A Comparative Study of Psychosocial Interventions for Internet Gaming Disorder Among Adolescents Aged 13–17 Years

  • Chanvit Pornnoppadol
  • Woraphat Ratta-aphaEmail author
  • Sirinda Chanpen
  • Supattra Wattananond
  • Nootchanet Dumrongrungruang
  • Kanthip Thongchoi
  • Suphaphorn Panchasilawut
  • Benyapa Wongyuen
  • Apakorn Chotivichit
  • Juntira Laothavorn
  • Asara Vasupanrajit
Original Article


The present study is a quasi-experimental, prospective study of interventions for internet gaming disorder (IGD). One hundred four parents and their adolescent children were enrolled and allocated to one of the four treatment groups; 7-day Siriraj Therapeutic Residential Camp (S-TRC) alone, 8-week Parent Management Training for Game Addiction (PMT-G) alone, combined S-TRC and PMT-G, and basic psychoeducation (control). The severity of IGD was measured by the Game Addiction Screening Test (GAST). The mean difference among groups in GAST scores was statistically significant, with P values of < 0.001, 0.002, and 0.005 at 1, 3, and 6 months post-intervention, respectively. All groups showed improvement over the control group. The percentage of adolescents who remained in the addicted or probably addicted groups was less than 50% in the S-TRC, PMT-G, and combined groups. In conclusion, both S-TRC and PMT-G were effective psychosocial interventions for IGD and were superior to basic psychoeducation alone.


Psychosocial intervention Internet gaming disorder Game addiction Adolescent 



This study was funded by Siriraj Foundation. S-TRC was partially supported by the Thai Ministry of Culture. PMT-G was supported by the Thai Ministry of Social Development and Human Security. We would like to thank all parents and adolescents who joined this study for their dedication. We gratefully acknowledge Ms. Naratip Sanguanpanich for her assistance with statistical analysis. We also greatly appreciate Prof. Dr. Paul Glaser from Washington University, School of Medicine, St. Louis, MO, USA, for his valuable comments during preparation of the manuscript.

Compliance with Ethical Standards

Conflict of Interests

The authors declare that they have no conflict of interest.

Supplementary material

11469_2018_9995_MOESM1_ESM.xlsx (42 kb)
ESM 1 (XLSX 42.3 kb)


