The DOI matches its Crossref record, with a small difference in title or year; 50 of the 50 references it cites were found in a registry or an index; none of the 44 sources its claims cite is checked for support yet.
Juegos serios para el tratamiento o la prevención de la depresión: una revisión sistemática
Open accessAbstract
Serious games (computerised interventions which utilise gaming for serious purposes) have been shown to support improved outcomes in several health conditions. We aimed to review evidence regarding serious games for depression. We undertook electronic searches of PsycInfo, EMBASE and Medline, using terms relevant to computer games and depression. We included fulltext articles published in English in peer-reviewed literature since 2000, where the intervention was designed to treat or prevent depression and which included pre-and post-intervention measurement of depression. Nine studies relating to a total of six interventions met inclusion criteria. Most studies were small and were carried out by the developers of the programs. All were tested with young people (ages between 9 and 25 years). Most reported promising results with some positive impact on depression although one universal program had mixed results. Serious gaming interventions show promise for depression, however evidence is currently very limited.
Overview
AI snapshot
Written from the paper’s full text.
TL;DR
This systematic review identified nine studies of six serious-game interventions for depression, almost all in young people aged 9–25 years. Most reported promising symptom improvements and adherence, but the evidence base is small, heterogeneous, and largely produced by intervention developers.
Key findings
- Nine studies relating to six interventions met inclusion criteria; most were small, and all were tested with young people aged 9–25 years.
- In the largest RCT, SPARX was as effective as treatment as usual on clinician-rated and self-report depression measures, with significantly higher remission rates for SPARX (43.7%) than treatment as usual (26.4%) (p=.030).
- In another SPARX RCT versus waitlist, remission rates were significantly higher for SPARX (78.9%) than waitlist (36.4%) (p=.004).
- The Journey showed significantly greater reductions in clinician-rated depression than an attention placebo (mean change intervention group = 17.6, CI = 14.13–21.00; attention placebo = 6.06, CI = 2.01–10.02; F(1,27)=20.6; p<.001), but not on self-report depression.
- Adherence was promising where reported: 85% completed all Think Feel Do modules; 60–90% completed all seven SPARX modules; 94% completed all modules of The Journey. ReachOutCentral showed no significant pre-to-post improvement in depression symptoms on the K10, though resiliency improved for females.
Methods
- Systematic review with electronic searches of PsycInfo, Medline, and EMBASE from inception to 21 June 2014, using terms for computer games and depression.
- Eligible studies were English-language peer-reviewed articles published after 2000, any design (RCT, CCT, or open trial), delivered online/digitally, using gaming as an integral and primary method, and reporting pre- and post-intervention depression measurement.
- Searches retrieved 2,137 publications; 43 studies were interrogated for inclusion, and 9 studies relating to 6 interventions were included. Data were extracted by six authors and checked by a seventh; heterogeneity precluded meta-analysis.
Limitations
- The paper states that studies were generally small, interventions were heterogeneous, and most were carried out by persons involved in intervention development; these limitations precluded meaningful data synthesis.
- The paper states that all included interventions focused on children, adolescents, or young people (aged 9–25 years), that program descriptions were limited, and that only peer-reviewed literature was reviewed.
- Evident from the text: only one RCT had a large sample (n=187), most other trials had fewer than 34 participants, several programs were CD-ROM-based and not smartphone-based, and most were not publicly available outside research settings.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
62 Not checked yet · 22 Own result · 16 No basis given · 14 Own interpretation · 10 Own method
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Most studies were small and were carried out by the developers of the programs.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Most reported promising results with some positive impact on depression although one universal program had mixed results.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“All were tested with young people (ages between 9 and 25 years).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Most studies were small and were carried out by the developers of the programs.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nine studies relating to a total of six interventions met inclusion criteria.”
- Also stated in: § Results of the search · plain
“Of the 43 studies interrogated for inclusion, 9 studies relating to six different interventions were eligible for inclusion.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Abstract
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- Also stated in: § Results of the search · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For the majority of possibly relevant studies that were excluded, the reason for exclusion was that the intervention was exclusively a Virtual Reality simulation that did not incorporate gaming as an integral or primary strategy or was an intervention that was aimed at other conditions.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Results of the search
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The RCTs and CCTs were generally small; fi ve had a sample size less than 34; one RCT of SPARX (Merry et al., 2012) included a sample size of 187.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The RCTs and CCTs were generally small; fi ve had a sample size less than 34; one RCT of SPARX (Merry et al., 2012) included a sample size of 187.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Eight studies focused on children and or adolescents (aged 9 to 19 years); while ReachOutCentral was tested with 18 to 25 year olds.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
plainn = 8- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
None of the sources cited for this claim have been checked yet.
In the paper
“In the open trial of Think Feel Do reported by Attwood et al. (2012), participants demonstrated signifi cant improvements in depression on the self-rated Adolescent Wellbeing Scale, the generalized anxiety subscale on the self-rated Spence Children's Anxiety Scale and in self-esteem on the Rosenberg Self Esteem Scale.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Outcomes
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
- It may state two separate claims as one. 23
- Probably not a substantial claim. 30
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Most reported promising results with some positive impact on depression although one universal program had mixed results.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Abstract
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Similarly, the open trials were small, all with fewer than 21 participants except in the open trial of ReachOutCentral (Shandley et al., 2010), which enrolled 266 participants and obtained outcome data for 154 of these.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
plainn = 8- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Eight studies focused on children and or adolescents (aged 9 to 19 years); while ReachOutCentral was tested with 18 to 25 year olds.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Similarly, the open trials were small, all with fewer than 21 participants except in the open trial of ReachOutCentral (Shandley et al., 2010), which enrolled 266 participants and obtained outcome data for 154 of these.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Those who re-ceived the intervention had signifi cantly improved scores on the total anxiety score of the self-rated Spence Children's Anxiety Scale, as well as on social phobia and generalised anxiety subscales but no signifi cant improvements on parent-rated anxiety or on the parent-rated Strengths and Diffi culties Questionnaire (Attwood et al., 2012).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Coyle et al. (2011), reported no outcome data but stated that in study one there were some improvements in Child Behaviour Checklist (CBCL) scores but not Youth Self Report (YSR) scores and in study two that gNat Island had a positive impact but no outcome measurement is described (Coyle et al., 2011).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Outcomes
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“The authors did report that there were signifi cant improvements in resiliency for females, but not for males.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“All of the studies had some measure of satisfaction, with at least moderate ratings for all the programs.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Adherence and satisfaction
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Coyle et al. (2011), reported no outcome data but stated that in study one there were some improvements in Child Behaviour Checklist (CBCL) scores but not Youth Self Report (YSR) scores and in study two that gNat Island had a positive impact but no outcome measurement is described (Coyle et al., 2011).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“On average females spent a total of 91 minutes over 1.6 sessions on ReachOutCentral and males spent 69 minutes over 1.5 sessions (Shandley et al., 2010).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Adherence and satisfaction
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In the RCT by Stallard et al. (2011), while young people were randomised to Think Feel Do or a waitlist control, only within-group analyses were undertaken so it is not clear if there were signifi cant differences between groups across the outcome measures.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Outcomes
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Studies are generally small and interventions are heterogeneous.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Strengths and limitations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Further, optimal gaming components and design elements have yet to be explored.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Whether serious gaming might increase uptake of computerised therapies or increase adherence to them has not yet been tested.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Most studies provided very little program description and programs cannot be accessed easily for review.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Whether serious gaming might also have negative effects is also unknown.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
In the paper
“However, all have been carried out by persons involved in the development of the intervention and all but one (Merry et al., 2012) are small trials.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
What the sources say
- Not checked yetcites Merry et al., 2012
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“In most of these cases, the game is played on a computer and involves a fantasy world in which the user undertakes a virtual journey as they learn real life skills.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: unclear — It is unclear whether the paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“We are at the beginning of exploring how serious games might impact on depression.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > CONCLUSIONS
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“It has been diffi cult to fi nd out much information about the content of the interventions.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Strengths and limitations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
None of the sources cited for this claim have been checked yet.
