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Early Intervention in Gaming Disorder: What Can We Learn from Findings in the Substance Abuse Field?

Abstract

Purpose of Review

Gaming disorder (GD) is considered as a condition related to severe functional impairment, and its prevalence reaches meaningful proportions of the general population in many countries. Besides treatment and prevention, early interventions could play a major role to curb this rising public health concern. This review summarizes the available knowledge in this field.

Recent Findings

Among current systematic reviews on treatment approaches with respect to GD or Internet-related disorders (IDs), only two studies have been found that can be characterized as early interventions. However, findings from the substance abuse field foreshadow the prospects of such approaches for the arena of GD and ID.

Summary

To date, nearly no evidence according to early interventions for GD or ID exists. Early intervention for GD or ID in settings like primary care or school needs to receive much more attention given the promising population impact that this approach could have. Sound studies testing the efficacy of brief interventions are highly needed.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, D.C.: American Psychiatric Association; 2013.

    Book  Google Scholar 

  2. World Health Organization. ICD-11 for Mortality and Morbidity Statistics. Mental, behavioural or neurodevelopmental disorders. World Health Organisation,, https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f334423054. 2018. https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f334423054. Accessed June 18, 2018 2018.

  3. • Rumpf HJ, Achab S, Billieux J, Bowden-Jones H, Carragher N, Demetrovics Z, et al. Including gaming disorder in the ICD-11: the need to do so from a clinical and public health perspective. J Behav Addict. 2018:1–6. https://doi.org/10.1556/2006.7.2018.59 This paper highlights the need for including Gaming Disorder in ICD-11.

  4. Saunders JB. Substance use and addictive disorders in DSM-5 and ICD 10 and the draft ICD 11. Curr Opin Psychiatr. 2017;30(4):227–37. https://doi.org/10.1097/yco.0000000000000332.

    Article  Google Scholar 

  5. • Saunders JB, Hao W, Long J, King DL, Mann K, Fauth-Buhler M, et al. Gaming disorder: its delineation as an important condition for diagnosis, management, and prevention. J Behav Addict. 2017;6(3):271–9. https://doi.org/10.1556/2006.6.2017.039 This a comprehensive review on Gaming Disorder and its clinical features.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Hasin DS, Grant BF. The National Epidemiologic Survey on alcohol and related conditions (NESARC) waves 1 and 2: review and summary of findings. Soc Psychiatry Psychiatr Epidemiol. 2015;50(11):1609–40. https://doi.org/10.1007/s00127-015-1088-0.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha IS, Bryson H, et al. Use of mental health services in Europe: results from the European study of the epidemiology of mental disorders (ESEMeD) project. Acta Psychiatr Scand. 2004;109:47–54.

    Article  Google Scholar 

  8. John U, Rumpf HJ, Bischof G, Hapke U, Hanke M, Meyer C. Excess mortality of alcohol-dependent individuals after 14 years and mortality predictors based on treatment participation and severity of alcohol dependence. Alcohol Clin Exp Res. 2013;37(1):156–63. https://doi.org/10.1111/j.1530-0277.2012.01863.x.

    Article  PubMed  Google Scholar 

  9. Skinner HA, Holt S. Early interventions for alcohol-problems. J R Coll Gen Pract. 1983;33(257):787–91.

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Saunders JB, Aasland OG, Babor TF, DeLaFuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction. 1993;88:617–29.

    Google Scholar 

  11. WHO Brief Intervention Study Group. A cross-national trial of brief interventions with heavy drinkers. Am J Public Health. 1996;86:948–55.

    Article  Google Scholar 

  12. Babor T. Avoiding the horrid and beastly sin of drunkenness: does dissuasion make a difference? J Consult Clin Psychol. 1994;62:1127–41.

    CAS  Article  Google Scholar 

  13. • EFS K, Beyer FR, Muirhead C, Campbell F, Pienaar ED, Bertholet N, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev. 2018;(2):252. https://doi.org/10.1002/14651858.CD004148.pub4 In this Cochrane review, the evidence of brief interventions in the alcohol field is summarized.

  14. Heather N. Can screening and brief intervention lead to population-level reductions in alcohol-related harm? Addict Sci Clin Pract. 2012;7:15. https://doi.org/10.1186/1940-0640-7-15.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322–7. https://doi.org/10.2105/ajph.89.9.1322.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  16. Winkler A, Dorsing B, Rief W, Shen YH, Glombiewski JA. Treatment of internet addiction: a meta-analysis. Clin Psychol Rev. 2013;33(2):317–29. https://doi.org/10.1016/j.cpr.2012.12.005.

