인터넷 게임 장애에 관한 인지행동치료 기반의 중재 효과: 체계적 문헌 고찰 및 메타분석
Effectiveness of CBT-based interventions for internet gaming disorder (IGD): A systematic review and meta-analysis
- 주제(키워드) cognitive behavioral therapy , internet gaming disorder , systematic review , meta-analysis , .
- 주제(기타) 예방의학/직업환경의학
- 설명문(URI) https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART003162509
- 등재 KCI등재
- 발행기관 한국보건교육건강증진학회
- 발행년도 2024
- URI http://www.dcollection.net/handler/ewha/000000245040
- 본문언어 한국어
초록/요약
Objectives: This study systematically evaluated the effectiveness of cognitive behavioral therapy (CBT) based interventions in reducing the severity of Internet Gaming Disorder (IGD) among adolescents and youths. Methods: A comprehensive search of MEDLINE, Embase, CINAHL, PsycINFO, Cochrane CENTRAL, and Korean databases (DBpia, KCI, RISS, KIST) identified relevant studies. Nine studies (six randomized controlled trials [RCTs] and three non-randomized trials [nRTs]) with 901 participants were included. Effect sizes (Hedges’s g) were calculated using a random-effects model, with 95% confidence intervals (CIs) and heterogeneity statistics (I2). Subgroup analyses assessed the effects of intervention duration, session, period, and participant characteristics. RoB 2.0 and ROBINS-I risk of bias tools were used to assess the risk of bias within the study. Results: Pooled analysis showed a significant reduction in IGD severity following CBT interventions (Hedges’s g = ‒0.916, 95% CI [‒1.363, ‒0.468], I2 = 87.52%), with higher efficacy observed in longer interventions (3-6 months) and more frequent sessions. The overall heterogeneity was high, and the quality of evidence was rated moderate. Conclusion: CBT-based interventions reduce IGD severity across diverse populations and study designs. Future research should focus on standardized tools, extended follow-up, and culturally tailored interventions to improve public health strategies.
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