Background and aimWithin Switzerland, video game players seeking specialised treatment are usually referred to gambling addiction services. The Centre for Excessive Gambling (CJE) is a specialised gambling addiction unit in Lausanne University Hospital. Between 2003 and 2015 the service offered also support to 64 adults seeking treatment for videogaming-related disorders.According to international literature, Internet disorder treatment programmes have been developed. However, little is known about clinical profile of users seeking treatment. Studies into Internet or gaming disorders typically employ Internet survey methods or use student samples. The current presentation will outline demographic and clinical features of video gamers receiving treatment at the CJE.MethodData were collected from the medical records of 57 video gamers seeking treatment at the CJE between 2003 and 2015.ResultsThe sample includes 93% men, mostly single (91%), with an average age of 25 years ± 7. On average the sample spent 9 hours ± 5 per day playing video games. A disorder had emerged an average of 3 years ago ± 3. The crisis preceding the first consultation was familial (50%), emotional (29%) or professional (16%). Sixty-five percent of the sample had a mood disorder and 20% reported suicidal ideations.DiscussionTreatments should address comorbidities and family problems associated with video game disorders. Offering consultations for parents could be useful, even in absence of the young player.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Results:The study showed a greater efficacy of cognitive remediation interventions in comparison to non-cognitive rehabilitation. This superiority was statistically significant in the cognitive domains of working memory (P = 0.02) and processing speed (P = 0.03) as well as in functional outcome measures as defined by the Health of the Nation Outcome Scale (P = 0.001) and the rehabilitative modules of the VADO scales (AR 3 P = 0.02; AR 4 P = 0.01). No significant differences emerged in the comparisons between IPT and Cogpack. Conclusion: Cognitive remediation interventions are effective in treating cognitive deficits and related functional disabilities of schizophrenia. Further analyses are required to obtain definitive data on the comparative efficacy of different cognitive remediation interventions and their long-term efficacy in schizophrenia. Motherhood in schizophrenia: an ignored reality
dysfunction (cognitive endophenotypes) may help focus the search for genetic contributions. Such markers should be present in people at risk of developing OCD in the absence of clinical symptoms. In prior work, OCD patients showed impairment on tests of response inhibition and cognitive flexibility (Chamberlain et al., 2005, 2006). Methods: First-degree relatives of OCD patients, patient probands, and matched healthy volunteers without a family history of OCD undertook neuropsychological assessment (n¼20 per group). Results: Compared to matched controls without a family history of OCD, unaffected first-degree relatives of OCD patients showed impaired response inhibition (p<0.05) and cognitive flexibility (p<0.05). These deficits were comparable to those in the patients themselves. Conclusions: Brain-based cognitive markers of inhibitory functions may be of utility in the search for OCD endophenotypes. Examination of relationships between these abnormalities, genetics, and structural/functional brain changes, will help to elucidate aetiological contributions to OCD and putative spectrum disorders.
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