2 137 REVIEW OF APPLIED & CASUAL GAMES FOR MENTAL HEALTH Paper Country Target group N % male Age, mean (SD) Age range Intervention arms Intervention characteristics Assessments Variables measured Findings relevant for current review David, Magurean et al. 2022 Romania Healthy children and adolescents ****** 54*j 25.0 13.00 (2.05) 10-16 years 1. REThink. 1. Seven 50-minute online modules, completed during one month. Pre, mid-treatment, and post. Game performance (per level and delta changes between two consecutive play sessions), emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, prosocial behaviour, depressive mood, attention, fear, inhibitory control, emotion regulation (emotional control, emotional self-awareness, situational responsiveness), irrational cognitions (low frustration tolerance for work, low frustration tolerance for rules, total irrationality score), functional and dysfunctional negative emotions, positive emotions, problem solving. In-game performance at some levels consistently reflect improvements in psychological functioning (i.e., total mental health, tolerance for rules, positive emotions, emotional control), while in-game performance at other levels are less associated with outcomes. David et al. 2021 Romania Healthy children and adolescents 165*k 41.8 12.94 (2.05) 10-17 years 1. REThink. 2. Rational Emotive Behaviour Education (REBE) condition. 3. Waitlist control group. 1. Seven 50-minute online modules, completed during one month. 2. Seven group meetings in class format, completed during one month. 3. Waitlist participants receive the REThink intervention after the 6-month FU. Pre and post-intervention participants underwent an impromptu speech task. Subjective state anxiety and brain activity (frontal alpha asymmetry) was measured before, at anticipation, during and after the impromptu speech task. In comparison to the waitlist and REBE group, the REThink game was effective in reducing biological reactivity, but not for modulating subjective anxiety. State anxiety decreased from pre to postintervention in all groups, specifically for the speech and recovery phases.
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