J Behav Addict. 2017 Nov 24: 1-14. doi: 10.1556 / 2006.6.2017.065.
Lindenberg K1, Szász-Janocha C1, Schoenmaekers S1, Wehrmann U2, Vonderlin E3.
Abstract
Context și obiective
Deși primele abordări ale tratamentului pentru tulburările de utilizare a internetului (DIU) s-au dovedit a fi eficiente, utilizarea serviciilor de sănătate a rămas scăzută. Noile modele de servicii se concentrează pe sistemele integrate de îngrijire a sănătății, care facilitează accesul și reduc poverile utilizării asistenței medicale și intervențiile pas cu pas, care oferă în mod eficient terapie individualizată.
Metode
An integrated health care approach for IUD intended to (a) be easily accessible and comprehensive, (b) cover a variety of comorbid syndromes, and (c) take heterogeneous levels of impairment into account was investigated in a one-armed prospective intervention study on n = 81 patients, who were treated from 2012 to 2016.
REZULTATE
First, patients showed significant improvement in Compulsive Internet Use over time, as measured by hierarchical linear modeling. Effect sizes of outcome change from baseline to 6-month follow-up ranged from d = 0.48 to d = 1.46. Second, differential effects were found depending on patients’ compliance, demonstrating that high compliance resulted in significantly higher rates of change. Third, patients referred to minimal interventions did not differ significantly in amount of change from patients referred to intensive psychotherapy.
Discuție
Tailored interventions result in higher efficiency through optimized resource allocation and equal amounts of symptom change in all treatment conditions. Moreover, comprehensive, low-threshold interventions seem to increase health service utilization.
CUVINTE CHEIE: Internet Gaming Disorder; Internet addiction; integrated health care; mental health; stepped-care; treatment
PMID: 29171280
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