MAPPING THE EVIDENCE ON YOGA-BASED INTERVENTIONS FOR PROBLEMATIC SMARTPHONE, INTERNET, AND GAMING USE: AN EVIDENCE GAP MAP
DOI:
https://doi.org/10.48047/hn0msg51Keywords:
Evidence Gap Map, Yoga, Smartphone Addiction, Internet Addiction, Gaming DisorderAbstract
The rapid proliferation of smartphones, internet-enabled technologies, online gaming platforms, and social media has fundamentally transformed modern lifestyles while simultaneously introducing new public health challenges associated with problematic digital technology use. Excessive and uncontrolled engagement with digital devices has been linked to a broad spectrum of adverse psychological, behavioural, cognitive, academic, occupational, and social consequences, including increased levels of stress, anxiety, depression, sleep disturbances, impaired executive functioning, reduced attention, poor emotional regulation, diminished academic performance, and decreased overall quality of life. Adolescents, university students, young adults, and working professionals have emerged as particularly vulnerable populations because of their extensive dependence on digital technologies for education, communication, entertainment, and professional activities. Consequently, there is increasing interest in identifying effective, accessible, and non-pharmacological interventions capable of promoting healthier digital behaviors while improving psychological well-being. Yoga, a holistic mind–body practice integrating physical postures (asanas), breathing techniques (pranayama), meditation, mindfulness, relaxation practices, and philosophical principles, has gained substantial recognition as a complementary therapeutic intervention for improving self-regulation, emotional balance, attention, stress management, and overall mental health. Emerging evidence suggests that yoga may reduce excessive digital technology use by strengthening cognitive control, enhancing mindfulness, improving emotional resilience, reducing impulsivity, and promoting healthier behavioural patterns. However, the available evidence remains fragmented across diverse forms of problematic digital technology use, heterogeneous intervention approaches, varied study populations, and inconsistent outcome measures. This fragmentation makes it difficult for researchers, clinicians, educators, and policymakers to determine where sufficient evidence exists and where important knowledge gaps remain. The present Evidence Gap Map (EGM) aims to systematically map the existing evidence concerning yoga-based interventions for problematic smartphone use, internet addiction, gaming disorder, social media addiction, and excessive screen time. Specifically, this review seeks to identify the populations that have been investigated, classify the characteristics of yoga interventions, examine different forms of digital technology addiction addressed in the literature, summarize primary and secondary outcomes, evaluate dominant study designs, and identify areas with sufficient evidence alongside important research gaps requiring future investigation. The review adopts the Population, Intervention, Comparator, and Outcome (PICO) framework to guide evidence synthesis and organizes findings using an EGM that maps various yoga interventions against clinical, behavioural, and psychological outcomes. The proposed EGM will provide a comprehensive overview of current research while supporting evidence-informed decision-making in healthcare, education, digital wellness, and behavioural medicine. By identifying both well-established evidence and under-researched areas, this review offers valuable guidance for future clinical trials, intervention development, educational programs, public health initiatives, and policy formulation. Ultimately, the findings are expected to contribute to the development of more effective yoga-based strategies for addressing problematic digital technology use while promoting healthier relationships with digital media and improving psychological well-being across diverse populations
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Aarseth, E., Bean, A. M., Boonen, H., Colder Carras, M., Coulson, M., Das, D., Deleuze, J., Dunkels, E., Edman, J., Ferguson, C. J., & others. (2017). Scholars’ open debate paper on the World Health Organization ICD-11 Gaming Disorder proposal. Journal of Behavioral Addictions, 6(3), 267–270.
Abi-Jaoude, E., Naylor, K. T., & Pignatiello, A. (2020). Smartphones, social media use and youth mental health. Canadian Medical Association Journal, 192(6), E136–E141.
Alter, A. (2018). Irresistible: The rise of addictive technology and the business of keeping us hooked. Penguin.
Andreassen, C. (2015). Online social network site addiction: A comprehensive review. Current Addiction Reports, 2 (2), 175–184.
Ashok, S., Ratna, C. S. S., & Naidu, G. A. (2020). Pancha Bhutha Temples Are A Destination For Yoga Wellness-Related Spiritual Tourism Aimed At Reviving The Body, Mind, And Soul. NeuroQuantology, 18(9), 158–162.
