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  • 1.
    Gurdal, Sevtap
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Kapetanovic, Sabina
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Einarsson, Isak
    Department of Clinical Sciences, Lund University, Lund (SWE); Region Skåne, Child and Adolescent Psychiatry, Regional Outpatient Care, Lund University Hospital, Lund (SWE).
    Boson, Karin
    Department of Psychology, Inland Norway University of Applied Sciences (NOR).
    Claesdotter-Knutsson, Emma
    Department of Clinical Sciences, Lund University, Lund (SWE); Region Skåne, Child and Adolescent Psychiatry, Regional Outpatient Care, Lund University Hospital, Lund (SWE).
    Adolescents’ Perceptions of a Relapse Prevention Treatment for Problematic Gaming: A Qualitative Study2023In: Healthcare, E-ISSN 2227-9032, Vol. 11, no 17, p. 2366-2366Article in journal (Refereed)
    Abstract [en]

    Given the increasing prevalence of problematic gaming, in 2013, the diagnosis “Internetgaming disorder (IGD)” was included in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) as a potential diagnosis. With a new diagnosis, it is important to determine treatment options. The importance of the parent–child relationship has been emphasised in problematic gaming and its treatment. This study aims to provide more knowledge about adolescents’ perceptions of a treatment for problematic gaming and understand whether such treatment may have a bearing on the parent–child relationship. We conducted individual interviews with nine adolescents who completed a treatment for problematic gaming. The interviews were analysed using thematic analysis. The analysis revealed three themes.

    Theme 1: adolescents’ experiences of the new treatment;

    Theme 2: adolescents’ perceptions of the effect of the treatment on their gaming behaviour; and

    Theme 3: adolescents’ perceptions of changes in their parent–child relationships.

    The adolescents viewed the treatment as a way of gaining control of their gaming, a process in which a therapist played an integral part. For the majority of the adolescents in our study, the main effects of treatment were gaining insight into how their gaming and gaming-related behaviours affected other parts of their lives. The participants felt that the treatment improved their relationship with their parents through reducing everyday conflicts. This new knowledge can be used for the development of future interventions involving children and adolescents.

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  • 2.
    Kapetanovic, Sabina
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology. Department of Psychology, Stockholm University, Stockholm (SWE).
    Gurdal, Sevtap
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Einarsson, Isak
    Child and Adolescent Psychiatry Outpatient Clinic, Region Skåne, Malmö (SWE).
    Werner, Marie
    Child and Adolescent Psychiatry Outpatient Clinic, Region Skåne, Lund (SWE).
    André, Frida
    Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund (SWE).
    Håkansson, Anders
    Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund (SWE); Malmö Addiction Center and Competence Center Addiction, Region Skåne, Malmö (SWE).
    Claesdotter-Knutsson, Emma
    Child and Adolescent Psychiatry Outpatient Clinic, Region Skåne, Lund (SWE); Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund (SWE).
    Relapse Prevention Therapy for Problem Gaming or Internet Gaming Disorder in Swedish Child and Youth Psychiatric Clinics: Protocol for a Randomized Controlled Trial2023In: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 12, p. e44318-e44318Article in journal (Refereed)
    Abstract [en]

    Background:

    Although gaming is a common arena where children socialize, an increasing number of children are exhibiting signs of problem gaming or internet gaming disorder. An important factor to the development of problem gaming is parent-child relationships. A cognitive behavioral therapy-based form of treatment, labeled relapse prevention, has been developed as a treatment for child and adolescent problem gaming or internet gaming disorder. However, no study has evaluated the effect of this treatment among Swedish children and youth nor the role of the parent-child relationships in this treatment.

    Objective:

    This study aims (1) to evaluate a relapse prevention treatment for patients showing signs of problem gaming or internet gaming disorder recruited from child and youth psychiatric clinics and (2) to test whether the quality of parent-child relationships plays a role in the effect of relapse prevention treatment and vice versa-whether the relapse prevention treatment has a spillover effect on the quality of parent-child relationships. Moreover, we explore the carer's attitudes about parent-child relationships and child gaming, as well as experiences of the treatment among the children, their carers, and the clinicians who carried out the treatment.

    Methods:

    This study is a 2-arm, parallel-group, early-stage randomized controlled trial with embedded qualitative components. Children aged 12-18 years who meet the criteria for problem gaming or internet gaming disorder will be randomized in a 1:1 ratio to either intervention (relapse prevention treatment) or control (treatment as usual), with a total of 160 (80 + 80) participants. The primary outcomes are measures of gaming and gambling behavior before and after intervention, and the secondary outcomes include child ratings of parent-child communication and family functioning. The study is supplemented with a qualitative component with semistructured interviews to capture participants' and clinicians' experiences of the relapse prevention, as well as attitudes about parent-child relationships and parenting needs in carers whose children completed the treatment.

    Results:

    The trial started in January 2022 and is expected to end in December 2023. The first results are expected in March 2023.

    Conclusions:

    This study will be the first randomized controlled trial evaluating relapse prevention as a treatment for child and adolescent problem gaming and internet gaming disorder in Sweden. Since problem behaviors in children interact with the family context, investigating parent-child relationships adjacent to the treatment of child problem gaming and internet gaming disorder is an important strength of the study. Further, different parties, ie, children, carers, and clinicians, will be directly or indirectly involved in the evaluation of the treatment, providing more knowledge of the treatment and its effect. Limitations include comorbidity in children with problem gaming and internet gaming disorder and challenges with the recruitment of participants.

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