PTSD Elderly War Veterans: A Clinical Controlled Pilot Study

Gamito, Pedro; Oliveira, Jorge C.; Rosa, Pedro J.; Duarte, Nuno; Oliveira, Susana; Saraiva, Tomaz

doi:10.1089/cpb.2009.0237

Cited by 12 publications

(32 citation statements)

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“…For the meta-analysis, 7 out of the 19 studies were excluded because they did not involve RCTs, 11,13,[26][27][28][29][30] three were excluded due to uninterpretable or incomplete findings, [31][32][33] and one was excluded because its control conditions were also game-based digital applications. 34 Thus, eight studies involving a total of 636 participants in 10 RCTs were eligible for inclusion in the final meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…These therapeutic play interventions used virtual reality computer games to enable participants to be immersed in a virtual environment and create a sense of ''being there'' with the help of visual, sound, olfactory, or tactile stimuli. Three studies 11,27,32 indicated that virtual reality exposure therapy was very effective for war posttraumatic stress disorder (PTSD). Significant reductions in depression were also found when interventions were used for specific driving phobia 30 and acrophobia.…”

Section: Resultsmentioning

confidence: 99%

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Game-Based Digital Interventions for Depression Therapy: A Systematic Review and Meta-Analysis

Theng

Foo

2014

Cyberpsychology, Behavior, and Social Networking

190

124

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The aim of this study was to review the existing literature on game-based digital interventions for depression systematically and examine their effectiveness through a meta-analysis of randomized controlled trials (RCTs). Database searching was conducted using specific search terms and inclusion criteria. A standard meta-analysis was also conducted of available RCT studies with a random effects model. The standard mean difference (Cohen's d) was used to calculate the effect size of each study. Nineteen studies were included in the review, and 10 RCTs (eight studies) were included in the meta-analysis. Four types of game interventions-psycho-education and training, virtual reality exposure therapy, exercising, and entertainment-were identified, with various types of support delivered and populations targeted. The meta-analysis revealed a moderate effect size of the game interventions for depression therapy at posttreatment (d=-0.47 [95% CI -0.69 to -0.24]). A subgroup analysis showed that interventions based on psycho-education and training had a smaller effect than those based on the other forms, and that self-help interventions yielded better outcomes than supported interventions. A higher effect was achieved when a waiting list was used as the control. The review and meta-analysis support the effectiveness of game-based digital interventions for depression. More large-scale, high-quality RCT studies with sufficient long-term data for treatment evaluation are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Game-Based Digital Interventions for Depression Therapy: A Systematic Review and Meta-Analysis

Theng

Foo

2014

Cyberpsychology, Behavior, and Social Networking

190

124

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“…Results indicated that in comparison to the other conditions, in virtuo exposure seems more efficient to reduce PTSDrelated disorders like depression and anxiety after 12 weeks of treatment. The authors conclude by saying that war veterans with chronic PTSD can benefit from in virtuo exposure (Gamito et al, 2010).…”

Section: The Efficacy Of In Virtuo Exposure To Treat Late-life Anxietymentioning

confidence: 94%

“…It should be noted that therapeutic gains were maintained over a six-month period. In virtuo exposure has also been shown effective in Portuguese veterans (Gamito et al, 2010). Indeed, in this study ten patients (mean age of 63.5 years) were randomly assigned to three conditions: in virtuo exposure, traditional imaginal exposure for PTSD, and a waiting list.…”

Section: The Efficacy Of In Virtuo Exposure To Treat Late-life Anxietymentioning

confidence: 99%

Using virtual reality to improve the efficacy of cognitive-behavioral therapy (CBT) in the treatment of late-life anxiety: preliminary recommendations for future research

Grenier

Forget

Bouchard

et al. 2014

Int. Psychogeriatr.

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Cognitive-behavioral therapy (CBT) using traditional exposure techniques (i.e. imaginal and in vivo) seems less effective to treat anxiety in older adults than in younger ones. This is particularly true when imaginal exposure is used to confront the older patient to inaccessible (e.g. fear of flying) or less tangible/controllable anxiety triggers (e.g. fear of illness). Indeed, imaginal exposure may become less effective as the person gets older since normal aging is characterized by the decline in cognitive functions involved in the creation of vivid/detailed mental images. One way to circumvent this difficulty is to expose the older patient to a virtual environment that does not require the ability to imagine the frightening situation. In virtuo exposure has proven to be efficient to treat anxiety in working-age people. In virtuo exposure could be employed to improve the efficacy of CBT with exposure sessions in the treatment of late-life anxiety? The current paper explores this question and suggests new research avenues.

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“…Such risks may challenge individuals and groups' sense of well-being, quality of life, general health (with potential risks of death or disability), interpersonal interactions, and a broad range of emotional, cognitive and other functions (Lazarus et al 1985;Pearlin 1989;Horwitz and Sceid 1999). Research on stress demonstrates how stress and its consequences may have their ill-effects on groups and individuals long after the actual trauma or stress-inducing experience have ceased to exist (Solomon and Prager 1992;Sommer and Ehlert 2004;Gamito et al 2010). Thus stress is portrayed in the literature as a major outcome variable with short and long-term implications.…”

Section: Introductionmentioning

confidence: 99%

Someone to watch over me: Exposure to war events and trust in the armed forces in Israel as factors in war-related stress

Zysberg

Kimhi

Eshel

2013

Medicine, Conflict and Survival

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This study examined the role of trust in the national armed and security forces in Israel as a potential protective factor in post-war stress symptoms, alongside other known correlates such as exposure to war events, sense of danger, and demographics. A cluster sample of 870 residents of the town of Kiryat-Shemona in Israel participated in this correlational study. The town was under heavy bombing during the second Lebanon war, and data collection took place about a year after the end of the war. Our results suggest that while sense of danger and exposure to war events are the strongest correlates of stress related symptoms, trust in the armed forces was negatively correlated with stress, even after controlling for demographics; therefore supporting our hypothesis. Theoretical, methodological and practical implications are discussed in light of our findings.

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PTSD Elderly War Veterans: A Clinical Controlled Pilot Study

Cited by 12 publications

References 0 publications

Game-Based Digital Interventions for Depression Therapy: A Systematic Review and Meta-Analysis

Game-Based Digital Interventions for Depression Therapy: A Systematic Review and Meta-Analysis

Using virtual reality to improve the efficacy of cognitive-behavioral therapy (CBT) in the treatment of late-life anxiety: preliminary recommendations for future research

Someone to watch over me: Exposure to war events and trust in the armed forces in Israel as factors in war-related stress

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