In the paper
“Serious games have been effective for improving knowledge and adherence to treatment in conditions such as asthma, diabetes and cancer (Murray, Burns, See, Lai, & Nazareth, 2005;Stinson, Wilson, Gill, Yamada, & Holt, 2009).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites Murray et al., 2005
- Not checked yetcites Stinson et al., 2009
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“The National Institute for Clinical Excellence (NICE) guidelines currently recommend the use of CCBT for anxiety and depression as part of a stepped-care approach (NICE, 2009).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites NICE, 2009
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Systematic reviews have found CCBT programs to be promising or effective for the treatment of depression (Hedman, Ljotsson, & Lindefors, 2012;Newman, Szkodny, Llera, & Przeworski, 2011;Richards, & Richardson, 2012)”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites Hedman et al., 2012
- Not checked yetcites Newman et al., 2011
- Not checked yetcites Richards & Richardson, 2012
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Social Learning Theory describes the importance of learning from others who are credible and likeable (Baranowski, Buday, Thompson, & Baranowski, 2008)”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites Baranowski et al., 2008
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“The combination of a narrative within games, together with clear learning objectives can facilitate deep learning (Dondlinger, 2007).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites Dondlinger, 2007
plainconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Well-designed computer games have been shown to have multiple benefi ts including increased motivation for learning, improved attention and problem solving, and increased social engagement (Connolly, Boyle, MacArthur, Hainey, & Boyle, 2012;Papastergiou, 2009)”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites Connolly et al., 2012
- Not checked yetcites Papastergiou, 2009
boosteddirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Visual imagery and immersion may promote understanding of abstract concepts and improve retention (Andrews, 2011;Salzman, Dede, & Loftin, 1999).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites Andrews, 2011
- Not checked yetcites Salzman et al., 1999
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Connolly et al. (2012) reviewed empirical evidence on serious games and Primack et al. (2012) reviewed video games for health-related outcomes, however neither identifi ed any games for depression.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > INTRODUCTION
What the sources say
- Not checked yetcites Connolly et al., 2012
- Not checked yetcites Primack et al., 2012
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Titles and abstracts were searched by one of three authors to exclude studies that obviously did not meet the inclusion criteria.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Search strategy and key words
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Six authors extracted data into a data extraction form that had been piloted with one paper.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Data extraction
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“A seventh author (SH) checked this data extraction and resolved any anomalies, inconsistencies or queries with regard to this information with the other authors.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Data extraction
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Full text articles of studies that appeared relevant or possibly relevant for inclusion were requested and inspected independently by two of six authors with disagreements resolved by discussion.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Search strategy and key words
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This limitation does not refl ect the diverse population of game users.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
plain- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it.
- Rests on an assumption: Games are now popular among many age groups.
- Rests on an assumption: Young people have led the uptake of computerised games.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Inconsistent terms used to describe the aims or purpose of computerised programs targeting users with depression and the lack of a consistent nomenclature for serious gaming added complexity in defi ning included and excluded studies for this review.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Strengths and limitations
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. It may state two separate claims as one.
In the paper
“Serious gaming can add features of play, mystery and narrative (Klopfer, Osterweil, & Salen, 2009).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
What the sources say
- Not checked yetcites Klopfer, Osterweil, & Salen, 2009
plaindirect- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
None of the sources cited for this claim have been checked yet.
In the paper
“Serious gaming may be valuable in increasing immersion and can allow the use of visual metaphor and egocentric as well as exocentric learning perspectives (Dede, 2009;Dondlinger, 2007).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
What the sources say
- Not checked yetcites Dede, 2009
- Not checked yetcites Dondlinger, 2007
hedgedconditional- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The fi nding that many of the included interventions are delivered via technology such as CD-ROM highlights the important issue of time-lag from program development to published peer-reviewed fi ndings and dissemination.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
- Rests on an assumption: CD-ROMs are rapidly dating and cannot be utilised on many devices.
In the paper
“Models for such systems have been proposed (Glasgow, Phillips, & Sanchez, 2013).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
What the sources say
- Not checked yetcites Glasgow, Phillips, & Sanchez, 2013
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
In the paper
“the Playmancer project has developed physical fi tness and movement based programs for older people (Kalapanidas et al., 2010).”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
What the sources say
- Not checked yetcites Kalapanidas et al., 2010
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Overall there were promising fi ndings in terms of adherence (when reported) and in terms of impact on symptoms.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
plaincorrelational- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
It may state two separate claims as one.
In the paper
“Computer gaming programs have been used for cognitive decline among older persons (Lim, & Chun, 2013)”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > DISCUSSION
What the sources say
- Not checked yetcites Lim, & Chun, 2013
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We have endeavored to make thoughtful judgments about inclusion criteria and have been explicit about these.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Strengths and limitations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“These various limitations mean that we can only make very tentative conclusions about the possible appeal and impact of serious games for depression.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Strengths and limitations
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“As the medium by which we can communicate broadens, it is likely that there is no universal method that will suit all problems and goals of treatment, or the all ways that people wish to access help.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > CONCLUSIONS
hedged- Asserted: passes — The authors put it forward as true.
