A Systematic Review of the Effects of Music Interventions on the Psychological and Emotional Well-Being of Adolescents With Internet Addiction

음악중재가 인터넷 중독 청소년의 심리·정서 반응에 미치는 영향에 관한 체계적 문헌고찰

  • Yoon, Eun Jeong (Department of Music Therapy, Graduate School, Kosin University) ;
  • Park, Hye Young (Department of Music Therapy, Graduate School of Church Music, Kosin University)
  • 윤은정 (고신대학교 일반대학원 음악치료학전공) ;
  • 박혜영 (고신대학교 교회음악대학원 음악치료학전공)
  • Received : 2019.10.01
  • Accepted : 2019.11.22
  • Published : 2019.11.30


The purpose of this study was to systematically examine the effects of music interventions on the psychological and emotional well-being of adolescents with Internet addiction. Electronic databases were searched for combinations of terms related to adolescents, Internet addiction and related disorders, music intervention, and psychological and emotional outcomes. A total of nine studies that were published between 1995 and 2018 were identified and included in the final analysis. Among the included studies, six studies targeted middle school students and included both males and females. For outcome variables, anxiety and self-control were most frequently targeted. The most frequently used genre of music was popular Korean songs. In terms of intervention effects, the studies that used songwriting as a therapeutic technique showed positive results. Only four studies reported a rationale for their interventions and linked interventions to the target goals. This study discusses how music therapy interventions for adolescents with Internet addiction should be designed to effectively address the psychological and emotional issues of this young population.

본 연구에서는 음악중재가 인터넷 중독 청소년의 심리·정서 반응에 미치는 영향을 체계적으로 고찰함으로써 중재 효과에 영향을 미치는 주요 변인을 분석하고자 하였다. 이를 위해 국내 인터넷 중독 관련 연구들이 발표되기 시작한 1995년부터 2018년까지 인터넷 중독 청소년 관련 음악중재 문헌을 대상으로 9개의 전자데이터베이스에서 인터넷 중독 청소년 관련 용어, 음악중재 관련 용어, 심리정서변인 관련 용어를 조합하여 검색하여 선정 기준에 부합하는 9편을 최종 선정하였다. 연구 결과, 인터넷 게임중독 청소년 대상의 연구 비중이 높았고, 중학생을 남녀 혼합 형태로 진행한 경우가 많았다. 또한 심리적 변인에서 자기통제력이나 불안을 목표로 하여 자기표현을 위해 대중가요를 활용한 송라이팅을 집단형태로 시행한 연구가 효과를 보이는 것으로 나타났다. 음악중재 논거에 대한 분석 결과는 적절한 논거를 제시한 연구가 제한적임을 보여주고 있어 음악중재의 타당성을 입증할 수 있는 체계적인 연구가 추후 필요할 것으로 사료된다. 본 연구는 인터넷 중독 청소년 대상 심리·정서 반응에 영향을 미치는 음악 중재를 개발하는 데 중요한 기초자료로 활용될 수 있을 것이다.



