G Brun1, H Verdoux2, G Couhet3, C Quiles4. 1. Pôle universitaire de psychiatrie adulte, centre hospitalier Charles-Perrens, 33000 Bordeaux, France; Centre de réhabilitation psychosociale de la Tour-de-Gassies, 33000 Bordeaux, France. 2. Pôle universitaire de psychiatrie adulte, centre hospitalier Charles-Perrens, 33000 Bordeaux, France; Centre référent de réhabilitation psychosociale Nouvelle Aquitaine Sud, 33000 Bordeaux, France; Université de Bordeaux, 33000 Bordeaux, France; Inserm U1219, 33000 Bordeaux, France. 3. Centre de réhabilitation psychosociale de la Tour-de-Gassies, 33000 Bordeaux, France; Centre référent de réhabilitation psychosociale Nouvelle Aquitaine Sud, 33000 Bordeaux, France. 4. Pôle universitaire de psychiatrie adulte, centre hospitalier Charles-Perrens, 33000 Bordeaux, France; Centre référent de réhabilitation psychosociale Nouvelle Aquitaine Sud, 33000 Bordeaux, France. Electronic address: cquiles@ch-perrens.fr.
Abstract
OBJECTIVES: Video games and virtual reality have recently become used by clinicians for training or information media or as therapeutic tools. The purpose is to review the use of these technologies for therapy destined for schizophrenia patients. METHODS: We conducted a review in October 2016 using Pubmed, Scopus and PsychInfo using the following Medical Subject Headings (MESH): "video games", "virtual reality" and "therapy, computer-assisted/methods", each associated with "schizophrenia". Papers were included in the review if: (a) they were published in an English, Spanish or French-language peer-reviewed journal, (b) the study enrolled patients with schizophrenia or schizo-affective disorder, (c) the patients used a therapeutic video game or therapeutic virtual reality device. RESULTS: Eighteen publications were included. The devices studied are mainly therapeutic software developed specifically for therapeutic care. They can be classified according to their therapeutic objectives. These targets corresponded to objectives of psychosocial rehabilitation: improvement of residual symptomatology, cognitive remediation, remediation of cognition and social skills, improvement of everyday life activities, support for occupational integration. Very different devices were proposed. Some researchers analysed programs developed specifically for patients with schizophrenia, while others were interested in the impact of commercial games. Most of the studies were recent, preliminary and European. The impact of these devices was globally positive, particularly concerning cognitive functions. CONCLUSIONS: Computer-assisted therapy, video games and virtual reality cannot replace usual care but could be used as adjunctive therapy. However, recommending their use seems premature because of the recent and preliminary character of most studies. Moreover, a link is still lacking between this field of research in psychiatry and other fields of research, particularly game studies. Finally, it might be interesting to analyse more precisely the neuropsychological impact of existing commercial games which could potentially be useful for psychosocial rehabilitation.
OBJECTIVES: Video games and virtual reality have recently become used by clinicians for training or information media or as therapeutic tools. The purpose is to review the use of these technologies for therapy destined for schizophreniapatients. METHODS: We conducted a review in October 2016 using Pubmed, Scopus and PsychInfo using the following Medical Subject Headings (MESH): "video games", "virtual reality" and "therapy, computer-assisted/methods", each associated with "schizophrenia". Papers were included in the review if: (a) they were published in an English, Spanish or French-language peer-reviewed journal, (b) the study enrolled patients with schizophrenia or schizo-affective disorder, (c) the patients used a therapeutic video game or therapeutic virtual reality device. RESULTS: Eighteen publications were included. The devices studied are mainly therapeutic software developed specifically for therapeutic care. They can be classified according to their therapeutic objectives. These targets corresponded to objectives of psychosocial rehabilitation: improvement of residual symptomatology, cognitive remediation, remediation of cognition and social skills, improvement of everyday life activities, support for occupational integration. Very different devices were proposed. Some researchers analysed programs developed specifically for patients with schizophrenia, while others were interested in the impact of commercial games. Most of the studies were recent, preliminary and European. The impact of these devices was globally positive, particularly concerning cognitive functions. CONCLUSIONS: Computer-assisted therapy, video games and virtual reality cannot replace usual care but could be used as adjunctive therapy. However, recommending their use seems premature because of the recent and preliminary character of most studies. Moreover, a link is still lacking between this field of research in psychiatry and other fields of research, particularly game studies. Finally, it might be interesting to analyse more precisely the neuropsychological impact of existing commercial games which could potentially be useful for psychosocial rehabilitation.
Authors: Paweł Rasmus; Anna Lipert; Krzysztof Pękala; Małgorzata Timler; Elżbieta Kozłowska; Katarzyna Robaczyńska; Tomasz Sobów; Remigiusz Kozłowski; Michał Marczak; Dariusz Timler Journal: Int J Environ Res Public Health Date: 2021-04-19 Impact factor: 3.390
Authors: Tristan J Philippe; Naureen Sikder; Anna Jackson; Maya E Koblanski; Eric Liow; Andreas Pilarinos; Krisztina Vasarhelyi Journal: JMIR Ment Health Date: 2022-05-12