The Use of Videogames as Complementary Therapeutic Tool for Cognitive Behavioral Therapy in Bulimia Nervosa Patients

作者: Fernando Fernandez-Aranda , Susana Jimenez-Murcia , Juan J. Santamaría , Cristina Giner-Bartolomé , Gemma Mestre-Bach

DOI: 10.1089/CYBER.2015.0265

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摘要: Although cognitive behavioral therapy (CBT) has been demonstrated to be the most effective approach for treatment of bulimia nervosa (BN), there is lack studies showing whether a combination with serious video game (SVG) might useful enhance patients' emotional regulation capacities and general outcome. The aims this study were (a) analyze outpatient CBT + SVG, when compared CBT - SVG, shows better short-term outcome; (b) examine CBT + SVG group more in reducing expression levels anxiety than CBT - SVG. Thirty-eight patients diagnosed as having BN according DSM-5 criteria consecutively assigned two conditions (that lasted 16 weekly sessions): 20 versus 18 Patients assessed before after using not only food binging/purging diary clinical questionnaires field eating disorders but also additional indexes measuring anger anxiety. Regarding post-treatment psychometric measures, mean differences (Eating Disorder Inventory-2, Symptom Checklist-Revised, State-Trait Anxiety Index, partially Anger Expression Inventory) achieved moderate high effect size (d > 0.5), sense that obtained best results CBT - SVG group. outcome (dropout, partial remission, total remission), showed emerged comparison risk dropout during treatment, being higher (44.1 percent 20.0 percent, d = 0.54). sample our was low, consequently should considered caution, we have promising findings suggesting good option improving dysregulation approaching current limitations enhancing adherence patients.

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