Billieux, J. (2012). Problematic use of the mobile phone: A literature review and a pathways model. Current Psychiatry Reviews, 8(4), 299–307.
Bowen, S., Chawla, N., & Witkiewitz, K. (2014). Mindfulness-based relapse prevention for addictive behaviors. In Mindfulness-based treatment approaches (pp. 141–157). Elsevier.
Brand, M., Wegmann, E., Stark, R., Müller, A., Wölfling, K., Robbins, T. W., & Potenza, M. N. (2019). The Interaction of Person-Affect-Cognition-Execution (I-PACE) model for addictive behaviors: Update, generalization to addictive behaviors beyond internet-use disorders, and specification of the process character of addictive behaviors. Neuroscience & Biobehavioral Reviews, 104, 1–10.
Brand, M., Young, K. S., & Laier, C. (2014). Prefrontal control and Internet addiction: A theoretical model and review of neuropsychological and neuroimaging findings. Frontiers in Human Neuroscience, 8, 375.
Brinsley, J., Schuch, F., Lederman, O., Girard, D., Smout, M., Immink, M. A., Stubbs, B., Firth, J., Davison, K., & Rosenbaum, S. (2021). Effects of yoga on depressive symptoms in people with mental disorders: A systematic review and meta-analysis. British Journal of Sports Medicine, 55(17), 992–1000.
Brown, R. P., & Gerbarg, P. L. (2005). Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: Part I—neurophysiologic model. The Journal of Alternative and Complementary Medicine: Paradigm, Practice, and Policy Advancing Integrative Health, 11(1), 189–201.
Busch, P. A., & McCarthy, S. (2021). Antecedents and consequences of problematic smartphone use: A systematic literature review of an emerging research area. Computers in Human Behavior, 114, 106414.
Cramer, H., Lauche, R., Langhorst, J., & Dobos, G. (2013). Yoga for depression: A systematic review and meta-analysis. Depression and Anxiety, 30(11), 1068–1083.
Cumpston, M. S., McKenzie, J. E., Welch, V. A., & Brennan, S. E. (2022). Strengthening systematic reviews in public health: Guidance in the Cochrane Handbook for Systematic Reviews of Interventions. Journal of Public Health, 44(4), e588–e592.
Demirci, K., Akgönül, M., & Akpinar, A. (2015). Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. Journal of Behavioral Addictions, 4(2), 85–92.
Dong, G., & Potenza, M. N. (2014). A cognitive-behavioral model of Internet gaming disorder: Theoretical underpinnings and clinical implications. Journal of Psychiatric Research, 58, 7–11.
Dutta, S., Lanvin, B., Rivera León, L., Wunsch-Vincent, S., & others. (2023). Global Innovation Index 2023 Innovation in the face of uncertainty.
Elhai, J. D., Dvorak, R. D., Levine, J. C., & Hall, B. J. (2017). Problematic smartphone use: A conceptual overview and systematic review of relations with anxiety and depression psychopathology. Journal of Affective Disorders, 207, 251–259.
Elhai, J. D., Yang, H., McKay, D., & Asmundson, G. J. (2020). COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults. Journal of Affective Disorders, 274, 576–582.
Elwy, A. R., Groessl, E. J., Eisen, S. V., Riley, K. E., Maiya, M., Lee, J. P., Sarkin, A., & Park, C. L. (2014). A systematic scoping review of yoga intervention components and study quality. American Journal of Preventive Medicine, 47(2), 220–232.
Feuerstein, G. (2012). The yoga tradition: Its history, literature, philosophy and practice. SCB Distributors.
Field, T. (2016). Yoga research review. Complementary Therapies in Clinical Practice, 24, 145–161.
Gard, T., Noggle, J. J., Park, C. L., Vago, D. R., & Wilson, A. (2014). Potential self-regulatory mechanisms of yoga for psychological health. Frontiers in Human Neuroscience, 8, 770.
Gothe, N. P., & McAuley, E. (2015). Yoga and cognition: A meta-analysis of chronic and acute effects. Biopsychosocial Science and Medicine, 77(7), 784–797.