- Checkable: fails — It may be too vague to check against evidence.
- Load-bearing: passes — The paper’s conclusions depend on it.
- Based: fails — The paper may give no reason why it holds.
Probably not a substantial claim. It may be too vague to check against evidence. The paper may give no reason why it holds.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“We have explored only peer-reviewed literature regarding serious games for depression.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Strengths and limitations
plain- Asserted: passes — The authors put it forward as true.
- Checkable: passes — It can be checked against evidence.
- Load-bearing: fails — The paper’s conclusions may not depend on it.
- Based: passes — The paper gives a reason why it holds.
Probably not a substantial claim. The paper’s conclusions may not depend on it.
The paper relies on this without support.
A large and increasing proportion of internet access is via smartphones.
“even though a large and increasing proportion of internet access is via smartphones.”
The paper relies on this without support.
CD-ROMs are rapidly dating and cannot be utilised on many devices.
“The CD-ROM is rapidly dating and cannot be utilised on many devices.”
The paper relies on this without support.
Games are now popular among many age groups.
“While young people have led the uptake of computerised games, games are now popular among many age groups.”
The paper relies on this without support.
Young people have led the uptake of computerised games.
“While young people have led the uptake of computerised games, games are now popular among many age groups.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“gaming interventions have shown promising results in the area of depression prevention and treatment (Fleming et al., 2014, Li et al., 2014).”
From A pilot evaluation of the SPARX-R gaming intervention for preventing depression and improving wellbeing among adolescents in alternative education (2017) · cites this paper as Fleming et al., 2014
In the citing paper
“This review was not confined to RCTs.”
From Serious Games for Mental Health: Are They Accessible, Feasible, and Effective? A Systematic Review and Meta-analysis (2017) · cites this paper as [83]
In the citing paper
“Our results compare favorably to those found in the review of serious games for depression only by Fleming et al. (83).”
From Serious Games for Mental Health: Are They Accessible, Feasible, and Effective? A Systematic Review and Meta-analysis (2017) · cites this paper as [83]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentz = -2.09reported p < .05 · recomputed p = .037
“(Z=-2.09, p < .05”
- ConsistentF(2, 23) = 9.39reported p = .001 · recomputed p = .001
“F(2,23)=9.39, p = .001”
- ConsistentF(1, 264) = 11.89reported p = 0 · recomputed p < .001
“F(1,264)=11.89, p = .00”
- ConsistentF(1, 177) = 15.51reported p = 0 · recomputed p < .001
“F(1,177)=15.51, p = .00”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Rated major: it would touch a result — a value a result rests on, reported and recomputed p-values on opposite sides of the significance level, two passages that conflict with no sign which is right, or a cited work retracted before this paper was published.
In the paper
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Outcomes
“SPARX resulted in signifi cantly greater reductions in depression on the CDRS-R, and on RADS-II, as well as signifi cantly higher rates of remission.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > CONCLUSIONS
“| | | Remission | those using SPARX (F=4.13, p=.052) |”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
“The RCTs and CCTs were generally small; fi ve had a sample size less than 34; one RCT of SPARX (Merry et al., 2012) included a sample size of 187.”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > CONCLUSIONS
“| Stasiak et | The Journey | RCT (vs AP) | 34 | 13 to 18 | Self-referred to school counsellor |”
Rated minor: it would not touch a result — a value no result rests on, a p-value that stays on the same side of the significance level, or a conflict that is clerical, resolved elsewhere in the paper, or outside its own findings.
In the paper
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > Participants
“the open trials were small, all with fewer than 21 participants except in the open trial of ReachOutCentral”
§ SERIOUS GAMES FOR THE TREATMENT OR PREVENTION OF DEPRESSION: A SYSTEMATIC REVIEW > CONCLUSIONS
“| Lucassen | SPARX-Rainbow Open Trial | 21 | 13 to 19 | Recruited from youth organisation | |”
Citations
Cites
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164
Digital Natives, Digital Immigrants Part 1
Prensky, M. (2001) · On the Horizon · doi:10.1108/10748120110424816 · Cited by 11,104 · cited 5×
“For the purposes of this analysis, we included interventions which utilise elements of gaming (Prensky, 2001) as an integral and primary method for achieving their purpose.”
BackgroundMethodInfluentialLiberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00136 · Cited by 10,349
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · Italian Journal of Public Health · doi:10.2427/5768 · Cited by 3,374
A systematic literature review of empirical evidence on computer games and serious games
Connolly, T. M., Boyle, E. A., MacArthur, E., Hainey, T., & Boyle, J. M. (2012) · Computers & Education · doi:10.1016/j.compedu.2012.03.004 · Cited by 2,890 · cited 1×
“Connolly et al. (2012) reviewed empirical evidence on serious games and Primack et al. (2012) reviewed video games for health-related outcomes, however neither identifi ed any games for depression.”
BackgroundGlobal burden of depressive disorders in the year 2000
Üstün, T. B., Ayuso-Mateos, J. L., Chatterji, S., Mathers, C., & Murray, C. J. L. (2004) · British Journal of Psychiatry · doi:10.1192/bjp.184.5.386 · Cited by 1,735
Immersive Interfaces for Engagement and Learning
Dede, C. (2009) · Science · doi:10.1126/science.1167311 · Cited by 1,707 · cited 2×
“The content utilises a ‘bicentric frame of reference’ (Dede, 2009) whereby the user meets a virtual ‘Guide’ who talks to them directly about depression and application of skills learned in the ‘game world’ to their life.”
BackgroundInternet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
SPEK, V., CUIJPERS, P., NYKLÍČEK, I., RIPER, H., KEYZER, J., & POP, V. (2007) · Psychological Medicine · doi:10.1017/s0033291706008944 · Cited by 1,586 · cited 2×
“Existing literature has demonstrated that computerised interventions for depression can be effective and that adherence is enhanced with therapist or paraprofessional support (Spek et al., 2007; Richards et al., 2012).”
BackgroundSize and burden of mental disorders in Europe—a critical review and appraisal of 27 studies
Wittchen, H.-U., & Jacobi, F. (2005) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2005.04.012 · Cited by 1,503
Computer-based psychological treatments for depression: A systematic review and meta-analysis
Richards, D., & Richardson, T. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.02.004 · Cited by 1,442
Research works printed but not linked: 2
- Wittchen, H.-U., & Jacobi, F. (2005). Size and burden of mental disorders in europe-a critical review and a p p r a i s a l o f 2 7 s t u d i e s . E u r o p e a n Neuropsychopharmacology, 15, 357-376.
