Symptoms and functional impairments in patients with Internet Use Disorders participating in an online short-term therapy

IF 4.3 2区医学 Q1 PSYCHIATRY Comprehensive psychiatry Pub Date : 2024-03-11 DOI:10.1016/j.comppsych.2024.152471

Lara Basenach , Hans-Jürgen Rumpf , Michael Dreier , Harriet Salbach , Babette Renneberg , Olivia Gnauert , Klaus Wölfling

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Abstract

Background

Internet use disorders (IUD) have been recognized as a serious mental health concern. In order to promote consensus on core features of IUD, further studies involving clinical samples are required.

Aims

A clinical evaluation of patients with IUD was conducted as part of the scientific monitoring of a novel online short-term therapy, embedded in the randomized controlled trial Stepped Care Approach for Problematic Internet use Treatment (SCAPIT; ID: DRKS00025994).

Methods

An online diagnostic and a clinical assessment were performed at the baseline measurement of the online intervention. The self-report version of the Assessment of Internet and Computer Game Addiction (AICA-S) was applied to assess symptom severity of IUD. The impact of psychopathological symptoms and impairments of functioning on IUD symptomatology was examined in the sample of patients. Based on a dichotomous classification of the symptom severity of IUD, differences among participants presenting moderate compared to severe addictive Internet behavior were analyzed.

Results

The sample of this an analysis consisted of 57 patients (57.9% males, mean age of 29.12 years) participating in the online short-term therapy for IUD. Based on the AICA-S sum score (M = 11.60; SD = 3.30) participants exhibited moderate (n = 44; 77.2%) to severe (n = 13; 22.8%) symptoms of addictive Internet use. Psychopathological symptoms and impairments of psychosocial functioning had an effect on symptom severity of IUD. Participants with severe symptoms of IUD showed higher psychopathological strains compared to patients with moderate addictive Internet behavior.

Conclusions

The clinical evaluation of patients participating in a novel online short-term therapy for IUD indicated that psychopathological symptoms and impairments of functioning have an impact on addictive Internet behaviors and consequently, need to be addressed in the treatment of IUD. Based on the results, further implications for clinical practice and research on addictive Internet behavior are derived.

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参与在线短期治疗的网络使用障碍患者的症状和功能障碍

背景互联网使用障碍（IUD）已被认为是一种严重的精神健康问题。方法在在线干预的基线测量中进行在线诊断和临床评估。采用自我报告版的网络和电脑游戏成瘾评估（AICA-S）来评估 IUD 的症状严重程度。在患者样本中研究了精神病理症状和功能障碍对 IUD 症状的影响。在对 IUD 症状严重程度进行二分法分类的基础上，分析了出现中度与重度网络成瘾行为的参与者之间的差异。结果本次分析的样本包括 57 名参与 IUD 在线短期治疗的患者（57.9% 为男性，平均年龄为 29.12 岁）。根据 AICA-S 总分（M=11.60；SD=3.30），参与者表现出中度（44 人；77.2%）至重度（13 人；22.8%）的网络成瘾症状。心理病理症状和社会心理功能损害对 IUD 症状严重程度有影响。结论对参与新型在线短期疗法治疗 IUD 的患者进行的临床评估表明，精神病理症状和功能损害对成瘾性网络行为有影响，因此需要在治疗 IUD 时加以解决。基于这些结果，我们得出了对成瘾性网络行为的临床实践和研究的进一步启示。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Comprehensive psychiatry 医学-精神病学

CiteScore

12.50

自引率

1.40%

发文量

审稿时长

29 days

期刊介绍： "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.