Visuospatial game in PTSD symptoms alleviation: intervention overview and clinical studies results
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Czernecka, K. (2023). Visuospatial game in PTSD symptoms alleviation: intervention overview and clinical studies results. Kwartalnik Naukowy Fides Et Ratio, 55(3), 193-201. https://doi.org/10.34766/fetr.v55i3.1213
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The aim of this article is to present the possibility of using the puzzle game Tetris as an aid in treating people suffering from post-traumatic stress disorder (PTSD). This intervention was first proposed Holmes and her team (2009), who postulate its high effectiveness, especially when alleviating one of hallmark symptoms of PTSD – intrusions. It was assumed that the visuospatial nature of the game would interfere with the formation of the perceptual and sensory memory trace of the traumatic event, as both processes compete for a limited pool of visual working memory resources. In principle, this should translate into a reduced number of intrusions and the intensity of symptoms of post-traumatic stress disorder, while not damaging the volitional, verbal memory of the event itself. The effectiveness of the intervention has been confirmed by the team in laboratory setting using real-life trauma analogues (trauma film paradigm). This paper discusses the results of studies involving clinical groups, testing the effectiveness of the intervention, and thus the validity of the proposal itself. In each of the studies cited, after memory reactivation, people who experienced an actual trauma and/or had a diagnosis of post-traumatic stress disorder were asked to play Tetris for a short time (approx. 15-20 minutes). The number of intrusions occurring in the following days was tracked along with, in some cases, other indicators of psychological well-being. Regardless of the type of traumatic event, the time elapsed since it occurred, and the protocol used, each of the cited studies reported a reduction in the number of intrusions and a corresponding decrease in the severity of PTSD symptoms. The intervention turned out to be easy to use, universally effective and not interfering with other therapeutic approaches, therefore making it a valuable and noteworthy addition to treatment programs for people suffering from post-traumatic stress disorder, leading to an improvement of their mental health and general functioning.

https://doi.org/10.34766/fetr.v55i3.1213
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Bibliografia

Abdallah, C.G., Averill, L.A., Akiki, T.J., Raza, M., Averill, C.L., Gomaa, H., Adikey, A., Krystal, J.H. (2019). The neurobiology and pharmacotherapy of posttraumatic stress disorder. Annual Review of Pharmacology and Toxicology, 59, 171-189. https://doi.org/10.1146/annurev-pharmtox-010818-021701

Anderson, C.A., Shibuya, A., Ihori, N., Swing, E.L., Bushman, B.J., Sakamoto, A., Rothstein, H.R., Saleem, M. (2010). Violent video game effects on aggression, empathy, and prosocial behavior in Eastern and Western countries: a meta-analytic review. Psychological Bulletin, 136(2), 151–173. https://doi.org/10.1037/a0018251

Andreade, A., Correia, C.K., Coimbra, D.R. (2019). The psychological effects of exergames for Children and adolescents with obesity: a systematic review and meta-analysis. Cyberpsychology, Behavior, and Social Networking, 22(11), 724-735. http://doi.org/10.1089/cyber.2019.0341.

Angren, T., Hoppe, J.M., Singh, M., Holmes, E.A., Rosén, J. (2023). The neural basis of Tetris gameplay: implicating the role of visuospatial processing. Current Psychology, 42, 8156-8163. https://doi.org/10.1007/s12144-021-02081-z

Asselbergs, J., van Bentum, J., Riper, H., Cuijpers, P., Holmes, E., Sijbrandij, M. (2023). A systematic review and meta-analysis of the effect of cognitive interventions to prevent intrusive memories using the trauma film paradigm. Journal of Psychiatric Research, 159, 116-129. https://doi.org/10.1016/j.jpsychires.2023.01.028

Butler, O., Herr, K., Willmund, G., Gallinat, J., Kühn, S., Zimmermann, P. (2020). Trauma, treatment and Tetris: video gaming increases hippocampal volume in male patients with combat-related posttraumatic stress disorder. Journal of Psychiatry and Neuroscience, 45(4), 279–287. https://doi.org/10.1503/jpn.190027

Cristea, I.A., Naudet, F., Shanks, D.R., Hardwicke, T.E. (2018). Post-retrieval Tetris should not be likened to a ‘cognitive vaccine’. Molecular Psychiatry, 23(10), 1972–1973. https://doi.org/10.1038/mp.2017.222

Deforges, C., Fort, D., Stuijfzand, S., Holmes, E.A., Horsch, A. (2022). Reducing childbirth-related intrusive memories and PTSD symptoms via a single-session behavioural intervention including a visuospatial task: a proof-of-principle study. Journal of Affective Disorders, 303, 64-73. https://doi.org/10.1016/j.jad.2022.01.108

Ehret, M. (2019). Treatment of posttraumatic stress disorder: focus on pharmacotherapy. Mental Health Clinician, 9(6), 373-382. https://doi.org/10.9740/mhc.2019.11.373

