Gamification-Based Apps for PTSD: An Analysis of Functionality and Characteristics

Post-traumatic stress disorder (PTSD) is a mental health disorder that is triggered by exposure to traumatic events. PTSD is associated with severe emotional disturbances that impair the person's functional abilities like social interactions and the ability to work. If left untreated, PTSD can even lead to suicide. Even though PTSD is a manageable and treatable disorder, many people are not able to get the appropriate treatment, either because of cost problems, stigma, mobility problems, or other causes. Since mobile phones are devices that are owned by a large number of people, m-health is an aspect that can facilitate access to the needed treatment and care for PTSD in many ways, one being via mobile applications (apps). Using gamification features in apps can be helpful in the management and treatment of PTSD. This paper identifies a list of 24 gamification-based apps for PTSD, 14 Android apps and 10 iOS apps, and assesses their functionalities and characteristics. The results highlighted mainly the need for more consideration of security aspects, incorporation of medical devices and physical indicators, and the apps' availability in multiple languages.

[1]  Juho Hamari,et al.  Defining gamification: a service marketing perspective , 2012, MindTrek.

[2]  C. L. Ventola Mobile devices and apps for health care professionals: uses and benefits. , 2014, P & T : a peer-reviewed journal for formulary management.

[3]  Mounir Ghogho,et al.  On the Use of Sensors in Mental Healthcare , 2019, Intelligent Environments.

[4]  Ye. Kriukova,et al.  GAMIFICATION OF EDUCATION , 2019 .

[5]  W. Marsden I and J , 2012 .

[6]  Ara Darzi,et al.  ‘Gamification’: Influencing health behaviours with games , 2013, Journal of the Royal Society of Medicine.

[7]  Brenda K. Wiederhold,et al.  A virtual reality exposure therapy application for Iraq war military personnel with post traumatic stress disorder: From training to toy to treatment , 2006 .

[8]  Mathijs F. G. Lucassen,et al.  Serious Games and Gamification for Mental Health: Current Status and Promising Directions , 2017, Frontiers in psychiatry.

[9]  Ali Idri,et al.  Mobile personal health records for cardiovascular patients , 2015, 2015 Third World Conference on Complex Systems (WCCS).

[10]  G. Andrews,et al.  Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis. , 2018, Journal of anxiety disorders.

[11]  D. Hinton,et al.  CBT for Vietnamese Refugees with Treatment-Resistant PTSD and Panic Attacks: A Pilot Study , 2004, Journal of traumatic stress.

[12]  Wenfen Liu,et al.  An Improved Authentication Scheme for Telecare Medicine Information Systems , 2012, Journal of Medical Systems.

[13]  P. Batterham,et al.  Issues for eHealth in Psychiatry: Results of an Expert Survey , 2017, Journal of medical Internet research.

[14]  M Knox,et al.  Game-based biofeedback for paediatric anxiety and depression. , 2011, Mental health in family medicine.

[15]  Ali Idri,et al.  E-health internationalization requirements for audit purposes , 2017, Comput. Methods Programs Biomed..

[16]  A C McFarlane,et al.  Physical symptoms in post-traumatic stress disorder. , 1994, Journal of psychosomatic research.

[17]  Ian H. Robertson,et al.  Smartphone Applications Utilizing Biofeedback Can Aid Stress Reduction , 2016, Front. Psychol..

[18]  Janet A. Schmidt,et al.  Preliminary evaluation of PTSD Coach, a smartphone app for post-traumatic stress symptoms. , 2014, Military medicine.

[19]  John B. Shoven,et al.  I , Edinburgh Medical and Surgical Journal.

[20]  Patrick J. Rosopa,et al.  Virtual Reality and Cognitive-Behavioral Therapy for Driving Anxiety and Aggression in Veterans: A Pilot Study , 2017 .

[21]  J. Foreyt,et al.  What is the role of cognitive-behavior therapy in patient management? , 1998, Obesity research.

[22]  Dan J Stein,et al.  Trauma and PTSD in the WHO World Mental Health Surveys , 2017, European journal of psychotraumatology.

[23]  Russell A. McCann,et al.  mHealth for mental health: Integrating smartphone technology in behavioral healthcare. , 2011 .

[24]  Bryce Hruska,et al.  The physical health consequences of PTSD and PTSD symptoms: a meta-analytic review. , 2013, Journal of anxiety disorders.

[25]  Lina Yordanova,et al.  Gamification in education , 2014 .

[26]  J. Protheroe,et al.  Do Web-based Mental Health Literacy Interventions Improve the Mental Health Literacy of Adult Consumers? Results From a Systematic Review , 2016, Journal of medical Internet research.

[27]  Joel J. P. C. Rodrigues,et al.  Mobile-health: A review of current state in 2015 , 2015, J. Biomed. Informatics.

[28]  P. Batterham,et al.  Evaluation of an online psychoeducation intervention to promote mental health help seeking attitudes and intentions among young adults: randomised controlled trial. , 2014, Journal of affective disorders.

[29]  P. Schnurr,et al.  Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. , 2006, Journal of consulting and clinical psychology.

[30]  Mounir Ghogho,et al.  Mobile Apps for Post Traumatic Stress Disorder , 2019, 2019 41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[31]  Beth Patterson,et al.  There is an app for that! The current state of mobile applications (apps) for DSM‐5 obsessive‐compulsive disorder, posttraumatic stress disorder, anxiety and mood disorders , 2017, Depression and anxiety.

[32]  J. McGonigal,et al.  Randomized Controlled Trial of SuperBetter, a Smartphone-Based/Internet-Based Self-Help Tool to Reduce Depressive Symptoms. , 2015, Games for health journal.

[33]  J. Ioannidis,et al.  The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration , 2009, Annals of Internal Medicine [serial online].

[34]  Mark Tomlinson,et al.  Point of care in your pocket: a research agenda for the field of m-health. , 2012, Bulletin of the World Health Organization.

[35]  J. Albeck Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies , 2001 .

[36]  Isabel de la Torre Díez,et al.  Privacy and Security in Mobile Health Apps: A Review and Recommendations , 2014, Journal of Medical Systems.