Treatments for internet addiction, sex addiction and compulsive buying: A meta-analysis.
Treatments for internet addiction, sex addiction and compulsive buying: A meta-analysis.
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DOI：
10.1556/2006.2020.00005
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发表时间：
2020-04-01
影响因子：
7.8
通讯作者：
Laireiter AR
中科院分区：
文献类型：
--
作者：
Goslar M;Leibetseder M;Muench HM;Hofmann SG;Laireiter AR
网络成瘾、性成瘾和强迫性购买是常见的行为问题，与赌博障碍和药物滥用障碍有相似之处。然而，人们对它们的治疗效果知之甚少。这项荟萃分析的目的是检查此类问题行为的治疗效果，并在治疗反应方面与赌博障碍和药物滥用障碍进行比较。文献检索共获得 91 项研究，共 3,531 名参与者，对心理、药物和综合治疗对网络成瘾、性成瘾和强迫性购买的短期和长期疗效进行了综合评估。心理、药物和综合治疗与网络成瘾（Hedges's g：分别为 1.51、1.13 和 2.51）和性成瘾（Hedges's g：分别为 1.09、1.21 和 1.91）的全球严重程度的显着改善相关。对于强迫性购买，心理和药物治疗也与整体严重程度的前后大幅降低相关（Hedges g：分别为 1.00 和 1.52）。除了少数例外，受控的前后和组内随访前效果大小处于相似的范围内。主持人分析表明，心理干预对于减少强迫行为是有效的，特别是当面对面进行并长时间进行时。认知行为方法与药物的结合显示出比单一疗法的优势。结果表明，常见行为成瘾的治疗在短期内是有效的，类似于赌博障碍和药物滥用障碍的治疗，但需要更严格的临床试验。
Internet addiction, sex addiction and compulsive buying are common behavioral problems, which share similarities with gambling disorder and substance use disorders. However, little is known about the efficacy of their treatments. The objective of this meta-analysis was to examine the efficacy of the treatments of such problem behaviors, and to draw parallels to gambling disorder and substance use disorders in terms of treatment response. Literature search yielded 91 studies totaling 3,531 participants to provide a comprehensive evaluation of the short-term and long-term efficacy of psychological, pharmacological and combined treatments for internet addiction, sex addiction, and compulsive buying. Psychological, pharmacological, and combined treatments were associated with robust pre-post improvements in the global severity of internet addiction (Hedges's g: 1.51, 1.13, and 2.51, respectively) and sex addiction (Hedges's g: 1.09, 1.21, and 1.91, respectively). For compulsive buying, psychological and pharmacological treatments were also associated with a large-sized pre-post reduction in global severity (Hedges's g: 1.00 and 1.52, respectively). The controlled pre-post and within-group pre-follow-up effect sizes were in the similar range, with few exceptions. Moderator analyses suggest that psychological interventions are effective for reducing compulsive behaviors, especially when delivered face-to-face and conducted over extended periods of time. Combinations of cognitive-behavioral approaches with medications showed an advantage over monotherapies. The results suggest that treatments for common behavioral addictions are effective in the short term, similar to those implemented for gambling disorder and substance use disorders, but more rigorous clinical trials are needed.
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