Iyengar, B. K. S. (1965). Light on yoga.
Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2006). Physiology of long pranayamic breathing: Neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Medical Hypotheses, 67(3), 566–571.
Keles, B., McCrae, N., & Grealish, A. (2020). A systematic review: The influence of social media on depression, anxiety and psychological distress in adolescents. International Journal of Adolescence and Youth, 25(1), 79–93.
King, D. L., Delfabbro, P. H., Doh, Y. Y., Wu, A. M., Kuss, D. J., Pallesen, S., Mentzoni, R., Carragher, N., & Sakuma, H. (2018). Policy and prevention approaches for disordered and hazardous gaming and Internet use: An international perspective. Prevention Science, 19(2), 233–249.
Király, O., Potenza, M. N., Stein, D. J., King, D. L., Hodgins, D. C., Saunders, J. B., Griffiths, M. D., Gjoneska, B., Billieux, J., Brand, M., & others. (2020). Preventing problematic internet use during the COVID-19 pandemic: Consensus guidance. Comprehensive Psychiatry, 100, 152180.
Kumalaratih, E., & Margono, H. M. (2023). Interaction of Person-Affect-Cognition-Execution (I-PACE) Model on Addictive Behavior. Surabaya Psychiatry Journal/Jurnal Psikiatri Surabaya, 12(1), 12.
Kuss, D. J., & Lopez-Fernandez, O. (2016). Internet addiction and problematic Internet use: A systematic review of clinical research. World Journal of Psychiatry, 6(1), 143.
Leach, M. J., & Veziari, Y. (2022). Enablers and barriers to evidence implementation in complementary medicine: A systematic review. Integrative Medicine Research, 11(4), 100899.
Lepp, A., Barkley, J. E., & Karpinski, A. C. (2015). The relationship between cell phone use and academic performance in a sample of US college students. Sage Open, 5(1), 2158244015573169.
Liao, H.-T., Pan, C.-L., & Zhang, Y. (2023). Smart digital platforms for carbon neutral management and services: Business models based on ITU standards for green digital transformation. Frontiers in Ecology and Evolution, 11, 1134381.
Miake-Lye, I. M., Hempel, S., Shanman, R., & Shekelle, P. G. (2016). What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products. Systematic Reviews, 5(1), 28.
Montag, C., & Walla, P. (2016). Carpe diem instead of losing your social mind: Beyond digital addiction and why we all suffer from digital overuse. Cogent Psychology, 3(1), 1157281.
Organization, W. H. (2022). World mental health report: Transforming mental health for all. Executive summary. World Health Organization.
Organization, W. H. (2023). The art and science of promoting evidence-informed decision-making: A global living evidence map. World Health Organization.
Oulasvirta, A., Rattenbury, T., Ma, L., & Raita, E. (2012). Habits make smartphone use more pervasive. Personal and Ubiquitous Computing, 16(1), 105–114.
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., & others. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Bmj, 372.
Panova, T., & Carbonell, X. (2018). Is smartphone addiction really an addiction? Journal of Behavioral Addictions, 7(2), 252–259.
Ratna, C. S. S. (n.d.). An Analytical Study of the Pratyahara Concept in the Yoga Upanishads.
Rumpf, H.-J., Achab, S., Billieux, J., Bowden-Jones, H., Carragher, N., Demetrovics, Z., Higuchi, S., King, D. L., Mann, K., Potenza, M., & others. (2018). Including gaming disorder in the ICD-11: The need to do so from a clinical and public health perspective: Commentary on: A weak scientific basis for gaming disorder: Let us err on the side of caution (van Rooij et al., 2018). Journal of Behavioral Addictions, 7(3), 556–561.
Samaha, M., & Hawi, N. S. (2016). Relationships among smartphone addiction, stress, academic performance, and satisfaction with life. Computers in Human Behavior, 57, 321–325.
Saran, A., & White, H. (2018). Evidence and gap maps: A comparison of different approaches. Campbell Systematic Reviews, 14(1), cmdp-2018.
Schwab, K. (2017). The fourth industrial revolution. Crown Currency.
