A Psychotherapy Development Study for a New Addictive Disorder

精神疾病诊断和统计手册第五版 （DSM-5）将互联网游戏障碍（IGD）作为物质相关和 第3节成瘾性障碍，进一步研究的条件。虽然研究 目前尚处于初期阶段，现有的研究表明IGD与 社会心理困扰，包括自杀倾向，以及不利的职业和 青年的教育成果。互联网游戏障碍也占相当大的份额 与物质使用重叠，它主要影响青少年，他们很少寻求 自己治疗。父母更经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 影响。这项心理治疗发展研究将评估可行性， 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。60名忧心忡忡的家长和 他们的孩子将完成父母和自我报告的清单， 关于孩子的游戏行为，物质使用和 心理社会功能受试者将被随机分配至对照组 由心理健康问题和家庭支持转诊组成的条件 服务或相同的加6周的家庭为基础的行为干预 旨在帮助更好地监测和调节儿童的游戏 行为，鼓励和奖励游戏的替代品。游戏 和其他问题将评估治疗前，治疗中，在年底 治疗和4个月随访。这项研究在评估初始 使用DSM-5测量的父母版本的心理测量特性 标准的IGD在临床样本，它也将评估协会IGD 药物使用心理症状和家庭功能 最重要的是，这项研究将是第一个随机试验的干预措施， 旨在减少游戏问题，结果可能会指导未来 与这种情况有关的研究和治疗工作

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