Abstract
Given the alarming rise in the mental health issues among individuals of all age groups, it somehow becomes imperative to find novel solutions to deal with the existing global mental health crisis. Since affective and cognitive processes largely define our behavioral goals and tendencies, gamification has garnered immense interest among the mental health research community as a potential methodology to help modify any maladaptive perception, cognition, and behavior. Applying gaming in a therapeutic environment, undoubtedly, comes with a diverse set of advantages, which ranges from automatic tapping into the internal psychological mechanisms to increasing motivation to change, among many others. Thus, the advances in gamification elements have provided a straight revelation about the future directions of assessment, diagnosis, and treatment of various mental health conditions. With a brief introduction to the existing application of gamification in primary healthcare sectors, the present chapter will, therefore, aim to extend the scope of gamification to improve mental health issues. An extensive review of literature in this field will further educate readers about the popular domains in mental health, which currently apply gamification app technologies. This chapter will also attempt to provide empirical instances to suggest how gamification can improve the non-compliance rate to therapies as well as motivation to induce behavioral changes. The primary focus of this chapter is to enlighten its readers on how gamification using mobile and computer apps can digitally enhance and aid the present-day mental health diagnosis and treatment practices. This advancement will hopefully allow mental health experts, therapists, and psychologists to move beyond traditional psychotherapeutic interventions and diagnostic methods to a better and futuristic approach to understanding and treating clinical disorders. Furthermore, future implications and challenges will also be discussed.
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References
Abraham, C., Michie, S.: A taxonomy of behavior change techniques used in interventions. Health Psychol. 27(3), 379 (2008)
Andrews, A.: Serious games for psychological health education. In: International Conference on Virtual and Mixed Reality, pp. 3–10. Springer, Berlin, Heidelberg (2011)
Andrew, G., Cuijpers, P., Cradke, M., McEvoy, P., Titov, N.: Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: A meta-analysis. PLoS One J. 5(10), e13196 (2010). https://doi.org/10.1371/journal.pone.0013196
Anguera, J.A., Boccanfuso, J., Rintoul, J.L., Al-Hashimi, O., Faraji, F., Janowich, J., Kong, E., Larraburo, Y., Rolle, C., Johnston, E., Gazzaley, A.: Video game training enhances cognitive control in older adults. Nature 501(7465), 97–101 (2013)
Baranowski, T., Buday, R., Thompson, D.I., Baranowski, J.: Playing for real: video games and stories for health-related behavior change. Am. J. Prev. Med. 34(1), 74–82 (2008)
Batterham, P.J., Calear, A.L.: Preferences for internet-based mental health interventions in an adult online sample: findings from an online community survey. JMIR Ment. Health 4(2), e26 (2017)
Batterham, P.J., Neil, A.L., Bennett, K., Griffiths, K.M., Christensen, H.: Predictors of adherence among community users of a cognitive behavior therapy website. Patient Prefer. Adherence 2, 97 (2008)
Bakker, D., Kazantzis, N., Rickwood, D., Rickard, N.: Mental health smartphone apps: review and evidence-based recommendations for future developments. JMIR Ment. Health 3(1), e7 (2016)
Brown, M., O’Neill, N., van Woerden, H., Eslambolchilar, P., Jones, M., John, A.: Gamification and adherence to web-based mental health interventions: a systematic review. JMIR Ment. Health 3(3), e39 (2016)
Bogost, I.: Why gamification is bullshit. In: The Gameful World: Approaches, Issues, Applications, p. 65 (2015)