  1. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (DSM-5(R)). Arlington, V. A: American Psychiatric Publishing.
  2. Baker, F. A., Gleadhill, L. M., & Dingle, G. A. (2007). Music therapy and emotional exploration: Exposing substance abuse clients to the experiences of non-drug-induced emotions. The Arts in Psychotherapy, 34(4), 321-330.
  3. Campbell, M., Fitzpatrick, R., Haines, A., Kinmonth, A. L., Sandercock, P., Spiegelhalter, D., & Tyrer, P. (2000). Framework for design and evaluation of complex interventions to improve health. British Medical Journal, 321(7262), 694-696.
  4. Chae, M.-O., Jeon, H. O., & Kim. A. (2016). A systematic review of non-pharmacological intervention for depression in Korean middle-aged women. Journal of the Korea Academia-Industrial Cooperation Society, 17(3), 638-651.
  5. Dingle, G. A., Gleadhill, L. M., & Baker, F. A. (2008). Can music therapy engage patients in group cognitive behaviour therapy for substance abuse treatment? Drug and Alcohol Review, 27(2), 190-196.
  6. Du, Y. S., Jiang, W., & Vance, A. (2010). Longer term effect of randomized, controlled group cognitive behavioural therapy for Internet addiction in adolescent students in Shanghai. Australian and New Zealand Journal of Psychiatry, 44(2), 129-134.
  7. Freed, B. S. (1987). Songwriting with the chemically dependent. Music Therapy Perspectives, 4(1), 13-18.
  8. Gardstrom, S. C., Bartkowski, J., Willenbrink, J., & Diestelkamp, W. S. (2013). The impact of group music therapy on negative affect of people with co-occurring substance use disorders and mental illnesses. Music Therapy Perspectives, 31(2), 116-126.
  9. Gu, E. J. (20013). Study on the relationship between self-control, self-disclosure, social support and internet addiction of elementary school students (Unpublished master's thesis). Korea National University of Education, Chungbuk.
  10. Gyeonggi Provincial Office of Education (2012). 10% of primary and secondary school students are using smart phone 'more than 5 hours daily' Retrieved from_
  11. Higgins, J. P., & Green, S. (Ed.). (2011). Cochrane handbook for systematic reviews of interventions. Chichester, UK: John Wiley & Sons, Ltd.
  12. Hwang, E.-Y. (2012). A meta analysis of group music therapy with adolescents. Journal of Music and Human Behavior, 9(2), 1-17.
  13. Joo, A. R., & Park, I. H. (2005). The difference of levels of internet-computer game addiction, stress and empowerment in sociodemographic characteristics of middle school students. Journal of Adolescent Welfare, 7(2), 37-57.
  14. Ju, E.-H. (2018). A meta-analysis of the effects of music therapy for patients with addictive disorders (Unpublished mater's thesis). Sookmyung Women's University, Seoul.
  15. Kadushin, A. (1980). Child welfare services (3rd ed.). NY: Colombia University.
  16. Kang, M. J., Shin, E. K., & Kim, S. A. (2015). Analyses of research trend on the relationship between internet usage and psychosocial development of Korean adolescents. Korean Journal of Youth Studies, 22(2), 95-144.
  17. Kim, H.-J., & Cho, B.-H. (2003). Relationship of internet addiction and mental health of 5-6th year students in elementary schools. The Journal of the Korean Society of School Health, 16(2), 97-110.
  18. Kim, H. K. (2000). Influences of TV-music to young man. Music and Korea, 19, 244-266.
  19. Kim, H.-Y., & Cho, M.-K. (2015). Meta-analysis of interment addiction treatment programs for adolescents. Mental Health & Social Work, 43(2), 89-118.
  20. Kim, Y. J. (2002). Development of adolescent internet game addiction scale and psychosocial vulnerability factors of Internet game addiction (Unpublished master's thesis). Ajou University, Suwon.
  21. Kruger, V., & Stige, B. (2015). Between rights and realities-music as a structuring resource in child welfare everyday life: A qualitative study. Nordic Journal of Music Therapy, 24(2), 99-122.
  22. Kwon, E. J., & Jang, S. O. (2016). A meta-analysis on the effects of internet addiction treatment program for adolescents on reducing addiction. Korean Journal of Social Welfare Research, 48, 105-129.
  23. Lee, E.-H., & Bang, S.-A. (2012). The effectiveness of music therapy program on self efficacy of juveniles with internet game addiction. Journal of the Korea Academia-Industrial Cooperation Society, 13(6), 2520-2527.
  24. Lee, H.-C., & Ahn, C.-Y. (2002). A study on the development and effectiveness of cognitive-behavioral therapy for internet game addiction. The Korean Journal of Health Psychology, 7(3), 463-486.
  25. Lee, J.-K., & Kang, G.-M., (2015). A meta-analysis on the effect of youth internet addiction group counseling program. Korean Journal of Counseling, 16(3) 101-120.
