Abstract

Internet gaming disorder (IGD) is the complicated behavioral and mental disorder. IGD is suggested as a one of the addictive disorders, also, it has unique characteristic features. Considering the public health model where agent, host and environmental factors are proposed as main determinants of addiction, the persons with IGD have the most wide age range and the internet game showed the highest accessibility. Also, based on the bio-psycho-social model of addiction, IGD relates variable spectrum of comorbid psychiatric conditions and socio-cultural context. Therefore, we developed multidimensional assessment protocol entitled K-PPC (Korean Patient Placement Criteria) for IGD and tailored individual intervention approaches entitled STEP (Stepped Tailored Empowerment Program) based on the concept proposed by the ASAM PPC (American Society of Addiction Medicine) model for the alcohol use disorders. ASAM model suggested the multidimensional matrix composed by 6 domains for the assessment of AUD. K-PPC Assessment protocol is composed by 4 domains which were internet game use behaviors, comorbid psychiatric problems, motivation, and the factors affecting recovery and relapse. STEP intervention matrix were composed by seriousness (basic and intensive) and characteristics of comorbid psychiatric problems (introversion and extroversion). The treatment program was developed based on the evidence based programs like cognitive behavioral treatment and motivational interviewing. The period of the basic and intensive intervention are 8 weeks and 16 weeks, respectively. We conducted randomized clinical trial with 80 subjects to evaluate the validity and effectiveness of the the STEP for IGD in the community setting. Regarding the validity of assessment protocol, the intensive intervention group showed more seriousness of internet game use problems compared to the basic intervention group. And, the introversion group showed more anxious and depressive psychopathologies while extroversion group showed more impulsive behavioral pattern. Regarding the efficacy of STEP, treatment outcome were better in the STEP group compared to the As Usual treatment group.

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