초록 열기/닫기 버튼

.


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.



키워드열기/닫기 버튼

cognitive behavioral therapy, internet gaming disorder, systematic review, meta-analysis