Internet Addiction
Conditions
Keywords
Internet dependence, Sleep disorders, pathological gambling
Brief summary
This is an open label randomized controlled trial, comparing two modes of treatment for internet addiction (gaming or gambling online) with sleep disorders associated.
Detailed description
We will check sleep disorders among patients presenting internet dependence. Diagnosis will be followed by a specific treatment during three months. This treatment is expected to reduce prevalence of internet dependence and associated addictive disorders (alchohol, nicotine) . rate of sleep disorders is also expected to decrease under treatment. This is an open label randomized controlled trial, comparing two modes of treatment for internet addiction (gaming or gambling online) with sleep disorders associated. Patients will be randomised in two arms : controls (CBT treatment of Internet dependence) and intervention (CBT treatment of addiction plus CBT treatment of sleep disorders).
Interventions
BEHAVIORALCBT treatment of internet dependence
CBT treatment of internet dependence
BEHAVIORALCBT treatment of sleep disorders
CBT treatment of sleep disorders
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Internet addiction (Young scale ≥5) * Online compulsive gambling ( DSM IV scale for pathological gambling and SOGS) and/or addiction to online gaming (problem video game playing ≥ 5) * sleep latency \>45 min/night and more than 3 nights a week * subjective total sleep time \<6h30/night more than 3 nights a week * Adult patient
Exclusion criteria
* cognitive impairments, memory disorders, non french-speaking patients * already known and on treatment sleep pathologies * somatic conditions non compatible with clinical evaluation * cybersex dependance * Treatment with dopaminergic agents * patients under jurisdictional assistance * patients non covered by the french health system * non consenting patients * History of Healthcare for internet dependence * Patients already treated for internet dependance * pregnant or lactating women * Patients already participating in other studies on internet dependance and sleeping disorders * suicide attempt before inclusion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of hours each week spent gaming or online gambling | 6 months | The evaluation period will be 7 days of follow-up visit at 6 months. Each patient will complete a connection agenda that will provide the therapist during follow-up visits. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| insomnia | 3 and 6months | measure with Insomnia Severity Index (ISI) |
| daytime sleepiness | 3 and 6 months | daytime sleepiness with specific scales ( Epworth and KAROLINSKA) |
| total sleep time | 3 and 6 months | total sleep time (actimetry, sleep agenda) Actimetry results will be centrally reviewed by experts blinded to realization date |
| number of awakenings during night | 3 and 6 months | number of awakenings during night (actimetry) Actimetry results will be centrally reviewed by experts blinded to realization date |
| treatment with hypnotics | 3 and 6 months | Number of tablets taken each week |
| Number of hours spent on line gaming or online gambling | 3 months | — |
| Anxiety | 3and 6 months | Anxiety scores at the MINI questionnaire |
| Alcohol dependence | 3 and 6 months | Alcohol dependence assess with severity AUDIT scale |
| Nicotine Dependence | 3 and 6 months | assess with Fagerstrom scale |
| Other psychoactive agents | 3 and 6 months | assess with RDAPS questionnaire |
| Compliance | 3 and 6 months | Compliance will be studied with the participation of patients to CBT groups at 3 and 6 months. |
| Depression | 3 and 6 months | score of depression at the MINI questionnaire |
Countries
France
Outcome results
None listed