Autonomous and Controlled Motivation in a Randomized Controlled Trial Comparing School-based and Computerized Depression Prevention Programs

The depression prevention video game SPARX was shown to be equally as effective as the classroom-based depression prevention program ‘Op Volle Kracht’ (OVK) in reducing depressive symptoms among adolescents girls. Because video games are known for their engaging qualities, this study examined possible motivational benefits of SPARX compared to OVK. No differences in autonomous and controlled motivation were found between conditions at any time point. However, OVK was negatively associated with autonomous motivation during the program, while SPARX and the OVK and SPARX combined were associated negatively with controlled motivation during the programs. Additionally, autonomous motivation and controlled motivation at the start of the interventions and controlled motivation half-way through the interventions was found to positively influence long-term depressive symptoms. Results indicate that depression prevention programs including video games can beneficially influence motivation. Further research is needed to delineate the effects of video game prevention programs on motivation.

[1]  M. Stemmler,et al.  Depression in adolescence. , 1993, The American psychologist.

[2]  Cheryl K. Olson.  Children's Motivations for Video Game Play in the Context of Normal Development , 2010 .

[3]  Alan D. Lopez,et al.  Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study , 1997, The Lancet.

[4]  D. S. Moskowitz,et al.  Autonomous motivation for therapy: A new common factor in brief treatments for depression , 2007 .

[5]  Jason L. Horowitz,et al.  The prevention of depressive symptoms in children and adolescents: A meta-analytic review. , 2006, Journal of consulting and clinical psychology.

[6]  C. Beevers,et al.  Discontinuities and Cognitive Changes in an Exposure-based Cognitive Therapy for Depression Rapid Early Response Pattern , 2022 .

[7]  J. Graham,et al.  Missing data analysis: making it work in the real world. , 2009, Annual review of psychology.

[8]  R. Engels,et al.  Randomized Controlled Trial Testing the Effectiveness of a Depression Prevention Program (‘Op Volle Kracht’) Among Adolescent Girls with Elevated Depressive Symptoms , 2013, Journal of Abnormal Child Psychology.

[9]  D. Zuroff,et al.  Autonomous and controlled motivation and interpersonal therapy for depression: moderating role of recurrent depression. , 2010, British Journal of Clinical Psychology.

[10]  H. Christensen,et al.  Review of internet‐based prevention and treatment programs for anxiety and depression in children and adolescents , 2010, The Medical journal of Australia.

[11]  Andrew K. Przybylski,et al.  The Motivational Pull of Video Games: A Self-Determination Theory Approach , 2006 .

[12]  Mathijs F. G. Lucassen,et al.  The effectiveness of SPARX, a computerised self help intervention for adolescents seeking help for depression: randomised controlled non-inferiority trial , 2012, BMJ : British Medical Journal.

[13]  Jean-Philippe Laurenceau,et al.  Change is not always linear: the study of nonlinear and discontinuous patterns of change in psychotherapy. , 2007, Clinical psychology review.

[14]  S. Nolen-Hoeksema,et al.  The emergence of gender differences in depression during adolescence. , 1994, Psychological bulletin.

[15]  I. Gotlib,et al.  Symptoms versus a diagnosis of depression: differences in psychosocial functioning. , 1995, Journal of consulting and clinical psychology.

[16]  R. Kessler,et al.  Mood disorders in children and adolescents: an epidemiologic perspective , 2001, Biological Psychiatry.