The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis
<h3>Background</h3><p dir="ltr">Depression is a common mental disorder characterized by disturbances in mood, thoughts, or behaviors. Serious games, which are games that have a purpose other than entertainment, have been used as a nonpharmacological therapeutic interventi...
محفوظ في:
| المؤلف الرئيسي: | |
|---|---|
| مؤلفون آخرون: | , , , , , , , |
| منشور في: |
2022
|
| الموضوعات: | |
| الوسوم: |
إضافة وسم
لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!
|
| _version_ | 1864513518543306752 |
|---|---|
| author | Alaa Abd-Alrazaq (17430900) |
| author2 | Eiman Al-Jafar (17541837) Mohannad Alajlani (9392676) Carla Toro (18434052) Dari Alhuwail (6497858) Arfan Ahmed (17541309) Shuja Mohd Reagu (12051406) Najeeb Al-Shorbaji (18434055) Mowafa Househ (9154124) |
| author2_role | author author author author author author author author |
| author_facet | Alaa Abd-Alrazaq (17430900) Eiman Al-Jafar (17541837) Mohannad Alajlani (9392676) Carla Toro (18434052) Dari Alhuwail (6497858) Arfan Ahmed (17541309) Shuja Mohd Reagu (12051406) Najeeb Al-Shorbaji (18434055) Mowafa Househ (9154124) |
| author_role | author |
| dc.creator.none.fl_str_mv | Alaa Abd-Alrazaq (17430900) Eiman Al-Jafar (17541837) Mohannad Alajlani (9392676) Carla Toro (18434052) Dari Alhuwail (6497858) Arfan Ahmed (17541309) Shuja Mohd Reagu (12051406) Najeeb Al-Shorbaji (18434055) Mowafa Househ (9154124) |
| dc.date.none.fl_str_mv | 2022-01-14T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.2196/32331 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_Effectiveness_of_Serious_Games_for_Alleviating_Depression_Systematic_Review_and_Meta-analysis/25679835 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Psychology Cognitive and computational psychology serious games exergames depression cognitive behavioral therapy systematic reviews meta-analysis |
| dc.title.none.fl_str_mv | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Depression is a common mental disorder characterized by disturbances in mood, thoughts, or behaviors. Serious games, which are games that have a purpose other than entertainment, have been used as a nonpharmacological therapeutic intervention for depression. Previous systematic reviews have summarized evidence of effectiveness of serious games in reducing depression symptoms; however, they are limited by design and methodological shortcomings.</p><h3>Objective</h3><p dir="ltr">This study aimed to assess the effectiveness of serious games in alleviating depression by summarizing and pooling the results of previous studies.</p><h3>Methods</h3><p dir="ltr">A systematic review of randomized controlled trials (RCTs) was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The search sources included 6 bibliographic databases (eg, MEDLINE, PsycINFO, IEEE Xplore), the search engine “Google Scholar,” and backward and forward reference list checking of the included studies and relevant reviews. Two reviewers independently carried out the study selection, data extraction, risk of bias assessment, and quality of evidence appraisal. Results of the included studies were synthesized narratively and statistically, as appropriate, according to the type of serious games (ie, exergames or computerized cognitive behavioral therapy [CBT] games).</p><h3>Results</h3><p dir="ltr">From an initial 966 citations retrieved, 27 studies met the eligibility criteria, and 16 studies were eventually included in meta-analyses. Very low-quality evidence from 7 RCTs showed no statistically significant effect of exergames on the severity of depressive symptoms as compared with conventional exercises (P=.12). Very low-quality evidence from 5 RCTs showed a statistically and clinically significant difference in the severity of depressive symptoms (P=.004) between exergame and control groups, favoring exergames over no intervention. Very low-quality evidence from 7 RCTs showed a statistically and clinically significant effect of computerized CBT games on the severity of depressive symptoms in comparison with no intervention (P=.003).</p><h3>Conclusions</h3><p dir="ltr">Serious games have the potential to alleviate depression as other active interventions do. However, we could not draw definitive conclusions regarding the effectiveness of serious games due to the high risk of bias in the individual studies examined and the low quality of meta-analyzed evidence. Therefore, we recommend that health care providers consider offering serious games as an adjunct to existing interventions until further, more robust evidence is available. Future studies should assess the effectiveness of serious games that are designed specifically to alleviate depression and deliver other therapeutic modalities, recruit participants with depression, and avoid biases by following recommended guidelines for conducting and reporting RCTs.</p><h3>Trial Registration</h3><p dir="ltr">PROSPERO International Prospective Register of Systematic Reviews CRD42021232969; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=232969</p><h2>Other Information</h2><p dir="ltr">Published in: JMIR Serious Games<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/32331" target="_blank">https://dx.doi.org/10.2196/32331</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_aedc902f5a3dddaf84930a425e72e952 |
