The Efficacy of Prescribed Casual Videogame Play in Reducing Symptoms of Anxiety: A Randomized Controlled Study

The Efficacy of Prescribed Casual Videogame Play in Reducing Symptoms of Anxiety: A Randomized Controlled Study
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DOI:
10.1089/g4h.2013.0092
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发表时间:
2014-10-01
影响因子:
3.5
通讯作者:
O'Brien, Kevin
O'Brien, Kevin
中科院分区:
医学2区
文献类型:
--
作者:
Fish, Matthew T.;Russoniello, Carmen V.;O'Brien, Kevin

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目的:焦虑是对压力的一种自然反应,但如果过度,它会发展成为一种使人衰弱的疾病。传统的治疗方法,如药物和心理治疗,已证明在缓解焦虑症状的有效性,但往往是昂贵的和耻辱。这项研究测试了在抑郁人群中,规定的休闲视频游戏(CVG)是否可以减轻个人焦虑症状的严重程度。CVGs被定义为有趣,容易玩,自发的,非常popular.Materials和方法:数据取自一个更大的研究抑郁症和CVGs。使用患者健康问卷-9上的得分>= 5(轻度抑郁)筛选参与者的抑郁。在完成干预前问卷调查后,参与者被随机分为实验组(n = 30)和对照组(n = 29)。实验组的参与者被要求在一个月的时间内每周玩三次CVG,每次30分钟。结果:重复测量方差分析显示,干预后不同时间组的状态焦虑和特质焦虑存在显著的交互作用,支持干预后不同时间组的焦虑程度不同的假设。当状态和特质焦虑的措施进行了比较,使用内科目对比和组间分析,显着降低焦虑症状的严重程度被证明。结论:CVG发挥规定的方案显着降低状态和特质焦虑症状的严重程度,由STAI测量。临床医生应该考虑使用这些易于使用和低成本的CVGs来解决与状态和特质焦虑相关的症状。
Objective: Anxiety is a natural reaction to stress, but when excessive, it can develop into a debilitating disorder. Traditional treatments such as pharmaceuticals and psychotherapy have demonstrated efficacy in alleviating anxiety symptoms but are often costly and stigmatizing. This study tested whether a regimen of prescribed casual videogame (CVG) play could reduce individuals' anxiety symptom severity in a depressed population. CVGs are defined as fun, easy to play, spontaneous, and extremely popular.Materials and Methods: Data were taken from a larger study on depression and CVGs. Participants were screened for depression using a score of >= 5 (mild depression) on the Patient Health Questionnaire-9. After completing pre-intervention questionnaires, participants were randomized into the experimental (n = 30) or control (n = 29) group. Participants in the experimental group were prescribed a CVG of their choice to play three times per week, for 30 minutes, over a 1-month period. The State Trait Anxiety Inventory (STAI) was used to test the hypothesis.Results: Repeated-measures analysis of variance revealed significant interaction of group by time for state and trait anxiety measures, supporting the hypothesis that anxiety severity would be different by group post-intervention. When state and trait anxiety measures were compared using within-subjects contrasts and between-group analyses, significant decreases in anxiety symptom severity were demonstrated.Conclusions: A prescribed regimen of CVG play significantly reduced state and trait anxiety symptom severity as measured by the STAI. Clinicians should consider using these easy-to-use and low-cost CVGs to address symptoms associated with state and trait anxiety.