Abstract
The Attention Deficit–Hyperactivity Disorder (ADHD) is a behavior-related disorder, already present in children in pre-scholar and scholar age, that mainly includes hyperactivity, lacks in attention skills, impulsivity (delay aversion). While several approaches have been studied and developed for modelling and facing the various aspects of ADHD, the Dual Pathway Model (DPM), by Sonuga-Barke, is an evidence-based model that synthetizes in the cognitive and motivational paths the key dysfunctions, the inhibitory and delay aversion ones. In this paper is presented the development of a prototype of a computer serious game, called Antonyms, based on the DPM model, that is aimed at promoting learning and autonomous management of impulsive behaviors and at inhibiting irrelevant thoughts in children with ADHD. The game is structured as a set of tasks, contextualized in a story, impelling the player to react in an inadequate and immediate way while the player, to win, has to enhance his/her own skills of self-regulation, waiting, reflecting upon a situation, finding a not-intuitive solution. Preliminary tests on a control group show that impulsivity and inattention are really addressed during gameplay.
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References
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Diagnostic Statistical Manual of Mental Disorders, 5th Ed. TR. 280 (2013)
Munoz, J.E., Lopez, D.S., Lopez, J.F., Lopez, A.: Design and creation of a BCI videogame to train sustained attention in children with ADHD. In: 2015 10th Colombian Computing Conference, 10CCC 2015, pp. 194–199 (2015)
Gongsook, P.: Time simulator in virtual reality for children with attention deficit hyperactivity disorder. In: Herrlich, M., Malaka, R., Masuch, M. (eds.) ICEC 2012. LNCS, vol. 7522, pp. 490–493. Springer, Heidelberg (2012). https://doi.org/10.1007/978-3-642-33542-6_61
Rizzo, A.A., Buckwalter, J.G., Bowerly, T., van der Zaag, C., Humphrey, L., Neumann, U., Chua, C., Kyriakakis, C., van Rooyen, A., Sisemore, D.: The virtual classroom: a virtual reality environment for the assessment and rehabilitation of attention deficits. CyberPsychol. Behav. 3, 483–499 (2000)
Reid, R., Trout, A.L., Schartz, M.: Self-regulation interventions for children with attention deficit/hyperactivity disorder. Except. Child. 71, 361–377 (2005)
Willcutt, E.G., Doyle, A.E., Nigg, J.T., Faraone, S.V., Pennington, B.F.: Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol. Psychiatry 57, 1336–1346 (2005)
Van Eck, R.: Digital game based learning it’s not just the digital natives who are restless. EDUCAUSE Rev. 41, 16 (2006)
Prensky, M.: Digital Game-Based Learning. Paragon House, Trowbridge (2001)
Schrand, T.: Tapping into active learning and multiple intelligences with interactive multimedia: a low-threshold classroom approach. Coll. Teach. 56, 78–84 (2008)
Bussey-Smith, K.L., Rossen, R.D.: A systematic review of randomized control trials evaluating the effectiveness of interactive computerized asthma patient education programs. Ann. Allergy, Asthma, Immunol. 98, 507–516, 566 (2007)
Beale, I.L., Kato, P.M., Marin-Bowling, V.M., Guthrie, N., Cole, S.W.: Improvement in cancer-related knowledge following use of a psycho educational video game for adolescents and young adults with cancer. J. Adolesc. Health 41, 263–270 (2007)
Barnett, A., Cerin, E., Baranowski, T.: Active video games for youth: a systematic review. J. Phys. Act. Health 8, 724–737 (2011)
DeShazo, J., Harris, L., Pratt, W.: Effective intervention or child’s play? A review of video games for diabetes education. Diab. Technol. Ther. 12, 815–822 (2010)
Saposnik, G., Levin, M.: Virtual reality in stroke rehabilitation: a meta-analysis and implications for clinicians. Stroke 42, 1380–1386 (2011)