Burke, J.W., McNeill, M.D.J., Charles, D.K., Morrow, P.J., Crosbie, J.H., McDonough, S.M.: Optimising engagement for stroke rehabilitation using serious games. Vis. Comput. 25(12), 1085 (2009)
Biddiss, E., Irwin, J.: Active video games to promote physical activity in children and youth: a systematic review. Arch. Pediatr. Adolesc. Med. 164(7), 664–672 (2010)
Brooks, F.M., Chester, K.L., Smeeton, N.C., Spencer, N.H.: Video gaming in adolescence: factors associated with leisure time use. J. Youth Stud. 19(1), 36–54 (2016)
Cheng, V.W.S., Davenport, T., Johnson, D., Vella, K., Hickie, I.B.: Gamification in apps and technologies for improving mental health and well-being: systematic review. JMIR Ment. Health 6(6), e13717 (2019)
Cleland, J.G., Ekman, I.: Enlisting the help of the largest health care workforce—patients. JAMA 304(12), 1383–1384 (2010)
Clus, D., Larsen, M.E., Lemey, C., Berrouiguet, S.: The use of virtual reality in patients with eating disorders: Systematic review. J. Med. Internet Res. 20(4), e157 (2018). https://doi.org/10.2196/jmir.7898. PMID:29703715
Connolly, T.M., Boyle, E.A., MacArthur, E., Hainey, T., Boyle, J.M.: A systematic literature review of empirical evidence on computer games and serious games. Comput. Educ. 59(2), 661–686 (2012)
Cugelman, B.: Gamification: what it is and why it matters to digital health behavior change developers. JMIR Serious Games 1(1), e3 (2013)
Deterding, S., Dixon, D., Khaled, R., Nacke, L.: From game design elements to gamefulness: defining “gamification”. In: Proceedings of the 15th international academic MindTrek conference: Envisioning future media environments, pp. 9–15 (2011)
DeSmet, A., Shegog, R., Van Ryckeghem, D., Crombez, G., De Bourdeaudhuij, I.: A systematic review and meta-analysis of interventions for sexual health promotion involving serious digital games. Games Health J. 4(2), 78–90 (2015)
Dondlinger, M.J.: Educational video game design: a review of the literature. J. Appl. Educ. Technol. 4(1), 21–31 (2007)
Entertainment Software Association: Essential Facts about the Computer and Video Game Industry (2019). Available from: https://www.theesa.com/wp-content/uploads/2019/05/2019-Essential-Facts-About-the-Computer-and-Video-Game-Industry.pdf
Feldmann, L.: Positive Psychology Apps A Systematic Review of Current Positive Psychological Apps Aiming to Increase Happiness. Master’s thesis, University of Twente (2017)
Fleming, T., Dixon, R., Frampton, C., Merry, S.: A pragmatic randomized controlled trial of computerized CBT (SPARX) for symptoms of depression among adolescents excluded from mainstream education. Behav. Cogn. Psychother. 40(5), 529–541 (2012)
Fleming, T.M., Bavin, L., Stasiak, K., Hermansson-Webb, E., Merry, S.N., Cheek, C., Lucassen, M., Lau, H.M., Pollmuller, B., Hetrick, S.: Serious games and gamification for mental health: current status and promising directions. Front. Psychiatry 7, 215 (2017)
Fleming, T.M., De Beurs, D., Khazaal, Y., Gaggioli, A., Riva, G., Botella, C., Baños, R.M., Aschieri, F., Bavin, L.M., Kleiboer, A., Merry, S.: Maximizing the impact of e-therapy and serious gaming: time for a paradigm shift. Front. Psychiatry 18(7), 65 (2016)
Ferguson, C.J., Rueda, S.M.: The hitman study. Eur. Psychol. (2010)
Fodor, L.A., Coteț, C.D., Cuijpers, P., Szamoskozi, Ș., David, D., Cristea, I.A.: The effectiveness of virtual reality based interventions for symptoms of anxiety and depression: a meta-analysis. Sci. Rep. 8(1), 1–13 (2018). https://doi.org/10.1038/s41598-018-28113-6. PMID:29985400
Foroushani, P.S., Schneider, J., Assareh, N.: Meta-review of the effectiveness of computerised CBT in treating depression. BMC Psychiatry 11(1), 131 (2011)
Gamberini, L., Raya, M.A., Barresi, G., Fabregat, M., Ibanez, F., Prontu, L.: Cognition, technology and games for the elderly: an introduction to ELDERGAMES Project. PsychNology J. 4(3), 285–308 (2006)
Granic, I., Lobel, A., Engels, R.C.: The benefits of playing video games. Am. Psychol. 69(1), 66 (2014)
