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Video Games and Their Impact on Teens’ Mental Health

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Abstract

The role that video games play in the lives of teenagers has grown dramatically and without pause for the past generation or two. Between computers, smart phones, and dedicated game consoles, not only are individual adolescents spending more of their days playing video games, but the percentage of teens whose daily lives include video games is quickly approaching universality. In this chapter, we first review recent trends in video gaming and explore the various and myriad video games that teens tend to play as well as their motivations to play video games. Then, we review the literature regarding the influence of playing different types of commercial video games on mental health. And last, we explore recent innovations in game development whereby video games are specifically developed to improve mental health symptoms or psychosocial adjustment, including a review of the research supporting use of these “impactful video games.” It is hoped that the information presented in this chapter will provide practitioners with greater understanding of the diversity and breadth of experiences that fall under the umbrella term “video gaming” in order to help foster more open and productive conversations with teens about their video gaming behavior. We also hope the research evidence presented in this chapter will encourage practitioners to integrate the use of video games into their treatment of teen patients, both as a means of fostering the therapeutic alliance and as an innovative accompaniment to traditional therapeutic methods to enhance teens’ mental and behavioral health.

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References

  1. Yi M. They got game: stacks of new releases for hungry video game enthusiasts mean it’s boom time for an industry now even bigger than Hollywood. San Francisco Chronicle [Internet]; 2004 Dec [cited 2017 Apr 26]. http://www.sfgate.com/news/article/THEY-GOT-GAME-Stacks-of-new-releases-for-hungry-2663371.php

  2. Lenhart A, Kahne J, Middaugh E, MacGill A, Evans C, Vitak J. Teens, video games, and civics. Pew Research Center [Internet]; 2008 Sep [cited 2017 Apr 26]. http://www.pewinternet.org/2008/09/16/teens-video-games-and-civics/#.

  3. Statista: The Statistics Portal. Statistics and facts on mobile gaming [Internet]. Hamburg, Germany: Statista; [cited 2017 Apr 26]. https://www.statista.com/topics/1906/mobile-gaming/

  4. NPD Group. Average time spent playing games on mobile devices has increased 57 percent since 2012 [Internet]; 2014 [cited] 2017 Apr 27. https://www.npd.com/wps/portal/npd/us/news/press-releases/2015/average-time-spent-playing-games-on-mobile-devices-has-increased-57-percent-since-2012/

  5. Entertainment Software Association. Essential facts about the computer and video game industry [Internet]. Washington, DC: ESA; 2015 Apr [cited 2017 Apr 27]. 20 p. http://www.theesa.com/wp-content/uploads/2015/04/ESA-Essential-Facts-2015.pdf

  6. Bartle R. Hearts, clubs, diamonds, spades: players who suit MUDS. J MUD Res [Internet]. 1996 [cited 2017 Apr 26];1(1). http://mud.co.uk/richard/hcds.htm.

  7. Bartle RA. Designing virtual worlds. New Riders: Berkely; 2004.

    Google Scholar 

  8. Yee N. Motivations for play in online games. Cyberpsychol Behav. 2006;9(6):772–5.

    Article  PubMed  Google Scholar 

  9. Sherry JL, Lucas K, Greenberg BS, Lachlan K. Video game uses and gratifications as predictors of use and game preference. In: Bryant J, Vorderer P, editors. Playing video games: motives, responses, and consequences. Mahwah: Lawrence Erlbaum; 2006. p. 213–24.

    Google Scholar 

  10. Boyan A, Sherry JL. The challenge in creating games for education: aligning mental models with game models. Child Dev Perspect. 2011;5(2):82–7.

    Article  Google Scholar 

  11. Csikszentmihalyi M. Flow: the psychology of optimal experience. New York: Harper & Row; 1990.

    Google Scholar 

  12. Ryan RM, Rigby CS, Przybylski AK. The motivational pull of video games: a self-determination theory approach. Motiv Emot. 2006;30:347–64.

    Google Scholar 

  13. Przybylski AK, Rigby CS, Ryan RMA. motivational model of video game engagement. Rev Gen Psychol. 2010;14(2):154–66.

    Article  Google Scholar 

  14. American Academy of Pediatrics [Internet]. Elk Grove Village, IL: AAP; 2017 [cited 2017 Apr 27]. https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/Media-and-Children.aspx

  15. APA Task Force on Violent Media. Technical report on the review of the violent video game literature [Internet]. Washington, DC: American Psychological Association; 2015 [cited 2017 Apr 27]. 31 p. http://www.apa.org/pi/families/review-video-games.pdf

  16. Gee JP. What video games have to teach us about learning and literacy. New York: St. Martin’s Press; 2003.

    Google Scholar 

  17. Smyth JM. Beyond self-selection in video game play: an experimental examination of the consequences of Massively Multiplayer Online Role-Playing Game play. Cyberpsychol Behav. 2007;10(5):717–21.

    Article  PubMed  Google Scholar 

  18. Gallup J, Serianni B, Duff C, Gallup A. An exploration of friendships and socialization for adolescents with autism engaged in Massively Multiplayer Online Role-Playing Games (MMORPG). Educ Train Autism Dev Disabil. 2016;51(3):223–37.

