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Mindfulness programs for problematic usage of the internet: A systematic review and meta-analysis
Johannes C Fendel1, Annika Vogt1, Annika Brandtner2
11Department of Psychosomatic Medicine and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Mindfulness programs (MPs) significantly reduce problematic internet usage (PUI). These programs also show potential for decreasing screen time, though more high-quality research is needed.
Area of Science:
- Behavioral Psychology
- Digital Health
- Mental Health Interventions
Background:
- Problematic internet usage (PUI) encompasses uncontrolled and excessive online behaviors.
- Mindfulness programs (MPs) are increasingly investigated for their potential to mitigate PUI.
Purpose of the Study:
- To conduct a systematic review and meta-analysis on the effectiveness of mindfulness programs for reducing problematic internet usage.
- To evaluate the impact of MPs on screen time as a secondary outcome.
Main Methods:
- Searched eight databases from inception to October 18, 2022, including randomized controlled trials (RCTs) and nonrandomized trials (NRTs).
- Analyzed changes in self-reported PUI and screen time as primary and secondary outcomes, respectively.
- Included 19 RCTs and 20 NRTs involving 1,549 participants.
Main Results:
- MPs demonstrated large reductions in PUI across RCTs (g = -1.67) and within-group analyses (g = -1.67).
- A medium reduction in screen time was observed in within-group analyses (g = -0.65).
- Results remained significant across sensitivity analyses, but heterogeneity was high and evidence quality was low.
Conclusions:
- Mindfulness programs are likely effective in reducing problematic internet usage.
- MPs may also be effective in reducing screen time.
- Further high-quality, long-term controlled trials are necessary to confirm these findings due to current evidence limitations.
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