- Wittgenstein, L., & Anscombe, G. (2009). Philosophical investigations: The German text with an English translation. P. Hacker & J. Schulte. Oxford UK: Wiley- Blackwell.
Cited by
Sorted by citations
Krath, J., Schürmann, L., & von Korflesch, H. F. O. (2021) · Computers in Human Behavior · doi:10.1016/j.chb.2021.106963 · Cited by 1,324
Hollis, C., Falconer, C. J., Martin, J. L., Whittington, C., Stockton, S., Glazebrook, C., & Davies, E. B. (2017) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12663 · Cited by 846
“, 2014; Seko, Kidd, Wiljer, & McKenzie, 2014), 12 systematic reviews (Ali, Farrer, Gulliver, & Griffiths, 2015; Calear & Christensen, 2010; Clarke, Kuosmanen, & Barry, 2015; Farrer et al., 2013; Fleming et al., 2014; Hailey, Roine, & Ohinmaa, 2008; Reyes-Portillo et al., 2014; Rice et al., 2014; Richardson, Stallard,…”
BackgroundInfluentialSerious Games and Gamification for Mental Health: Current Status and Promising Directions
Fleming, T. M., Bavin, L., Stasiak, K., Hermansson-Webb, E., Merry, S. N., Cheek, C., Lucassen, M., Lau, H. M., Pollmuller, B., & Hetrick, S. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00215 · Cited by 582
“(9) Systematic review of serious games for the treatment or prevention of depression Studies of computer games/serious games to treat or prevent depression.”
BackgroundInfluentialSelf-citationLau, H. M., Smit, J. H., Fleming, T. M., & Riper, H. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00209 · Cited by 328
Self-citationHetrick, S. E., Cox, G., Witt, K., Bir, J. J., & Merry, S. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003380.pub4 · Cited by 336
Self-citationYen, H., & Chiu, H. (2021) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2021.03.009 · Cited by 258
Maximizing the Impact of e-Therapy and Serious Gaming: Time for a Paradigm Shift
Fleming, T. M., de Beurs, D., Khazaal, Y., Gaggioli, A., Riva, G., Botella, C., Baños, R. M., Aschieri, F., Bavin, L. M., Kleiboer, A., et al. (2016) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00065 · Cited by 212
““Serious games” are interventions that are games, or that utilize elements of gaming, as an integral and primary method for achieving a serious purpose, such as a health or educational goal (32).”
BackgroundSelf-citationRauschenberg, C., Schick, A., Hirjak, D., Seidler, A., Paetzold, I., Apfelbacher, C., Riedel-Heller, S. G., & Reininghaus, U. (2021) · Journal of Medical Internet Research · doi:10.2196/23365 · Cited by 205
Potential Applications of Social Robots in Robot-Assisted Interventions for Social Anxiety
Rasouli, S., Gupta, G., Nilsen, E. S., & Dautenhahn, K. (2022) · International Journal of Social Robotics · doi:10.1007/s12369-021-00851-0 · Cited by 159
Thabrew, H., Stasiak, K., Hetrick, S. E., Wong, S., Huss, J. H., & Merry, S. N. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012489.pub2 · Cited by 141
“Computers may be preferable for some who are unable (e.g. those living in rural areas) or reluctant (e.g. many adolescents) to seek traditional face-to-face care (Fleming 2015).”
BackgroundMethodInfluentialSelf-citationIntegrating Health Behavior Theory and Design Elements in Serious Games
Cheek, C., Fleming, T., Lucassen, M. F., Bridgman, H., Stasiak, K., Shepherd, M., & Orpin, P. (2015) · JMIR Mental Health · doi:10.2196/mental.4133 · Cited by 95
“Most serious games for mental health issues that have been clinically tested are not publically available, and few describe the features of the game in any depth [11].”
Self-citationStigma-Stop: A Serious Game against the Stigma toward Mental Health in Educational Settings
Cangas, A. J., Gómez, N. N., Aguilar-Parra, J. M., Ojeda-Castelo, J. J., Cangas, D., Piedra-Fernandez, J. A., & Gallego, J. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01385 · Cited by 112
“There are serious games for preventing and treating various psychological disorders, particularly depression and anxiety (Connolly et al., 2012; Fleming et al., 2014), but none exist which combine different psychiatric problems and also focus specifically on the issue of stigma.”
BackgroundSerious Games for Psychotherapy: A Systematic Review
Eichenberg, C., & Schott, M. (2017) · Games for Health Journal · doi:10.1089/g4h.2016.0068 · Cited by 106
“21 Included programs were partly therapist-guided interventions, and also stand-alone serious games.”
Therapeutic use of serious games in mental health: scoping review
Dewhirst, A. M., Laugharne, R. A., & Shankar, R. (2022) · BJPsych Open · doi:10.1192/bjo.2022.4 · Cited by 88
Gamifying CBT to deliver emotional health treatment to young people on smartphones
Christie, G. I., Shepherd, M., Merry, S. N., Hopkins, S., Knightly, S., & Stasiak, K. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100286 · Cited by 81
Self-citationDeveloping Digital Intervention Games for Mental Disorders: A Review
Shah, A., Kraemer, K. R., Won, C. R., Black, S., & Hasenbein, W. (2018) · Games for Health Journal · doi:10.1089/g4h.2017.0150 · Cited by 74
The Effectiveness of Serious Games in Alleviating Anxiety: Systematic Review and Meta-analysis
Abd-Alrazaq, A. A., Alajlani, M., Alhuwail, D., Schneider, J., Akhu‐Zaheya, L., Ahmed, A., & Househ, M. S. (2021) · JMIR Serious Games · doi:10.2196/29137 · Cited by 82
Vázquez, F. L., Otero, P., García-Casal, J. A., Blanco, V., Torres, Á., & Arrojo, M. (2018) · PLoS ONE · doi:10.1371/journal.pone.0208192 · Cited by 78
Kuosmanen, T., Fleming, T. M., Newell, J., & Barry, M. M. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.03.004 · Cited by 56
“Although the evidence on the effectiveness of serious games (“computerized interventions which utilize gaming for serious purposes” [Fleming et al., 2014, p. 1]) for improving mental health and wellbeing is still limited (Lau et al., 2017; Johnson et al., 2016), gaming interventions have shown…”
BackgroundSelf-citationThe Effectiveness of Serious Games for Alleviating Depression: Systematic Review and Meta-analysis
Abd-Alrazaq, A., Al-Jafar, E., Alajlani, M., Toro, C., Alhuwail, D., Ahmed, A., Reagu, S. M., Al-Shorbaji, N., & Househ, M. (2022) · JMIR Serious Games · doi:10.2196/32331 · Cited by 68
“None of the previous reviews [18,19,35-37] assessed the effect of computerized CBT games on depression.”
