Mindfulness-Oriented Recovery Enhancement for Video Game Addiction in Emerging Adults: Preliminary Findings from Case Reports

  • Wen LiEmail author
  • Eric L. Garland
  • Jennifer E. O’Brien
  • Christine Tronnier
  • Patricia McGovern
  • Blake Anthony
  • Matthew O. Howard
Brief Report


Video game addiction is increasingly prevalent in emerging adults and is associated with physical and psychosocial impairments. However, few evidence-based treatments for video game addiction have been identified or evaluated. Mindfulness treatment is effective for substance use disorders and behavioral addictions, and may be a promising intervention for video game addiction. This report presents theoretical support for mindfulness treatment of video game addiction, describes an adapted mindfulness treatment (i.e., Mindfulness-Oriented Recovery Enhancement (MORE)) for video game addiction, and presents case vignettes that describe preliminary effects of MORE in reducing video game addiction and increasing positive coping. Important methodological issues including conceptualization of the treatment model, feasibility of treatment manual adaptation, and promising therapeutic benefits of the MORE intervention are discussed. Our experience developing a mindfulness treatment of video game addiction may be informative to other investigators planning similar studies. In addition, this report could provide useful guidance to clinicians.


Mindfulness treatment Mindfulness-oriented recovery enhancement Video game addiction Internet gaming disorder Intervention Youth and young adults 



This study was supported by a University of North Carolina at Chapel Hill University Research Council Research Grant and Armfield-Reeves Innovation Fund Grant. E.L.G. was supported by R01DA042033 during the preparation of this manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of University of North Carolina at Chapel Hill University Research Council, Armfield-Reeves Innovation Fund, or the National Institutes of Health.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Standards

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5).

Informed Consent

Informed consent was obtained from all participants for being included in the study.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Wen Li
    • 1
    Email author
  • Eric L. Garland
    • 2
  • Jennifer E. O’Brien
    • 3
  • Christine Tronnier
    • 4
  • Patricia McGovern
    • 3
  • Blake Anthony
    • 5
  • Matthew O. Howard
    • 3
  1. 1.School of Social Work, RutgersThe State University of New JerseyNew BrunswickUSA
  2. 2.College of Social WorkUniversity of UtahSalt Lake CityUSA
  3. 3.School of Social WorkUniversity of North Carolina at Chapel HillChapel HillUSA
  4. 4.School for Social WorkSmith CollegeNorthamptonUSA
  5. 5.EdisonUSA

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