As one kind of nonsubstance addiction, internet gaming addiction (IGA) is characterized as a behavioral pattern of using internet game excessively and uncontrollably, which could result in pathological consequence. Previous researches recommended Cognitive Behavioral Therapy as the prime treatment due to its efficacy. This article revealed the clinical intervention process combining the cognitive behavioral therapy for internet addiction (CBT-IA) and the I-PACE model to an IGA client. The intervention consists four phases as Preparation Phase (session 1-4), Behavior Modification Phase (session 5-6), Cognitive Restructuring Phase (session 7-10) and Harm Reduction Phase (session 11). The results showed that the client's weekly gaming time decreased from 45 hours to 30 hours, with a 23.5% reduction in the CIAS-R scale score, and significant alleviation of depressive and anxiety symptoms. Data indicated the intervention gained good outcomes. This study aims to make therapeutic evaluation of CBT-IA for Chinese undergraduate who are addicted to Internet game and verify the effectiveness of the I-PACE model from a case perspective.
TAN Lunyu
,
CAI Yuan
,
WANG Jianping
. A Case Report on Cognitive Behavioral Therapy Interventions for Internet Gaming Addiction in Chinese Undergraduates Based on the I-PACE Model[J]. Psychological Communications, 2025
, 8(4)
: 337
-346
.
DOI: 10.12100/j.issn.2096-5494.225046
[1] 常茜芮, 何蔚祺. (2024). 网络游戏成瘾者的情绪加工异常.心理科学进展, 32(7), 1152-1163. doi: 10.3724/SP.J.1042.2024.01152
[2] 陈伟伟, 高亚兵, 彭文波. (2009). 中文网络成瘾量表在浙江省933名大学生中的信效度研究.中国学校卫生, 30(7), 613-615.
[3] 邓林园, 方晓义, 万晶晶, 张锦涛, 夏翠翠. (2012). 大学生心理需求及其满足与网络成瘾的关系.心理科学, 35(1), 123-128. doi: 10.16719/j.cnki.1671-6981.2012.01.002
[4] 卢珊, 段昕雨, 邱明悦. (2020). 抑郁-焦虑-压力量表简体中文版在大学生群体中的纵向等值性.中国临床心理学杂志, 28(5), 950-953. doi: 10.16128/j.cnki.1005-3611.2020.05.019
[5] 王国猛, 郭文. (2021). 简版情绪调节困难量表在中国大学生群体中的信效度.中国临床心理学杂志, 29(5), 956-961. doi: 10.16128/j.cnki.1005-3611.2021.05.013
[6] 张玉才. (2024). 大学生生活压力与网络游戏成瘾: 基本心理需求、游戏动机的链式中介作用(硕士学位论文). 西南大学, 重庆.
[7] 邹昕晋. (2022). I-PACE模型视角下预防初中生手机依赖的社会工作实践研究(硕士学位论文), 云南大学, 昆明.
[8] American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders, fifth edition, text revision (DSM-5-TR). American Psychiatric Association.
[9] Beck A. T., Epstein N., Brown G., & Steer R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties.J Consult Clin Psychol, 56(6), 893-897. doi:10.1037//0022-006x.56.6.893
[10] Dozois D. J. A., Dobson K. S., & Ahnberg J. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II.Psychol Assess, 10(2), 83-89. doi:10.1037//1040-3590.10.2.83
[11] Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess, 26(1), 41-54. doi:10.1023/B:JOBA.0000007455.08539.94
[12] Ko C. H., Yen C. F., Yen C. N., Yen J. Y., Chen C. C., & Chen S. H. (2005). Screening for Internet addiction: An empirical study on cut-off points for the Chen Internet Addiction Scale.Kaohsiung J Med Sci, 21(12), 545-551. doi:10.1016/s1607-551x(09)70206-2
[13] Lin P. Y., Lin H. C., Lin P. C., Yen J. Y., & Ko C. H. (2020). The association between emotional regulation and Internet gaming disorder.Psychiatry Res, 289, 113060. doi:10.1016/j.psychres.2020.113060
[14] Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories.Behav Res Ther, 33(3), 335-343. doi:10.1016/0005-7967(94)00075-u
[15] Müller, T., & Bonnaire, C. (2021). Intrapersonal and interpersonal emotion regulation and identity: A preliminary study of avatar identification and gaming in adolescents and young adults.Psychiatry Res, 295, 113627. doi:10.1016/j.psychres.2020.113627
[16] Sechi C., Loi G., & Cabras C. (2021). Addictive Internet behaviors: The role of trait emotional intelligence, self-esteem, age, and gender.Scand J Psychol, 62(3), 409-417. doi:10.1111/sjop.12698
[17] Servidio R., Sinatra M., Griffiths M. D., & Monacis L. (2021). Social comparison orientation and fear of missing out as mediators between self-concept clarity and problematic smartphone use.Addict Behav, 122, 107014. doi:10.1016/j.addbeh.2021.107014
[18] Uçur, Ö., & Dönmez, Y. E. (2021). Problematic Internet gaming in adolescents, and its relationship with emotional regulation and perceived social support.Psychiatry Res, 296, 113678. doi:10.1016/j.psychres.2020.113678
[19] Wang Z. L., Song K. R., Zhou N., Potenza M. N., Zhang J. T., & Dong G. H. (2022). Gender-related differences in involvement of addiction brain networks in Internet gaming disorder: Relationships with craving and emotional regulation.Prog Neuropsychopharmacol Biol Psychiatry, 118, 110574. doi:10.1016/j.pnpbp.2022.110574
[20] Young, K. S. (2011). CBT-IA: The first treatment model for Internet addiction.J Cogn Psychother, 25(4), 304-312. doi:10.1891/0889-8391.25.4.304
[21] Young, K. S., & Brand, M. (2017). Merging theoretical models and therapy approaches in the context of Internet gaming disorder: A personal perspective.Front Psychol, 8, 1853. doi:10.3389/fpsyg.2017.01853
[22] Zhang, M. M., & Bian, Y. F. (2021). An analysis of the brain structures underlying the link between pathological Internet use and anxiety.Addict Behav, 112, 106632. doi:10.1016/j.addbeh.2020.106632
[23] Zhang Z. J., Wang M., Meng G. T., Qi Y. Y., Wang L. X., & Dong G. H. (2025). Altered dynamic reconfiguration of brain functional networks during gaming and deprivation in individuals with Internet gaming disorder.J Behav Addict, 14(2), 776-792. doi:10.1556/2006.2025.00036
