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The Usefulness of an intervention with a serious video game as a complementary approach to cognitive behavioural therapy in eating disorders : a pilot randomized clinical trial for impulsivity management
Vintró Alcaraz, Cristina (Hospital Universitari de Bellvitge)
Mallorquí-Bagué, Núria (Hospital de Mataró. Consorci Sanitari del Maresme)
Lozano Madrid, María (Hospital Universitari de Bellvitge)
Testa, Giulia (Universidad Internacional de La Rioja)
Granero, Roser (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Sánchez Díaz, Isabel María (Hospital Universitari de Bellvitge)
Treasure, Janet (King's College London. Department of Psychological Medicine)
Jiménez Murcia, Susana (Hospital Universitari de Bellvitge)
Fernández Aranda, Fernando (Hospital Universitari de Bellvitge)

Data: 2023
Descripció: 12 pàg.
Resum: OBJECTIVE: The aim of the present study was to test the usefulness of an add-on serious video game approach (i. e. , Playmancer) to treatment as usual (TAU) on reducing impulsive behaviours and psychopathology in individuals diagnosed with an eating disorder (ED). METHOD: Thirty-seven patients diagnosed with an ED according to the DSM-5 were included in the present randomized clinical trial (RCT; study record 35,405 in ClinicalTrials. gov) and were randomly assigned to either the TAU or TAU + Playmancer group. All participants completed a clinical interview. Impulsivity (UPPS-P self reported questionnaire and Stroop task) and general psychopathology (SCL-90-R) measures were assessed at: baseline, 4 weeks into treatment, at the end of TAU (after 16 weeks), and follow-up (2 years). In addition, patients in the experimental group underwent a total of nine sessions with Playmancer over the span of 3 weeks. RESULTS: Patients in both treatment groups (TAU + Playmancer or TAU) improved on Stroop task performance and psychological distress. Additionally, patients in TAU-Playmancer improved on the impulsive trait domain of lack of perseverance. No statistical differences were found regarding treatment outcomes (i. e. , treatment adherence and remission of eating symptomatology) when comparing the two treatment groups. CONCLUSION: Our results suggest that the impulsivity associated with EDs should be addressed and could be modified, as some facets of trait impulsivity improved after Playmancer add-on treatment. Yet, there were no significant differences in treatment outcomes when comparing the two groups and further research needs to be conducted.
Ajuts: Ministerio de Economía y Competitividad PI14/00290
Instituto de Salud Carlos III PI17/01167
Ministerio de Educación, Cultura y Deporte FPU16/01453
Ministerio de Educación, Cultura y Deporte FPU15/00291
Nota: Altres ajuts: We thank CERCA Programme/Generalitat de Catalunya for institutional support. This manuscript and research were also supported by grants from the Instituto de Salud Carlos III (ISCIII) and cofounded by FEDER funds/European Regional Development Fund [ERDF], a way to build Europe. CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) is an initiative of ISCIII. RG is supported by the Catalan Institution for Research and Advanced Studies (ICREA-Academia, 2021-Programme).
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Eating disorders ; Impulsivity ; Psychopathology ; Randomized clinical trial ; Serious videogame ; Impulsive Behavior ; Pilot Projects ; Humans ; Video Games ; Feeding and Eating Disorders/therapy ; Cognitive Behavioral Therapy/methods ; SDG 3 - Good Health and Well-being
Publicat a: European eating disorders review, Vol. 31 Núm. 6 (2023) , p. 781-792, ISSN 1099-0968

DOI: 10.1002/erv.3003
PMID: 37381106


12 p, 481.3 KB

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