    Google Scholar 

  19. Olson CK, Kutner LA, Warner DE. The role of violent video game content in adolescent development. J Adolesc Res. 2008;23(1):55–75.

    Article  Google Scholar 

  20. Yee N. The demographics, motivations, and derived experiences of users of massively multi-user online graphical environments. Presence. 2006;15(3):309–29.

    Article  Google Scholar 

  21. Zhong Z. The effects of collective MMORPG (Massively Multiplayer Online Role-Playing Games) play on gamers’ online and offline social capital. Comput Human Behav. 2011;27(6):2352–63.

    Article  Google Scholar 

  22. Gentile DA, Anderson CA, Yukawa S, Ihori N, Saleem M, Ming LK, et al. The effects of prosocial video games on prosocial behaviors: international evidence from correlational, longitudinal, and experimental studies. Pers Soc Psychol Bull. 2009;35:752–63.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Cole H, Griffiths MD. Social interactions in massively multiplayer online role-playing gamers. Cyberpsychol Behav. 2007;10(4):575–83.

    Article  PubMed  Google Scholar 

  24. Belozerov SA. Virtual worlds of MMORPG. Part II. Remedy for social and psychological ill-being. Psychology: Journal of Higher School of Economics. 2015;12(1):71–89.

    Google Scholar 

  25. LaRose R. Eastin MS, Gregg J. Reformulating the Internet paradox: social cognitive explanations of Internet use and depression. J Online Behav. 2001;1(2).

    Google Scholar 

  26. Shaw LH, Grant LM. defense of the internet: the relationship between internet communication and depression, loneliness, self-esteem, and perceived social support. Cyberpsychol Behav. 2002;5(2):157–71.

    Article  PubMed  Google Scholar 

  27. Snodgrass JG, Lacy MG, Francois Dengah HJ 2nd, Fagan J. Enhancing one life rather than living two: playing MMOs with offline friends. Comput Human Behav. 2011;27(3):1211–22.

    Article  Google Scholar 

  28. Russoniello CV, Fish M, O’Brien K. The efficacy of casual video game play in reducing clinical depression: a randomized controlled study. Games Health J. 2013;2(6):341–6.

    Article  PubMed  Google Scholar 

  29. Russoniello CV, O’Brien K, Parks JM. The effectiveness of casual video games in improving mood and decreasing stress. J Cyber Ther Rehabil. 2009;2(1):53–66.

    Google Scholar 

  30. Fish MT, Russoniello CV, O’Brien K. The efficacy of prescribed casual videogame play in reducing symptoms of anxiety: a randomized controlled study. Games Health J. 2014;3(5):291–5.

    Article  PubMed  Google Scholar 

  31. Patel A, Schieble T, Davidson M, Tran MC, Schoenberg C, Delphin E, et al. Distraction with a hand-held video game reduces pediatric preoperative anxiety. Paediatr Anaesth. 2006;16(10):1019–27.

    Article  PubMed  Google Scholar 

  32. Colwell J. Needs met through computer game play among adolescents. Personal Individ Differ. 2007;43:2072–82.

    Article  Google Scholar 

  33. Snodgrass JG, Lacy M, Francois Dengah HJ 2nd, Fagan J, Most D. Magical flight and monstrous stress: technologies of absorption and mental wellness in Azeroth. Cult Med Psychiatry 2011;35(1):26–62.

    Google Scholar 

  34. Holmes EA, James EL, Coode-Bate T, Deeprose C. Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS One. 2009;4(1):e4153.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Holmes EA, James EL, Kilford EJ, Deeprose C. Key steps in developing a cognitive vaccine against traumatic flashbacks: visuospatial Tetris versus Verbal Pub Quiz. PLoS One. 2010;5(11):e13706.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Moisala M, Salmela V, Hietajarvi L, Carlson S, Vuontela V, Lonka K, et al. Gaming is related to enhanced working memory performance and task-related cortical activity. Brain Res. 2017;1655:204–15.

    Article  CAS  PubMed  Google Scholar 

  37. Chan PA, Rabinowitz TA. cross-sectional analysis of video games and attention deficit hyperactivity disorder symptoms in adolescents. Ann Gen Psychiatry. 2006;5(16):5–16.

    Google Scholar 

  38. Barlett CP, Anderson CA, Swing EL. Video game effects—confirmed, suspected, and speculative. Simul Gaming. 2009;40(3):377–403.

    Article  Google Scholar 

  39. Subrahmanyam K, Greenfield PM. Effect of video game practice on spatial skills in girls and boys. J Appl Dev Psychol. 1994;15(1):13–32.

    Article  Google Scholar 

  40. Middleton KK, Hamilton T, Tsai PC, Middleton DB, Falcone JL, Hamad G. Improved nondominant hand performance on a laparoscopic virtual reality simulator after playing the Nintendo Wii. Surg Endosc. 2013;27(11):4224–31.

