Investigation of a Mobile 'Serious Game' in the Treatment of Obsessive-Compulsive Disorder: A Pilot Study
Autor: | Sun Mi Kim, Elias Aboujaoude, Doug Hyun Han, Ji Sun Hong |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty Obsessive-Compulsive Disorder Health (social science) genetic structures Adolescent Psychometrics medicine.medical_treatment Pilot Projects Serious game behavioral disciplines and activities Statistics Nonparametric 03 medical and health sciences 0302 clinical medicine Neuroimaging Recreation Therapy Obsessive compulsive mental disorders medicine Humans Psychiatry Analysis of Variance business.industry musculoskeletal neural and ocular physiology Rehabilitation Public Health Environmental and Occupational Health Middle Aged Magnetic Resonance Imaging Mobile Applications 030227 psychiatry Computer Science Applications Exposure and response prevention Female business psychological phenomena and processes 030217 neurology & neurosurgery |
Zdroj: | Games for health journal. 7(5) |
ISSN: | 2161-7856 |
Popis: | Exposure and response prevention (ERP) therapy is considered a first-line treatment for obsessive-compulsive disorder (OCD). Dysregulation in the cortico-striato-thalamo-cortical (CSTC) circuit has been implicated in the pathophysiology of OCD, as have decreased functional connectivity (FC) between the dorsal anterior cingulate cortex (dACC) and the prefrontal cortex and increased FC between the dACC and the basal ganglia. We hypothesized that a new ERP-inspired mobile "serious game" would improve clinical symptoms in OCD and that symptom improvement would be associated with altered FC within CSTC.Fifteen OCD subjects and 15 healthy controls were recruited. All subjects completed questionnaires covering demographic data, the Yale-Brown Obsessive-Compulsive Scale, the Beck Depressive Inventory, and the Beck Anxiety Inventory. In addition, all subjects were scanned at baseline to assess brain FC using resting-state functional magnetic resonance imaging.After 3 weeks of gameplay, FC from the left dACC seed to the right frontal precentral gyrus and from the right dACC seed to the left inferior frontal gyrus and the right middle frontal gyrus, increased in the OCD group. Responders showed increased brain connectivity from the left dACC seed to the right superior frontal gyrus compared with nonresponders.Our results suggest that serious games may improve symptoms in OCD and that this improvement may be related to increased brain connectivity between the dACC and the prefrontal cortex. Further exploration is needed to assess the potential role of serious games in OCD treatment. |
Databáze: | OpenAIRE |
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