Hoffman, H.G., Doctor, J.N., Patterson, D.R., Carrougher, G.J., Furness, T.A.: Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain 85, 305–309 (2000)
Alvarez-Moya, E.M., Jiménez-Murcia, S., Moragas, L., Gómez-Peña, M., Aymamí, M.N., Ochoa, C., Sánchez-Díaz, I., Menchón, J.M., Fernández-Aranda, F.: Executive functioning among female pathological gambling and bulimia nervosa patients: preliminary findings. J. Int. Neuropsychol. Soc. 15, 302–306 (2009)
Fernández-Aranda, F., Jiménez-Murcia, S., Alvarez-Moya, E.M., Granero, R., Vallejo, J., Bulik, C.M.: Impulse control disorders in eating disorders: clinical and therapeutic implications. Compr. Psychiatry. 47, 482–488 (2006)
Harrison, A., Tchanturia, K., Treasure, J.: Attentional bias, emotion recognition, and emotion regulation in anorexia: state or trait? Biol. Psychiatry 68, 755–761 (2010)
Krug, I., Treasure, J., Anderluh, M., Bellodi, L., Cellini, E., di Bernardo, M., Granero, R., Karwautz, A., Nacmias, B., Penelo, E., Ricca, V., Sorbi, S., Tchanturia, K., Wagner, G., Collier, D., Fernández-Aranda, F.: Present and lifetime comorbidity of tobacco, alcohol and drug use in eating disorders: a European multicenter study. Drug Alcohol Depend. 97, 169–179 (2008)
Fernández-Aranda, F., Núñez, A., Martínez, C., Krug, I., Cappozzo, M., Carrard, I., Rouget, P., Jiménez-Murcia, S., Granero, R., Penelo, E., Santamaría, J., Lam, T.: Internet-based cognitive-behavioral therapy for bulimia nervosa: a controlled study. CyberPsychol. Behav. 12, 37–41 (2009)
Klump, K.L., Strober, M., Bulik, C.M., Thornton, L., Johnson, C., Devlin, B., Fichter, M.M., Halmi, K.A., Kaplan, A.S., Blake Woodside, D., Crow, S., Mitchell, J., Rotondo, A., Keel, P.K., Berrettini, W.H., Plotnicov, K., Pollice, C., Lilenfeld, L.R., Kaye, W.H.: Personality characteristics of women before and after recovery from an eating disorder. Psychol. Med. 34, 1407–1418 (2004)
Rodríguez, C., García, T., Areces, D.: New and future challenges concerning the use of virtual reality tools for assessing ADHD. Curr. Dev. Disord. Rep. 4, 8–10 (2017)
Neguț, A., Jurma, A.M., David, D.: Virtual-reality-based attention assessment of ADHD: ClinicaVR: Classroom-CPT versus a traditional continuous performance test. Child Neuropsychol. 23, 692–712 (2017)
Areces, D., Rodríguez, C., García, T., Cueli, M., González-Castro, P.: Efficacy of a continuous performance test based on virtual reality in the diagnosis of ADHD and its clinical presentations. J. Atten. Disord. 1–11 (2016). https://doi.org/10.1177/1087054716629711
Re, A.M., Capodieci, A., Cornoldi, C.: Effect of training focused on executive functions (attention, inhibition, and working memory) in preschoolers exhibiting ADHD symptoms. Front. Psychol. 6 (2015). https://doi.org/10.3389/fpsyg.2015.01161
Bul, K.C.M., Kato, P.M., Van Der Oord, S., Danckaerts, M., Vreeke, L.J., Willems, A., Van Oers, H.J.J., Van Den Heuvel, R., Birnie, D., Van Amelsvoort, T.A.M.J., Franken, I.H.A., Maras, A.: Behavioral outcome effects of serious gaming as an adjunct to treatment for children with attention-deficit/hyperactivity disorder: a randomized controlled trial. J. Med. Internet Res. 18 (2016). https://doi.org/10.2196/jmir.5173
Plan it commander: https://ranj.com/projects/healthcare#plan-it-commander
van der Oord, S., Ponsioen, A.J.G.B., Geurts, H.M., Ten Brink, E.L., Prins, P.J.M.: A pilot study of the efficacy of a computerized executive functioning remediation training with game elements for children with ADHD in an outpatient setting. J. Atten. Disord. 18, 699–712 (2014)
Dovis, S., Van Der Oord, S., Wiers, R.W., Prins, P.J.M.: Improving executive functioning in children with ADHD: training multiple executive functions within the context of a computer game. A Randomized Double-Blind Placebo Controlled Trial. PLoS One 10, e0121651 (2015)