    Article  PubMed  Google Scholar 

  41. Li J, Theng Y, Foo S. Game-based digital interventions for depression therapy: A systematic review and meta-analysis. Cyberpsychol Behav Soc Netw. 2014;17(8):519–27.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Merry SN, Stasiak K, Shepherd M, Frampton C, Fleming T, Lucassen MF. The effectiveness of SPARX, a computerised self help intervention for adolescents seeking help for depression: randomised controlled non-inferiority trial. BMJ. 2012;344:e2598.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Carrasco AE. Acceptability of an adventure video game in the treatment of female adolescents with symptoms of depression. Res Psychother. 2016;19(1):10–8.

    Google Scholar 

  44. Sharry J, McDermott M, Condron J. ‘Relax To Win’—treating children with anxiety problems with a biofeedback video game. Eistach. 2003;2:22–6.

    Google Scholar 

  45. Knox M, Lentini J, Cummings TS, McGrady A, Whearty K, Sancrant L. Game-based biofeedback for paediatric anxiety and depression. Ment Health Fam Med. 2011;8(3):195–203.

    CAS  PubMed  PubMed Central  Google Scholar 

  46. Scholten H, Malmberg M, Lobel A, Engels A, Granic IA. randomized controlled trial to test the effectiveness of an immersive 3D video game for anxiety prevention among adolescents. PLoS One. 2016;11(1):e0147763.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Pope AT, Bogart EH. Extended attention span training system: video game neurotherapy for attention deficit disorder. Child Study Journal. 1996;26(1):39–50.

    Google Scholar 

  48. Butnik SM. Neurofeedback in adolescents and adults with Attention Deficit Hyperactivity Disorder. J Clin Psychol. 2005;61(5):621–5.

    Article  PubMed  Google Scholar 

  49. Nodell B. Game your brain to treat depression, studies suggest. News Beat: UW Health Sciences [Internet]. 03 Jan 2017 [cited 28 Apr 2017]; Research [about 3 screens]. http://hsnewsbeat.uw.edu/story/studies-suggest-gaming-your-brain-treat-depression

  50. Anguera JA, Gunning FM, Arean PA. Improving late life depression and cognitive control through the use of therapeutic video game technology: a proof-of-concept randomized trial. Depress Anxiety. 2016 Dec [cited 28 Apr 2017]. https://doi.org/10.1002/da.22588

  51. Rabiner DL, Murray DW, Skinner AT, Malone PSA. randomized trial of two promising computer-based interventions for students with attention difficulties. J Abnorm Child Psychol. 2010;38(1):131–42.

    Article  PubMed  Google Scholar 

  52. Weerdmeester J, Cima M, Granic I, Hashemian Y, Gotsis M. A feasibility study on the effectiveness of a full-body videogame intervention for decreasing attention deficit hyperactivity disorder symptoms. Games for Health. 2016;5(4):258–69.

    Article  Google Scholar 

  53. Bellack AS, Dickinson D, Morris SE, Tenhula WN. The development of a computer-assisted cognitive remediation program for patients with schizophrenia. Isr J Psychiatry Relat Sci. 2005;42(1):5–14.

    PubMed  Google Scholar 

  54. Shrimpton B, Hurworth R. Adventures in evaluation: reviewing a CD-ROM based adventure game designed for young people recovering from psychosis. J Educ Multimed Hypermedia. 2005;14(3):273–90.

    Google Scholar 

  55. Tanaka JW, Wolf JM, Klaiman C, Koenig K, Cockburn J, Herlihy L, et al. Using computerized games to teach face recognition skills to children with autism spectrum disorder: the Let’s Face It! program. J Child Psychol Psychiatry. 2010;51(8):944–52.

    Article  PubMed  Google Scholar 

  56. Brown ER, Craig AB, DeRosier ME. Hall of Heroes: a social skills training game to prepare students for the transition to middle school. Forthcoming: J Early Adolesc; 2017.

    Google Scholar 

  57. Corrigan PW, Druss BG, Perlick DA. The impact of mental illness stigma on seeking and participating in mental health care. Psychol Sci Public Interest. 2014;15(2):37–70.

    Article  PubMed  Google Scholar 

  58. Shandley K, Austin D, Klein B, Kyrios M. An evaluation of ‘Reach Out Central’: an online gaming program for supporting the mental health of young people. Health Educ Res. 2010;25(4):563–74.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank their three sons—Jefferson Thomas, Benjamin Thomas, and Lincoln Thomas—who provided considerable input (and fact-checking) for this chapter regarding popular commercial video games, video game genres, and video gaming experiences. Their feedback and sharing were integral in helping the authors conceptualize teens’ gameplay experiences when writing the first section of this chapter. The authors would also like to thank Mary Whatley who aided considerably in conducting a literature search and compiling the citations included in this chapter.

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Correspondence to Melissa E. DeRosier Ph.D. .

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DeRosier, M.E., Thomas, J.M. (2018). Video Games and Their Impact on Teens’ Mental Health. In: Moreno, M., Radovic, A. (eds) Technology and Adolescent Mental Health . Springer, Cham. https://doi.org/10.1007/978-3-319-69638-6_17

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  • DOI: https://doi.org/10.1007/978-3-319-69638-6_17

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