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治疗网络成瘾障碍:国际系统评价和 CONSORT 评估。

Treatment of Internet gaming disorder: An international systematic review and CONSORT evaluation.

机构信息

School of Psychology, The University of Adelaide, Australia.

School of Psychology, The University of Adelaide, Australia.

出版信息

Clin Psychol Rev. 2017 Jun;54:123-133. doi: 10.1016/j.cpr.2017.04.002. Epub 2017 Apr 14.

Abstract

Treatment services for Internet gaming disorder are becoming increasingly prevalent worldwide, particularly in East Asia. This international systematic review was designed to appraise the quality standards of the gaming disorder treatment literature, a task previously undertaken by King et al. (2011) prior to the inclusion of Internet gaming disorder in Section III of the DSM-5 and 'Gaming disorder' in the draft ICD-11. The reporting quality of 30 treatment studies conducted from 2007 to 2016 was assessed. Reporting quality was defined according to the 2010 Consolidating Standards of Reporting Trials (CONSORT) statement. The results reaffirmed previous criticisms of these trials, namely: (a) inconsistencies in the definition, diagnosis, and measurement of disordered use; (b) lack of randomization and blinding; (c) lack of controls; and (d) insufficient information on recruitment dates, sample characteristics, and effect sizes. Although cognitive-behavioral therapy has a larger evidence base than other therapies, it remains difficult to make definitive statements on its benefits. Study design quality has not improved over the last decade, indicating a need for greater consistency and standardization in this area. Continuing international efforts to understand the core psychopathology of gaming disorder are vital to developing a model of best practice in treatment.

摘要

治疗网络成瘾障碍的服务在全球范围内越来越普遍,尤其是在东亚地区。这项国际系统评价旨在评估游戏障碍治疗文献的质量标准,这是 King 等人(2011 年)在 DSM-5 第 III 节中纳入网络成瘾障碍和 ICD-11 草案中的“游戏障碍”之前完成的任务。评估了 2007 年至 2016 年期间进行的 30 项治疗研究的报告质量。根据 2010 年的《临床试验报告统一标准》(CONSORT)声明定义了报告质量。结果再次证实了对这些试验的先前批评,即:(a)在定义、诊断和测量障碍使用方面存在不一致;(b)缺乏随机化和盲法;(c)缺乏对照;以及(d)关于招募日期、样本特征和效应大小的信息不足。尽管认知行为疗法比其他疗法有更大的证据基础,但仍难以对其益处做出明确的陈述。过去十年中,研究设计质量并未提高,表明需要在这一领域更加一致和标准化。继续进行国际努力以了解游戏障碍的核心心理病理学,对于制定治疗最佳实践模式至关重要。

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