No abstract

Children with a chronic disease, such as cystic fibrosis or juvenile arthritis, often face obstacles that can have a negative impact on children's physical, social-emotional and cognitive development, beyond the actual illness itself. Children with chronic conditions are, on average, lonelier than their peers without such conditions. Feelings of loneliness in children and adolescents have been associated with a wide range of negative outcomes, including school drop-out, depressive symptoms, social anxiety, suicide ideation, low self-esteem, eating disorders, and sleep problems. As such, the present investigation sets out to reduce these feelings of loneliness for children with chronic conditions, and aims to do so by the structured design of an applied gaming intervention. Specifically, the present paper contributes (1) a literature-based understanding on training socioemotional skills as a novel means to reduce feelings of loneliness in chronically ill children, (2) intervention objectives that are aligned to this goal, and (3) a structured proposal for design guidelines that implement the intervention objectives into 'Ruby's Mission'; an applied gaming intervention for reducing loneliness of children with chronic illness.

BackgroundAdolescents growing up with a chronic condition might experience more social vulnerabilities compared to their healthy peers as an indirect result of their conditions. This can lead to a relatedness need frustration for these adolescents. Consequently, they might spend more time playing video games compared to their peers. Research shows that both social vulnerability and gaming intensity are predictors for problematic gaming. Therefore, we investigated if social vulnerability and gaming intensity are more pronounced in adolescents that have a chronic condition compared to the general population; and if these levels reflect the levels of a clinical group being treated for Internet Gaming Disorder (IGD).MethodsData on peer problems and gaming intensity were compared from three separate samples: a national representative sample of adolescents, a clinical sample of adolescents that are undergoing treatment for IGD, and a sample of adolescents diagnosed with a chronic condition.ResultsNo differences were found on either peer problems or gaming intensity between the group of adolescents that have chronic conditions and the national representative group. The group with chronic conditions scored significantly lower on gaming intensity than the clinical group. No significant differences were found between these groups on peer problems. We repeated the analyses for boys only. Similar results were found for the group with chronic conditions compared to the national representative group. The group with chronic conditions now scored significantly lower on both peer problems and gaming intensity than the clinical group.ConclusionAdolescents growing up with a chronic condition appear similar in their gaming intensity and peer problems compared to their healthy peers.