An app-based training for adolescents with problematic digital-media use and their parents (Res@t digital): protocol for a cluster-randomized clinical trial

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 14

Published: Jan. 24, 2024

Background Digital media-use disorders (DMUD) in adolescents are a rising phenomenon associated with psychological distress, comorbid mental disorders, and high burden on affected families. Since the ICD-11 introduced criteria for gaming disorder, these can now be transferred to describe additional DMUD social media platforms streaming services. Most evidence effective treatments comes from cognitive-behavioral therapy (CBT). However, interventions based theoretical models their parents widely missing, leading significant clinical gap. Methods Res@t digital (Resource-Strengthening Training Adolescents Problematic Digital-Media Use Parents) is app-based translation of first model-based intervention CBT. It comprises separate but content-related modules (Res@t–A) (Res@t–P), applying multimodal techniques. The effectiveness will evaluated within multicenter cluster-randomized controlled evaluator-blinded pre–post follow-up trial waitlist control group (CG). In addition program group, both groups receive treatment as usual primary child adolescent psychiatric/psychotherapeutic healthcare. outcome addresses symptom reduction after 10 weeks. Secondary outcomes related family-related problems an increase parental self-efficacy. All assessed using standardized self-report measures. A total 1,334 participating adolescent–parent dyads large network throughout Germany planned included analyses intention-to-treat approach, linear mixed models. Discussion Assuming superiority over condition, has potential provide evidence-based number help-seeking families, supporting local healthcare structures resources. promising practicable implementation flexible use different settings. Clinical registration https://drks.de , DRKS00031043.

Language: Английский

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Digital media use and mental health in adolescents—a narrative review

Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, Journal Year: 2024, Volume and Issue: 67(4), P. 456 - 464

Published: March 1, 2024

Zusammenfassung Chancen und Gefahren digitaler Medien, vor allem im Hinblick auf Kinder Jugendliche, sind gegenwärtig häufiger Gegenstand von familiären, schulischen gesellschaftlichen Debatten. Digitale Plattformen können die Bewältigung adoleszenter Entwicklungsaufgaben durch Spiele, sozialen Austausch, Kommunikation, Kontaktförderung, Lernen Gesundheitsförderung unterstützen sowie zur Unterhaltung dienen. In Deutschland verfügen nahezu alle Jugendlichen über ein eigenes Smartphone. Während der COVID-19-Pandemie wurde eine Intensivierung Nutzung sozialer Medien Streaming-Angebote Adoleszente beobachtet. Der Kontakt mit altersunzensierten Inhalten wie Darstellung Gewalt, extremen politischen Ansichten Verschwörungstheorien, aber auch persönliche Angriffe Cybermobbing, ungefilterte Kontaktanbahnungen, inkl. Cybergrooming, dysfunktionale Rollenvorbilder suchtfördernde Aspekte gehen für psychische Gesundheit einher. Von Cybermobbing ca. 5 % in betroffen. Ein bidirektionaler Zusammenhang psychischer konnte gezeigt werden. Mit Computerspielstörung ist erste Digitale-Medien-Nutzungsstörung (DMNS) elfte Revision Internationalen Klassifikation Krankheiten (ICD-11) aufgenommen damit als Erkrankung international anerkannt worden. überproportional häufig betroffen erfahren Beeinträchtigungen ihrer psychischen Entwicklung ihres Funktionsniveaus. Zur Förderung gesunder Mediennutzung stehen Angebote Verfügung, deren Ausbau, strukturierte Anwendung Evaluierung erforderlich sind. Evidenzbasierte Präventions- Behandlungsoptionen DMNS fehlen derzeit weitgehend. Ihre Entwicklung, Überprüfung Verbreitung sollten weiter gefördert

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Investigating Parental Factors for Adolescent Problematic Gaming and Social Media Use – A Cross-sectional and Longitudinal Approach

Journal of Adolescent Health, Journal Year: 2024, Volume and Issue: 75(4), P. 626 - 634

Published: July 27, 2024

Increasing concern has been raised on the addictive potential of digital games and socialmedia platforms, especially in adolescent users. Hence, investigating etiology problematic gaming (PG) social-media use (PSMU) is great scientific clinical interest. Parental factors have not sufficiently addressed yet. Therefore, this study aims to investigate predictive values parental demographic, psychological, parenting, role model for PG/PSMU.

Language: Английский

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Media addiction in children and adolescents—a study protocol for development, piloting and evaluation of a sustainable, integrative rehabilitation program (MeKi)

Frontiers in Adolescent Medicine, Journal Year: 2025, Volume and Issue: 3

Published: Feb. 28, 2025

Introduction The proportion of children and young people in Germany who have problematic media use has increased, particularly as a result the coronavirus pandemic. presence comorbidities such anxiety disorders, depression, sleep impulsivity lack social skills are interdependent with addiction. Medical rehabilitation is suitable for long-term care adolescents As part MeKi study, program addiction being developed piloted cooperating clinic. trial registered under DRKS-ID: DRKS00034461, Medienabhängigkeit bei Kindern und Jugendlichen—Entwicklung, Pilotierung Evaluation eines nachhaltigen, integrativen Rehabilitationskonzepts. Methodes analysis mixed methods design multimodal concept will be preparation phase based on results scoping review well interviews focus groups affected adolescents, their parents experts. In implemented planned sample 80 Children over period 1.5 years evaluated by means evaluation using questionnaire survey process groups. Discussion standardized definition complicates both scientific discourse practical those affected. Furthermore, there currently only few therapeutic offers these available acute sector. development piloting intended to provide sustainable rehabilitative care, which transferred other clinics after end project. Trial registration

