title: The Efficacy of Prescribed Casual Videogame Play in Reducing Symptoms of Anxiety: A Randomized Controlled Study.
abstract: OBJECTIVE
  Anxiety is a natural reaction to stress, but when excessive, it can develop into a debilitating disorder. Traditional treatments such as pharmaceuticals and psychotherapy have demonstrated efficacy in alleviating anxiety symptoms but are often costly and stigmatizing. This study tested whether a regimen of prescribed casual videogame (CVG) play could reduce individuals' anxiety symptom severity in a depressed population. CVGs are defined as fun, easy to play, spontaneous, and extremely popular.
  
  
  METHODS
  Data were taken from a larger study on depression and CVGs. Participants were screened for depression using a score of ≥5 (mild depression) on the Patient Health Questionnaire-9. After completing pre-intervention questionnaires, participants were randomized into the experimental (n=30) or control (n=29) group. Participants in the experimental group were prescribed a CVG of their choice to play three times per week, for 30 minutes, over a 1-month period. The State Trait Anxiety Inventory (STAI) was used to test the hypothesis.
  
  
  RESULTS
  Repeated-measures analysis of variance revealed significant interaction of group by time for state and trait anxiety measures, supporting the hypothesis that anxiety severity would be different by group post-intervention. When state and trait anxiety measures were compared using within-subjects contrasts and between-group analyses, significant decreases in anxiety symptom severity were demonstrated.
  
  
  CONCLUSIONS
  A prescribed regimen of CVG play significantly reduced state and trait anxiety symptom severity as measured by the STAI. Clinicians should consider using these easy-to-use and low-cost CVGs to address symptoms associated with state and trait anxiety.
authors.affiliation: 1 Center for Applied Psychophysiology, College of Health and Human Performance, East Carolina University , Greenville, North Carolina.
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Fish
authors.affiliation: 1 Center for Applied Psychophysiology, College of Health and Human Performance, East Carolina University , Greenville, North Carolina.
authors.forename: Carmen V
authors.initials: CV
authors.lastname: Russoniello
authors.affiliation: 2 Department of Biostatistics, College of Allied Health Sciences, East Carolina University , Greenville, North Carolina.
authors.forename: Kevin
authors.initials: K
authors.lastname: O'Brien