Evidence map›Paper›PMID 41686179›Full record

Trial reportJournal of behavioral addictions2026

The effectiveness of an online acceptance and commitment therapy self-help course in reducing excessive gaming behavior through inhibitory control: A pilot randomized controlled trial.

Xiangyu Li, Yuxin Gao, Lingling Xia, Xuezhi Tang, Yue Wang, Ziyue Wang, Jing Zhang, Lijin Wang, Linlin Mu, Peipei Song and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of behavioral addictions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Xiangyu Li1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.ORCID https://orcid.org/0009-0006-7886-349X
Yuxin Gao1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Lingling Xia1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Xuezhi Tang1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Yue Wang1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Ziyue Wang1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Jing Zhang1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Lijin Wang1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Linlin Mu1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Peipei Song1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Haonan Li1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Wenbo Du1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.
Na Zhong2Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.
Xiaochu Zhang3CAS Key Laboratory of Brain Function and Disease and School of Life Sciences, University of Science and Technology of China, Hefei, Anhui, 230027, China.ORCID https://orcid.org/0000-0002-7541-0130
Dongliang Jiao1School of Mental Health, Bengbu Medical University, Bengbu, Anhui, 233030, China.ORCID https://orcid.org/0000-0002-8751-3823

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Internet Gaming Disorder (IGD) has emerged as a significant mental health concern. However, a substantial number of young people exhibit excessive gaming behavior (EGB) without meeting the full criteria for IGD. Compared to IGD, studies on EGB are limited. On the basis of innovative design acceptance and commitment therapy (ACT) online self-help course, this study explored the mechanism of ACT self-help course improving inhibitory control ability and alleviating EGB. Methods: This study focused on college students with Internet Gaming Disorder-20 Test (IGD-20) scores between 55 and 70 and more than 21 h of weekly gaming time, representing individuals in the EGB stage who had not yet reached IGD. A total of 58 individuals with EGB (mean age = 20.5 ± 1.2 years) underwent an ACT self-help course (n = 30) or a routine education intervention (n = 28). The IGD-20, Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A), and Acceptance and Action Questionnaire (AAQ-II) were used to assess participants before and after the intervention. GO/NOGO tasks and electroencephalogram activities (N200, P300) were also recorded. Results: Compared to the control group, the ACT group exhibited significantly lower game addictive behaviors (IGD-20 score), reduced game time, and improved executive function (BRIEF-A) and cognitive flexibility (AAQ-II). Additionally, the ACT group demonstrated significantly improved NOGO task accuracy, increased N200 amplitude, and shortened P300 latency. Furthermore, correlation analyses and regression model identified that reduced gaming time, alongside improvements in executive function, psychological flexibility, and N200 amplitude, were significant predictors of treatment success. Conclusions: The online ACT self-help course effectively reduced excessive gaming (EGB) and enhanced Inhibitory control. Its efficacy appears driven by simultaneous improvements in psychological and neurocognitive processes, highlighting its clinical potential for treating EGB and IGD.

Indexed as

Acceptance and Commitment TherapyExecutive FunctionInhibition, PsychologicalInternet Addiction DisorderVideo GamesAdolescentAdultElectroencephalographyFemaleHumansMalePilot ProjectsTreatment OutcomeYoung Adultacceptance and commitment therapyexcessive gaming behaviorinhibitory controlinternet gaming disorder

Identifiers

PMID41686179
PMCPMC13132351

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.