    Article  PubMed  Google Scholar 

  17. Kuss DJ, Lopez-Fernandez O. Internet addiction and problematic internet use: a systematic review of clinical research. World J Psychiatry. 2016;6(1):143–76. https://doi.org/10.5498/wjp.v6.i1.143.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Grant JE, Schreiber LR, Odlaug BL. Phenomenology and treatment of behavioural addictions. Can J Psychiatr. 2013;58(5):252–9. https://doi.org/10.1177/070674371305800502.

    Article  Google Scholar 

  19. King DL, Delfabbro PH, Griffiths MD, Gradisar M. Assessing clinical trials of internet addiction treatment: a systematic review and CONSORT evaluation. Clin Psychol Rev. 2014;31(7):1110–6. https://doi.org/10.1016/j.cpr.2011.06.009.

    Article  Google Scholar 

  20. Nakayama H, Mihara S, Higuchi S. Treatment and risk factors of internet use disorders. Psychiatry Clin Neurosci. 2017;71(7):492–505. https://doi.org/10.1111/pcn.12493.

    Article  PubMed  Google Scholar 

  21. Lam LT, Lam MK. eHealth intervention for problematic Internet use (PIU). Curr Psychiatry Rep. 2016;18(12):107. https://doi.org/10.1007/s11920-016-0747-5.

    Article  PubMed  Google Scholar 

  22. Vondrackova P, Gabrhelik R. Prevention of internet addiction: a systematic review. J Behav Addict. 2016;5(4):568–79. https://doi.org/10.1556/2006.5.2016.085.

    Article  PubMed  PubMed Central  Google Scholar 

  23. King DL, Delfabbro PH, Doh YY, Wu AMS, Kuss DJ, Pallesen S, et al. Policy and prevention approaches for disordered and hazardous gaming and internet use: an international perspective. Prev Sci. 2017;19:233–49. https://doi.org/10.1007/s11121-017-0813-1.

    Article  Google Scholar 

  24. King DL, Delfabbro PH. Prevention and policy related to internet gaming disorder. Curr Addict Rep. 2017;4:284–92.

    Article  Google Scholar 

  25. •• King DL, Delfabbro PH, Wu AMS, Doh YY, Kuss DJ, Pallesen S, et al. Treatment of internet gaming disorder: an international systematic review and CONSORT evaluation. Clin Psychol Rev. 2017;54:123–33. https://doi.org/10.1016/j.cpr.2017.04.002 This is a comprehensive systematic review on treatment approaches for Gaming Disorder.

    Article  PubMed  Google Scholar 

  26. King DL, Delfabbro PH. Internet gaming disorder treatment: a review of definitions of diagnosis and treatment outcome. J Clin Psychol. 2014;70(10):942–55. https://doi.org/10.1002/jclp.22097.

    Article  PubMed  Google Scholar 

  27. •• Zajac K, Ginley MK, Chang R, Petry NM. Treatments for internet gaming disorder and internet addiction: a systematic review. Psychol Addict Behav. 2017;31(8):979–94. https://doi.org/10.1037/adb0000315 This is a comprehensive systematic review on treatment approaches for Gaming Disorder and Internet addiction.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Lee H, Seo MJ, Choi TY. The effect of home-based daily journal writing in Korean adolescents with smartphone addiction. J Korean Med Sci. 2016;31(5):764–9. https://doi.org/10.3346/jkms.2016.31.5.764.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Kim D, Lee Y, Lee J, Nam JK, Chung Y. Development of Korean smartphone addiction proneness scale for youth. PLoS One. 2014;9(5):e97920. https://doi.org/10.1371/journal.pone.0097920.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  30. Su W, Fang X, Miller JK, Wang Y. Internet-based intervention for the treatment of online addiction for college students in China: a pilot study of the healthy online self-helping center. Cyberpsychol Behav Soc Netw. 2011;14:497–503.

    Article  Google Scholar 

  31. Young KS. Internet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav. 1998;1(5):237–44. https://doi.org/10.1089/cpb.1999.2.381.

    Article  Google Scholar 

  32. Lindenberg K, Halasy K, Schoenmaekers S. A randomized efficacy trial of a cognitive-behavioral group intervention to prevent internet use disorder onset in adolescents: the PROTECT study protocol. Contemp Clin Trials Commun. 2017;6:64–71. https://doi.org/10.1016/j.conctc.2017.02.011.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Yeun YR, Han SJ. Effects of psychosocial interventions for school-aged children’s Internet addiction, self-control and self-esteem: meta-analysis. Healthc Inform Res. 2016;22(3):217–30. https://doi.org/10.4258/hir.2016.22.3.217.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Petry NM, Zajac K, Ginley M, Lemmens J, Rumpf HJ, Ko CH, et al. Policy and prevention efforts for gaming should consider a broad perspective. J Behav Addict. 2018:1–5. https://doi.org/10.1556/2006.7.2018.64.