  26. Lee, M.-H., & Lee, S.-H. (2017). Effects of korean medicine music therapy on anxiety, anger expression, and concentration of smart phone addicted adolescents. The Journal of Korean Medical Classics, 30(3), 133-141.
  27. Lee, M.-J. (2009). Songwriting on emotional self-conception for internet game addiction adolescent (Unpublished master's thesis). Ewha Womans University, Seoul.
  28. Lee, Y. M. (2005). A study on songwriting technique for reduction the impulsiveness and anxiety of among the game addiction adolescent (Unpublished master's thesis). Ewha Womans University, Seoul.
  29. Lee, Y. M., & Choi, H. S. (2018). Systematic review of mental health interventions designed for multicultural children and adolescents in South Korea, Journal of Korean Academy of Psychiatric Mental Health Nursing, 27(2), 159-169.
  30. Mays, K. L., Clark, D. L., & Gordon, A. J. (2008). Treating addiction with tunes: A systematic review of music therapy for the treatment of patients with addictions. Substance Abuse, 29(4), 51-59.
  31. Miranda, D., & Claes, M. (2009). Music listening, coping, peer affiliation and depression in adolescence. Psychology of Music, 37(2), 215-233.
  32. National Information Society Agency (2014). Survey on the internet usage executive summary. Retrived from
  33. National Information Society Agency (2018). The survey on smart phone overdependence. Retrived from
  34. Oh, H. Y., Lee, Y, H., & Kim, K. M. (2011). The effect of residential treatment for adolescents with severe internet addiction, Asian Journal of Education 12(2), 207-239.
  35. Park, H.-J. (2019). The effects of group music therapy on the stress coping, positive psychology, problematic behavior, and school adjustment of middle school students with problematic smartphone use (Unpublished master's thesis). Wonkwang University, Iksan.
  36. Park, S.-J. (2017). Study on the perception of musical genre and satisfaction of general music class of middle school students. (Unpublished master's thesis). Sookmyung Women's University, Seoul.
  37. Park, Y.-G. (2015). The effects of group music therapy on emotional expression and social skills improvement for youth internet addiction, Korean Journal of Music Therapy, 9(2), 20-30.
  38. Rim, H. J. (2009). The effects of song psychotherapy on enhancement of self-esteem of internalized adolescents (Unpublished master's thesis). Ewha Woman's University, Seoul.
  39. Rinehart, M. R. (2015). Clinical efficacy of music therapy in addiction counseling: A systematic review. Western Michigan University Graduate College.
  40. Robb, S. L., & Carpenter, J. S. (2009). A review of music-based intervention reporting in pediatrics. Journal of Health Psychology, 14(4), 490-501.
  41. Ryu, J.-A., & Kim, K.-W. (2004). An analysis of ecological variables affecting adolescent internet addiction. The Korean Journal of Youth Counseling, 12(1), 65-80.
  42. Saarikallio, S., & Erkkila, J. (2007). The role of music in adolescents' mood regulation. Psychology of Music, 35(1), 88-109.
  43. Shin, H.-K., Lee, M. S., & Kim, H. G. (2011). An empirical study on mobile usage behavior: Focusing on smartphone usage addiction. Informatization Policy, 18(3), 50-68.
  44. Silverman, M. J. (2012). Effects of group songwriting on motivation and readiness for treatment on patients in detoxification: A randomized wait-list effectiveness study. Journal of Music Therapy, 49(4), 414-429.
  45. Suh, K. H., & Park, J. Y. (2012). Relationships between the use of music, addiction to internet game, and stress responses among male adolescents. Korean Journal of Youth Studies, 19(7), 101-117.
  46. World Health Organization(WHO) (2019). ICD-11 for mortality and morbidity statistics. Retrieved from
  47. Yeo, J.-Y. (2012). The effect of music therapy activities on resilience of internet addicted adolescents. Korean Journal of Music Therapy, 14(1), 21-40.
  48. Yoon, E.-J., & Park, H.-Y. (2018). Effects of group music activity on anger management and self-efficacy in institutionalized adolescents. Korean Journal of Correctional Discourse, 12(2), 111-134.
  49. Young, K. S. (2004). Caught in the net, How to recognize the signs of internet addiction and a winning strategy for recovery. New York: John Wiley.
  50. Yun, J. R. (2014). Juvenile offenders experience of music therapy within the framework of self-determination: A modified grounded theory study. Journal of Music and Human Behavior, 11(1), 63-82.

Cited by

  1. 고등학생의 ADHD성향과 게임중독 간의 관계: 강인성과 정서적 음악사용의 매개효과를 중심으로 vol.21, pp.8, 2019,