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Download games psychological care

Postby Dokasa В» 21.04.2019

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Over the last decade, there has been an increase in children and adolescents accessing psychology services regarding problematic use of online videogames. Consequently, providing effective treatment is essential. The design and application of the PIPATIC program integrates several areas of intervention structured into six modules: psychoeducational, treatment as usual, intrapersonal, interpersonal, family intervention, and development of a new lifestyle. Preliminary findings suggest positive and encouraging effects.

The increasing engagement in social networking, online videogame playing, and using smartphone applications has brought about new interaction styles. One group that often uses such online applications in both positive and negative ways are adolescents Kuss and Griffiths ; Kuss and Griffiths On the positive side, online applications have been beneficial in research, science, medical, scholar, social networking, etc.

On the negative side, excessive use may lead to negative consequences such as addictive behaviors among a small minority of users Kowert et al. The main objective of playing videogames is to entertain users via interactive systems that have now been developed across multiple platforms e.

At present, most videogame applications have been developed with good online accessibility and accompanying social platforms e. Consequently, there are hundreds of genres and sub-genres of online videogames. At present, MOBA games are among the most popular. Its increasing popularity may be due to its structural characteristics such as the high level of competitiveness and free-to-play modes, and situational characteristics such as its high accessibility Griffiths and Nuyens However, such classification may become less important due to the way new games are evolving.

Newer games have begun to incorporate multiple genres and game modes simultaneously: action games survival, shooter, platform, etc. For example, Day Z , Star Citizen , and Minecraft are current online games with multiple genres and game modes.

Furthermore, videogames are becoming more realistic and complete, offering users immersive playability. There is also increasing convergence between online gaming and other online activities such as gambling, activities that are primarily based on positive and negative reinforcement.

All five of these things can be found in online gambling. To understand this relationship, it is important consider the problem from an eclectic and multidisciplinary perspective, including those working from a clinical mental health perspective. A good clinician will always try to understand the many aspects that may influence the acquisition, development, and maintenance of problematic online videogame use.

Many researchers advocate a biopsychosocial model in explaining the interaction between different risk factors e. Table 1 lists many of the main risk factors in the development of problematic online gaming. Online gaming addiction has been associated with and may initiate other comorbid mood disorders such as depression, stress, and anxiety disorders Ferguson et al.

The criteria proposed by the APA appear to have adequate validity and diagnostic precision Ko et al. Part of this variation is due to the fact that different instruments are used in different cultural contexts and for different ages Feng et al.

According to Griffiths, King, and Demetrovics Griffiths et al. However, there is still no consensus on many issues related to the DSM-5 diagnostic criteria for IGD, and its psychological, social, and health consequences still require further study Griffiths et al. The lack of consensus concerning diagnostic criteria makes the work of clinical psychologists and other therapists difficult. Consequently, there is a need to clearly define IGD, clarify its most controversial aspects, and expand the study of specialized IGD treatments.

Although the study of IGD has grown markedly in recent years Griffiths et al. The most used treatment for online addictions appears to be cognitive behavioral therapy CBT based on the peer-reviewed literature Greenfield a , b ; Griffiths and Meredith ; Kaptsis et al. Other treatments used include pharmacotherapy methylphenidate and bupropion and counseling King et al. Most of the therapeutic recommendations are based on substance abuse treatment Huang et al.

Furthermore, there has been little evaluation concerning the efficacy of different psychological interventions with children and adolescents King et al. With regard to clinical practice, therapies for IGD based on substance abuse treatment have a number of limitations. One of the most important is the high rate of comorbid disorders with IGD that could influence the effect of the treatment.

Some of the most common disorders associated with IGD include anxiety disorders, mood disorders, behavioral disorders, autism spectrum disorder ASD , attention deficit hyperactivity disorder ADHD , and personality disorders Ferguson et al.

Most published IGD treatment studies have not taken into account these comorbidities; therefore, more integrated and comprehensive treatments taking these comorbid disorders into account would improve treatment outcomes for such individuals Therien et al. Consequently, there is both an empirical and clinical need to generate specialized, integrated, and comprehensive treatment protocols taking into account the specific characteristics of IGD along with its associated comorbid disorders.

Furthermore, it is clinically important to develop treatments for adolescents. In recent years, psychiatric wards have reported an increase of consultations regarding adolescents with problematic use of cyber-technologies Beranuy et al. On the other hand, the adolescent population regularly uses online video games and they also present with multiple psychological vulnerabilities that are intrinsic to this life stage.

As a result, the aim of the present paper describes a specialized and integrative treatment program based on the scientific and clinical need to design treatments specifically for the adolescent population with IGD.

The treatment program provides essential and common factors concerning IGD and was developed for health professionals to utilize in the treatment of IGD in adolescence. To develop bespoke psychotherapy in this case, for IGD , manuals in clinical practice must be followed to define guidelines and strategies from basic outlines in order to promote empirically supported treatments Carroll and Nuro In the development and design of the PIPATIC program, there are common and essential aspects that should be included in any program evaluation report Moscosoa et al.

The guidelines proposed by Carroll and Nuro were used for the IGD treatment presented in the present paper due to their rigor and scientific underpinnings. Carroll and Nuro divide the development of treatment manuals into three stages: i the development of the treatment and a pilot application, ii the design of the methodology with a controlled clinical trial to evaluate the efficacy of the treatment, and iii the evaluation of the application of treatment in different contexts and the relationship between their effectiveness and costs.