Eshuis, L.V., van Gelderen, M.J., van Zuiden, M., Nijdam, M.J., Vermetten, E., Olff, M., Bakker, A. (2021). Efficacy of immersive PTSD treatments: A systematic review of virtual and augmented reality exposure therapy and a meta-analysis of virtual reality exposure therapy. Journal of Psychiatric Research, 143, 516-527. https://doi.org/10.1016/j.jpsychires.2020.11.030

Freitas, J.R.S., Velosa, V.H.S., Abreu, L.T.N., Jardim, R.L., Santos, J.A. V., Peres, B., Campos, P.F. (2021). Virtual reality exposure treatment in phobias: a systematic review. Psychiatric Quarterly, 92, 1685–1710. https://doi.org/10.1007/s11126-021-09935-6

Google for Games (2021). Beyond 2021: where does gaming go next? Global gaming market and consumer research report. (From:) https://games.withgoogle.com/reports/beyondreport/ (access: 01.07.2023)

Hagenaars, M.A., Holmes, E.A., Klaassen, F., Elzinga, B. (2017). Tetris and Word games lead to fewer intrusive memories when applied several days after analogue trauma. European Journal of Psychotraumatology, 8(1), 1–14. https://doi.org/10.1080/20008198.2017.1386959

Holmes, E.A., Ghaderi, A., Eriksson, E., Olofsdotter Lauri, K., Kukacka, O.M., Mamish, M., James, E.L., Visser, R.M. (2017). ‘I can’t concentrate’: a feasibility study with young refugees in Sweden on developing science-driven interventions for intrusive memories related to trauma. Behavioural and Cognitive Psychotherapy, 45(2), 97-109. https://doi.org/10.1017/S135246581600062X

Holmes, E.A., James, E.L., Coode-Bate, T., Deeprose, C. (2009). Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PloS one, 4(1), e4153. https://doi.org/10.1371/journal.pone.0004153

Holmes, E.A., James, E.L., Kilford, E.J., Deeprose, C. (2010). Key steps in developing a cognitive vaccine against traumatic flashbacks: visuospatial Tetris versus verbal Pub Quiz. PloS one, 5(11), e13706. https://doi.org/10.1371/journal.pone.0013706

Horsch, A., Vial, Y., Favrod, C., Harari, M.M., Blackwell, S.E., Watson, P., Iyadurai, L., Bonsall, M.B., Holmes, E.A. (2017). Reducing intrusive traumatic memories after emergency caesarean section: A proof-of-principle randomized controlled study. Behaviour Research and Therapy, 94, 36–47. https://doi.org/10.1016/j.brat.2017.03.018

Hoskins, M.D., Bridges, J., Sinnerton, R., Nakamura, A., Underwood, J.F. G., Slater, A., Lee, M.R. D., Clarke, L., Lewis, C., Roberts, N.P., Bisson, J.I. (2021). Pharmacological therapy for post-traumatic stress disorder: a systematic review and meta-analysis of monotherapy, augmentation and head-to-head approaches. European Journal of Psychotraumatology, 12(1), 1802920. https://doi.org/10.1080/20008198.2020.1802920

Ioannou, A., Papastavrou, E., Avraamides, M.N., Charalmbous, A. (2020). Virtual reality and symptoms management of anxiety, depression, fatigue, and pain: a systematic review. Sage Open Nursing, 6, 1-13. https://doi.org/10.1177/2377960820936163

Iyadurai, L., Blackwell, S.E., Meiser-Stedman, R., Watson, P.C., Bonsall, M.B., Geddes, J.R., Nobre, A.C., Holmes, E.A. (2018). Preventing intrusive memories after trauma via a brief intervention involving Tetris computer game play in the emergency department: a proof-of-concept randomized controlled trial. Molecular Psychiatry, 23(3), 674–682. https://doi.org/10.1038/mp.2017.23

James, E.L., Bonsall, M.B., Hoppitt, L., Tunbridge, E.M., Geddes, J.R., Milton, A.L., Holmes, E.A. (2015). Computer game play reduces intrusive memories of experimental trauma via reconsolidation-update mechanisms. Psychological Science, 26(8), 1201-1215. https://doi.org/10.1177/0956797615583071

James, E.L., Lau-Zhu, A., Clark, I.A., Visser, R.M., Hagernaars, M.A., Holmes, E.A. (2016a). The trauma film paradigm as an experimental psychopathology model of psychological trauma: intrusive memories and beyond. Clinical Psychology Review, 47, 106-142. https://doi.org/10.1016/j.cpr.2016.04.010

James, E.L., Lau-Zhu, A., Tickle, H., Horsch, A., Holmes, E.A. (2016b). Playing the computer game Tetris prior to viewing traumatic film material and subsequent intrusive memories: examining proactive interference. Journal of Behavior Therapy and Experimental Psychiatry, 53, 25–33. https://doi.org/10.1016/j.jbtep.2015.11.004

Jellestad, L., Vital, N.A., Malamud, J., Taeymans, J., Mueller-Pfeiffer, C. (2021). Functional impairment in Posttraumatic Stress Disorder: a systematic review and meta-analysis. Journal of Psychiatric Research, 136, 14-22. https://doi.org/10.1016/j.jpsychires.2021.01.039