  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Association.Google Scholar
  2. Andreassen, C. S., Billieux, J., Griffiths, M. D., Kuss, D. J., Demetrovics, Z., Mazzoni, E., & Pallesen, S. (2016). The relationship between addictive use of social media and video games and symptoms of psychiatric disorders: a large-scale cross-sectional study. Psychology of Addictive Behaviors, 30(2), 252–262. Scholar
  3. Bae, S., Hong, J. S., Kim, S. M., & Han, D. H. (2018). Bupropion shows different effects on brain functional connectivity in patients with Internet-based gambling disorder and Internet gaming disorder. Frontiers in Psychiatry, 9(130).
  4. Brown, T. G., Seraganian, P., Tremblay, J., & Annis, H. (2002). Process and outcome changes with relapse prevention versus 12-step aftercare programs for substance abusers. Addiction, 97(6), 677–689. Scholar
  5. Cohen, J. (1988). Statistical power analysis for the behaviour science (2nd ed.). New York: Lawrence Erlbaum Associated.Google Scholar
  6. Dziura, J. D., Post, L. A., Zhao, Q., Fu, Z., & Peduzzi, P. (2013). Strategies for dealing with missing data in clinical trials: from design to analysis. Yale Journal of Biology and Medicine, 86(3), 343–358.PubMedGoogle Scholar
  7. Ferguson, C. J., Coulson, M., & Barnett, J. (2011). A meta-analysis of pathological gaming prevalence and comorbidity with mental health, academic and social problems. Journal of Psychiatric Research, 45(12), 1573–1578. Scholar
  8. Ferri, M., Amato, L., & Davoli, M. (2006). Alcoholics anonymous and other 12-step programmes for alcohol dependence. Cochrane Database of Systematic Reviews, 3.
  9. Gentile, D. A., Choo, H., Liau, A., Sim, T., Li, D., Fung, D., & Khoo, A. (2011). Pathological video game use among youths: a two-year longitudinal study. Pediatrics, 127(2), e319–e329. Scholar
  10. Graham, J. M. (2014). Narrative therapy for treating video game addiction. International Journal of Mental Health and Addiction, 12(6), 701–707. Scholar
  11. Griffiths, M. D., Davies, M. N., & Chappell, D. (2004). Demographic factors and playing variables in online computer gaming. Cyberpsychology & Behavior, 7(4), 479–487. Scholar
  12. Griffiths, M. D., Kuss, D. J., & Pontes, H. M. (2016). A brief overview of Internet gaming disorder and its treatment. Australian Clinical Psychologist, 2(1), 20108.Google Scholar
  13. Han, D. H., Kim, S. M., Lee, Y. S., & Renshaw, P. F. (2012). The effect of family therapy on the changes in the severity of online game play and brain activity in adolescents with online game addiction. Psychiatry Research, 202(2), 126–131. Scholar
  14. Hummel, A., Shelton, K. H., Heron, J., Moore, L., & van den Bree, M. B. (2013). A systematic review of the relationships between family functioning, pubertal timing and adolescent substance use. Addiction, 108(3), 487–496. Scholar
  15. Kanjanopas, N. (2007). Game addiction. Bangkok: Mahidol University.Google Scholar
  16. Kim, N. R., Hwang, S. S.-H., Choi, J.-S., Kim, D.-J., Demetrovics, Z., Király, O., et al. (2016). Characteristics and psychiatric symptoms of Internet gaming disorder among adults using self-reported DSM-5 criteria. Psychiatry Investigation, 13(1), 58–66. Scholar
  17. King, D. L., & Delfabbro, P. H. (2016). The cognitive psychopathology of Internet gaming disorder in adolescence. Journal of Abnormal Child Psychology, 44(8), 1635–1645. Scholar
  18. Kolkijkovin, V., Wisitpongaree, C., Techakasem, P., Pornnoppadol, C., & Supawattanabodee, B. (2015). Computer game addiction: risk and protective factors in students in dusit district, Bangkok. Vajira Medical Journal, 59(3), 1–13.Google Scholar
  19. Koo, C., Wati, Y., Lee, C. C., & Oh, H. Y. (2011). Internet-addicted kids and south Korean government efforts: boot-camp case. Cyberpsychology, Behavior, and Social Networking, 14(6), 391–394. Scholar
  20. Krishnamra, S., Tanthanawigrai, P., & Pornnoppadol, C. (2013). Prevalence rate and quality of life of game addiction: study in the 4 th –9 th grade students in Bangkok, Thailand. Bangkok: Mahidol University.Google Scholar
  21. Kuss, D. J., & Lopez-Fernandez, O. (2016). Internet addiction and problematic Internet use: a systematic review of clinical research. World Journal of Psychiatry, 6(1), 143–176. Scholar
  22. Lee, C., & Kim, O. (2017). Predictors of online game addiction among Korean adolescents. Addiction Research & Theory, 25(1), 58–66. Scholar
  23. McArdle, P., Wiegersma, A., Gilvarry, E., Kolte, B., McCarthy, S., Fitzgerald, M., et al. (2002). European adolescent substance use: the roles of family structure, function and gender. Addiction, 97(3), 329–336. Scholar
  24. Monahan, T., & Fisher, J. A. (2010). Benefits of ‘observer effects’: lessons from the field. Qualitative Research, 10(3), 357–376. Scholar
  25. Murphy, J. M., Bergmann, P., Chiang, C., Sturner, R., Howard, B., Abel, M. R., & Jellinek, M. (2016). The PSC-17: Subscale scores, reliability, and factor structure in a new national sample. Pediatrics, 138, e20160038. Scholar
  26. Paulus, F. W., Ohmann, S., von Gontard, A., & Popow, C. (2018). Internet gaming disorder in children and adolescents: a systematic review. Developmental Medicine and Child Neurology, 60(7), 645–659. Scholar