This program comprises six therapeutic work modules, in turn comprising further specific sub-objectives. In this way, the set program offers some flexibility Carroll and Nuro ; Therien et al. CBT therapies are commonly used and are effective in the treatment of addictive disorders Du et al.

However, the use of multiple psychotherapeutic strategies is considered more effective than one unique perspective Dong and Potenza ; Orzack et al. Consequently, other eclectic and integrative treatment perspectives additional to CBT were included within the PIPATIC program such as motivational interviewing and psychoeducation techniques see Table 2 , strategies derived from person-centered therapy, self-regulation and maturation strategies for adolescents see Table 4 , family therapy see Table 6 , and solution-focused therapy see Tables 4 and 7.

The intervention, based on a cognitive behavioral approach, employs cross-cutting techniques and resources common in psychotherapy Hofmann and Barlow ; Kleinke ; Laska et al. Consequently, the PIPATIC program is an integrative psychotherapy treatment intervention that focuses on multiple critical areas of the individual. The second phase of program development focuses on the delimitation of methodologies for the application and effectiveness of the PIPATIC program.

The CONSORT methodologies guarantee quality experimental or quasi-experimental studies: i design clinical trial with randomization to avoid bias , ii dependent and independent variables and assessment instruments, iii inclusion and exclusion criteria, iv aims and hypothesis, v method, and vi ethics. The main aim of the program is to provide specialized psychological assistance for adolescents with IGD.

Each module includes several psychological techniques in addition to cross-psychotherapeutic strategies. The program is six month duration comprising twenty-two minute weekly sessions each for both individuals and families. Before the commencement of treatment, several sessions are carried out with the following objectives: i to assess the inclusion and exclusion criteria, ii to talk to the patient and family and address any concerns they may have about the program, and iii to complete the first pre-treatment evaluation.

The tables outline the main content, the psychological strategies used within the module, and the intervention techniques and strategies of every module. In addition, all the modules include therapeutic homework to strengthen the establishment related to the therapeutic changes required to help change everyday behavior.

These preliminary results of the PIPATIC program pilot application demonstrate a reduction of time spent playing videogames, a reduction in IGD-related symptoms and comorbid symptoms, and improvement in multiple important areas in day-to-day functioning e. Furthermore, compared to other treatments for IGD and Internet addiction published in the peer-reviewed literature, the PIPATIC program is arguably one of the most comprehensive treatment intervention for Internet and online videogame addiction see Table 9 for an in-depth comparison between studies published in the empirical clinical literature.

Its design is based on a theoretical robust empirical base, on previous treatment studies, and on a combination of perspectives and psychotherapeutic strategies that have proven to be effective on adolescents across different disorders Du et al. At present, the efficacy of the program appears very promising but due to the time-intensive nature of the intervention, only 17 clients have completed treatment to date.

As with any other treatment or manualized program, there are a number of limitations. The program was designed focusing on a very specific population i. The intervention has a specific rigidity because it must follow or adhere to specific methodological standards for its application and evaluation.

Despite these limitations, the preliminary results suggest the program is efficacious. Future plans include i studying the effectiveness of PIPATIC treatment comparing the participants of this treatment with other participants receiving treatment as usual for addictions; ii comparing the data already collected in relation to pre-treatment, middle-treatment, post-treatment, and three-months follow-up; and iii analyzing various cases of different ages, clinical profiles, game genre, and context to confirm the efficacy of findings in other populations and environments.

It is expected that the PIPATIC program will continue to be an effective and pioneering integrative treatment for problematic use and addictive behaviors related to online videogames as well as concomitant pathologies.

The present paper attempts to provide an orientation and update for health professionals in this field who want to treat adolescents for IGD. American Psychiatric Association. DSM diagnostic and statistical manual of mental disorders 5th ed. Beck, A. Cognitive therapy and the emotional disorders. Boston: Penguin. Beranuy, M. A qualitative analysis of online gaming addicts in treatment. International Journal of Mental Health and Addiction, 11 2 , — Carbonell, X. El potencial adictivo de los videojuegos.

Echerburua Ed. Carroll, K. One size cannot fit all: a stage model for psychotherapy manual development. Clinical Psychology: Science and Practice, 9 4 , — Revista de Psicoterapia, 19 73 , 69— Dong, G. A cognitive-behavioral model of Internet gaming disorder: theoretical underpinnings and clinical implications. Journal of Psychiatric Research, 58 , 7— Du, Y. Longer term effect of randomized, controlled group cognitive behavioral therapy for Internet addiction in adolescent students in Shanghai.

Ellis, A. Special features of rational-emotive therapy. DiGiuseppe Eds. Champaign: Research Press.

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Re: download games psychological care

Postby Kagaktilar В» 21.04.2019

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Associations between problematic gaming and psychiatric symptoms among adolescents in two samples. You can even email our tools to your clients directly from our website. Criteria for conceptualizing behavioural addiction should be informed by the underlying behavioural mechanism.

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Journal of Computer-Mediated Communication, 13 4— Psychiatric symptoms in adolescents with Internet addiction: comparison with substance use. There is also increased concern that the potential value of videogames has not been sufficiently considered particularly in terms of the benefits for young people at risk Kutner and Olson,

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