Evidence map›Paper›PMID 42313186›Full record

ArticleEuropean child & adolescent psychiatry2026

From overuse to self-control: impact of a psychosocial skills program in preventing internet addiction among Tunisian adolescents.

Randaline Ayoub, Ameni Belghith, Imen Mlouki, Wassila Habbachi, Haifa Skhiri, Oumayma Skhiri, Basma Jerbi, Jamila Bahri, Hamed Hochlaf, Faouzia Trimech and 4 more

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Article in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Randaline AyoubDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia. ayoub.randaline@gmail.com.ORCID http://orcid.org/0009-0007-8767-5826
Ameni BelghithDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Imen MloukiDepartment of Preventive and Community Medicine, Faculty of Medicine, Taher Sfar University Hospital Mahdia, University of Monastir, Monastir, Tunisia.
Wassila HabbachiUniversity of Monastir, Monastir, Tunisia.
Haifa SkhiriRegional Directorate of Education, Ministry of Education, Monastir, Tunisia.
Oumayma SkhiriDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Basma JerbiUniversity of Monastir, Monastir, Tunisia.
Jamila BahriUniversity of Monastir, Monastir, Tunisia.
Hamed HochlafRegional Directorate of University Services, Ministry of Higher Education and Scientific Research, Monastir, Tunisia.
Faouzia TrimechDirectorate of School and University Medicine of Monastir, Ministry of Health, Monastir, Tunisia.
Hela Ben AbidDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Maha AjmiDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.
Sana El MhamdiDepartment of Preventive and Community Medicine, Faculty of Medicine, Taher Sfar University Hospital Mahdia, University of Monastir, Monastir, Tunisia.
Asma GuedriaDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, Fattouma Bourguiba University Hospital, University of Monastir, Monastir, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInternet addiction can negatively affect adolescents' daily life, relationships, and mental health. Prevention programs implementation is essential to promote healthy digital habits. Our study aims to assess the impact of implementing a psychosocial skills training program on the prevention of internet addiction among Tunisian adolescents.

methodWe conducted a pilot randomized controlled study among adolescents aged 15-16 from a high school in the Monastir region during the 2023-2024 school year. Participants were randomly assigned to an intervention group or a waiting-list group. The program focused on developing psychosocial skills with before and after assessments using validated tools: Young's Internet Addiction Test and Internet Gaming Disorder Scale to assess internet addiction behaviors, Child Behavior Checklist to evaluate emotional and behavioral disorders, Rosenberg Self-Esteem Scale to measure self-esteem, and the Child and Youth Resilience Measure to assess resilience. Self-report questionnaires were completed anonymously, while parent-reported CBCL data were collected using unique participant codes to allow pre- and post-intervention matching while maintaining confidentiality.

resultsA total of 58 adolescents participated in this study, including 27 in the intervention group and 31 in the waiting-list group. The sample comprised 25 boys and 33 girls. The mean age of the participants was 15.53 ± 0.50 years. Adolescents in the intervention group (n = 27) showed significant reductions in Internet addiction and Internet Gaming Disorder scores (p = 0.004, p = 0.003, respectively), as well as in both internalizing and externalizing behavioral problems (p = 0.001, p = 0.003, respectively), with increased self-esteem levels (p = 0.005). Resilience scores also improved, although not significantly. In contrast, the waiting-list group (n = 31) either showed no improvement or experienced a worsening in these areas. Intergroup comparisons favored the intervention group, particularly regarding addiction and behavioral regulation.

conclusionOur results suggest that a school-based psychosocial skills training program may reduce internet addiction and improve emotional and behavioral functioning among adolescents. Larger randomized controlled trials with longer follow-up periods are warranted to confirm these findings.

Indexed as

AdolescentHealth promotionInternet addictionPilot studyPsychosocial interventionTunisia

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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.