Shah, A. Q., Noronha, N., Chin-See, R., Hanna, C., Kadri, Z., Marwaha, A., Rambharack, N., & Ng, J. Y. (2023). The use and effects of telemedicine on complementary, alternative, and integrative medicine practices: A scoping review. BMC Complementary Medicine and Therapies, 23(1), 275.
Sherman, K. J. (2012). Guidelines for developing yoga interventions for randomized trials. Evidence-Based Complementary and Alternative Medicine, 2012(1), 143271.
Snilstveit, B., Vojtkova, M., Bhavsar, A., Stevenson, J., & Gaarder, M. (2016). Evidence & Gap Maps: A tool for promoting evidence informed policy and strategic research agendas. Journal of Clinical Epidemiology, 79, 120–129.
Sohn, S. Y., Rees, P., Wildridge, B., Kalk, N. J., & Carter, B. (2019). Prevalence of problematic smartphone usage and associated mental health outcomes amongst children and young people: A systematic review, meta-analysis and GRADE of the evidence. BMC Psychiatry, 19(1), 356.
Sparviero, S., & Ragnedda, M. (2021). Towards digital sustainability: The long journey to the sustainable development goals 2030. Digital Policy, Regulation and Governance, 23(3), 216–228.
Stevens, M. W., Dorstyn, D., Delfabbro, P. H., & King, D. L. (2021). Global prevalence of gaming disorder: A systematic review and meta-analysis. Australian & New Zealand Journal of Psychiatry, 55(6), 553–568.
Stevens, M. W., King, D. L., Dorstyn, D., & Delfabbro, P. H. (2019). Cognitive–behavioral therapy for internet gaming disorder: A systematic review and meta-analysis. Clinical Psychology & Psychotherapy, 26(2), 191–203.
Stiglic, N., & Viner, R. M. (2019). Effects of screentime on the health and well-being of children and adolescents: A systematic review of reviews. BMJ Open, 9(1), e023191.
Stothart, C., Mitchum, A., & Yehnert, C. (2015). The attentional cost of receiving a cell phone notification. Journal of Experimental Psychology: Human Perception and Performance, 41(4), 893.
Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. A., & Brown, R. P. (2012). Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses, 78(5), 571–579.
Tarsilla, M. (2010). Cochrane handbook for systematic reviews of interventions. Journal of Multidisciplinary Evaluation, 6(14), 142–148.
Telles, S., Singh, N., & Balkrishna, A. (2012). Managing mental health disorders resulting from trauma through yoga: A review. Depression Research and Treatment, 2012(1), 401513.
Twenge, J. M., & Campbell, W. K. (2018). Associations between screen time and lower psychological well-being among children and adolescents: Evidence from a population-based study. Preventive Medicine Reports, 12, 271–283.
Van Dijk, J. (2020). The digital divide. John Wiley & Sons.
Vannucci, A., Flannery, K. M., & Ohannessian, C. M. (2017). Social media use and anxiety in emerging adults. Journal of Affective Disorders, 207, 163–166.
Vial, G. (2019). Understanding digital transformation: A review and a research agenda. The Journal of Strategic Information Systems, 28(2), 118–144.
Wang, B., Liu, Y., Qian, J., & Parker, S. K. (2021). Achieving effective remote working during the COVID-19 pandemic: A work design perspective. Applied Psychology, 70(1), 16–59.
White, H., Albers, B., Gaarder, M., Kornør, H., Littell, J., Marshall, Z., Mathew, C., Pigott, T., Snilstveit, B., Waddington, H., & others. (2020). Guidance for producing a Campbell evidence and gap map. Campbell Systematic Reviews, 16(4), e1125.
Williamson, P. R., Altman, D. G., Bagley, H., Barnes, K. L., Blazeby, J. M., Brookes, S. T., Clarke, M., Gargon, E., Gorst, S., Harman, N., & others. (2017). The COMET handbook: Version 1.0. Trials, 18(Suppl 3), 280.
Woodyard, C. (2011). Exploring the therapeutic effects of yoga and its ability to increase quality of life. International Journal of Yoga, 4(2), 49.
Zajac, K., Ginley, M. K., Chang, R., & Petry, N. M. (2017). Treatments for Internet gaming disorder and Internet addiction: A systematic review. Psychology of Addictive Behaviors, 31(8), 979.
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