| identifier_str_mv | 10.2196/32331 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25679835 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysisAlaa Abd-Alrazaq (17430900)Eiman Al-Jafar (17541837)Mohannad Alajlani (9392676)Carla Toro (18434052)Dari Alhuwail (6497858)Arfan Ahmed (17541309)Shuja Mohd Reagu (12051406)Najeeb Al-Shorbaji (18434055)Mowafa Househ (9154124)PsychologyCognitive and computational psychologyserious gamesexergamesdepressioncognitive behavioral therapysystematic reviewsmeta-analysis<h3>Background</h3><p dir="ltr">Depression is a common mental disorder characterized by disturbances in mood, thoughts, or behaviors. Serious games, which are games that have a purpose other than entertainment, have been used as a nonpharmacological therapeutic intervention for depression. Previous systematic reviews have summarized evidence of effectiveness of serious games in reducing depression symptoms; however, they are limited by design and methodological shortcomings.</p><h3>Objective</h3><p dir="ltr">This study aimed to assess the effectiveness of serious games in alleviating depression by summarizing and pooling the results of previous studies.</p><h3>Methods</h3><p dir="ltr">A systematic review of randomized controlled trials (RCTs) was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The search sources included 6 bibliographic databases (eg, MEDLINE, PsycINFO, IEEE Xplore), the search engine “Google Scholar,” and backward and forward reference list checking of the included studies and relevant reviews. Two reviewers independently carried out the study selection, data extraction, risk of bias assessment, and quality of evidence appraisal. Results of the included studies were synthesized narratively and statistically, as appropriate, according to the type of serious games (ie, exergames or computerized cognitive behavioral therapy [CBT] games).</p><h3>Results</h3><p dir="ltr">From an initial 966 citations retrieved, 27 studies met the eligibility criteria, and 16 studies were eventually included in meta-analyses. Very low-quality evidence from 7 RCTs showed no statistically significant effect of exergames on the severity of depressive symptoms as compared with conventional exercises (P=.12). Very low-quality evidence from 5 RCTs showed a statistically and clinically significant difference in the severity of depressive symptoms (P=.004) between exergame and control groups, favoring exergames over no intervention. Very low-quality evidence from 7 RCTs showed a statistically and clinically significant effect of computerized CBT games on the severity of depressive symptoms in comparison with no intervention (P=.003).</p><h3>Conclusions</h3><p dir="ltr">Serious games have the potential to alleviate depression as other active interventions do. However, we could not draw definitive conclusions regarding the effectiveness of serious games due to the high risk of bias in the individual studies examined and the low quality of meta-analyzed evidence. Therefore, we recommend that health care providers consider offering serious games as an adjunct to existing interventions until further, more robust evidence is available. Future studies should assess the effectiveness of serious games that are designed specifically to alleviate depression and deliver other therapeutic modalities, recruit participants with depression, and avoid biases by following recommended guidelines for conducting and reporting RCTs.</p><h3>Trial Registration</h3><p dir="ltr">PROSPERO International Prospective Register of Systematic Reviews CRD42021232969; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=232969</p><h2>Other Information</h2><p dir="ltr">Published in: JMIR Serious Games<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.2196/32331" target="_blank">https://dx.doi.org/10.2196/32331</a></p>2022-01-14T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.2196/32331https://figshare.com/articles/journal_contribution/The_Effectiveness_of_Serious_Games_for_Alleviating_Depression_Systematic_Review_and_Meta-analysis/25679835CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/256798352022-01-14T03:00:00Z |
| spellingShingle | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis Alaa Abd-Alrazaq (17430900) Psychology Cognitive and computational psychology serious games exergames depression cognitive behavioral therapy systematic reviews meta-analysis |
| status_str | publishedVersion |
| title | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis |
| title_full | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis |
| title_fullStr | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis |
| title_full_unstemmed | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis |
| title_short | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis |
| title_sort | The Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis |
| topic | Psychology Cognitive and computational psychology serious games exergames depression cognitive behavioral therapy systematic reviews meta-analysis |