Quiles Clélia, Verdoux Hélène
Charles Perrens Hospital Center.
University Bordeaux, Inserm, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, Bordeaux, France.
Curr Opin Psychiatry. 2023 May 1;36(3):184-193. doi: 10.1097/YCO.0000000000000867. Epub 2023 Mar 17.
In spite of the overwhelming concerns about the deleterious impact of exposure to video games, a growing body of evidence suggests that it may be of potential interest for therapeutic purposes, particularly in schizophrenia. As literature is rapidly evolving, we carried out a systematic review of recent articles on this issue.
We identified seven studies published from 2017 to 2022 exploring the benefits of commercial video games in people with schizophrenia and related disorders regarding symptoms, cognition and functional outcome. Six studies used an RCT design. Associations between gaming and better outcomes were found in three main areas: physical condition (walking speed, aerobic fitness), neurocognition (processing speed, memory and executive functions), and social functioning, self-efficacy in daily life activities and quality of life.
Active use of video games is associated with better aerobic fitness and cognitive performances. Video gaming may contribute to better functional outcome and quality of life in patients suffering from cognitive impairments and difficulties in social functioning. Persons with schizophrenia may benefit from using commercial video games because of their potential therapeutic impact on functioning and cognition.
尽管人们对接触电子游戏的有害影响忧心忡忡,但越来越多的证据表明,电子游戏可能具有治疗潜力,尤其是对精神分裂症患者。鉴于相关文献快速发展,我们对近期关于此问题的文章进行了系统综述。
我们检索到2017年至2022年发表的七项研究,这些研究探讨了商业电子游戏对精神分裂症及相关障碍患者在症状、认知和功能结局方面的益处。六项研究采用了随机对照试验设计。游戏与更好结局之间的关联主要体现在三个方面:身体状况(步行速度、有氧适能)、神经认知(处理速度、记忆和执行功能),以及社会功能、日常生活活动中的自我效能感和生活质量。
积极玩电子游戏与更好的有氧适能和认知表现相关。电子游戏可能有助于改善认知障碍和社会功能困难患者的功能结局和生活质量。精神分裂症患者可能会从使用商业电子游戏中获益,因为其对功能和认知具有潜在的治疗作用。