Effectiveness of Acceptance and Commitment Therapy in Promoting Mental Health of Emerging Adults With Internet Addiction

Summary

Internet addiction, a growing epidemic among young adults, significantly impairs mental health, emotional regulation, and overall well-being. The pervasive overuse of digital technologies-particularly smartphones, social media, and the internet-has led to rising rates of anxiety, depression, and social isolation in this demographic. Traditional therapeutic interventions such as Cognitive Behavioral Therapy (CBT) fail to address the underlying psychological processes contributing to addiction. This research explores the potential of Acceptance and Commitment Therapy (ACT)-a mindfulness-based, values-driven approach-as an effective treatment for internet addiction in young adults. By enhancing psychological flexibility, ACT aims to reduce addictive behaviors while promoting better emotional regulation and mental resilience. The study will assess the efficacy of ACT in improving mental health and mitigating internet addiction within a culturally relevant context for Pakistani youth.

Introduction and Problem Statement:

Young adulthood is a pivotal developmental phase (18-29 years), during which individuals are particularly vulnerable to the negative impacts of internet addiction. Excessive use of smartphones, the internet, and social media has become a ubiquitous issue, severely affecting the academic, social, and emotional well-being of young adults. While internet addiction is increasingly prevalent in Pakistan, with studies indicating that 25-35% of the youth are affected, conventional therapeutic models like CBT predominantly focus on symptom management rather than the psychological underpinnings of addictive behaviors. This research aims to fill a critical gap by investigating the application of ACT, which has shown promise in treating various forms of addiction, to internet addiction specifically.

Literature Review:

The relationship between internet addiction and mental health disorders such as anxiety, depression, and stress has been well-documented. Recent studies by Moreno et al. (2022) and Ghali et al. (2023) underscore the profound psychological consequences of excessive internet and social media use in young adults. In contrast to CBT, ACT focuses on enhancing psychological flexibility-the ability to accept distressing thoughts and feelings while pursuing value-driven actions. ACT has been shown to improve emotional regulation, reduce symptoms of depression and anxiety, and enhance mindfulness, making it a promising intervention for internet addiction. This research builds on the foundational work of Swain et al. (2015) and Googhari et al. (2022), who demonstrated the efficacy of mindfulness-based interventions, including ACT, in enhancing mental health outcomes.

Rationale:

Internet addiction is not only a growing public health crisis but also a barrier to personal development and social integration in young adults. While traditional therapies like CBT focus on symptom reduction, they do not sufficiently address the cognitive and emotional mechanisms that drive addictive behaviors. ACT offers a more comprehensive approach by fostering psychological flexibility and emotional resilience-key factors in the recovery from addiction. Moreover, ACT's adaptability to diverse cultural contexts makes it an ideal intervention for Pakistan's rapidly digitalizing youth population. This research seeks to evaluate ACT's effectiveness in reducing internet addiction and improving mental health outcomes in this group.

Research Objectives and Hypotheses:

This study aims to evaluate the effectiveness of ACT in reducing internet addiction and enhancing mental health among emerging adults in Pakistan. The specific objectives are to:

1. Assess the impact of ACT on internet addiction behaviors (smartphone, internet, social media).
2. Evaluate improvements in mental health, including reductions in depression, anxiety, and impulsivity.
3. Examine changes in emotional regulation, mindfulness, and psychological flexibility.

Hypotheses:

1. The experimental group will exhibit a significant reduction in internet addiction behaviors at post-test compared to the control group.
2. The experimental group will demonstrate substantial improvements in mental health indicators-specifically in reducing depression, anxiety, and impulsivity.
3. ACT will lead to enhanced psychological flexibility, mindfulness, and emotional regulation in the experimental group relative to the control group.

Research Design and Methodology:

The study will employ a randomized controlled trial (RCT) with pre- and post-test assessments. The sample will consist of 100 emerging adults(ages 18-29), with 50 participants in the experimental group and 50 in the control group. Participants will be recruited via social media platforms, using a snowball sampling technique. Inclusion criteria include self-reported internet addiction and high scores on screening tools.

Conditions

• Internet Addiction

Interventions

BEHAVIORAL

Acceptance and Commitment Therapy (ACT)

Acceptance and Commitment Therapy (ACT) is a culturally adapted behavioral intervention for emerging adults with Internet Addiction. The intervention focuses on enhancing psychological flexibility through acceptance, cognitive defusion, mindfulness, values clarification, self-as-context, and committed action. Participants attended structured therapy sessions delivered according to the study protocol.

Sponsors & Collaborators

• National University of Modern Languages

  lead OTHER

Principal Investigators

• Asia Mushtaq, PhD · National University of Modern Languages

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

29 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-12-01

Primary Completion

2026-06-30

Completion

2026-07-05

Countries

• Pakistan

Study Locations