A Psychotherapy Development Study for a New Addictive Disorder

新成瘾障碍的心理治疗发展研究

基本信息

批准号：
9223032
负责人：
NANCY M PETRY
金额：
$ 18.94万
依托单位：
UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-04-01 至 2019-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9223032
关键词：
Addictive Behavior Address Adolescent Adverse effects Affect Aftercare Alcohol or Other Drugs use Anxiety Applications Grants Area Assessment tool Attention Attention deficit hyperactivity disorder Behavior Behavior Therapy Behavioral Child Clinical Communication Comorbidity Data Development Diagnostic Diagnostic and Statistical Manual of Mental Disorders Disease Distress Environment Equipment and supply inventories Evaluation Family Frequencies Goals Guidelines Home environment International Internet Intervention Intervention Studies Intervention Trial Interview Learning Light Male Adolescents Measures Mental Depression Mental Health Monitor Outcome Outpatients Parents Participant Patient Self-Report Performance Pilot Projects Play Population Process Property Psychometrics Psychotherapy Public Health Quality of life Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Rewards Risk Factors Sampling Schools Services Sleep Structure Substance Use Disorder Substance abuse problem Suicide Time Youth addiction adverse outcome base experience family support follow-up improved indexing interest novel parent-child communication physical conditioning programs psychological symptom psychosocial randomized trial satisfaction secondary outcome substance abuse treatment theories therapy design

项目摘要

The fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) introduces Internet gaming disorder (IGD) as a Substance-Related and Addictive Disorder in Section 3, Conditions for Further Study. Although research is in the nascent stages, existing studies demonstrate that IGD is associated with psychosocial distress including suicidality, and adverse vocational and educational outcomes in youth. Internet gaming disorder also shares substantial overlap with substance use, and it primarily affects adolescents, who rarely seek treatment on their own. Parents more often express concerns about their child's game playing behaviors, and data suggest that parents can have strong influences on it. This psychotherapy development study will evaluate feasibility, acceptability, and effect sizes of a behavioral intervention designed to help parents reduce gaming problems in their children. Sixty concerned parents and their children will complete parental and self-report inventories and structured diagnostic interviews regarding the child's gaming behaviors, substance use and psychosocial functioning. Participants will be randomized to either a control condition consisting of referral for mental health issues and family support services or to the same plus a 6-week family-based behavioral intervention designed to assist with better monitoring and regulating the child's game playing behaviors and encouraging and rewarding alternatives to game playing. Gaming and other problems will be assessed pre-treatment, mid-treatment, at the end of treatment, and at a 4-month follow-up. This study is unique in evaluating initial psychometric properties of a parental version of a measure that uses the DSM-5 criteria for IGD in a clinical sample, and it will also assess associations of IGD with substance use, psychological symptoms, and family functioning over time. Most importantly, this study will be the first randomized trial of an intervention designed to reduce gaming problems, and results are likely to guide future research and treatment efforts related to this condition

第五版精神障碍诊断与统计手册 (DSM-5) 将网络游戏障碍 (IGD) 引入为与物质相关和第 3 节“进一步学习的条件”中的成瘾障碍。虽然研究尚处于起步阶段，现有研究表明 IGD 与社会心理困扰，包括自杀、不良职业和青少年的教育成果。网络游戏障碍也有相当大的比例与物质使用重叠，它主要影响青少年，他们很少寻求自行治疗。父母更常表达对孩子的担忧游戏行为，数据表明父母可以有很强的对它的影响。这项心理治疗发展研究将评估可行性，旨在帮助的行为干预的可接受性和效果大小父母减少孩子的游戏问题。六十位忧心忡忡的家长和他们的孩子将完成家长和自我报告清单并结构化关于孩子的游戏行为、物质使用和心理社会功能。参与者将被随机分配到对照组包括心理健康问题转诊和家庭支持的情况服务或相同的服务加上为期 6 周的基于家庭的行为干预旨在帮助更好地监控和调节孩子的游戏行为行为以及鼓励和奖励游戏的替代方案。赌博以及其他问题将在治疗前、治疗中、治疗结束时进行评估治疗并进行 4 个月的随访。这项研究在评估初始使用 DSM-5 的父母版本测量的心理测量属性临床样本中 IGD 的标准，并且还将评估 IGD 的关联随着时间的推移，药物使用、心理症状和家庭功能也会受到影响。最重要的是，这项研究将是第一个干预措施的随机试验旨在减少游戏问题，结果可能会指导未来与这种情况相关的研究和治疗工作