Purpose

We aimed to evaluate the effect and neurophysiological mechanism of physical exercise intervention combined with cognitive behavioral therapy on mood and frontal alpha asymmetry in the treatment of Internet gaming disorder.

Methods

Fifty male adolescents with Internet gaming disorder were randomly assigned to one of two groups. In the cognitive behavioral therapy + physical exercise group (CBT + PE group, n = 25), participants underwent eight sessions of cognitive behavioral therapy and six sessions of exercise intervention; in the cognitive behavioral therapy-only group (CBT-only group, n = 25), participants underwent eight sessions of cognitive behavioral therapy and six sessions of supportive counseling. A resting quantitative electroencephalogram, Young Internet Addiction Scale, the Korean Attention Deficit Hyperactivity Disorder Rating Scale, Beck Depression Inventory, and Beck Anxiety Inventory were evaluated before and after the intervention.

Results

Although both the CBT + PE and CBT-only groups showed a significant reduction in Beck Depression Inventory and Young Internet Addiction Scale scores, indexing a decrease in depression, this effect was more pronounced in the CBT + PE group than in the CBT-only group. An increase in the F4–F3 and F8–F7 frontal alpha asymmetry values was more pronounced in the CBT + PE group than in the CBT-only group.

Conclusion

Physical exercise intervention in combination with cognitive behavioral therapy for individuals with Internet gaming disorder seems to improve the severity of internet use and depressive mood and enhance left prefrontal activation.

中文翻译：

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体育锻炼对网络游戏障碍者情绪和额叶α不对称的影响

目的

我们旨在评估体育锻炼干预与认知行为疗法相结合对互联网游戏障碍的情绪和额叶不对称性的影响和神经生理机制。

方法

将五十名患有网络游戏障碍的男性青少年随机分为两组。在认知行为疗法+体育锻炼组（CBT + PE组，n = 25）中，参与者进行了八次认知行为疗法和六次运动干预。在仅认知行为治疗组（仅CBT组，n = 25）中，参与者接受了八次认知行为治疗和六次支持咨询。在干预前后，评估了静息定量脑电图，年轻互联网成瘾量表，韩国注意缺陷多动障碍评分量表，贝克抑郁量表和贝克焦虑量表。

结果

尽管CBT + PE和仅CBT组均显示贝克抑郁量表和年轻互联网成瘾量表得分显着降低，表明抑郁症的减少，但CBT + PE组比仅CBT组更明显。与仅使用CBT的组相比，CBT + PE组的F4-F3和F8-F7额叶不对称值的增加更为明显。

结论

体育锻炼与认知行为疗法相结合对患有互联网游戏障碍的人似乎可以改善互联网使用和抑郁情绪的严重程度，并增强左前额叶的激活。