"Michael's Game," a card game for the treatment of psychotic symptoms.
OBJECTIVE
"Michael's Game" is a card game which aims at familiarizing healthcare professionals and patients with cognitive therapy of psychotic symptoms. The present study tests the feasibility and the impact of the intervention in naturalistic settings.


METHODS
135 patients were recruited in 11 centres. They were assessed pre- and post-tests with the Beck Cognitive Insight Scale (BCIS) and the Peters Delusion Inventory-21 items (PDI-21).


RESULTS
Data about 107 patients were included in the entire analyses. Significant improvements were observed on BCIS subscales as well as a reduction of severity of conviction and preoccupation scores on the PDI-21. The intervention has a moderate effect on the PDI-21 preoccupation and conviction as well as the BCIS subscales. Patients who benefit the most from the program are patients who have a low degree of self-reflectiveness and patients who are concomitantly preoccupied by their symptoms.


CONCLUSIONS
The present study supports the feasibility and effectiveness of "Michael's Game" in naturalistic settings.


CONCLUSIONS
The game seems to be a useful tool for patients with psychotic disorders.
Khazaal
Yasser
Y
Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland. yasser.khazaal@hcuge.ch
Favrod
Jérôme
J
Azoulay
Silke
S
Finot
Sophie Claude
SC
Bernabotto
Maria
M
Raffard
Stéphane
S
Libbrecht
Joël
J
Dieben
Karen
K
Levoyer
David
D
Pomini
Valentino
V
D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D003071:Cognition; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005240:Feasibility Studies; D005260:Female; D005716:Game Theory; D006801:Humans; D008297:Male; D008875:Middle Aged; D011581:Psychological Tests; D011582:Psychological Theory; D011594:Psychometrics; D012559:Schizophrenia / Q000628:therapy; D012563:Schizophrenia, Paranoid / Q000628:therapy*; D012647:Self-Assessment; D013223:Statistics as Topic; D013997:Time Factors; D055815:Young Adult