A serious game to improve cognitive functions in schizophrenia: a pilot study.
Cognitive deficits in schizophrenia impair everyday functioning and instrumental daily living activities. These disabilities can be partly responsible for chronicity and institutionalization. We present here a virtual reality (VR) tool in which patients with schizophrenia performed a virtual game in...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2016-04-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyt.2016.00064/full |
| _version_ | 1811283089415995392 |
|---|---|
| author | Isabelle eAmado Isabelle eAmado lindsay eBrenugat-Herne Eric eOrriols Colombe eDesombre Maxine eDos Santos Zelda eProst Marie-Odile eKrebs Marie-Odile eKrebs Pascale ePiolino |
| author_facet | Isabelle eAmado Isabelle eAmado lindsay eBrenugat-Herne Eric eOrriols Colombe eDesombre Maxine eDos Santos Zelda eProst Marie-Odile eKrebs Marie-Odile eKrebs Pascale ePiolino |
| author_sort | Isabelle eAmado |
| collection | DOAJ |
| description | Cognitive deficits in schizophrenia impair everyday functioning and instrumental daily living activities. These disabilities can be partly responsible for chronicity and institutionalization. We present here a virtual reality (VR) tool in which patients with schizophrenia performed a virtual game in an imaginary town during a three-month program. In a pilot study, 7 patients with schizophrenia (DSM 5), institutionalized for many years, attended weekly one-hour- and-a-half sessions organized by two clinicians. During the first sessions they listed together the difficulties they experienced in everyday organization and planning. After being familiarized with the joystick and the VR environment, they navigated in the town, and planned actions that were difficult for them to carry out in their usual life (e.g., shopping, memorizing the way to the supermarket or being on time at a meeting point). They had to look for alternative routes and practice a switch from a 2D-Map to the 3D-Map. They also gathered their efforts to share strategies for each action, or discussed the action plan they could generate to solve concrete problems. The pre/post-neuropsychological evaluations showed attention, working memory, prospective and retrospective memory benefits, but no improvement in planning as assessed by the Zoo map test and the action program subtest of BADS. Patients also clinically and functionally improved, gaining autonomy. Pragmatically, they reported a strong energy to elaborate concrete plans to search for jobs, or return to activities in the community. Qualitative assessments showed a benefit in sparing time, planning better, enriched relatedness, better management of their housework. This VR game opens avenue to rehabilitation for patients with schizophrenia experiencing chronicity in their life, less attendance in daycare units and a better community living. This program might reduce neurocognitive difficulties and might evolve into a true method for cognitive remediation. |
| first_indexed | 2024-04-13T02:05:16Z |
| format | Article |
| id | doaj.art-bf1995e96a8a4a1495b557fe555dc286 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T02:05:16Z |
| publishDate | 2016-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-bf1995e96a8a4a1495b557fe555dc2862022-12-22T03:07:30ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402016-04-01710.3389/fpsyt.2016.00064190233A serious game to improve cognitive functions in schizophrenia: a pilot study.Isabelle eAmado0Isabelle eAmado1lindsay eBrenugat-Herne2Eric eOrriols3Colombe eDesombre4Maxine eDos Santos5Zelda eProst6Marie-Odile eKrebs7Marie-Odile eKrebs8Pascale ePiolino9Sainte Anne HospitalParis Descartes UniversitySainte Anne HospitalInserm U 894Sainte Anne HospitalInserm U 894Sainte Anne HospitalSainte Anne HospitalParis Descartes UniversityInserm U 894Cognitive deficits in schizophrenia impair everyday functioning and instrumental daily living activities. These disabilities can be partly responsible for chronicity and institutionalization. We present here a virtual reality (VR) tool in which patients with schizophrenia performed a virtual game in an imaginary town during a three-month program. In a pilot study, 7 patients with schizophrenia (DSM 5), institutionalized for many years, attended weekly one-hour- and-a-half sessions organized by two clinicians. During the first sessions they listed together the difficulties they experienced in everyday organization and planning. After being familiarized with the joystick and the VR environment, they navigated in the town, and planned actions that were difficult for them to carry out in their usual life (e.g., shopping, memorizing the way to the supermarket or being on time at a meeting point). They had to look for alternative routes and practice a switch from a 2D-Map to the 3D-Map. They also gathered their efforts to share strategies for each action, or discussed the action plan they could generate to solve concrete problems. The pre/post-neuropsychological evaluations showed attention, working memory, prospective and retrospective memory benefits, but no improvement in planning as assessed by the Zoo map test and the action program subtest of BADS. Patients also clinically and functionally improved, gaining autonomy. Pragmatically, they reported a strong energy to elaborate concrete plans to search for jobs, or return to activities in the community. Qualitative assessments showed a benefit in sparing time, planning better, enriched relatedness, better management of their housework. This VR game opens avenue to rehabilitation for patients with schizophrenia experiencing chronicity in their life, less attendance in daycare units and a better community living. This program might reduce neurocognitive difficulties and might evolve into a true method for cognitive remediation.http://journal.frontiersin.org/Journal/10.3389/fpsyt.2016.00064/fullCognitionMemorySchizophreniavirtual realityserious game. |
| spellingShingle | Isabelle eAmado Isabelle eAmado lindsay eBrenugat-Herne Eric eOrriols Colombe eDesombre Maxine eDos Santos Zelda eProst Marie-Odile eKrebs Marie-Odile eKrebs Pascale ePiolino A serious game to improve cognitive functions in schizophrenia: a pilot study. Frontiers in Psychiatry Cognition Memory Schizophrenia virtual reality serious game. |
| title | A serious game to improve cognitive functions in schizophrenia: a pilot study. |
| title_full | A serious game to improve cognitive functions in schizophrenia: a pilot study. |
| title_fullStr | A serious game to improve cognitive functions in schizophrenia: a pilot study. |
| title_full_unstemmed | A serious game to improve cognitive functions in schizophrenia: a pilot study. |
| title_short | A serious game to improve cognitive functions in schizophrenia: a pilot study. |
| title_sort | serious game to improve cognitive functions in schizophrenia a pilot study |
| topic | Cognition Memory Schizophrenia virtual reality serious game. |
| url | http://journal.frontiersin.org/Journal/10.3389/fpsyt.2016.00064/full |
| work_keys_str_mv | AT isabelleeamado aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT isabelleeamado aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT lindsayebrenugatherne aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT ericeorriols aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT colombeedesombre aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT maxineedossantos aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT zeldaeprost aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT marieodileekrebs aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT marieodileekrebs aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT pascaleepiolino aseriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT isabelleeamado seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT isabelleeamado seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT lindsayebrenugatherne seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT ericeorriols seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT colombeedesombre seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT maxineedossantos seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT zeldaeprost seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT marieodileekrebs seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT marieodileekrebs seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy AT pascaleepiolino seriousgametoimprovecognitivefunctionsinschizophreniaapilotstudy |