Practicing emotion-regulation through biofeedback on the decision-making performance in the context of serious games: A systematic review

Jerčić, Petar; Sundstedt, Veronica

doi:10.1016/j.entcom.2019.01.001

Cited by 39 publications

(19 citation statements)

References 64 publications

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“…Individuals become more aware of their emotions as measured by biosensors through a visual and audio representation of them on screen. The biofeedback connects the emotional reaction to the media display, helping individuals to learn how to regulate their emotions and visually rewarding them when doing adequately ( Jerčić and Sundstedt, 2019 ). Serious games allow real situations to be recreated in virtual settings, while provoking a series of cognitive, emotional and behavioral responses in individuals.…”

Section: Introductionmentioning

confidence: 99%

A Serious Game to Improve Emotion Regulation in Treatment-Seeking Individuals With Gambling Disorder: A Usability Study

et al. 2021

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Background: Serious games have shown positive results in increasing motivation, adherence to treatment and strengthening the therapeutic alliance in multiple psychiatric disorders. In particular, patients with impulse control disorders and other disorders in which the patient suffers from inhibitory control deficits (e.g., behavioral addictions) have been shown to benefit from serious games.Aim: The aim of this study was to describe the characteristics and to evaluate the usability of a new serious videogame, e-Estesia. This serious videogame was designed to improve emotion regulation in patients with gambling disorder (GD). Preliminary results from a pilot sample are also reported.Method: A pilot sample of 26 patients undergoing treatment for GD was recruited (ranging from 22 to 74 years, mean = 41.2 and SD = 12.9; 80.8% men). Participants used e-Estesia on a tablet, which was connected to a thoracic band that sent heart rate (HR) and heart rate variability (HRV) data to the videogame platform in order to provide biofeedback. The System Usability Scale was completed by patients to determine the usability of e-Estesia.Results and Discussion: e-Estesia performed comparatively well for all the explored groups (i.e., sex, age, and online vs. offline gambling: mean usability score = 83.8, SD = 13.1). Around 84.6% of the patients endorsed that it was easy to use. Female patients with GD presented higher HRV during the use of the serious videogame compared to men.

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Section: Introductionmentioning

confidence: 99%

A Serious Game to Improve Emotion Regulation in Treatment-Seeking Individuals With Gambling Disorder: A Usability Study

et al. 2021

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“…Biofeedback has emerged as a technique which teaches individuals to recognize and modify their body's physiological signals to help improve their health [24]. Child monitoring of physiological parameters, whilst based on audio-visual signals, has been conducted in order to help children increase, maintain, cope with, or even recover from an emotional state [25]. Among the physiological parameters that can be measured for this technique to work are the heart rate (HR) variability [22][23][24][25], electromyography (EMG) [26], electrocardiogram (ECG) [27], HR [28,29], temperature [26], ultrasound [30], and electroencephalogram (EEG) [31], among others.…”

Section: Introductionmentioning

confidence: 99%

“…Child monitoring of physiological parameters, whilst based on audio-visual signals, has been conducted in order to help children increase, maintain, cope with, or even recover from an emotional state [25]. Among the physiological parameters that can be measured for this technique to work are the heart rate (HR) variability [22][23][24][25], electromyography (EMG) [26], electrocardiogram (ECG) [27], HR [28,29], temperature [26], ultrasound [30], and electroencephalogram (EEG) [31], among others. The main uses of biofeedback are to decrease anxiety and pain sensations [32], induce relaxation [33], reduce chronic fatigue [34], ameliorate stress [35], manage post-traumatic stress disorder [36], and, in general, improve the quality of life [37,38].…”

Section: Introductionmentioning

confidence: 99%

Smart Sensor Based on Biofeedback to Measure Child Relaxation in Out-of-Home Care

Jaramillo-Quintanar

Cruz-Albarran

Guzman-Sandoval

et al. 2020

Sensors

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Children from out-of-home care are a vulnerable population that faces high stress and anxiety levels due to stressful experiences, such as being abused, being raped, and violence. This problem could have negative effects on their bio-psycho-social well-being if they are not provided with comprehensive psychological treatment. Numerous methods have been developed to help them relax, but there are no current approaches for assessing the relaxation level they reach. Based on this, a novel smart sensor that can evaluate the level of relaxation a child experiences is developed in this paper. It evaluates changes in thermal biomarkers (forehead, right and left cheek, chin, and maxillary) and heart rate (HR). Then, through a k-nearest neighbors (K-NN) intelligent classifier, four possible levels of relaxation can be obtained: no-relax, low-relax, relax, and very-relax. Additionally, an application (called i-CARE) for anxiety management, which is based on biofeedback diaphragmatic breathing, guided imagery, and video games, is evaluated. After testing the developed smart sensor, an 89.7% accuracy is obtained. The smart sensor used provides a reliable measurement of relaxation levels and the i-CARE application is effective for anxiety management, both of which are focused on children exposed to out-of-home care conditions.

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“…Biofeedback can increase people’s awareness of the effect that their actions, emotions, and thoughts could have on their body so that they can play an active role in restoring their health status and learn self-regulation strategies. 1 , 4 …”

Section: Introductionmentioning

confidence: 99%

Exploring Public Attitude toward Biofeedback Technologies: Knowledge, Preferences and Personality Tendencies

Russo

Oliveri

Cincidda

et al. 2020

Journal of Public Health Research

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Background: Biofeedback is increasingly used in the clinical area and in daily health monitoring through wearable devices (e.g. smart watches). Nevertheless, it remains rather unknown. This study aimed to assess, in a sample of Italian citizens, the level of knowledge, attitudes, perceived efficacy and personality tendencies which could affect the uptake of biofeedback technologies. Design and Methods: Participants were recruited by advertising the survey on the social networks, from March to May 2019. 160 subjects filled in an ad hoc online questionnaire assessing socio-demographic variables, clinical status, physical activity, knowledge and attitude towards biofeedback, psychological tendencies toward health.Results: Data showed a good level of interest in biofeedback training in spite of poor knowledge about such technologies. Sport and chronic diseases were not correlated to a greater use of biofeedback. People informed about biofeedback technologies were more interested in undergoing biofeedback training and had higher scores in the Health Locus of Control. Finally, people who showed a positive perception of their own health (Health Esteem) did not rely on these technologies.Discussion: Despite the huge spread of biofeedback technologies, our results disconfirmed the expectation that people having an active lifestyle or a disease were more familiar with biofeedback systems. The attitude toward such technologies seems to depend on individual tendencies.Conclusions: This study suggests the importance to improve general public literacy on biofeedback technologies, tailor tools on their needs and characteristics, empower people’s sense of internal health control for promoting a valid use and a proper knowledge of biofeedback.

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Practicing emotion-regulation through biofeedback on the decision-making performance in the context of serious games: A systematic review

Cited by 39 publications

References 64 publications

A Serious Game to Improve Emotion Regulation in Treatment-Seeking Individuals With Gambling Disorder: A Usability Study

A Serious Game to Improve Emotion Regulation in Treatment-Seeking Individuals With Gambling Disorder: A Usability Study

Smart Sensor Based on Biofeedback to Measure Child Relaxation in Out-of-Home Care

Exploring Public Attitude toward Biofeedback Technologies: Knowledge, Preferences and Personality Tendencies

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