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Comparative Effectiveness of Mind-Body Exercise Versus Cognitive Behavioral Therapy for College Students with Problematic Smartphone Use: A Randomized Controlled Trial
Authors:Chunping Lu  Liye Zou  Benjamin Becker  Mark D. Griffiths  Qian Yu  Si-Tong Chen  Zsolt Demetrovics  Can Jiao  Xinli Chi  Aiguo Chen  Albert Yeung  Shijie Liu  Yanjie Zhang
Abstract:Purpose: The purpose of the present study was to compare the effectiveness of mind-body exercise (ME) and cognitive behavioral therapy (CBT)on addiction level and psychological well-being among college students with problematic smartphone use (PSU). Methods: A 12-week randomized controlledstudy was carried out at a university in central China. A total of 95 PSU collegestudents who met the inclusion criteria were randomly assigned to a ME group(ME, n = 31), CBT group (CBT, n = 30), or control group (CG, n = 34). BothME intervention and CBT, twice per week for 90 min per session, lasting for12 weeks were administered by a certified therapist respectively. Participants inthe CG group were asked to maintain their original lifestyle. Results: A significant reduction in addiction level (p < 0.001 for ME vs. CBT; p < 0.001 forME vs. CG), loneliness (p < 0.001 for ME vs. CG), anxiety (p < 0.001 forME vs. CG; p < 0.001 for CBT vs. CG) was found. Only significant stressreduction was observed in ME and CBT between baseline and Week 12 (ps< 0.001). Conclusions: ME and CBT (mainstream psychotherapy) may effectively overcome PSU of college students, and reduced the level of smartphoneaddiction, loneliness, anxiety, and stress. Furthermore, as a culture-specific,low-cost, and readily accessible training program with multiple components(gentle movement, anatomic alignment, mental focus, deep breathing, and meditative state of mind that is similar to mindfulness emphasizing noncompetitive, present-moment, and nonjudgmental introspective component), MEseems to be superior to CBT in terms of PSU.
Keywords:Qigong  cognitive behavioral therapy  smartphone addiction  psychological health
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