BackgroundInfluentialStrauss, P., Morgan, H., Toussaint, D. W., Lin, A. P., Winter, S., & Perry, Y. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100280 · Cited by 62
“To date the research concerning digital mental health and health interventions for young people has predominantly focussed on testing the clinical effectiveness of specific interventions or examining the effectiveness of groups of treatments relating to certain conditions or disorders (Beale et al., 2007; Fleming et a…”
BackgroundSelf-citationMartínez, K., Menéndez, I. M., & Bustillo, A. (2021) · JMIR Serious Games · doi:10.2196/30482 · Cited by 54
“Although these first games targeted varied audiences, the vast majority were applied to children and adolescents [9].”
BackgroundDigital health revolution: perfect storm or perfect opportunity for pharmaceutical R&D?
Hird, N., Ghosh, S., & Kitano, H. (2016) · Drug Discovery Today · doi:10.1016/j.drudis.2016.01.010 · Cited by 54
Gunning, F. M., Anguera, J. A., Victoria, L. W., & Areán, P. A. (2021) · Translational Psychiatry · doi:10.1038/s41398-021-01386-8 · Cited by 49
Mittmann, G., Barnard, A., Krammer, I., Martins, D., & Dias, J. (2022) · Proc. ACM Hum. Comput. Interact. · doi:10.1145/3549505 · Cited by 52
“Today, gamified interventions and serious games are increasingly used to train, teach and support users in various settings such as healthcare [25] or education [27], and have also been implemented successfully in therapeutic settings [28], for example as a treatment for depression [29].”
BackgroundAcceptance of Serious Games in Psychotherapy: An Inquiry into the Stance of Therapists and Patients
Eichenberg, C., Grabmayer, G., & Green, N. (2016) · Telemedicine and e-Health · doi:10.1089/tmj.2016.0001 · Cited by 38
“A further two reviews by Fleming et al. 13 and Li et al. 17 specifically focused on the validity of serious games as a treatment modality for depression.”
InfluentialThe Association between Video Game Time and Adolescent Mental Health: Evidence from Rural China
Li, L., Abbey, C., Wang, H., Zhu, A., Shao, T., Dai, D., Jin, S., & Rozelle, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214815 · Cited by 33
“For instance, there is some evidence that video games whose primary purpose is not entertainment (“serious games”) may help reduce symptoms of anxiety and depression [41,46], while children and adolescents who play Massively Multiplayer Online Role-Playing Games (MMORPGs) may have a relatively high risk of addiction a…”
BackgroundBabbage, C. M., Jackson, G. M., Davies, E. B., & Nixon, E. (2022) · JMIR Mental Health · doi:10.2196/25716 · Cited by 36
“Reference lists of relevant systematic reviews (Multimedia Appendix 3 [16,21,31,32,34,35,37,39,43-45]) were hand searched by CMB and imported into EndNote (Clarivate) with other references.”
BackgroundFerrari, M., McIlwaine, S. V., Reynolds, J., Archie, S., Boydell, K., Lal, S., Shah, J. L., Henderson, J. L., Álvarez‐Jiménez, M., Andersson, N., et al. (2020) · JMIR Research Protocols · doi:10.2196/13834 · Cited by 32
Koh, C. (2022) · International Journal of Disability, Development and Education · doi:10.1080/1034912x.2020.1746245 · Cited by 29
“Fleming et al. (2014, p. 229) viewed serious games as ‘ interventions which are games or utilise elements of gaming as an integral and primary method for achieving their purpose ’ .”
MethodEXPANSE: A novel narrative serious game for the behavioral assessment of cognitive abilities
Giglioli, I. A. C., de-Juan-Ripoll, C., Parra, E., & Alcañíz, M. (2018) · PLoS ONE · doi:10.1371/journal.pone.0206925 · Cited by 35
“Third, SG can provide safe and responsive environments in which users can test, shape, change, and learn new behaviors [47, 48].”
BackgroundThe Role of Serious Video Games in the Treatment of Disordered Eating Behaviors: Systematic Review
Tang, W. S. W., Ng, T. J. Y., Wong, J. Z. A., & Ho, C. S. H. (2022) · Journal of Medical Internet Research · doi:10.2196/39527 · Cited by 21
“Psychiatric conditions in which serious games have been used to address symptoms include depression [37] and addiction problems such as substance abuse [38] and internet addiction [39].”
An investigation on using serious gaming to study human decision-making in engineering contexts
Vermillion, S. D., Malak, R., Smallman, R., Becker, B., Sferra, M. S., & Fields, S. A. (2017) · Design Science · doi:10.1017/dsj.2017.14 · Cited by 28
“Serious games have been shown to be useful as intervention tools for health promotion, including physical therapy, healthy eating, sexual health and mental health treatment and prevention to name a few (Desmet et al. 2014; Fleming et al. 2014; Desmet et al. 2015; Shegog et al. 2015; Thompson et al. 2015).”
BackgroundGiglioli, I. A. C., de-Juan-Ripoll, C., Parra, E., & Alcañíz, M. (2019) · Applied Neuropsychology Adult · doi:10.1080/23279095.2019.1607735 · Cited by 31
“Serious games are computer games that are not just designed for fun purposes and the primary purpose is training, education, intervention, promoting behavioral changes and investigating human behavior (Connolly et al., 2012; Fleming et al., 2014, 2017).”
BackgroundMcCashin, D., Coyle, D., & O’Reilly, G. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100489 · Cited by 23
Bohr, Y. M., Litwin, L., Hankey, J. R., McCague, H., Singoorie, C., Lucassen, M. F. G., Shepherd, M., & Barnhardt, J. (2022) · JMIR Serious Games · doi:10.2196/38493 · Cited by 24
“…Positive, Active, Realistic, X-Factor thoughts) is a psychoeducational serious game (an e-intervention that utilizes gaming for serious purposes) [18] that teaches established cognitive behavioral therapy (CBT) strategies and techniques across 7 levels or modules (see Figure 1 for an example).”