Language: Английский

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Guideline on Early Interventions for Internet Use Disorders

SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice, Journal Year: 2025, Volume and Issue: 71(2), P. 123 - 129

Published: April 1, 2025

Abstract: Introduction: Early interventions targeting individuals with initial symptoms of Internet use disorders have the potential to prevent disorder escalation and reduce first symptoms. Given that disorders, including gaming social network disorder, often emerge during adolescence, early for children adolescents are crucial from both clinical public health perspectives. These typically focus on selective or indicated prevention strategies, addressing at risk their significant others. Methods: This systematic review was conducted as part development AWMF S1 guideline disorders. A PICO framework guided formulation questions. literature search in Web Science PubMed (2011–2021) yielded 1,719 studies, which 40 were selected full-text analysis. Nine studies met inclusion criteria evaluated using CONSORT guidelines. Evidence levels recommendation strengths assigned according Oxford Centre Evidence-Based Medicine (CEBM) guidelines, respectively. Results: primarily focusing supported six recommendations interventions. Four randomized controlled trials (RCTs) demonstrated programs educational settings significantly reduced Cognitive-behavioral therapy (CBT) identified preferred intervention approach. longitudinal study CBT counseling centers subclinical Parent-focused online also showed promising results. Discussion: The evidence supports implementation educational, counseling, family settings. Especially effective reducing However, further research is needed assess long-term outcomes address gaps adult populations less-studied forms such pornography compulsive shopping.

Language: Английский

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Res@t: Resource-Strengthening Training for Adolescents with Problematic Digital-Media Use and their Parents

SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice, Journal Year: 2023, Volume and Issue: 69(2), P. 75 - 85

Published: April 1, 2023

Abstract: Aims: Given rising prevalence of digital-media related disorders (DMRD, i. e. the problematic use digital games, social media, and streaming platforms) in children adolescents, new therapy program Res@t (Resource strengthening for adolescents with DMRD their parents) aims to close a significant evidence-based treatment gap. It addresses affected parents different settings. Methods: is fully manualized CBT based on current research results clinical experiences. was initially developed gaming (Res@t-A) (Res@t-P) face-to-face group setting. A translation into automated application (Res@t [Res@pp]) should allow support independently available local options or within blended therapy. Besides symptom reduction through Res@t-A, Res@t-P shall increase parental self-efficacy. Pilot-study data pre-post-follow-up design showed promising effects decrease stress perception an family functioning, as well adolescents. However, missing control rather small sample size reduces interpretability. Res@t-A currently being evaluated comparable design. Multi-center randomized controlled studies are planned evaluate effectiveness all offline versions. Conclusion: first focusing settings (group therapy, application). Effective treatments addressing both target groups highly warranted.

Language: Английский

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Depression in mothers at childhood: Direct and indirect association with problematic gaming in late adolescence/young adulthood

Journal of Psychiatric Research, Journal Year: 2023, Volume and Issue: 159, P. 14 - 21

Published: Jan. 11, 2023

Language: Английский

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A mixed-method non-randomized pilot evaluation of a mentalization-informed motivational interviewing group intervention for concerned significant others of adolescents with excessive gaming behaviors

Children and Youth Services Review, Journal Year: 2024, Volume and Issue: 159, P. 107496 - 107496

Published: Feb. 27, 2024

Language: Английский

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Addictive behaviors among youth and adolescents in the digital age

Frontiers research topics, Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 1, 2024

it is a pioneering approach to the world of academia, radically improving way scholarly research managed.The grand vision Frontiers where all people have an equal opportunity seek, share and generate knowledge.Frontiers provides immediate permanent online open access its publications, but this alone not enough realize our goals. journal seriesThe series multi-tier interdisciplinary set openaccess, journals, promising paradigm shift from current review, selection dissemination processes in academic publishing.All journals are driven by researchers for researchers; therefore, they constitute service community.At same time, operates on revolutionary invention, tiered publishing system, initially addressing specific communities scholars, gradually climbing up broader public understanding, thus serving interests lay society, too. Dedication qualityEach article landmark highest quality, thanks genuinely collaborative interactions between authors review editors, who include some world's best academicians.Research must be certified peers before entering stream knowledge that may eventually reach -and shape society; only applies most rigorous unbiased reviews.Frontiers revolutionizes freely delivering outstanding research, evaluated with no bias both social point view.By applying advanced information technologies, catapulting into new generation.

Language: Английский

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Internet gaming disorder (IGD) and smartphone addiction: parent intervention trial

Australian Journal of Psychology, Journal Year: 2024, Volume and Issue: 76(1)

Published: Sept. 8, 2024

Language: Английский

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