MHM Magazine

24 | MENTAL HEALTH MATTERS | 2022 | Issue 6 MHM measure of PUI severity (Part A), and capturing the extent of engagement in a wide gamut of online specific internet activities (Part B). A publication on validation of data generated by a South African and UK sample is now being prepared. Treatment interventions for PUI in youth Family-based interventions seem to be more fruitful in reducing signs and symptoms of PUI compared to any other treatment. It has been argued that it’s especially important to intervene at the level of the family since behavioural addictions such as PUI often prevail in families. Family-centred prevention and intervention strategies would involve both parents/caregivers and children, and emphasise a collaborative approach to conflict resolution among family members. During PUI-focused therapeutic sessions, parents are taught practical strategies to prevent the maintenance or increase of PUI. During these sessions, parents are encouraged and trained to exhibit desired internet-related behaviour (such as moderate internet use), to implement rules that limit screen-time, and to monitor their children’s online activities actively and effectively. Children, in turn, are taught how their internet use impacts on the family environment and how they can adjust their internet use to contribute to healthy family functioning. One of the recent studies on problematic online gaming (also known as gaming disorder) in youth suggested that greater affection and understanding among family members correlated with a gradual decline in the behaviour. Since young adults frequently model the internet-related behaviours of parents or other family members, family-based interventions that effectively intervene at the level of the people who exhibit maladaptive internet use, may decrease the chances of children replicating problematic internet related behaviours. Conclusions / key points: • While many individuals use the internet without untoward consequences, it’s increasingly recognised that a vulnerable subset may develop problematic online behaviours. • When these behaviours develop into habits that are difficult to break, they are referred to as PUI or generalised internet addiction. • Increased awareness of PUI and risks or dangers of excessive or inappropriate internet use are crucial. • Adolescents and young adults use the internet more than any other age group and are therefore at increased risk of PUI. • Patterns of problematic family functioning are strongly associated with PUI. • Positive family relationships and constructive interaction may play an important role in managing internet use in the home and protecting individuals against PUI. • Family-based interventions are fruitful in reducing PUI. References available on request.