Personalized game-based digital intervention for relieving depression and anxiety symptoms: a pilot RCT

Abstract This study assessed the preliminary effectiveness of a game-based digital therapeutics (DTx) intervention for depression and anxiety using a randomized controlled trial (RCT) design to examine the role of reinforcement learning (RL) personalization. This RCT included 223 individuals with de...

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Bibliographic Details
Main Authors: Xiaojun Shao, Lu Liu, Xiaotong Zhu, Chunsheng Tian, Dai Li, Liqun Zhang, Xiang Liu, Yanru Liu, Gang Zhu, Lingjiang Li
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Mental Health Research
Online Access:https://doi.org/10.1038/s44184-025-00141-x
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Summary:Abstract This study assessed the preliminary effectiveness of a game-based digital therapeutics (DTx) intervention for depression and anxiety using a randomized controlled trial (RCT) design to examine the role of reinforcement learning (RL) personalization. This RCT included 223 individuals with depressive symptoms, aged 18–50, divided into three groups: an RL Algorithm group (personalized treatment), an active control group (fixed treatment), and a no-intervention control group. The intervention combined cognitive bias modification and cognitive behavioral therapy, with outcomes measured by the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7. Results showed significantly higher treatment response and recovery rates in the RL Algorithm group compared to the no-intervention group. The game-based DTx intervention, enhanced by RL personalization, effectively reduced depression and anxiety symptoms, supporting its potential for mental health treatment. The study was registered at clinicaltrials.gov (NCT06301555).
ISSN:2731-4251