인터넷게임중독의 단계적, 맞춤형 조절력 향상 치료개입 프로그램의 개발

Development of STEP (Stepped Tailored Empowerment Program) for the Treatment of Internet Gaming Disorder

Internet gaming disorder (IGD) is a complicated behavioral and mental disorder. IGD is suggested as a one of the addictive dis-orders, also, it has unique characteristic features. Because of the bio-psycho-social model of addiction, IGD is part of a wide spectrum of comorbid psychiatric conditions and sociocultural contexts. Based on previous qualitative studies, we can define the intervention strategy based on the severity of the client’s addiction and characteristics of the problem. Therefore, we developed a multidimensional assessment protocol entitled K-PPC (Korean Patient Placement Criteria) for IGD and a tailored individual intervention approach entitled STEP (Stepped Tailored Empowerment Program) based on the concept proposed by the ASAM PPC (American Society of Addiction Medicine) model designed to help those who abuse alcohol and the Stepped model for ad-diction disorders. The K-PPC Assessment protocol is composed of 4 domains; internet game use behaviors, concurrent psychiatric problems, motivation, and the environmental factors affect-ing recovery and relapse. The STEP intervention matrix was composed of the severity of the addiction (basic and intensive) and concurrent psychiatric problems (introversion and extroversion). The treatment program was developed using information taken from evidence-based programs like cognitive behavioral treatment and motivational interviewing. The periods of the basic and intensive intervention are 8 weeks and 16 weeks, respectively. Because of the tailored approach of STEP, it is hypothesized that outcomes will be better compared to those in people treated with the current standard of care.