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Adapting Dialectical Behavior Therapy for Treating Problematic Interactive Media Use.

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    Dialectical behavior therapy (DBT) adapted for problematic interactive media use (PIMU) showed positive results in a 15-year-old male. The intervention improved self-regulation, reduced screen time, and enhanced academic performance.

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    Area of Science:

    • Psychiatry
    • Adolescent Medicine
    • Behavioral Therapy

    Background:

    • Clinicians observe increased adolescent overuse of interactive media, leading to sleep disruption, inattention, and social issues.
    • Problematic interactive media use (PIMU) is defined as excessive, dysregulated use affecting mental/physical health and functional capacity.
    • Limited research exists on effective treatments for adolescents experiencing PIMU.

    Purpose of the Study:

    • To document the therapeutic benefits of an adapted dialectical behavior therapy (DBT) intervention for PIMU in an adolescent.
    • To assess the efficacy of DBT in addressing excessive Internet use (gaming, pornography, information-bingeing, social media).

    Main Methods:

    • A 15-year-old male with a history of PIMU received a 7-module DBT intervention over 14 sessions.
    • Outcomes were measured using patient diary cards (affective states, PIMU urges, engagement frequency) and collateral reports from parents and teachers.

    Main Results:

    • The patient demonstrated improved self-regulation, specifically reducing nighttime screen use and pornography consumption.
    • Academic performance improved, with enhanced ability to complete homework without digital distractions.
    • The intervention led to a decrease in the frequency of problematic interactive media use.

    Conclusions:

    • Adapted DBT shows potential as a helpful treatment for adolescents with PIMU and excessive electronic device use.
    • This therapeutic approach warrants further investigation for its effectiveness in managing PIMU in adolescents.