The Use of Electronic Games in Therapy: a Review with Clinical Implications

Therapists and patients enjoy and benefit from interventions that use electronic games (EG) in health care and mental health settings, with a variety of diagnoses and therapeutic goals. We reviewed the use of electronic games designed specifically for a therapeutic purpose, electronic games for psychotherapy (EGP), also called serious games, and commercially produced games used as an adjunct to psychotherapy, electronic games for entertainment (EGE). Recent research on the benefits of EG in rehabilitation settings, EGP, and EGE indicates that electronic methods are often equivalent to more traditional treatments and may be more enjoyable or acceptable, at least to some consumers. Methodological concerns include the lack of randomized controlled trials (RCT) for many applications. Suggestions are offered for using EG in therapeutic practice.

[1]  J. Boettcher,et al.  Internet-based guided self-help for several anxiety disorders: a randomized controlled trial comparing a tailored with a standardized disorder-specific approach. , 2014, Psychotherapy.

[2]  Justine Schneider,et al.  Meta-review of the effectiveness of computerised CBT in treating depression , 2011, BMC psychiatry.

[3]  Mark Griffiths,et al.  The Therapeutic Use of Videogames in Childhood and Adolescence , 2003 .

[4]  M. Schlossberg Using Computers in Clinical Practice: Psychotherapy and Mental Health Applications. , 1984 .

[5]  Timothy I. Michaels,et al.  Cognitive enhancement through action video game training: great expectations require greater evidence , 2014, Front. Psychol..

[6]  Warren W. Tryon,et al.  Game-Based Cognitive-Behavioral Therapy (GB-CBT) Group Program for Children Who Have Experienced Sexual Abuse: A Preliminary Investigation , 2011, Journal of child sexual abuse.

[7]  Marc D. Schwartz Using Computers in Clinical Practice: Psychotherapy and Mental Health Applications , 1984 .

[8]  Jake K. Aggarwal,et al.  An interactive game for teaching facial expressions to children with Autism Spectrum Disorders , 2012, 2012 5th International Symposium on Communications, Control and Signal Processing.

[9]  Melina Sevlever,et al.  A Brief Group Intervention Using Video Games to Teach Sportsmanship Skills to Children With Autism Spectrum Disorders , 2013 .

[10]  A. Przeworski,et al.  A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: is human contact necessary for therapeutic efficacy? , 2011, Clinical psychology review.

[11]  T. Parsons,et al.  Beyond Distraction: Virtual Reality Graded Exposure Therapy as Treatment for Pain-Related Fear and Disability in Chronic Pain , 2014 .

[12]  R. Engels,et al.  The benefits of playing video games. , 2014, The American psychologist.

[13]  R. Gaylord-Ross,et al.  The training and generalization of social interaction skills with autistic youth. , 1984, Journal of applied behavior analysis.

[14]  Mark Huckvale,et al.  Avatar therapy for persecutory auditory hallucinations: What is it and how does it work? , 2013, Psychosis.

[15]  Punit Shah Toward a Neurobiology of Unrealistic Optimism , 2012, Front. Psychology.

[16]  Christopher R. Engelhardt,et al.  Media Use and Sleep Among Boys With Autism Spectrum Disorder, ADHD, or Typical Development , 2013, Pediatrics.

[17]  Nienke Meulman,et al.  An ERP study on L2 syntax processing: When do learners fail? , 2014, Front. Psychol..

[18]  Jeffrey P. Cuthbert,et al.  Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury , 2014, Brain injury.

[19]  A. O’Cathain,et al.  The acceptability of computerised cognitive behavioural therapy for the treatment of depression in people with chronic physical disease: A qualitative study of people with multiple sclerosis , 2010, Psychology & health.

[20]  E. Ho,et al.  The effectiveness of therapeutic play, using virtual reality computer games, in promoting the psychological well-being of children hospitalised with cancer. , 2011, Journal of clinical nursing.

[21]  Terri E. Motraghi,et al.  Virtual reality exposure therapy for the treatment of posttraumatic stress disorder: a methodological review using CONSORT guidelines. , 2014, Journal of clinical psychology.

[22]  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.

[23]  Jesse H. Wright,et al.  Computer-assisted cognitive-behavior therapy for depression. , 2014, Psychotherapy.

[24]  David M Walton,et al.  A “Wii” bit of fun: The effects of adding Nintendo Wii® Bowling to a standard exercise regimen for residents of long-term care with upper extremity dysfunction , 2011, Physiotherapy theory and practice.

[25]  Laura Stockdale,et al.  Game on… girls: associations between co-playing video games and adolescent behavioral and family outcomes. , 2011, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[26]  Dion Hoe-Lian Goh,et al.  Strategies for designing effective psychotherapeutic gaming interventions for children and adolescents , 2008, Comput. Hum. Behav..

[27]  LeppänenVille,et al.  Promoting Children's Health with Digital Games: A Review of Reviews. , 2014 .

[28]  C. Botella,et al.  Virtual reality exposure therapy in anxiety disorders: a quantitative meta‐analysis , 2012, Depression and anxiety.

[29]  Lotta Kauhanen,et al.  Promoting Children's Health with Digital Games: A Review of Reviews. , 2014, Games for health journal.