Hanusova, J., Tomanova, J., Stepankova, T., Dockalova, S., Papezova, H.: Online prevention and early intervention in the field of psychiatry using gamification in internet interventions. In: Novak, D., Bengisu, T., Brendryen, H. (eds.) Holistic perspectives in gamification for clinical practice, pp. 358–389. Medical Information Science Reference, IGI Global, Hershey, PA (2016)
Hoffmann, A., Christmann, C.A., Bleser, G.: Gamification in stress management apps: a critical app review. JMIR Serious Games 5(2), e13 (2017)
Holmes, E.A., James, E.L., Coode-Bate, T., Deeprose, C.: Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS ONE 4(1), e4153 (2009)
Hopia, H., Raitio, K.: Gamification in healthcare: perspectives of mental health service users and health professionals. Issues Ment. Health Nurs. 37(12), 894–902 (2016)
Johnson, D., Deterding, S., Kuhn, K.A., Staneva, A., Stoyanov, S., Hides, L.: Gamification for health and wellbeing: a systematic review of the literature. Internet Interventions 6, 89–106 (2016)
Khazaal, Y., Chatton, A., Prezzemolo, R., Zebouni, F., Edel, Y., Jacquet, J., Ruggeri, O., Burnens, E., Monney, G., Protti, A.S., Etter, J.F.: Impact of a board-game approach on current smokers: a randomized controlled trial. Subst. Abuse Treat. Prev. Policy 8(1), 3 (2013)
King, D., Greaves, F., Exeter, C., Darzi, A.: ‘Gamification’: Influencing Health Behaviours with Games (2013)
Klingle, R.S.: Bringing time into physician compliance-gaining research: Toward a reinforcement expectancy theory of strategy effectiveness. Health Commun. 5(4), 283–308 (1993)
Knox, M., Lentini, J., Cummings, T.S., McGrady, A., Whearty, K., Sancrant, L.: Game-based biofeedback for paediatric anxiety and depression. Ment. Health Fam. Med. 8(3), 195 (2011)
Kotaku, R.M.: Can’t Play. Won’t Play (2010). URL: https://www.kotaku.com.au/2010/11/cant-play-wont-play/. Accessed 14 June 2017
Lenihan, D.: Health games: a key component for the evolution of wellness programs. Games Health Res. Dev. Clin. Appl. 1(3), 233–235 (2012)
Lal, S., DellÉlce, J., Tucci, N., Fuhrer, R., Tamblyn, R., Malla, A.: Preferences of young adults with first-episode psychosis for receiving specialized mental health services using technology: a survey study. JMIR Ment. Health 2(2), e18 (2015). https://doi.org/10.2196/mental.4400
Lazaro, N.: Why we play games: Four keys to more emotion without story (2004). URL: http://www.xeodesign.com/xeodesign_whyweplaygames.pdf
Lee, J.J., Hammer, J.: Gamification in education: what, how, why bother? Acad. Exch. Quar. 15(2), 3–4 (2011)
Li, J., Theng, Y.L., Foo, S.: Effect of exergames on depression: a systematic review and meta-analysis. Cyberpsychol. Behav. Soc. Netw. 19(1), 34–42 (2016)
Li, J., Theng, Y.L., Foo, S.: Game-based digital interventions for depression therapy: a systematic review and meta-analysis. Cyberpsychol. Behav. Soc. Netw. 17(8), 519–527 (2014)
Lister, C., West, J.H., Cannon, B., Sax, T., Brodegard, D.: Just a fad? Gamification in health and fitness apps. JMIR Serious Games 2(2), e9 (2014)
Marchand, A., Hennig-Thurau, T.: Value creation in the video game industry: Industry economics, consumer benefits, and research opportunities. J. Interact. Mark. 27(3), 141–157 (2013)
Martínez-Pérez, B., De La Torre-Díez, I., López-Coronado, M.: Mobile health applications for the most prevalent conditions by the World Health Organization: review and analysis. J. Med. Internet Res. 15(6), e120 (2013)
McConville, K.M.V., Virk, S.: Evaluation of an electronic video game for improvement of balance. Virtual Reality 16(4), 315–323 (2012)
McGonigal, J.: Reality is Broken: Why Games Make Us Better and How They Can Change the World. Penguin (2011)
Merry, S., Stasiak, K., Shepherd, M., Frampton, C., Fleming, T., Lucassen, M.: @@The effectiveness of SPARX, a computerised self-help intervention for adolescents seeking help for depression: randomised controlled non-inferiority trial. BMJ Br. Med. J. 344, e2598 (2012). https://doi.org/10.1136/bmj.e2598
Michael, D.R., Chen, S.L.: Serious Games: Games that Educate, Train, and Inform. Muska & Lipman/Premier-Trade (2005)
