title: The Efficacy of Casual Videogame Play in Reducing Clinical Depression: A Randomized Controlled Study.
abstract: BACKGROUND
  Depression is a debilitating illness that is estimated to affect more than 300 million people worldwide. Although there has been some success in treatment of this illness with pharmaceuticals and behavioral techniques like cognitive behavioral therapy, these are often costly and have stigma associated with them. The purpose of this study was to test whether a prescribed regimen of casual videogame (CVG) play could reduce symptoms associated with depression.
  
  
  METHODS
  Participants were screened for depression using the Patient Health Questionnaire-9 (PHQ-9). They were then randomized into the control (n=29) or experimental (n=30) group. Experimental participants were prescribed to play CVGs three times per week (with 24 hours between each session), for 30 minutes, over a 1-month period. Control participants surfed the National Institute of Mental Health's Web page on depression. The instrument used to test the hypothesis was the PHQ-9.
  
  
  RESULTS
  Repeated-measures statistical analyses revealed there was a significant interaction of group and time, supporting the hypothesis that the groups would be different after the intervention. Moreover, when data were compared using tests of within-subjects contrasts between baseline (Time 1) and the end of the 1-month study (Time 3), we found significant decreases in depression symptoms in the experimental group. When this was compared with the control group changes, the results were still significant.
  
  
  CONCLUSIONS
  We found that a prescribed regimen of playing CVGs significantly reduced symptoms of clinical depression as measured by the PHQ-9. Clinicians should consider these low-cost CVGs as a possible intervention to address psychological and somatic symptoms associated with depression.
authors.affiliation: 1 Psychophysiology and Biofeedback Lab, East Carolina University , Greenville, North Carolina.
authors.forename: Carmen V
authors.initials: CV
authors.lastname: Russoniello
authors.affiliation: 1 Psychophysiology and Biofeedback Lab, East Carolina University , Greenville, North Carolina.
authors.forename: Matthew
authors.initials: M
authors.lastname: Fish
authors.affiliation: 2 Department of Biostatistics, East Carolina University , Greenville, North Carolina.
authors.forename: Kevin
authors.initials: K
authors.lastname: O'Brien