Self-citationKleschnitzki, J. M., Beyer, L. M., Beyer, R., & Großmann, I. (2022) · JMIR Serious Games · doi:10.2196/33169 · Cited by 23
“In addition, reviews reflect the high potential of serious games as an efficient and motivating component in prevention and health promotion [28,29,50-52].”
BackgroundKuosmanen, T., Fleming, T. M., & Barry, M. M. (2017) · Children and Youth Services Review · doi:10.1016/j.childyouth.2017.11.032 · Cited by 23
Self-citationSmartphone-based serious games for mental health: a scoping review
Gómez-Cambronero, Á., Mann, A.-L., Mira, A., Doherty, G. J., & Casteleyn, S. (2024) · Multimedia Tools and Applications · doi:10.1007/s11042-024-18971-w · Cited by 20
Xie, H. (2022) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2022.07.003 · Cited by 19
Wols, A., Pingel, M., Lichtwarck‐Aschoff, A., & Granic, I. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102396 · Cited by 28
Effectiveness of digital games promoting young people's mental health: A review of reviews
Vié, C., Ramassamy, K. G., Thellier, D., Labrosse, D., & Montagni, I. (2024) · Digital Health · doi:10.1177/20552076231220814 · Cited by 18
Thabrew, H., Stasiak, K., Hetrick, S. E., Wong, S., Huss, J. H., & Merry, S. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012489 · Cited by 18
Self-citationA mobile device-based game prototype for ADHD: development and preliminary feasibility testing
Luo, J., Li, F., Wu, Y., Liu, X., Zheng, Q., Qi, Y., Huang, H., Xu, G., Liu, Z., He, F., et al. (2024) · Translational Psychiatry · doi:10.1038/s41398-024-02964-2 · Cited by 15
van Rijn, B., Cooper, M., & Chryssafidou, E. (2017) · Counselling and Psychotherapy Research · doi:10.1002/capr.12155 · Cited by 15
Using the Revised Bloom Taxonomy to Analyze Psychotherapeutic Games
Haring, P., Warmelink, H., Valente, M., & Roth, C. (2018) · International Journal of Computer Games Technology · doi:10.1155/2018/8784750 · Cited by 16
Avatar-based counselling for psychological distress in secondary school pupils: pilot evaluation
Cooper, M., van Rijn, B., & Chryssafidou, E. (2018) · British Journal of Guidance and Counselling · doi:10.1080/03069885.2018.1506567 · Cited by 14
“This is from the client’s own perspective (egocentric), as well as from other generic or specific people’s perspective (exocentric) (Fleming et al., 2014), whomay also be represented in the virtual world (see, for example, mentalisation therapy by Falconer et al.”
BackgroundDepression Behavior Detection Model Based on Participation in Serious Games
Maskeliūnas, R., Blažauskas, T., & Damaševičius, R. (2017) · Lecture notes in computer science · doi:10.1007/978-3-319-60840-2_31 · Cited by 13
Maximizing the impact of E-Therapy and Serious Gaming: Time for a paradigm shift
Fleming, T. M., Beurs, D. P. D., Khazaal, Y., Gaggioli, A., Riva, G., Botella, C., Baños, R., Aschieri, F., Bavin, L. M., Kleiboer, A. M., et al. (2020) · Open Access Victoria University of Wellington | Te Herenga Waka (Figshare) · doi:10.26686/wgtn.12331280 · Cited by 14
Self-citationGuided Internet-Delivered Treatment for Depression: Scoping Review
Børtveit, L., Dechsling, A., Sütterlin, S., Nordgreen, T., & Nordahl‐Hansen, A. (2022) · JMIR Mental Health · doi:10.2196/37342 · Cited by 11
“A total of 28 published systematic reviews on internet-delivered t r e a t m e n t ( M u l t i m e d i a A p p e n d i x 3 [10,11,14-16,20,27,29,30,51-69]) were hand searched by LB for relevant studies not identified in the literature search.”
MethodKuipers, D. A., Terlouw, G., Wartena, B. O., Prins, J., & Pierie, J.-P. E. N. (2018) · Medical Science Educator · doi:10.1007/s40670-018-00670-5 · Cited by 10
Vázquez, F. L., Torres, Á., Otero, P., Blanco, V., López, L., García-Casal, A., & Arrojo, M. (2019) · Trials · doi:10.1186/s13063-019-3859-5 · Cited by 11
“mote behavior change and/or health [20], and they were only focused on cognitive training.”
BackgroundResultSerious game for serious disease: Diminishing stigma of depression via game experience
Jin, W., Gromala, D., & Tong, X. (2015) · IEEE Games, Entertainment, Media Conference (GEM) · doi:10.1109/gem.2015.7377256 · Cited by 10
“To date, only several serious games specialize in depression, and researchers who studied them reported positive impact on their treatment and prevention of the disease[6].”
BackgroundReitegger, F., Peras, I., Wright, M., & Gasteiger‐Klicpera, B. (2024) · Adolescent Research Review · doi:10.1007/s40894-024-00237-z · Cited by 13
Gamification to Promote the Engagement in Healtcare and Wellness of Patients Under Therapeutic Care
Mishra, S. P., Kulshreshtha, D., Srivastava, A. K., Gandhi, A. K., & Rastogi, M. (2018) · Advances in marketing, customer relationship management, and e-services book series · doi:10.4018/978-1-5225-6064-7.ch015 · Cited by 9
Hernández-Rubio, J. A., Martínez, S. G., Olaya-Cuartero, J., & Férriz-Valero, A. (2023) · Journal of Sport and Health Research · doi:10.58727/jshr.88813 · Cited by 8
An Escape Game on University Students’ Mental Health During the COVID-19 Pandemic: Cocreation Study
Labrosse, D., Vié, C., Hajjam, H., Tisseron, C., Thellier, D., & Montagni, I. (2024) · JMIR Serious Games · doi:10.2196/48545 · Cited by 8
“Games can engage players, especially young target populations, in understanding and retaining information in a more attractive and acceptable way [19].”
BackgroundCooney, O., Doherty, K., Barry, M., Coyle, D., Doherty, G. J., & Cowan, B. R. (2024) · ACM Conference on Conversational User Interfaces (CUI) · doi:10.1145/3640794.3665540 · Cited by 10
Review of computerized cognitive behavioral therapy for depression in adolescents
Marzuki, A., Noor, S. F. M., Siti, T., Wook, T. S. M. T., & Ismail, W. S. W. (2017) · doi:10.1109/iceei.2017.8312463 · Cited by 8
“In face-to-face therapy, therapeutic relationship appears to be a critical ‘active ingredient’ [18] and yet many computerized therapies are effective while offering little human contact [42].”