  35. Anderson P, O'Donnell A, Kaner E. Managing alcohol use disorder in primary health care. Curr Psychiatry Rep. 2017;19(11):10. https://doi.org/10.1007/s11920-017-0837-z.

    Article  Google Scholar 

  36. Joseph J, Basu D. Efficacy of brief interventions in reducing hazardous or harmful alcohol use in middle-income countries: systematic review of randomized controlled trials. Alcohol Alcohol. 2017;52(1):56–64. https://doi.org/10.1093/alcalc/agw054.

    Article  PubMed  Google Scholar 

  37. Mann K, Batra A, Hoch E. Leitliniengrp. S3-guideline “screening, diagnosis and treatment for alcohol-related disorders” outline. Sucht. 2017;63(1):7–23. https://doi.org/10.1024/0939-5911/a000464.

    Article  Google Scholar 

  38. NICE. Diagnosis, assessment and management of harmful drinking and alcohol dependence (CG 115). London: National Institute for Health and Clinical Excellence (NICE); 2011.

    Google Scholar 

  39. Mann K, Batra A, Fauth-Bühler M, Hoch E, Guideline G. German guidelines on screening, diagnosis and treatment of alcohol use disorders. Eur Addict Res. 2017;23(1):45–60. https://doi.org/10.1159/000455841.

    Article  PubMed  Google Scholar 

  40. Connor JP, Haber PS, Hall WD. Alcohol use disorders. Lancet. 2016;387(10022):988–98. https://doi.org/10.1016/s0140-6736(15)00122-1.

    Article  PubMed  Google Scholar 

  41. Liu SI, Wu SI, Chen SC, Huang HC, Sun FJ, Fang CK, et al. Randomized controlled trial of a brief intervention for unhealthy alcohol use in hospitalized Taiwanese men. Addiction. 2011;106:928–40.

    Article  Google Scholar 

  42. Cobain K, Owens L, Kolamunnage-Dona R, Fitzgerald R, Gilmore IT, Pirmohamed M. Brief intervention in dependent drinkers: a comparative prospective analysis in two hospitals. Alcohol Alcohol. 2011;46:434–40. https://doi.org/10.1093/alcalc/agr044.

    Article  PubMed  Google Scholar 

  43. Field CA, Caetano R. The effectiveness of brief intervention among injured patients with alcohol dependence: who benefits from brief interventions? Drug Alcohol Depend. 2010;111(1–2):13–20. https://doi.org/10.1016/j.drugalcdep.2009.11.025.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Saitz R. Alcohol screening and brief intervention in primary care: absence of evidence for efficacy in people with dependence or very heavy drinking. Drug Alcohol Rev. 2010;29(6):631–40. https://doi.org/10.1111/j.1465-3362.2010.00217.x.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Vasilaki EI, Hosier SG, Cox WM. The efficacy of motivational interviewing as a brief intervention for exzessive drinking: a meta-analytic review. Alcohol Alcohol. 2006;41(3):328–35.

    Article  Google Scholar 

  46. Bischof G, Grothues JM, Reinhardt S, Meyer C, John U, Rumpf HJ. Evaluation of a telephone-based stepped care intervention for alcohol-related disorders: a randomized controlled trial. Drug Alcohol Depend. 2008;93(3):244–51.

    Article  Google Scholar 

  47. Saitz R. ‘SBIRT’ is the answer? Probably not. Addiction. 2015;110(9):1416–7. https://doi.org/10.1111/add.12986.

    Article  PubMed  Google Scholar 

  48. Glass JE, Hamilton AM, Powell BJ, Perron BE, Brown RT, Ilgen MA. Revisiting our review of screening, brief intervention and referral to treatment (SBIRT): meta-analytical results still point to no efficacy in increasing the use of substance use disorder services. Addiction. 2016;111(1):181–3. https://doi.org/10.1111/add.13146.

    Article  PubMed  Google Scholar 

  49. Tanner-Smith EE, Lipsey MW. Brief alcohol interventions for adolescents and young adults: a systematic review and meta-analysis. J Subst Abus Treat. 2015;51:1–18. https://doi.org/10.1016/j.jsat.2014.09.001.

