Parent-delivered contingency management for a treatment-refusing young adult with gaming disorder: Case report

IF 1.1 4区心理学 Q3 FAMILY STUDIES Journal of Family Therapy Pub Date : 2022-01-01 DOI:10.1111/1467-6427.12381

Ben J. Riley, Michael Baigent, Malcolm W. Battersby, Daniel L. King

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引用次数: 3

Abstract

Online video gaming is a popular activity among people of all ages. For some, however, gaming can become problematic. While evidence exists for the effectiveness of cognitive behavioural therapy for gaming disorder (GD), a major challenge is that adolescents and young adults, particularly males, are often reluctant to seek help and engage long term with a mental health practitioner. This report presents a case involving brief parent-delivered contingency management for a 19-year-old male with GD who refused to engage with treatment services following a significant decline in functioning and a high-lethality suicide attempt. This approach led to a substantial reduction in gaming time, as well as related gains in self-care and independence. This case highlights the value and feasibility of developing a therapeutic alliance with a parent to manage excessive gaming behaviours among treatment-refusing individuals with GD. Practical challenges and associated lessons from managing this case are discussed.

Practitioner points

Brief parent-delivered contingency management was implemented for a 19-year-old treatment-refusing male with GD.
This approach led to a substantial reduction in the young man's gaming time as well as related gains in areas of self-care and independence at 6-month follow-up.
This case highlights the value and feasibility of developing a therapeutic alliance with a parent to manage excessive gaming behaviours among treatment-refusing individuals with GD.

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一名拒绝治疗的游戏障碍年轻人的父母提供的应急管理：病例报告

在线视频游戏在各个年龄段的人群中都很受欢迎。然而，对于一些人来说，游戏可能会带来问题。虽然有证据表明认知行为疗法对游戏障碍(GD)的有效性，但一个主要挑战是青少年和年轻人，特别是男性，往往不愿寻求帮助，不愿长期接受心理健康医生的治疗。本报告提出了一个病例，涉及父母提供的简短应急管理，治疗一名19岁的男性焦虑症患者，他在功能显著下降和高致命性自杀企图后拒绝接受治疗服务。这种方法大大减少了玩家的游戏时间，并提高了他们的自理能力和独立性。本案例强调了与父母建立治疗联盟来管理拒绝治疗的焦虑患者过度游戏行为的价值和可行性。讨论了处理该案例的实际挑战和相关经验教训。对一名拒绝治疗的19岁男性焦虑患者实施了简短的家长传递应急管理。在6个月的随访中，这种方法大大减少了年轻人的游戏时间，并在自我照顾和独立方面取得了相关进展。本案例强调了与父母建立治疗联盟来管理拒绝治疗的焦虑患者过度游戏行为的价值和可行性。

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来源期刊

Journal of Family Therapy Multiple-

CiteScore

2.90

自引率

18.80%

发文量

期刊介绍： The Journal of Family Therapy advances the understanding and treatment of human relationships constituted in systems such as couples, families and professional networks and wider groups, by publishing articles on theory, research, clinical practice and training. The editorial board includes leading academics and professionals from around the world in keeping with the high standard of international contributions, which make it one of the most widely read family therapy journals.