PMID- 29565776
OWN - NLM
STAT- MEDLINE
DCOM- 20191014
LR  - 20191014
IS  - 1545-0848 (Electronic)
IS  - 1055-0887 (Linking)
VI  - 37
IP  - 1-2
DP  - 2018 Jan-Jun
TI  - Therapeutic mechanisms of Mindfulness-Oriented Recovery Enhancement for internet 
      gaming disorder: Reducing craving and addictive behavior by targeting cognitive 
      processes.
PG  - 5-13
LID - 10.1080/10550887.2018.1442617 [doi]
AB  - Background: 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. Aims: 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. Methods: Participants (N = 30, Age M = 25.0, SD  = 
      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. Results: 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. Discussion: 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.
FAU - Li, Wen
AU  - Li W
AD  - a School of Social Work, Rutgers , The State University of New Jersey , New 
      Jersey , USA.
FAU - Garland, Eric L
AU  - Garland EL
AD  - b Center on Mindfulness and Integrative Health Intervention Development (C-MIIND) 
      & College of Social Work , University of Utah , Salt Lake City , Utah , USA.
FAU - Howard, Matthew O
AU  - Howard MO
AD  - c School of Social Work , University of North Carolina at Chapel Hill , Chapel 
      Hill , North Carolina , USA.
LA  - eng
GR  - R01 DA042033/DA/NIDA NIH HHS/United States
GR  - R61 AT009296/AT/NCCIH NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20180322
PL  - England
TA  - J Addict Dis
JT  - Journal of addictive diseases
JID - 9107051
SB  - IM
MH  - Adult
MH  - Behavior, Addictive/*psychology
MH  - *Cognition
MH  - *Craving
MH  - Female
MH  - Humans
MH  - *Internet
MH  - Male
MH  - *Mindfulness
MH  - Young Adult
OTO - NOTNLM
OT  - Internet gaming disorder
OT  - MORE
OT  - cognitive reappraisal
OT  - maladaptive cognitions
OT  - mindfulness treatment
EDAT- 2018/03/23 06:00
MHDA- 2019/10/15 06:00
CRDT- 2018/03/23 06:00
PHST- 2018/03/23 06:00 [pubmed]
PHST- 2019/10/15 06:00 [medline]
PHST- 2018/03/23 06:00 [entrez]
AID - 10.1080/10550887.2018.1442617 [doi]
PST - ppublish
SO  - J Addict Dis. 2018 Jan-Jun;37(1-2):5-13. doi: 10.1080/10550887.2018.1442617. Epub 
      2018 Mar 22.