  27. Peng, W., & Liu, M. (2010). Online gaming dependency: a preliminary study in China. Cyberpsychology, Behavior, and Social Networking, 13(3), 329–333. Scholar
  28. Petry, N. M., & O'brien, C. P. (2013). Internet gaming disorder and the DSM-5. Addiction, 108(7), 1186–1187. Scholar
  29. Petry, N. M., Rehbein, F., Ko, C.-H., & O’Brien, C. P. (2015). Internet gaming disorder in the DSM-5. Current Psychiatry Reports, 17(9), 72. Scholar
  30. Poddar, S., Sayeed, N., & Mitra, S. (2015). Internet gaming disorder: application of motivational enhancement therapy principles in treatment. Indian Journal of Psychiatry, 57(1), 100–101. Scholar
  31. Pornnoppadol, C., Rohitsuk, W., Hasdinrat, M., Yasinthorn, N., & Ketumarn, P. (2011). Manual of training for the trainers of parent management training program. Bangkok: Charansanitwong Printing.Google Scholar
  32. Pornnoppadol, C., Tanthanawigrai, P., Krishnamra, S., Rohitsuk, W., & Hasdinrat, M. (2013). Efficacy of parent management training program for game addiction in the 4 th –9 th grade students. Bangkok: Mahidol University.Google Scholar
  33. Pornnoppadol, C., Sornpaisarn, B., Khamklieng, K., & Pattana-amorn, S. (2014). The development of game addiction screening test (GAST). Journal of The Psychiatric Association of Thailand, 59(1), 3–14.Google Scholar
  34. Pornnoppadol, C., na Ayudhaya, S. L., Phoasavasdi, C., & Surapongphiwattana, T. (2017). Development of Game Addiction Protection Scale (GAME-P). Journal of The Psychiatric Association of Thailand, 62(1), 3–16.Google Scholar
  35. Przybylski, A. K., Weinstein, N., & Murayama, K. (2016). Internet gaming disorder: investigating the clinical relevance of a new phenomenon. American Journal of Psychiatry, 174(3), 230–236. Scholar
  36. Sakuma, H., Mihara, S., Nakayama, H., Miura, K., Kitayuguchi, T., Maezono, M., et al. (2017). Treatment with the self-discovery camp (SDiC) improves Internet gaming disorder. Addictive Behaviors, 64, 357–362. Scholar
  37. Scharkow, M., Festl, R., & Quandt, T. (2014). Longitudinal patterns of problematic computer game use among adolescents and adults—a 2-year panel study. Addiction, 109(11), 1910–1917. Scholar
  38. Song, J., Park, J. H., Han, D. H., Roh, S., Son, J. H., Choi, T. Y., et al. (2016). Comparative study of the effects of bupropion and escitalopram on Internet gaming disorder. Psychiatry and Clinical Neurosciences, 70(11), 527–535. Scholar
  39. Subramaniam, M., Chua, B. Y., Abdin, E., Pang, S., Satghare, P., Vaingankar, J. A., et al. (2016). Prevalence and correlates of internet gaming problem among internet users: results from an internet survey. Annals Academy of Medicine Singapore, 45(5), 174–183.Google Scholar
  40. Torres-Rodríguez, A., Griffiths, M. D., & Carbonell, X. (2018). The treatment of Internet gaming disorder: a brief overview of the PIPATIC program. International Journal of Mental Health and Addiction, 16, 1000–1015.CrossRefGoogle Scholar
  41. Wang, C.-W., Chan, C. L., Mak, K.-K., Ho, S.-Y., Wong, P. W., & Ho, R. T. (2014). Prevalence and correlates of video and internet gaming addiction among Hong Kong adolescents: a pilot study. The Scientific World Journal, 2014, 1–9. Scholar
  42. Wei, H.-T., Chen, M.-H., Huang, P.-C., & Bai, Y.-M. (2012). The association between online gaming, social phobia, and depression: an internet survey. BMC Psychiatry, 12(1), 92. Scholar
  43. Weinstein, A., & Weizman, A. (2012). Emerging association between addictive gaming and attention-deficit/hyperactivity disorder. Current Psychiatry Reports, 14(5), 590–597. Scholar
  44. World Health Organization (2018). 6C51 Gaming disorder. ICD-11 (Mortality and Morbidity Statistics). Retrieved from
  45. Yen, J.-Y., Liu, T.-L., Wang, P.-W., Chen, C.-S., Yen, C.-F., & Ko, C.-H. (2017). Association between Internet gaming disorder and adult attention deficit and hyperactivity disorder and their correlates: Impulsivity and hostility. Addictive Behaviors, 64, 308–313. Scholar
  46. Young, K. S. (2007). Cognitive behavior therapy with Internet addicts: treatment outcomes and implications. Cyberpsychology & Behavior, 10(5), 671–679. Scholar
  47. Yu, H., & Cho, J. (2016). Prevalence of Internet gaming disorder among Korean adolescents and associations with non-psychotic psychological symptoms, and physical aggression. American Journal of Health Behavior, 40(6), 705–716. Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Chanvit Pornnoppadol
    • 1
  • Woraphat Ratta-apha
    • 1
    Email author
  • Sirinda Chanpen
    • 1
  • Supattra Wattananond
    • 1
  • Nootchanet Dumrongrungruang
    • 1
  • Kanthip Thongchoi
    • 1
  • Suphaphorn Panchasilawut
    • 1
  • Benyapa Wongyuen
    • 2
  • Apakorn Chotivichit
    • 2
  • Juntira Laothavorn
    • 3
  • Asara Vasupanrajit
    • 1
  1. 1.Department of Psychiatry, Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand
  2. 2.Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand
  3. 3.Emory UniversityAtlantaUSA

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