Changes in irrational beliefs are responsible for the efficacy of the REThink therapeutic game in preventing emotional disorders in children and adolescents: mechanisms of change analysis of a randomized clinical trial
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The mechanisms of change are rarely investigated in the field of gamified interventions for preventing emotional disorders in children and adolescents despite the wide recognition for the advantages they offer as prevention tool. Therefore, the aim of the present study was to investigate the mechanisms of change of a therapeutic game (REThink), specifically mediators and moderators of its efficacy. We conducted a randomized controlled trial, involving 165 children (age range 10–16 years), who were randomly distributed across three groups: the REThink group (N = 54), the Rational Emotive Behavior Education group (N = 55) and the Waitlist condition (N = 56). Results indicated that changes in irrational beliefs were significant mediators for the REThink intervention on depressive mood and overall negative emotions. Age did not moderate the effect of REThink, which indicates that the program was equally effective for children and adolescents.
Trial Registration ClinicalTrials.gov NCT03308981.
KeywordsTherapeutic game Prevention Internalizing disorders Randomized controlled trial Rational emotive behavioral therapy
We thank Carmen Pop, Răzvan Predatu, and Mădălina Sucală for their contribution, without which the present study could not have been completed.
This work was supported by a grant awarded to Oana A. David from the Romanian National Authority for Scientific Research, CNCS—UEFISCDI (Grant number PN-II-PT-PCCA-2013-4-1937).
Compliance with ethical standards
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
- 11.Lenhart A, Kahne J, Middaugh E, et al (2008) Teens, video games, and civics: teens’ gaming experiences are diverse and include significant social interaction and civic engagement. Pew Internet Am Life Proj. https://files.eric.ed.gov/fulltext/ED525058.pdf
- 12.Ellis A (1994) Reason and emotion in psychotherapy, Rev edn. Carol Publishing Group, SecaucusGoogle Scholar
- 13.Vernon A (1998) The PASSPORT program: a journey through emotional, social, cognitive, and self-development, grades 9–12. Research Press, ChampaignGoogle Scholar
- 14.Merriefield C, Merriefield R (1979) Call me ret-man and have a ball. Institute for Rational Living, New YorkGoogle Scholar
- 15.David D (2010) Retmagia şi minunatele aventuri ale lui Retman. Poveşti raţionale pentru copii şi adolescenţi [Retmagic and the wonderful adventures of Retman. Stories for children and adolescents]. RTS Cluj, Cluj-NapocaGoogle Scholar
- 16.David OA, Cardos R, Matu S (2018) Is REThink therapeutic game effective in preventing emotional disorders in children and adolescents? Outcomes of a randomized clinical trial. ECAPGoogle Scholar
- 18.Trip S, Vernon A, McMahon J (2007) Effectiveness of rational-emotive education: a meta-analytical study. J Cogn Behav Psychother. 7:81–93Google Scholar
- 21.Ellis LK, Rothbart MK (2001) Revision of the early adolescent temperament questionnaire. In: Poster presented at the 2001 biennial meeting of the society for research in child development, Minneapolis, MinnesotaGoogle Scholar
- 23.Trip S, Popa M (2005) CASI—the child and adolescent scale of irrationality. Analele Univ Din Oradea Fasc Psihol 8:39–51Google Scholar
- 25.Hayes AF (2013) Model templates for PROCESS for SPSS and SAS [White paper]. Retrieved from http://www.afhayes.com