Rizzo, A.A., Bowerly, T., Buckwalter, J.G., Klimchuk, D., Mitura, R., Parsons, T.D.: A virtual reality scenario for all seasons: the virtual classroom. CNS Spectr. 11, 35–44 (2006)
Blandon, D.Z., Munoz, J.E., Lopez, D.S., Gallo, O.H.: Influence of a BCI neurofeedback videogame in children with ADHD. In: 2016 IEEE 11th Colombian Computing Conference on Quantifying the brain activity through an EEG signal processing dedicated toolbox, CCC 2016 - Conference Proceedings (2016)
Rohani, D.A., Sorensen, H.B.D., Puthusserypady, S.: Brain-computer interface using P300 and virtual reality: a gaming approach for treating ADHD. In: 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), pp. 3606–3609 (2014)
Fernández-Aranda, F., Jiménez-Murcia, S., Santamaría, J.J., Gunnard, K., Soto, A., Kalapanidas, E., Bults, R.G.A., Davarakis, C., Ganchev, T., Granero, R., Konstantas, D., Kostoulas, T.P., Lam, T., Lucas, M., Masuet-Aumatell, C., Moussa, M.H., Nielsen, J., Penelo, E.: Video games as a complementary therapy tool in mental disorders: PlayMancer, a European multicentre study. J. Ment. Health 21, 364–374 (2012)
Sonuga-Barke, E.J.S., Daley, D., Thompson, M.: Does maternal ADHD reduce the effectiveness of parent training for preschool children’s ADHD? J. Am. Acad. Child Adolesc. Psychiatry 41, 696–702 (2002)
Peijnenborgh, J.C., Hurks, P.P., Aldenkamp, A.P., van der Spek, E.D., Rauterberg, G., Vles, J.S., Hendriksen, J.G.: A study on the validity of a computer-based game to assess cognitive processes, reward mechanisms, and time perception in children Aged 4–8 years. JMIR Serious Games 4, e15 (2016)
Eriksen, B.A., Eriksen, C.W.: Effects of noise letters upon the identification of a target letter in a nonsearch task. Percept. Psychophys. 16, 143–149 (1974)
Bench, C.J., Frith, C.D., Grasby, P.M., Friston, K.J., Paulesu, E., Frackowiak, R.S.J., Dolan, R.J.: Investigations of the functional anatomy of attention using the stroop test. Neuropsychologia 31, 907–922 (1993)
Logan, G.D.: On the ability to inhibit thought and action: a users’ guide to the stop signal paradigm. In: Inhibitory processes in attention, memory, and language, pp. 189–239 (1994)
Conners, C.K., Sitarenios, G.: Conners’ continuous performance test (CPT). In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds.) Encyclopedia of Clinical Neuropsychology, pp. 681–683. Springer, New York (1994). https://doi.org/10.1007/978-0-387-79948-3_1535
Iverson, G.L.: Go/no-go testing. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds.) Encyclopedia of Clinical Neuropsychology, pp. 1162–1163. Springer, New York (2011). https://doi.org/10.1007/978-0-387-79948-3_185
Marzocchi, G., Cornoldi, C.: Una scala di facile uso per la rilevazione dei comportamenti problematici dei bambini con Deficit di Attenzione e Iperattività. Psicol. Clin. dello Svilupp. Riv. quadrimestrale, pp. 43–64 (2000)
Marzocchi, G.M., Re, A.M., Cornoldi, C.: BIA. Batteria italiana per l’ADHID per la valutazione dei bambini con deficit di attenzione-iperattività. Erickson (2010)
Colombo, V., Baldassini, D., Mottura, S., Sacco, M., Crepaldi, M., Antonietti, A.: Antonyms: a serious game for enhancing inhibition mechanisms in children with Attention Deficit/Hyperactivity Disorder (ADHD). In: 2017 International Conference on Virtual Rehabilitation (ICVR), pp. 1–2. IEEE (2017)
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Crepaldi, M., Colombo, V., Baldassini, D., Mottura, S., Antonietti, A. (2017). Supporting Rehabilitation of ADHD Children with Serious Games and Enhancement of Inhibition Mechanisms. In: Barbic, J., D'Cruz, M., Latoschik, M., Slater, M., Bourdot, P. (eds) Virtual Reality and Augmented Reality. EuroVR 2017. Lecture Notes in Computer Science(), vol 10700. Springer, Cham. https://doi.org/10.1007/978-3-319-72323-5_11
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