Rivera, S. (2022) · Journal of the American Psychoanalytic Association · doi:10.1177/00030651221104487 · Cited by 9
Soler, C. L., Vicente-Escudero, J. L., López-López, J. A., Alcántara-López, M., Martínez, A. C., Sáez, M. C., Fernández, V., & Sánchez‐Meca, J. (2024) · International Journal of Clinical and Health Psychology · doi:10.1016/j.ijchp.2024.100487 · Cited by 8
“…et al., 2014; Brigden et al., 2020; Buhrman et al., 2016; Büscher et al., 2020; But-tazzoni et al., 2021; Clarke et al., 2015; Ennis et al., 2018; Fleming et al., 2014; Karyotaki et al., 2018; McGar et al., 2019; Reis et al., 2021; Renton et al., 2014; Reyes-Portillo et al., 2014; Rice et al.,…”
Khan, K., Hall, C. L., Babbage, C., Dodzo, S., Greenhalgh, C., Lucassen, M. F. G., Merry, S., Sayal, K. S., Sprange, K., Stasiak, K., et al. (2024) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01475-7 · Cited by 8
“With progress in digitised technology, cCBT has become more interactive and aesthetically attractive to adolescents, particularly with the advent of ‘serious games’ [15].”
BackgroundSelf-citationDietvorst, E., de Vries, L. P., van Eijl, S., Mesman, E., Legerstee, J. S., Keijsers, L., Hillegers, M. H. J., & Vreeker, A. (2024) · Digital Health · doi:10.1177/20552076241294105 · Cited by 9
Otero, P., Cotardo, T., Blanco, V., & Vázquez, F. L. (2021) · Games for Health Journal · doi:10.1089/g4h.2020.0165 · Cited by 7
“18 Among the advantages of the online videogames are their low cost, potential to entertain, and ease of access from home during the times that people find most convenient.”
Tanika, L., Sari, R. R., Hakim, A. L., van Noordwijk, M., Peña‐Claros, M., Leimona, B., Purwanto, E., & Speelman, E. N. (2024) · Hydrology and earth system sciences · doi:10.5194/hess-28-3807-2024 · Cited by 6
Tao, X., Sáenz-Lechón, N., & Eckert, M. (2025) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2025.100696 · Cited by 11
Lau, H., Smit, J. H., Fleming, T. M., & Riper, H. M. (2020) · doi:10.26686/wgtn.12331268 · Cited by 6
Self-citationPersonalisierte Internet-Psychotherapie-Angebote für die posttraumatische Belastungsstörung
Maercker, A. R. A., Hecker, T., & Heim, E. (2015) · Der Nervenarzt · doi:10.1007/s00115-015-4332-7 · Cited by 6
Eidet, L. M., Dahlgren, A., & Elvsåshagen, M. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-034532 · Cited by 5
Preventing adolescents’ social exclusion with serious games – a scoping review
Mäkinen, H., Kauhanen, E., Nykänen, K., Romppanen, T., & Koivisto, J. (2023) · International Social Work · doi:10.1177/00208728231178399 · Cited by 5
Integrating Health Behavior Theory and Design Elements in Serious Games
Cheek, C., Fleming, T. M., Lucassen, M. F. G., Bridgman, H., Stasiak, K., Shepherd, M., & ORPIN, P. (2020) · doi:10.26686/wgtn.12331295 · Cited by 5
Self-citationHorizon: Resilience – Design of a Serious Game for Ecological Momentary Intervention for Depression
Gómez-Cambronero, Á., Casteleyn, S., & Pastor, A. M. (2021) · Annual Symposium on Computer-Human Interaction in Play · doi:10.1145/3450337.3483500 · Cited by 4
“a state of total involvement with the action that is being carried out, the chance to be engaging and maintaining user adherence [7], immediate feedback [3][13], and the possibility to provide a rich and safe environment to train new skills in a reactive way [12].”
BackgroundResultSERIOUS GAME AGAINST DOPING: EVALUATION OF GAME USABILITY, EASE AND USERS’ ENJOYMENT
(2020) · Discobolul · doi:10.35189/dpeskj.2020.59.s.2 · Cited by 4
McCashin, D., Coyle, D., & O’Reilly, G. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100348 · Cited by 4
“, 2012), the research on its effectiveness for children has less weight due to lower numbers of studies (Arnberg et al., 2014; Fleming et al., 2014).”
BackgroundThe Role of Serious Games in Healthcare and Its Contribution to the Healthcare Ecosystem
Bojan, K., Christogianni, A., & Mukaetova-Ladinska, E. B. (2022) · Advances in human and social aspects of technology book series · doi:10.4018/978-1-7998-9732-3.ch007 · Cited by 4
Maximizing the impact of E-Therapy and Serious Gaming: Time for a paradigm shift
Fleming, T. M., Beurs, D. P. D., Khazaal, Y., Gaggioli, A., Riva, G., Botella, C., Baños, R., Aschieri, F., Bavin, L. M., Kleiboer, A. M., et al. (2020) · doi:10.26686/wgtn.12331280.v2 · Cited by 4
Self-citationSerious games and gamification for mental health: Current status and promising directions
Fleming, T. M., Bavin, L. M., Stasiak, K., Hermansson-Webb, E., Merry, S., Cheek, C., Lucassen, M., Lau, H., Pollmuller, B., & Hetrick, S. E. (2020) · doi:10.26686/wgtn.12331271 · Cited by 4
Self-citationBlanco, V., Otero, P., Cotardo, T., Bouza, Q., Torres, Á., & Vázquez, F. L. (2025) · BMC Public Health · doi:10.1186/s12889-025-23792-z · Cited by 3
van Rijn, B., Stiles, W. B., & Chryssafidou, E. (2020) · Counselling and Psychotherapy Research · doi:10.1002/capr.12309 · Cited by 18
Bjornstad, G. J., Sonthalia, S., Rouse, B., Freeman, L., Hessami, N., Dunne, J. H., & Axford, N. (2024) · Campbell Systematic Reviews · doi:10.1002/cl2.1376 · Cited by 3
Gamification of an Automated Internet Intervention to Enhance Engagement and Adherence
Curland, R. A., Muñoz, R. F., & Leykin, Y. (2025) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-025-00528-9 · Cited by 3
“Higher intervention engagement and adherence produce better outcomes, given that individuals continue using the intervention longer and interact with more content (Christensen et al., 2009; Fleming et al., 2014; Gan et al., 2021).”
