Nonspecific Factors in Video Games for Mental Health

Project Lead Category Project status
Aniek Wols Gaming Data Collection

More and more games are designed to promote mental health. If these games are found to be effective, it is important to investigate which factors are responsible for the improvements in mental health. Most often, this type of research focuses on the specific clinical techniques that were designed into the game. However, from the clinical literature it is known that, for instance, expectations, motivation, and one’s mindset about the malleability of symptoms play a major role in positive intervention outcomes. In my project I aim to investigate these nonspecific factors and examine how we can manipulate these factors in order to optimize video games for mental health.

Project team

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20-08-2018

In the past years, the development and use of e-health applications (e.g., video games; but also computerized therapies, smartphone apps etc.) have grown rapidly, with the aim to disrupt more traditional forms of therapy, to make therapy more effective and to increase accessibility of mental health services. In the development of e-mental health applications the focus is almost exclusively on specific factors or techniques; these factors are drawn from theories about the specific working mechanisms responsible for the development and maintenance of the specific mental health disorder. Because traditional evidence-based programs in the field of developmental psychopathology are based on Cognitive Behavioural Therapy (CBT), the majority of e-mental health applications are based on CBT principles. That is, therapeutic techniques from CBT are translated into an app or video game to reduce mental health problems (see for example MindLight).

     The underlying assumption in the aforementioned approach is that these specific CBT techniques are (mainly) responsible for the observed improvements in mental health outcomes. However, in the therapy literature there is a consistent and large body of evidence showing that nonspecific factors - factors not specific to any theory of psychotherapy - play an important role in positive intervention outcomes as well. These nonspecific factors include client variables (e.g., beliefs about the malleability of symptoms; motivation to change), extra-therapeutic events (e.g., trauma), therapeutic relationship factors (e.g., therapeutic alliance), and expectancy and placebo effects (e.g., expectations for improvement or side-effects). Given the central role of nonspecific factors in nearly all psychological interventions, I think it is not unlikely that also in well-designed e-mental health applications nonspecific factors (partly) drive mental health improvements. Instead of controlling for nonspecific factors, I think it is crucial to harness these effects in order to optimize the effecitveness of e-health applications.

15%

Specific clinical techniques

55%

Client variables, extra-therapeutic events, expectancy and placebo effects

30%

Therapeutic relationship

Percentages of improvement in therapy clients as a function of..

Publications

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Project team

PhD-candidate interested in how and why applied games for mental health work.

Function

PhD-Candidate

Contact

E-mail Aniek

Isabela Granic title=
Isabela Granic

Professor and Chair of the Developmental Psychopathology department in the Behavioural Science Institute; writer; voracious podcast consumer; mother of two upstanding little gamers

Function

Director of GEMH Lab

Contact

E-mail Isabela

Anna Lichtwarck-Aschoff title=
Anna Lichtwarck-Aschoff

Assistant Professor at the Developmental Psychopathology Department, mainly interested in general processes and principles of clinical change; mother of two wild boys.

Function

Assistant Professor

Contact

E-mail Anna

Tom Hollenstein title=
Tom Hollenstein

Associate Professor in Developmental Psychology at Queen's University in Kingston, Ontario, Canada.

Function

Associate Professor - Collaborator

Contact

E-mail Tom

Marlou Poppelaars title=
Marlou Poppelaars

PhD Candidate passionate about psychopathology prevention, intrinsic motivation and the use of video games for this purpose. Loves to read, cook and making sure that bomb does not explode.

Function

PhD-Candidate

Contact

E-mail Marlou

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