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      A network Meta-analysis of the intervention effect of various measures on adolescents' Internet addiction

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          Abstract

          Objective To evaluate the effects of different interventions on adolescents' Internet addiction and to clarify the optimal interventions, so as to provide a reference for intervention for adolesents’ Internet addiction.

          Methods A randomized controlled trial of Internet addiction interventions in domestic and foreign databases such as Web of Science, PubMed, EMBASE, Pro- Quest, China Knowledge Network, Wanfang, and Weipu was conducted. The search time was built until November 29, 2019. The network Meta-analysis was performed using Stata 14.0. The standard mean difference ( SMD) and 95%CI were used as the effect indicators to compare the effects of the interventions, and to sort the effects and identify the optimal measures.

          Results A total of 56 articles were included, with a total of 3 705 Internet addicts, including 11 interventions.The analysis showed that compared with the non-intervention group, the general group psychological intervention, group CBT, exercise intervention, family intervention, elec- troacupuncture intervention, other intervention and comprehensive intervention had statistically significant differences in reducing the effect of internet addiction ( SMD = −1.17, −1.57, −1.07, −2.21, −2.56, −1.86, −1.54, −2.61, P<0.05); Compared with the general mental health education group, in addition to general group psychological intervention, interpersonal intervention and drug intervention ( P>0.05), the other interventions have statistically significant differences in reducing the effects of Internet addiction ( P <0.05); Internet addiction interventions are ranked according to the highest to lowest efficacy In turn, comprehensive intervention, family intervention, exercise intervention, electroacupuncture intervention, individual CBT, other intervention, interpersonal intervention, general group intervention, group CBT, general mental health education and drug intervention.

          Conclusion Comprehensive intervention shows the best effects for adolescent Internet addiction. In a single-measure intervention, family intervention is the best. In real life, appropriate interventions can be used according to the actual situation for addiction treatment.

          Abstract

          【摘要】 目的 比较不同干预措施对青少年网络成瘾的干预效果, 明确最优干预措施, 为青少年网络成瘾的干预提 供参考依据。 方法 检索Web of Science、PubMed、EMBASE、ProQuest、中国知网、万方、维普等国内外数据库中网络成瘾干 预的随机对照研究, 检索时间为建库至2019年11月29日。运用Stata 14.0进行网状Meta分析, 以标准均数差 ( SMD)及 95%CI为效应指标, 比较各干预措施之间的效果差异, 并进行效果排序。 结果 共纳人56篇文献3 705名网络成瘾者, 包 括11种干预措施。分析结果显示, 与无干预组相比, 一般团体心理干预、个体认知行为疗法、团体认知行为疗法、运动干 预、家庭干预、电针干预、其他干预和综合干预在减轻网络成瘾效果方面差异有统计学意义 ( SMD值分别为−1.17,−1.57, −1.07, −2.21, −2.56, −1.86, −1.54, −2.61, P值均<0.05);与一般心理健康教育组相比, 除一般团体心理干预、人际干预以及 药物干预外( P值均>0.05), 其余干预措施在减轻网络成瘾效果方面的差异均有统计学意义( P值均<0.05);网络成瘾干预 措施按效果从高到低排序依次为综合干预、家庭干预、运动干预、电针干预、个体认知行为疗法、其他干预、人际干预、一般 团体干预、团体认知行为疗法、一般心理健康教育及药物干预。 结论 综合干预措施对青少年网络成瘾的干预效果最佳, 在单一干预措施中, 家庭干预效果最佳。在现实生活中可以根据实际情况采用合适的干预措施进行成瘾矫治。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 August 2020
          01 August 2020
          : 41
          : 8
          : 1167-1173
          Affiliations
          [1] 1Mental Health Institute, Yuncheng Central Hospital, Yuncheng (044000), Shanxi Province, China
          Author notes
          *Corresponding author: Li Yingqi, E-mail: 1113742153@ 123456qq.com
          Article
          j.cnki.1000-9817.2020.08.013
          10.16835/j.cnki.1000-9817.2020.08.013
          f6c10404-0a28-40b9-acac-f3b806e2faa3
          © 2020 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Self URI (journal-page): http://www.cjsh.org.cn
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Internet,Behavior,addictive,Adolescent,Meta-analysis,Mental health

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