Therapeutic mechanisms of Mindfulness-Oriented Recovery Enhancement for internet gaming disorder: Reducing craving and addictive behavior by targeting cognitive processes

Mar 23, 2018Journal of addictive diseases

How Mindfulness-Oriented Recovery Enhancement may reduce craving and addictive behavior in internet gaming disorder by changing thinking patterns

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Abstract

Participants (N = 30, Age = 25.0, SD = 5.4) showed reductions in Internet gaming disorder (IGD) severity and cravings after 8 weeks of Mindfulness-Oriented Recovery Enhancement (MORE).

Mindfulness treatment was associated with a decrease in maladaptive gaming-related thoughts.
Changes in these maladaptive cognitions statistically mediated the effects of MORE on IGD severity and cravings.
Positive reappraisal increased significantly more in the mindfulness group compared to the support group, although it did not mediate the effects on IGD or cravings.
Further evaluation of the cognitive mechanisms underlying the treatment effects is needed in future research.

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: Internet gaming disorder (IGD) is characterized by signs and symptoms similar to substance use and gambling disorders, and associated with psychosocial impairments. Research suggests that maladaptive gaming-related cognitions and coping may be implicated in IGD; therefore, interventions for IGD need to target these underlying mechanisms. Mindfulness-based treatment is effective in changing maladaptive cognitive processes and increasing adaptive coping among people with addictions.: This study used data from an RCT of Mindfulness-Oriented Recovery Enhancement (MORE) for IGD to further examine changes in maladaptive gaming-related cognitions and positive reappraisal as mediators of the effects of MORE on IGD signs/symptoms.: Participants (= 30, Age= 25.0, = 5.4) were randomized to 8-weekly sessions of MORE or a support group (SG) control condition. IGD severity, levels of craving for video game playing, maladaptive gaming-related cognitions, and positive reappraisal were measured at pre-and posttreatment, and 3-month follow-up.: Multivariate path analyses revealed that effects of MORE in reducing IGD and craving were statistically mediated by changes in maladaptive gaming-related cognitions. Though changes in positive reappraisal did not significantly mediate effects of MORE on IGD or craving, MORE enhanced positive reappraisal to a significantly greater extent than the SG at posttreatment.: Findings suggest that effects of mindfulness treatment in reducing maladaptive gaming-related cognitions might lead to reductions in IGD severity and cravings for video game playing. This cognitive mechanism should be evaluated in a future, full-scale RCT. Background Aims Methods N M SD Results Discussion

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Therapeutic mechanisms of Mindfulness-Oriented Recovery Enhancement for internet gaming disorder: Reducing craving and addictive behavior by targeting cognitive processes

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