Michie, S., Van Stralen, M.M., West, R.: The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implementation Sci. 6(1), 42 (2011)
Newman, D., O’Reilly, P., Lee, S.H., Kennedy, C.: Mental health service users’ experiences of mental health care: an integrative literature review. J. Psychiatr. Ment. Health Nurs. 22(3), 171–182 (2015)
Paredes, P., Tewari, A., Canny, J.: Design principles for the conceptualization of games for health behavior change. In: CHI 2013 (2013)
Pinton, M., Hickman, R., Clochesy, J., Buchner, M.: Avatar-based depression self-management technology: promising approach to improve depressive symptoms among young adults. Appl. Nurs. Res. 26(1), 45–48 (2013). https://doi.org/10.1016/j.apnr.2012.08.003
Oulasvirta, A., Rattenbury, T., Ma, L., Raita, E.: Habits make smartphone use more pervasive. Pers. Ubiquit. Comput. 16(1), 105–114 (2012)
Read, J.L., Shortell, S.M.: Interactive games to promote behavior change in prevention and treatment. JAMA 305(16), 1704–1705 (2011)
Riva, G., Baños, R.M., Botella, C., Mantovani, F., Gaggioli, A.: Transforming experience: the potential of augmented reality and virtual reality for enhancing personal and clinical change. Front. Psychiatry 7, 164 (2016)
Roepke, A.M., Jaffee, S.R., Riffle, O.M., McGonigal, J., Broome, R., Maxwell, B.: Randomized controlled trial of SuperBetter, a smartphone-based/internet-based self-help tool to reduce depressive symptoms. Games Health J. 4(3), 235–246 (2015)
Rothbaum, B.O., Hodges, L., Anderson, P.L., Price, L., Smith, S.: Twelve-month follow-up of virtual reality and standard exposure therapies for the fear of flying. J. Consult. Clin. Psychol. 70(2), 428–432 (2002). https://doi.org/10.1037/0022-006X.70.2.428. PMID:11952201
Ryan, R.M., Deci, E.L.: Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am. Psychol. 55(1), 68 (2000)
Ryan, R.M., Rigby, C.S., Przybylski, A.: The motivational pull of video games: a self-determination theory approach. Motiv. Emot. 30(4), 344–360 (2006)
Sardi, L., Idri, A., Fernández-Alemán, J.L.: @@A systematic review of gamification in e-Health. J. Biomed. Inform. 71, 31–48 (2017)
Seaborn, K., Fels, D.I.: Gamification in theory and action: a survey. Int. J. Hum Comput Stud. 74, 14–31 (2015)
Skorka-Brown, J., Andrade, J., Whalley, B., May, J.: Playing Tetris decreases drug and other cravings in real world settings. Addict. Behav. 51, 165–170 (2015)
Sinha, N.: Using virtual reality in college student mental health treatment. In: Choi, D.H., Dailey-Hebert, A., Estes, J.S. (eds.) Current and Prospective Applications of Virtual Reality in Higher Education (In Press). IGI Global (2020). https://doi.org/10.4018/978-1-7998-4960-5
Street, H.: Exploring relationships between goal setting, goal pursuit and depression: a review. Aust. Psychol. 37(2), 95–103 (2002)
Taylor, S., Fedoroff, I.C.: The expectancy theory of fear, anxiety, and panic: a conceptual and empirical analysis. In: Anxiety Sensitivity: Theory, Research, and Treatment of the Fear of Anxiety, pp. 17–33 (1999)
Valadez, J.J., Ferguson, C.J.: Just a game after all: violent video game exposure and time spent playing effects on hostile feelings, depression, and visuospatial cognition. Comput. Hum. Behav. 28(2), 608–616 (2012)
WHO: Improving Health Systems and Services for Mental Health (2009). Retrieved from http://apps.who.int/iris/bitstream/10665/44219/1/9789241598774_eng.pdf
Wilson, G.T.: Behavior Therapy (2005)
Zyda, M.: From visual simulation to virtual reality to games. Computer 38(9), 25–32 (2005)
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Sinha, N. (2021). Introducing Gamification for Advancing Current Mental Healthcare and Treatment Practices. In: Marques, G., Bhoi, A.K., Albuquerque, V.H.C.d., K.S., H. (eds) IoT in Healthcare and Ambient Assisted Living. Studies in Computational Intelligence, vol 933. Springer, Singapore. https://doi.org/10.1007/978-981-15-9897-5_11
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