical experience in the debate about the eventual inclusion of IAD in the next version of the Diagnostic and Statistical Manual of Mental Disorders (DSM).
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