    Article  Google Scholar 

  50. Kuss DJ, Griffiths MD, Karila L, Billieux J. Internet addiction: a systematic review of epidemiological research for the last decade. Curr Pharm Des. 2014;20(25):4026–52.

    CAS  Article  Google Scholar 

  51. King DL, Haagsma MC, Delfabbro PH, Gradisar M, Griffiths MD. Toward a consensus definition of pathological video-gaming: a systematic review of psychometric assessment tools. Clin Psychol Rev. 2013;33(3):331–42. https://doi.org/10.1016/j.cpr.2013.01.002.

    Article  PubMed  Google Scholar 

  52. Besser B, Rumpf HJ, Bischof A, Meerkerk GJ, Higuchi S, Bischof G. Internet-related disorders: development of the short compulsive internet use scale. Cyberpsychol Behav Soc Netw. 2017;20(11):709–17. https://doi.org/10.1089/cyber.2017.0260.

    Article  PubMed  Google Scholar 

  53. Rehbein F, Kliem S, Baier D, Mossle T, Petry NM. Prevalence of internet gaming disorder in German adolescents: diagnostic contribution of the nine DSM-5 criteria in a state-wide representative sample. Addiction. 2015;110(5):842–51. https://doi.org/10.1111/add.12849.

    Article  PubMed  Google Scholar 

  54. Laconi S, Rodgers RF, Chabrol H. The measurement of internet addiction: a critical review of existing scales and their psychometric properties. Comput Human Behav. 2014;41:190–202. https://doi.org/10.1016/j.chb.2014.09.026.

    Article  Google Scholar 

  55. Carragher N, Higuchi S, Billieux J, King D, Rumpf HJ, Bowden-Jones H, et al. World Health Organization (WHO) collaborative project on the development of international screening tools for disorders due to addictive behaviours: an overview. J Behav Addict. 2018;7:50–1.

    Google Scholar 

  56. Loton D, Lubman DI. Just one more level: identifying and addressing internet gaming disorder within primary care. Aust Fam Physician. 2016;45(1–2):48–52.

    PubMed  Google Scholar 

  57. Miller WR, Rollnick S. Motivational interviewing: helping people change. 3rd ed. New York: Guilford; 2012.

    Google Scholar 

  58. Hodder RK, Freund M, Wolfenden L, Bowman J, Nepal S, Dray J, et al. Systematic review of universal school-based ‘resilience’ interventions targeting adolescent tobacco, alcohol or illicit substance use: a meta-analysis. Prev Med. 2017;100:248–68. https://doi.org/10.1016/j.ypmed.2017.04.003.

    Article  PubMed  Google Scholar 

  59. Quanbeck A, Gustafson DH, Marsch LA, Chih MY, Kornfield R, McTavish F, et al. Implementing a mobile health system to integrate the treatment of addiction into primary care: a hybrid implementation-effectiveness study. J Med Internet Res. 2018;20(1):16. https://doi.org/10.2196/jmir.8928.

    Article  Google Scholar 

  60. Bertholet N, Cunningham JA, Faouzi M, Gaume J, Gmel G, Burnand B, et al. Internet-based brief intervention for young men with unhealthy alcohol use: a randomized controlled trial in a general population sample. Addiction. 2015;110(11):1735–43. https://doi.org/10.1111/add.13051.

    Article  PubMed  Google Scholar 

  61. Park SY, Kim SM, Roh S, Soh MA, Lee SH, Kim H, et al. The effects of a virtual reality treatment program for online gaming addiction. Comput Methods Prog Biomed. 2016;129:99–108. https://doi.org/10.1016/j.cmpb.2016.01.015.

    Article  Google Scholar 

  62. Montag C, Duke E, Markowetz A. Toward psychoinformatics: computer science meets psychology. Comput Math Methods Med. 2016;2016:2983685–10. https://doi.org/10.1155/2016/2983685.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Montag C, Markowetz A, Blaszkiewicz K, Andone I, Lachmann B, Sariyska R, et al. Facebook usage on smartphones and gray matter volume of the nucleus accumbens. Behav Brain Res. 2017;329:221–8. https://doi.org/10.1016/j.bbr.2017.04.035.

    Article  PubMed  Google Scholar 

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Rumpf, HJ., Bischof, A., Bischof, G. et al. Early Intervention in Gaming Disorder: What Can We Learn from Findings in the Substance Abuse Field?. Curr Addict Rep 5, 511–516 (2018). https://doi.org/10.1007/s40429-018-0229-4

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Keywords

  • Gaming disorder
  • Early intervention
  • Population-based approaches
  • Brief intervention