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Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study
Background: Several studies have highlighted the implications of impulsivity and novelty seeking for both the maintenance and the process of recovery from bulimia nervosa (BN). Cognitive behavioral therapy (CBT) is the treatment of choice for BN, but for some cases, this treatment alone might not be...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500862/ https://www.ncbi.nlm.nih.gov/pubmed/26236261 http://dx.doi.org/10.3389/fpsyg.2015.00982 |
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author | Giner-Bartolomé, Cristina Fagundo, Ana B. Sánchez, Isabel Jiménez-Murcia, Susana Santamaría, Juan J. Ladouceur, Robert Menchón, José M. Fernández-Aranda, Fernando |
author_facet | Giner-Bartolomé, Cristina Fagundo, Ana B. Sánchez, Isabel Jiménez-Murcia, Susana Santamaría, Juan J. Ladouceur, Robert Menchón, José M. Fernández-Aranda, Fernando |
author_sort | Giner-Bartolomé, Cristina |
collection | PubMed |
description | Background: Several studies have highlighted the implications of impulsivity and novelty seeking for both the maintenance and the process of recovery from bulimia nervosa (BN). Cognitive behavioral therapy (CBT) is the treatment of choice for BN, but for some cases, this treatment alone might not be sufficient for reducing the high levels of impulsivity. The paper presents a case report of a patient with BN, examining the effectiveness of using a videogame (VG; Playmancer) as an additional intervention designed to address impulsivity. Design: Psychometric and neuropsychological measures were collected at baseline. After this assessment, Playmancer was applied prior to CBT, following an “A-B-A-C-A” single case experimental design. Impulsivity levels were assessed with the Conner’s Continuous Performance Test II (CPT-II). After the Playmancer treatment, the patient started CBT, and the levels of impulsivity were recorded again. Finally, psychometric and neuropsychological measures were collected after treatment. Weekly frequency of binges and vomiting were also recorded during the entire procedure. Results: After the VG intervention, psychometric measures such as anxiety levels, impulsivity and novelty seeking decreased. Regarding the neuropsychological measures, impulsivity levels (measured with the CPT-II) progressively decreased throughout the intervention, and an improvement in decision making capacities was observed. Furthermore, the frequency of binges also decreased during and after the VG intervention. Discussion: This case report suggests that using the Playmancer VG to reduce impulsivity prior to CBT may enhance the final results of the treatment for BN. |
format | Online Article Text |
id | pubmed-4500862 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-45008622015-07-31 Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study Giner-Bartolomé, Cristina Fagundo, Ana B. Sánchez, Isabel Jiménez-Murcia, Susana Santamaría, Juan J. Ladouceur, Robert Menchón, José M. Fernández-Aranda, Fernando Front Psychol Psychology Background: Several studies have highlighted the implications of impulsivity and novelty seeking for both the maintenance and the process of recovery from bulimia nervosa (BN). Cognitive behavioral therapy (CBT) is the treatment of choice for BN, but for some cases, this treatment alone might not be sufficient for reducing the high levels of impulsivity. The paper presents a case report of a patient with BN, examining the effectiveness of using a videogame (VG; Playmancer) as an additional intervention designed to address impulsivity. Design: Psychometric and neuropsychological measures were collected at baseline. After this assessment, Playmancer was applied prior to CBT, following an “A-B-A-C-A” single case experimental design. Impulsivity levels were assessed with the Conner’s Continuous Performance Test II (CPT-II). After the Playmancer treatment, the patient started CBT, and the levels of impulsivity were recorded again. Finally, psychometric and neuropsychological measures were collected after treatment. Weekly frequency of binges and vomiting were also recorded during the entire procedure. Results: After the VG intervention, psychometric measures such as anxiety levels, impulsivity and novelty seeking decreased. Regarding the neuropsychological measures, impulsivity levels (measured with the CPT-II) progressively decreased throughout the intervention, and an improvement in decision making capacities was observed. Furthermore, the frequency of binges also decreased during and after the VG intervention. Discussion: This case report suggests that using the Playmancer VG to reduce impulsivity prior to CBT may enhance the final results of the treatment for BN. Frontiers Media S.A. 2015-07-14 /pmc/articles/PMC4500862/ /pubmed/26236261 http://dx.doi.org/10.3389/fpsyg.2015.00982 Text en Copyright © 2015 Giner-Bartolomé, Fagundo, Sánchez, Jiménez-Murcia, Santamaría, Ladouceur, Menchon and Fernandez-Aranda. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology Giner-Bartolomé, Cristina Fagundo, Ana B. Sánchez, Isabel Jiménez-Murcia, Susana Santamaría, Juan J. Ladouceur, Robert Menchón, José M. Fernández-Aranda, Fernando Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study |
title | Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study |
title_full | Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study |
title_fullStr | Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study |
title_full_unstemmed | Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study |
title_short | Can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? A clinical case study |
title_sort | can an intervention based on a serious videogame prior to cognitive behavioral therapy be helpful in bulimia nervosa? a clinical case study |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500862/ https://www.ncbi.nlm.nih.gov/pubmed/26236261 http://dx.doi.org/10.3389/fpsyg.2015.00982 |
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