Effects of Cognitive-behavioral Therapy Based Music Therapy in Korean Adolescents With Smartphone and Internet Addiction


Psychiatry Investig




OBJECTIVE: The purpose of this study was to evaluate the effects of adding music therapy (MT) to cognitive-behavioral therapy (CBT) on symptoms of smartphone/internet addiction and psychiatric comorbidities. METHODS: Overall, 155 patients diagnosed with addiction were assigned to either the CBT-MT group or CBT group. Both groups received CBT for 8 weeks, while the CBT-MT group received additional MT. The intervention was completed by 67 and 71 participants in the CBT-MT and CBT groups, respectively. RESULTS: The total scores of Young Internet Addiction Scale (YIAT) and Smartphone Addiction Proneness Scale (SAPS) decreased significantly (p<0.001 for both) in both groups, while the total scores of State Anxiety Inventory for Children (SAIC) (p<0.001), Trait Anxiety Inventory for Children (TAIC) (p<0.001), Conners-Wells' Adolescent Self-Report Scale-Short form (CASS(S)) (p=0.048), and Barratt Impulsiveness Scale-11 (BIS-11) (p<0.001) decreased only in the CBT-MT group. The decrements in YIAT (p=0.025), SAIC (p=0.043), TAIC (p=0.011), and BIS-11 (p=0.012) in the CBT-MT group were significantly greater than those in the CBT group. CONCLUSION: Combined MT and CBT improved the symptoms of smartphone/internet addiction, anxiety, and impulsivity in adolescents. This combination could therefore be an effective treatment of smartphone or internet addiction along with behavioral disorders such as anxiety and impulsivity.

Music and Health Institute Terms

Adolescents; Anxiety; Anxiety Scales; Behavioral Addictions; Music Listening; Music Medicine; Racial Disparities; Recorded Music Listening; Self-Report Measures; Symptom Management; Technology Addiction

Indexed Terms

Addictive behavior; Cognitive-behavioral therapy; Internet; Smartphone

Study Type

Case Study; Qualitative Methods

PubMed ID


Document Type