Tindall, L., Toner, P., Mikocka‐Walus, A. A., & Wright, B. (2020) · Journal of Medical Internet Research · doi:10.2196/19743 · Cited by 3
“…availability [15], and anonymity [16]; reducing stigmatization [17]; and providing those reluctant to engage one-to-one with a therapist with access to care [18], the limited effectiveness of some programs has been attributed to a failure to tailor interventions to patients and practices [19,20].”
Hofman, J., Pollitt, A., Broeks, M., Stewart, K., & Stolk, C. V. (2016) · Rand health quarterly · doi:10.7249/rhq-06-04-12 · Cited by 3
Thérapie cognitive et comportementale et thérapie positive par le jeu : une étude pilote comparative
Broc, G., Carré, C., Valantin, S., Mollard, E., Blanc, V., & Shankland, R. (2017) · Journal de Thérapie Comportementale et Cognitive · doi:10.1016/j.jtcc.2016.12.002 · Cited by 3
Serious games and gamification for mental health: Current status and promising directions
Fleming, T. M., Bavin, L. M., Stasiak, K., Hermansson-Webb, E., Merry, S., Cheek, C., Lucassen, M., Lau, H., Pollmuller, B., & Hetrick, S. E. (2020) · Open Access Victoria University of Wellington | Te Herenga Waka (Figshare) · doi:10.26686/wgtn.12331271.v2 · Cited by 4
Self-citationSpies, G., Huss, J. H., Motswage, O., Seedat, S., & Eichenberg, C. (2024) · Health Informatics Journal · doi:10.1177/14604582241259343 · Cited by 2
“43 Marginally, over one-tenth (10.4”
InfluentialTHE USE OF UNITY 3D IN A SERIOUS GAME DEDICATED TO DEVELOPMENT OF FIREARM HANDLING SKILLS
DZIAK, L., & Plechawska–Wójcik, M. (2017) · Applied Computer Science · doi:10.35784/acs-2017-10 · Cited by 2
“Treating depression might be one of the examples (PlechawskaWójcik & Rybka, 2015; Weina, Gromala & Tong, 2015; Fleming et al., 2014).”
BackgroundBjornstad, G. J., Sonthalia, S., Rouse, B., Timmons, L., Whybra, L., & Axford, N. (2020) · Campbell Systematic Reviews · doi:10.1002/cl2.1073 · Cited by 2
Mendes, D. C. G., Almeida, Y., Lucas, C. V., Soares, L., & Badia, S. B. I. (2023) · Communications in computer and information science · doi:10.1007/978-3-031-29548-5_10 · Cited by 2
Gamified Change: The Transformative Impact of Reflection, Empowerment, and Gamification Motivation
Tanouri, A., Kennedy, A.-M., & Veer, E. (2025) · Journal of Consumer Behaviour · doi:10.1002/cb.70088
Smoktunowicz, E., Maciejewski, J., Lesnierowska, M., Pietrzak, M., Großwendt, F., Mayer, G., Schultz, J., Tschobur, N., McKendrick, M., Stocks, H., et al. (2026) · JMIR Research Protocols · doi:10.2196/96292 · Cited by 1
“Serious games are interventions where gaming elements are an integral and primary method for achieving goals related to mental health [25].”
The Effectiveness of Serious Video Games on Mental Health Related Outcomes: Systematic Review
Danilina, O., Cox, A. L., Fonseca, A., & Johnson, S. (2017) · UCL Discovery (University College London) · Cited by 1
Für eine konstruktive Nutzung von Videospielen: Beiträge der Psychologie und Psychotherapie
Kathmann, J. (2022) · Springer eBooks · doi:10.1007/978-3-658-35531-9_8 · Cited by 1
EverydayFantasy – a Mobile Computing Application in Mental Healthcare
Triohin, V., Leba, M., & Ionica, A. C. (2023) · Iberian Conference on Information Systems and Technologies (CISTI) · doi:10.23919/cisti58278.2023.10211839 · Cited by 1
“It has been tested in various trials to incorporate gaming components into computerized psychotherapies and games or game-like environments with therapeutic value [27], [28].”
BackgroundSerious Games und ihre Anwendung im E‑Coaching
Huss, J. H., & Eichenberg, C. (2018) · Organisationsberatung Supervision Coaching · doi:10.1007/s11613-018-0564-2 · Cited by 1
Auditory Attention, Implications for Serious Game Design
Bajaj, N., Bellotti, F., Berta, R., Carrión, J. R., & Gloria, A. D. (2019) · Lecture notes in computer science · doi:10.1007/978-3-030-11548-7_19 · Cited by 1
MEDICATE: TREATING DEPRESSION VIA GAME THERAPY
Mishra, D., Singh, A. P., Halder, A., Anusha Sharma, A., & Rao, R. V. (2020) · International Journal of Engineering Applied Sciences and Technology · doi:10.33564/ijeast.2020.v05i01.041 · Cited by 1
Lau, H., Smit, J. H., Fleming, T. M., & Riper, H. M. (2020) · doi:10.26686/wgtn.12331268.v2 · Cited by 1
Self-citationWellness management and positive psychology app for smartphone platforms.
Στρατάκη, Ε., & Strataki, E. (2017)
Metadata
- Authors
- Fleming, T. M., Cheek, C., Merry, S. N., Thabrew, H., Bridgman, H., Stasiak, K., Shepherd, M., Perry, Y., & Hetrick, S.
- Affiliations
- University of Auckland (NZ)
- University of Tasmania (AU)
- Black Dog Institute (AU)
- The University of Melbourne (AU)
- ORCID
- Venue
- Revista de Psicopatología y Psicología Clínica
- Published
- 2015-01-15
- Volume
- 19
- Issue
- 3
- Pages
- 227
- ISSN
- 1136-5420 (ISSN-L)
- 2254-6057
- OpenAlex
- W104801597
- Semantic Scholar
- 2c0df7f83fb1fb9fa1e4e28295426c8a0cfb6366
- Cited by
- 120
- References
- 50
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 16 · 2023: 11 · 2022: 14 · 2021: 10 · 2020: 20 · 2019: 6 · 2018: 10 · 2017: 15 · 2016: 6 · 2015: 3
- FWCI
- 18.34
- Type
- journal article
- Language
- es
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Revista de Psicopatología y Psicología Clínica (publishedVersion, cc-by-nc-nd)
- Minerva Access (University of Melbourne) (submittedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Developmental and Educational Psychology › Educational Games and Gamification
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- serious games, depression, depression treatment, depression prevention, youth, mental health interventions
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