[30]  P. Douris,et al.  Comparison Between Nintendo Wii Fit Aerobics and Traditional Aerobic Exercise in Sedentary Young Adults , 2012, Journal of strength and conditioning research.

[31]  Elizabeth Fain,et al.  Effects of Nintendo Wii on Quality of Life, Social Relationships, and Confidence to Prevent Falls , 2011 .

[32]  B M Kappes,et al.  Biofeedback vs. video games: effects on impulsivity, locus of control and self-concept with incarcerated juveniles. , 1985, Journal of clinical psychology.

[33]  Tal Jarus,et al.  Wii-habilitation as balance therapy for children with acquired brain injury , 2014, Developmental neurorehabilitation.

[34]  Marna S Barrett,et al.  Computers and psychotherapy: are we out of a job? , 2014, Psychotherapy.

[35]  Dorothy E. Salonius-Pasternak,et al.  The next level of research on electronic play : potential benefits and contextual influences for children and adolescents , 2005 .

[36]  Raquel M. Gonçalves,et al.  Efficacy of Virtual Reality Exposure Therapy in the Treatment of PTSD: A Systematic Review , 2012, PloS one.

[37]  D. Mohr,et al.  Behavioral intervention technologies: evidence review and recommendations for future research in mental health. , 2013, General hospital psychiatry.

[38]  M. Carey,et al.  The Development of a Computer-Administered Cognitive-Behavioral Intervention to Promote Stress Management Among HIV+ Women , 2010, Journal of Cognitive Psychotherapy.

[39]  Elias Kalapanidas,et al.  Serious games as additional psychological support: a review of the literature , 2011 .

[40]  Todor Ganchev,et al.  Video games as a complementary therapy tool in mental disorders: PlayMancer, a European multicentre study , 2012, Journal of mental health.

[41]  Pamela M. Kato,et al.  Video Games in Health Care: Closing the Gap , 2010 .

[42]  Gazihan Alankus,et al.  Use of Computer Games as an Intervention for Stroke , 2011, Topics in stroke rehabilitation.

[43]  James W Tanaka,et al.  Using computerized games to teach face recognition skills to children with autism spectrum disorder: the Let's Face It! program. , 2010, Journal of child psychology and psychiatry, and allied disciplines.

[44]  S. Kostyk,et al.  Video game play (Dance Dance Revolution) as a potential exercise therapy in Huntington’s disease: a controlled clinical trial , 2013, Clinical rehabilitation.

[45]  E. Storch,et al.  A Pilot Study of Computer-Assisted Cognitive Behavioral Therapy for Childhood Anxiety in Community Mental Health Centers , 2013, Journal of Cognitive Psychotherapy.

[46]  R. Friedberg,et al.  We’ve Come a Long Way, Baby!: Evolution and Revolution in CBT with Youth , 2014, Journal of Rational-Emotive & Cognitive-Behavior Therapy.

[47]  M. Ketelaar,et al.  Structured game-related group therapy for an adolescent with Acquired Brain Injury: a case report. , 2012, Journal of pediatric rehabilitation medicine.

[48]  H. Becker,et al.  A randomized controlled trial of a cognitive rehabilitation intervention for persons with multiple sclerosis , 2012, Clinical rehabilitation.

[49]  C. Ferguson,et al.  Twenty-Five Years of Research on Violence in Digital Games and Aggression Empirical Evidence, Perspectives, and a Debate Gone Astray , 2014 .

[50]  Zahra Moussavi,et al.  Effects of an Interactive Computer Game Exercise Regimen on Balance Impairment in Frail Community-Dwelling Older Adults: A Randomized Controlled Trial , 2011, Physical Therapy.

[51]  Justin R. Misurell,et al.  Game-Based Cognitive-Behavioral Therapy (GB-CBT): An Innovative Group Treatment Program for Children Who Have Been Sexually Abused , 2010 .

[52]  James E. Gardner,et al.  Can the Mario Bros. help? Nintendo games as an adjunct in psychotherapy with children. , 1991 .

[53]  Deborah I Thompson,et al.  Playing for real: video games and stories for health-related behavior change. , 2008, American journal of preventive medicine.

[54]  D. Schoech,et al.  A computer-assisted therapeutic game for adolescents: Initial development and comments. , 2008 .

[55]  MEd Gordon K. Favelle Ba Therapeutic Applications of Commercially Available Computer Software , 2008 .

[56]  A. Clarke,et al.  Incorporating User Perspectives in the Design of an Online Intervention Tool for People with Visible Differences: Face IT , 2010, Behavioural and Cognitive Psychotherapy.

[57]  Hannah Hoch,et al.  Teaching Children with Autism to Play a Video Game Using Activity Schedules and Game-Embedded Simultaneous Video Modeling , 2010 .

[58]  Amy Przeworski,et al.  A randomized controlled trial of ecological momentary intervention plus brief group therapy for generalized anxiety disorder. , 2014, Psychotherapy.

[59]  Muhammad Sharif,et al.  Psychotherapy Through Video Game to Target Illness Related Problematic Behaviors of Children with Brain Tumor , 2014 .