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Development and Effectiveness of Humanities-Based Cognitive Behavior Therapy for Adolescents With Problematic Gaming

Yeji Park1, Ji-Ae Choi2, Doug Hyun Han1

  • 1Department of Psychiatry, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.

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|December 17, 2025
PubMed
Summary
This summary is machine-generated.

A new humanities-based cognitive behavioral therapy (CBT) program significantly reduced symptoms of Internet gaming disorder (IGD), anxiety, and ADHD in adolescents. This approach shows promise for treating problematic gaming and related mental health issues.

Keywords:
AdolescentsAnxietyAttention-deficit/hyperactivity disorderDepressionHumanitiesInternet gaming disorder

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Area of Science:

  • Clinical Psychology
  • Adolescent Psychiatry
  • Digital Health

Background:

  • Problematic gaming, including Internet gaming disorder (IGD), is a growing concern among adolescents.
  • Co-occurring mental health issues like depression, anxiety, and attention-deficit/hyperactivity disorder (ADHD) often accompany problematic gaming.
  • Traditional cognitive behavioral therapy (CBT) approaches may benefit from innovative, tailored interventions.

Purpose of the Study:

  • To evaluate the efficacy of a novel humanities-based CBT program for adolescents (11-15 years) with problematic gaming.
  • To assess the program's impact on symptoms of depression, anxiety, ADHD, and Internet gaming disorder (IGD).

Main Methods:

  • A randomized controlled trial involving adolescents diagnosed with IGD symptoms.
  • Comparison between a humanities-based CBT group (n=20) and a control group receiving supportive therapy (n=21).
  • Assessment of IGD, depression, anxiety, and ADHD symptoms pre- and post-intervention.

Main Results:

  • The humanities-based CBT program led to significant reductions in anxiety, ADHD, and IGD symptoms.
  • Statistically significant differences were observed in IGD and anxiety scores between the intervention and control groups.
  • Positive correlations were noted between depression and IGD, and between anxiety, depression, and IGD post-intervention.

Conclusions:

  • A humanities-based CBT program effectively reduced problematic gaming and associated mental health symptoms in adolescents.
  • Integrating humanities and writing into therapy demonstrates a positive impact on adolescent IGD, anxiety, depression, and ADHD.
  • Further research is recommended to explore the effectiveness of humanities-based therapy in diverse adolescent populations and settings.