Internet addiction (IA) is a prevalent, highly comorbid, and significantly impairing disorder. Although many psychotherapeutic approaches and psychotropic medications have been recommended and some of the psychotherapeutic approaches and a few pharmacotherapy strategies have been studied, treatment of IA is generally in its early stages. This article reviews theoretical descriptions of psychotherapy and the effects of psychosocial treatment and pharmacologic treatment. We also outline our own treatment model of IA.
KeywordsInternet addiction Treatment Review Psychotherapy Pharmacologic treatment Multimodal psychotherapy
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- 2.Hechanova RM, Czincz J: Internet addiction in Asia: reality or myth? Available at http://www.idrc.ca/uploads/user-S/12531993781rad4E1AD.DOC. Accessed July 23, 2010.
- 11.•• Du YS, Jiang W, Vance A: Longer term effect of randomized, controlled group cognitive behavioural therapy for Internet addiction in adolescent students in Shanghai. Aust N Z J Psychiatry 2010, 44:129–134. This was a well-designed randomized controlled study to evaluate the effectiveness of multimodal school-based group CBT in the treatment of IA. A 6-month follow-up was also performed. CrossRefPubMedGoogle Scholar
- 13.Zhong X, Tao R, Zu S, et al.: Effect of group psychological intervention in adolescents on Internet addiction. J Capital Med Univ 2009, 30:494–499.Google Scholar
- 14.Young KS: A therapist's guide to assess and treat Internet addiction. Available at http://www.allstudies.org/Addiction+Solitaire.htm. Accessed July 23, 2010.
- 15.• Shek DT, Tang VM, Lo CY: Evaluation of an Internet addiction treatment program for Chinese adolescents in Hong Kong. Adolescence 2009, 44:359–373. It is noteworthy that this study was an intervention model based on an integration of the research findings, particularly those based on the field of substance abuse. It is important because this study applied a method of subjective outcome evaluation. PubMedGoogle Scholar
- 18.• Kim JU: The effect of a R/T group counseling program on the Internet addiction level and self-esteem of Internet addiction university students. Int J Real Ther 2008, 27:4–12. This was the first study to examine the effect of RT in the treatment of IA. Google Scholar
- 19.Kim JU: A reality therapy group counseling program as an Internet addiction recovery method for college students in Korea. Int J Real Ther 2007, 26:2–9.Google Scholar
- 20.Gao L, Li ZT: The case report on Naikan-cognitive psychotherapy curing Internet addicted disorders of adolescent. Tianjin Yi Ke Da Xue Xue Bao 2005, 11:372–374.Google Scholar
- 21.Zhao P, Mao FQ, Liu L, et al.: Control study of Naikan-cognitive psychotherapy on medical university students with Internet addiction disorder. China J Health Psychol 2009, 17:429–432.Google Scholar
- 22.Fisher GL, Harrison TC: Substance Abuse: Information for School Counselors, Social Workers, Therapists, and Counselors. Boston, MA: Allyn & Bacon; 2009.Google Scholar
- 23.Cao FL, Su LY, Gao XP, et al.: Control study of group psychotherapy on middle school students with Internet overuse. Chin Ment Health J 2007, 21:346–358.Google Scholar
- 24.Cash H, McDaniel K: Video Games & Your Kids: How Parents Stay in Control. Washington, DC: Idyll Arbor; 2008.Google Scholar
- 25.Young, KS: Internet addiction: symptoms, evaluations and treatment. In Innovations in Clinical Practice: A Source Book. Edited by VandeCreek L, Jackson TL. Sarasota, FL: Professional Resource Press; 1999:19–31. Available at http://www.netaddiction.com/index.php?option=com_content&view=article&id=66&Itemid=90.
- 27.Huang XQ, Zhang HM, Li MC, et al.: Mental health, personality, and parental rearing styles of adolescents with Internet addiction disorder. Cyberpsychol Behav 2010 (in press).Google Scholar
- 28.Yang FR, Hao W: The effect of integrated psychosocial intervention on 52 adolescents with Internet addiction. Chin J Clin Psychol 2005, 13:343–346.Google Scholar
- 29.Shek DTL, Tang MY, Working Group firstname.lastname@example.org: Youngster Internet addiction Prevention and Counseling Service: An Evaluation Study. Hong Kong: Hong Kong Jockey Club Wah Ming Integrated Youth Services Centre, Hong Kong Lutheran Social Service, LC-HKS; 2008.Google Scholar
- 30.Li N, Li GY, Wang YY, et al.: The therapeutic effect of 48 Internet inpatients with addiction. J Psychiatry 2008, 21:356–359.Google Scholar
- 35.•• Dell’Osso B, Hadley SJ, Allen A, et al.: Escitalopram in the treatment of impulsive-compulsive internet usage disorder: an open-label trial followed by a double-blind discontinuation phase. J Clin Psychiatry 2008, 69:452–456. This was the first study to investigate the efficacy and safety of escitalopram, a selective serotonin reuptake inhibitor, in individuals suffering from impulsive-compulsive Internet usage disorder. CrossRefPubMedGoogle Scholar
- 40.•• Han DH, Lee YS, Na C, et al.: The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Compr Psychiatry 2009, 50:251–256. MPH can reduce the symptoms of ADHD and IA simultaneously. In this study, the changes in IA symptoms were positively correlated with those in ADHD symptoms. The findings may provide a promising medication treatment for IA. CrossRefPubMedGoogle Scholar
- 41.Wu LZ, Yan JJ, Han JS: Treatment on 27 adolescents with Internet addiction by 2/100 Hz HAN’s acupoint nerve stimulation (HANS). Chin J Drug Depend 2007, 16:32–35.Google Scholar