JAMA Psychiatry. 2019 Jul 10. doi: 10.1001 / jamapsychiatry.2019.1676.
Wölfling K1, Müller KW1, Dreier M1, Ruckes C2, Deuster O2, Batra A3, Mann K4, Musalek M5, Schuster A5, Lemenager T4, Hanke S3, Beutel INE6.
Kudalirika
Kufunika:
Zomwe anthu akuchita pa intaneti komanso pakompyuta zimayambitsa nkhawa yomwe ikubwera, yovomerezeka ndi World Health Organization.
Cholinga:
Kuti muwone ngati zolemba zamakhalidwe ogwirira ntchito (CBT), pogwiritsa ntchito njira yochepa pakanthawi kochepa kwa intaneti komanso makompyuta (STICA), ndizothandiza kwa anthu omwe akukumana ndi intaneti komanso masewera osokoneza bongo pakompyuta.
Kupanga, Kukhazikitsa, ndi Ophunzira:
Mayeso azachipatala ophatikizidwa mosiyanasiyana ambiri adachitidwa kuzipatala za 4 zakunja ku Germany ndi Austria kuyambira Januwale 24, 2012, mpaka Juni 14, 2017, kuphatikizapo kutsatira. Miyeso yakhungu idachitika. Zotsatira zotsatizana za abambo a 143 zidasinthidwa mwachisawawa ku gulu la chithandizo (STICA; n = 72) kapena gulu la mind-control (WLC) group (n = 71). Njira zazikulu zophatikizira anali kugonana amuna ndi akazi osokoneza bongo ngati ndikoyambitsa koyambirira. Gulu la STICA linali ndi kutsatira owonjezera kwa mwezi wa 6 (n = 36). Zambiri zidasinthidwa kuyambira Novembala 2018 mpaka Marichi 2019.
Zothandiza:
Pulogalamu yoyeserera ya CBT ikufuna kubwezeretsa ntchito intaneti. Pulogalamuyi inali ndi gulu la 15 mlungu uliwonse mpaka 8 magawo awiri pamlungu.
Zotsatira zazikulu ndi zoyesera:
Zotsatira zomwe zidafotokozedwa kale zinali kuwunika kwa Internet ndi Computer Game Addiction Self-Report (AICA-S). Zotsatira zachiwiri zinali zodziwonetsa zomwe zidalembedwa pa intaneti, nthawi yomwe idagwiritsidwa ntchito pa intaneti masabata, kuchititsa chidwi kwa maganizo, komanso kukhumudwa.
Results:
Amuna ambiri a 143 (amatanthauza zaka za [SD], zaka za 26.2 [7.8]) adasanthulidwa potengera kusanthula kwakumvera. Mwa otenga nawo mbali, 50 ya amuna a 72 (69.4%) m'gulu la STICA adawonetsa chikhululukiro vs 17 cha amuna a 71 (23.9%) mgulu la WLC. Pa kusanthula kwamphamvu kwa kukakamira, kukhululukidwa mu gulu la STICA vs WLC kunali kwakukulu (chiwerewere, 10.10; 95% CI, 3.69-27.65), poganizira zovuta zamtundu wa intaneti, comorbidity, malo azithandizo, komanso zaka. Poyerekeza ndi magulu a WLC, kukula kwake pakuchotsedwa kwa chithandizo cha STICA anali d = 1.19 kwa AICA-S, d = 0.88 kwa nthawi yomwe amagwiritsidwa ntchito pa intaneti masabata, d = 0.64 yokhudzana ndi psychosocial, ndi d = 0.67 pakukhumudwa. Zochitika khumi ndi zinayi ndi 8 zovuta zowopsa zidachitika. Ubale wophatikizika ndi chithandizo unawonedwa kuti ungakhalepo mu 2 AEs, mmodzi mgulu lililonse.
Zotsatira ndi Zofunika:
Chithandizo chakanthawi kochepa kwa intaneti komanso masewera osokoneza bongo a pakompyuta ndi njira yolimbikitsa, yopangidwira, yochepa yochepa kwa CBT pazosankha zambiri za intaneti m'malo operekera chithandizo. Ziyeso zina zomwe zikufufuzira kufunikira kwakanthawi kwa STICA ndikuyankha magulu ena ndi magulu ochepa poyerekeza ndi magwiridwe olamulira amafunikira.
Kulembetsa Mlandu:
ClinicalTrials.gov chizindikiritso: NCT01434589.
PMID: 31290948
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