Effect of Narrative Therapy-based Group Psychological Counseling on Internet Addiction among Adolescents
Background: There are a large number of psychological problems caused by Internet addiction. We aimed to explore the intervention effect of narrative therapy in combination with Pilates exercise on Internet addiction among adolescents.
Method: From July 2021 to October 2021, 42 adolescents with Internet addiction selected from four communities in Yiyang City of China were randomly divided into the intervention and control groups with 21 members in each group. The intervention group participated in the intervention of narrative therapy in combination with Pilates exercise eight times, whereas the control group did not receive any intervention. The 12-item General Health Questionnaire, Self-rating Young’s Diagnostic Questionnaire of Internet Addiction, and Positive Affect Subscale were used to measure the psychological indexes of the adolescents before and after the intervention.
Results: Compared with those in the control group, the adolescents in the intervention group had an obvious decrease in the degree of Internet addiction with a statistically significant difference before and after the intervention (P < 0.001). After the intervention, the intervention group had significantly higher mental health scores and significantly lower scores for anxiety, depression, social dysfunction, and loss of interest than the control group. After the intervention, the intervention group showed an obvious increase in the score for positive affect with a statistically significant difference before and after the intervention (P < 0.001).
Conclusion: The intervention method proposed in this study could effectively solve the problem of Internet addiction among adolescents.
2. Demir G, Arslan S, Kocoglu-Tanyer D (2020). Daytime sleepiness in university students and internet addiction as the de-terminant. J Addict Nurs, 31(3): 153-160.
3. Bashar MA, Begam N (2020). Prevalence and Determinants of Internet Addiction (IA) and its Association with Psychologi-cal Distress and Quality of Life among Adolescents and Young Adults from a Rural Block of North India. Global J Ad-dict Rehabil Med, 6(5): 63-65.
4. Tang J, Wang J, Xiang D, et al (2017). Ap-plication of substituted decrement treat-ment among adolescents with internet addiction. Chinese J School Health, 38(2): 228-230.
5. Ribeiro AP, Gonçalves MM, Silva JR, et al (2016). Ambivalence in narrative therapy: A comparison between recovered and unchanged cases. Clin Psychol Psychother, 23(2): 166-175.
6. Combs G, Freedman J (2016). Narrative therapy's relational understanding of identity. Fam Process, 55(2): 211-224.
7. Cashin A (2010). Narrative therapy: a psy-chotherapeutic approach in the treatment of adolescents with asperger's disorder. J Child Adolesc Psychiatr Nurs, 21(1): 48-56.
8. Steward T, Menchon JM, Jiménez-Murcia S, et al (2018). Neural network alterations across eating disorders: a narrative review of fMRI studies. Curr Neuropharmacol, 16(8): 1150-1163.
9. Li M, Ren Y (2019). Intervention effects of motivation interviewing chinese modified on the mental health of college students with exercise dependence. Psychiatr Q, 90(2): 447-459.
10. Miyamoto GC, Pena C, Thalissa G, et al (2013). Efficacy of the addition of modi-fied pilates exercises to a minimal inter-vention in patients with chronic low back pain: a randomized controlled trial. Phys Ther, 93(3): 310-320.
11. Hornsby E, Johnston LM (2020). Effect of pilates intervention on physical function of children and youth: a systematic re-view. Arch Phys Med Rehabil, 101(2): 317-328.
12. Chan DW, Chan T (1983). Reliability, validity and the structure of the General Health-Questionnaire in a Chinese context. Psy-chol Med, 13(2): 363-371.
13. Goldberg DP. The Detection of Psychiatric Illness by Questionnaire; A Technique for the Identififica-tion and Assessment of Non-Psychotic Psychiatry Illness; Oxford University Press: Oxford, UK, 1972.
14. Li D, Zhang W, Li X, Zhen S, Wang Y (2010). Stressful life events and problem-atic Internet use by adolescent females and males: A mediated moderation mod-el. Comput Hum Behav, 26(5): 1199-1207.
15. Chen WF, Zhang JX (2004). Factorial and Construct Validity of the Chinese Positive and Negative Affect Scale for Student. Chinese Ment Health J, 18(11): 763-765
16. Chen YX, Li RX, Liu XP (2019). Adoles-cents' Social Withdraw, Active Coping and Internet Addiction: Mediation of Loneliness. Chinese J Clin Psychol, 27(1): 94-98.
17. Liu W (2017). Analysis on Internet addiction and its influencing factors of Korean students in Yanbian University. Chinese J School Health, 38(2): 286-289.
18. Liang H, Wang LG, Fan CL, et al (2016). Relationship Between the Due Self-control System and Internet Addiction Among Adolescents. Chinese Gen Pract, 19(9): 1076-1080.
19. Gómez AM, Cerezo A, Ajayi Beliard C (2020). Deconstructing meta-narratives: utilizing narrative therapy to promote re-silience following sexual violence among women survivors of color. J Sex Marital Ther, 46(3): 282-295.
20. Fleming KM, Herring MP (2018). The ef-fects of pilates on mental health out-comes: A meta-analysis of controlled tri-als. Complement Ther Med, 37: 80-95.
21. Sánchez-Lastra MA, Martínez-Aldao D, Molina AJ, et al (2019). Pilates for people with multiple sclerosis: A systematic re-view and meta-analysis. Mult Scler Relat Disord, 28: 199-212.
22. Eliks M, Zgorzalewicz-Stachowiak M, Zeńczak-Praga K (2019). Application of Pilates-based exercises in the treatment of chronic non-specific low back pain: state of the art. Postgrad Med J, 95(1119): 41-45.
23. Neal JH (2016). Narrative therapy training and supervision. J Syst Ther, 15(1): 63-78.
24. Ribeiro AP, Braga C, Stiles WB, et al (2018). Therapist interventions and client am-bivalence in two cases of narrative thera-py for depression. Psychother Res, 26(6): 681-93.
25. Miyamoto GC, Franco KFM, van Dongen JM, et al (2018). Different doses of Pila-tes-based exercise therapy for chronic low back pain: a randomised controlled trial with economic evaluation. Br J Sports Med, 52(6): 859-868.
|Issue||Vol 51 No 6 (2022)|
|Narrative therapy Pilates exercise Internet addiction Mental health|
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