Kanstrup, M., Kontio, E., Geranmayeh, A., Olofsdotter Lauri, K., Moulds, M.L., Holmes, E.A. (2021b). A single case series using visuospatial task interference to reduce the number of visual intrusive memories of trauma with refugees. Clinical Psychology and Psychotherapy, 28(1), 109–123. https://doi.org/10.1002/cpp.2489

Kanstrup, M., Singh, L., Göransson, K.E., Widoff, J., Taylor, R.S., Gamble, B., Iyadurai, L., Moulds, M.L., Holmes, E.A. (2021a). Reducing intrusive memories after trauma via a brief cognitive task intervention in the hospital emergency department: an exploratory pilot randomised controlled trial. Translational Psychiatry, 11(1), 30. https://doi.org/10.1038/s41398-020-01124-6

Lau-Zhu, A., Henson, R.N., Holmes, E.A. (2019). Intrusive memories and voluntary memory of a trauma film: differential effects of a cognitive interference task after encoding. Journal of Experimental Psychology: General, 148(12), 2154-2180. https://doi.org/10.1037/xge0000598

Lau-Zhu, A., Holmes, E.A., Butterfield, S., Holmes, J. (2017). Selective association between Tetris game play and visuospatial Working Memory: a preliminary investigation. Applied Cognitive Psychology, 31, 438-455. https://doi.org/10.1002/acp.3339

Lewis, C., Roberts, N.P., Andrew, M., Starling, E., Bisson, J.I. (2020). Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis, European Journal of Psychotraumatology, 11(1), 1729633. https://doi.org/10.1080/20008198.2020.1729633

Mavranezouli, I., Megnin-Viggars, O., Daly, C., Dias, S., Welton, N.J., Stockton, S., Bhutani, G., Grey, N., Leach, J., Greenberg, N., Katona, C., El-Leithy, S., Pilling, S. (2020). Psychological treatments for post-traumatic stress disorder in adults: a network metaanalysis. Psychological Medicine, 1–14. https://doi.org/10.1017/S0033291720000070

Milani, L., Grumi, S., Di Blasio, P. (2019). Positive effects of videogame use on visuospatial competencies: the impact of visualization style in preadolescents and adolescents. Frontiers in Psychology, 10, 1226. https://doi.org/10.3389/fpsyg.2019.01226

Pacheco, T.B. F., de Medeiros, C.S. P., de Oliveira, V.H. B., Vieira, E.R., de Cavalcanti, F.A. C. (2020). Effectiveness of exergames for improving mobility and balance in older adults: a systematic review and meta-analysis. Systematic Reviews, 9, 163. https://doi.org/10.1186/s13643-020-01421-7

Pilegard, C., Mayer, R.E. (2018). Game over for Tetris as a platform for cognitive skill training. Contemporary Educational Psychology, 54, 29-41. https://doi.org/10.1016/j.cedpsych.2018.04.003

Schein, J., Houle, C., Urganus, A., Cloutier, M., Patterson-Lomba, O., Wang, Y., King, S., Levinson, W., Guérin, A., Lefebvre, P., Davis, L.P. (2021). Prevalence of post-traumatic stress disorder in the United States: a systematic literature review. Current Medical Research and Opinion, 37(12), 2151-2161. https://doi.org/10.1080/03007995.2021.1978417

Stevens, M.W., Dorstyn, D., Delfabbro, P.H., King, D.L. (2021). Global prevalence of gaming disorder: a systematic review and meta-analysis. The Australian and New Zealand Journal of Psychiatry, 55(6), 553–568. https://doi.org/10.1177/0004867420962851

Szulc, A., Wciórka, J., Rymaszewska, J., Pilecki, M., Gałecki, P., Sidorowicz, S. (2018). Kryteria diagnostyczne zaburzeń psychicznych DSM 5 [DSM 5 diagnosic criteria for mental disorders]. Wrocław: Edra Urban & Partner.

Trautmann, S., Wittchen, H-U. (2018). Trauma and PTSD in Europe. (In:) C.B. Nemeroff, C. Marmar (eds.), Post-traumatic stress disorder, 133-146. New York: Oxford University Press.

Tyler, D. (2022). 20 most popular games of all time. Game Designing. (From:)https://www.gamedesigning.org/popular-video-games/ (access: 01.07.2023).

Unseld, M., Krammer, K., Lubowitzki, S., Jachs, M., Baumann, L., Vyssoki, B., Riedel, J., Puhr, H., Zehentgruber, S., Prager, G., Masel, E.K., Preusser, M., Jaeger, U., Gaiger, A. (2019). Screening for post-traumatic stress disorders in 1017 cancer patients and correlation with anxiety, depression, and distress. Psycho-Oncology, 28(12), 2382–2388. https://doi.org/10.1002/pon.5239

World Health Organization. (2022). ICD-11: International classification of diseases (11th revision). https://icd.who.int/

Zohan, J., Juven-Wetzler, A., Sonnino, R., Cwikel-Hamzany, S., Balaban, E., Cohen, H. (2011). New insights into secondary prevention in post-traumatic stress disorder. Dialogues in Clinical Science, 13(3), 301-309. https://doi.org/10.31887/DCNS.2011.13.2/jzohar

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