Abstract
Alcohol use disorder is a worldwide issue causing distress and harm all over societies. The rate of relapse and dropout alcohol addiction treatment shows the necessity to improve those treatments. It is often caused by a lack of motivation or boredom. Cue exposure therapy is an effective treatment that tries to prevent relapses, but it has too many flaws preventing a global inhibition of the addiction. Virtual reality exposure therapy improves cue exposure therapy by using a virtual environment, that way the treatment is less situation-dependent by controlling a virtual world and its context. Serious games are used to address problems that we can find in more classical ways of learning such as motivation and boredom. It also allows the patient to have more active participation. This new approach aims to combine virtual reality exposure therapy, and action-centered exposure therapy, with a serious game to avoid dropout and have better self-commitment from patients. This paper provides key elements to propose a new approach to help tackle AUD. A prototype, to give an example of the implementation, a serious game is also presented.
Funding: This research was funded by the Natural Sciences and Engineering Research Council of Canada (NSERC); grant number RGPIN-2019-07169.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
- 2.
- 3.
- 4.
- 5.
- 6.
References
American Psychiatric Association and American Psychiatric Association and others: DSM 5. American Psychiatric Association 70 (2013)
Beck, A.T., Wright, F.D., Newman, C.F., Liese, B.S., Lindenmeyer, J.: Kognitive Therapie der Sucht. Beltz, PsychologieVerlagsUnion (1997)
Berman, J.S., Katzev, R.D.: Factors involved in the rapid elimination of avoidance behavior. Behav. Res. Ther. 10(3), 247–256 (1972)
Bordnick, P.S., Carter, B.L., Traylor, A.C.: What virtual reality research in addictions can tell us about the future of obesity assessment and treatment. J. Diabetes Sci. Technol. 5(2), 265–271 (2011)
Cho, S., et al.: Development and verification of an alcohol craving-induction tool using virtual reality: craving characteristics in social pressure situation. CyberPsychol. Behav. 11(3), 302–309 (2008)
Conklin, C.A., Tiffany, S.T.: Applying extinction research and theory to cue-exposure addiction treatments. Addiction 97(2), 155–167 (2002)
Craske, M.G., Treanor, M., Conway, C.C., Zbozinek, T., Vervliet, B.: Maximizing exposure therapy: an inhibitory learning approach. Behav. Res. Ther. 58, 10–23 (2014)
Culyba, S.: The Transformational Framework: A process tool for the development of Transformational games. Carnegie Mellon University (2018)
Dawe, S., et al.: Does post-withdrawal cue exposure improve outcome in opiate addiction? A controlled trial. Addiction 88(9), 1233–1245 (1993)
Denisova, A., Cairns, P.: First person vs. third person perspective in digital games: do player preferences affect immersion? In: Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems, pp. 145–148 (2015)
Franken, I.H., de Haan, H.A., van der Meer, C.W., Haffmans, P.J., Hendriks, V.M.: Cue reactivity and effects of cue exposure in abstinent posttreatment drug users. J. Subst. Abuse Treat. 16(1), 81–85 (1999)
Ghiţă, A., Gutiérrez-Maldonado, J.: Applications of virtual reality in individuals with alcohol misuse: a systematic review. Addict. Behav. 81, 1–11 (2018)
Ghiţă, A., et al.: Identifying triggers of alcohol craving to develop effective virtual environments for cue exposure therapy. Front. Psychol. 10, 74 (2019)
Giovancarli, C., et al.: Virtual reality cue exposure for the relapse prevention of tobacco consumption: a study protocol for a randomized controlled trial. Trials 17(1), 1–9 (2016)
Gorisse, G., Christmann, O., Amato, E.A., Richir, S.: First-and third-person perspectives in immersive virtual environments: presence and performance analysis of embodied users. Front. Robot. AI 4, 33 (2017)
Gunther, L.M., Denniston, J.C., Miller, R.R.: Conducting exposure treatment in multiple contexts can prevent relapse. Behav. Res. Ther. 36(1), 75–91 (1998)
Hone-Blanchet, A., Wensing, T., Fecteau, S.: The use of virtual reality in craving assessment and cue-exposure therapy in substance use disorders. Front. Hum. Neurosci. 8, 844 (2014)
Kamkuimo Kengne, S.A., Fossaert, M., Girard, B., Menelas, B.A.J.: Action-centered exposure therapy (ACET): a new approach to the use of virtual reality to the care of people with post-traumatic stress disorder. Behav. Sci. 8(8), 76 (2018)
Kwon, H., Choi, J., Roh, S., Yang, B., Lee, J.: Application of virtual reality-cue exposure therapy for reducing alcohol craving. Annu. Rev. Cyberther. Telemed. 4, 161–166 (2006)
Lee, J.S., et al.: Social pressure-induced craving in patients with alcohol dependence: application of virtual reality to coping skill training. Psychiatry Investig. 5(4), 239 (2008)
Loeber, S., Croissant, B., Heinz, A., Mann, K., Flor, H.: Cue exposure in the treatment of alcohol dependence: effects on drinking outcome, craving and self-efficacy. Br. J. Clin. Psychol. 45(4), 515–529 (2006)
Manchery, L., Yarmush, D.E., Luehring-Jones, P., Erblich, J.: Attentional bias to alcohol stimuli predicts elevated cue-induced craving in young adult social drinkers. Addict. Behav. 70, 14–17 (2017)
Miller, M.A., Fillmore, M.T.: The effect of image complexity on attentional bias towards alcohol-related images in adult drinkers. Addiction 105(5), 883–890 (2010)
Monk, R.L., Heim, D.: A critical systematic review of alcohol-related outcome expectancies. Substance Use Misuse 48(7), 539–557 (2013)
Moss, H.B.: The impact of alcohol on society: a brief overview. Soc. Work Public Health 28(3–4), 175–177 (2013)
Powell, J., Gray, J., Bradley, B.: Subjective craving for opiates: evaluation of a cue exposure protocol for use with detoxified opiate addicts. Br. J. Clin. Psychol. 32(1), 39–53 (1993)
Preuss, U., Schütz, C., Koch, J., Soyka, M.: Evaluation of two questionnaires (ACQ and OCDS) for the measurement of subjective craving in inpatient alcoholics. Methodik von Verlaufs-und Therapiestudien in Psychiatrie und Psychotherapie [Methods of process-and outcome-studies in psychiatry and psychotherapy], pp. 200–203 (2000)
Ramalho, R.: Alcohol consumption and alcohol-related problems during the COVID-19 pandemic: a narrative review. Australas. Psychiatry 28(5), 524–526 (2020)
Rehm, J.: The risks associated with alcohol use and alcoholism. Alcohol Res. Health 34(2), 135 (2011)
Ryan, R.M., Plant, R.W., O’Malley, S.: Initial motivations for alcohol treatment: relations with patient characteristics, treatment involvement, and dropout. Addict. Behav. 20(3), 279–297 (1995)
Singleton, E., Tiffany, S., Henningfield, J.: Development and validation of a new questionnaire to assess craving for alcohol. NIDA Res. Monogr. 153, 289 (1995)
Sobell, L., Sobell, M.: Alcohol Timeline Followback Users’ Manual. Addiction Research Foundation, Toronto (1995)
Son, J.H., et al.: Virtual reality therapy for the treatment of alcohol dependence: a preliminary investigation with positron emission tomography/computerized tomography. J. Stud. Alcohol Drugs 76(4), 620–627 (2015)
Stein, M., Fey, W., Koenig, T., Oehy, J., Moggi, F.: Context-specific inhibition is related to craving in alcohol use disorders: a dangerous imbalance. Alcoholism Clin. Exp. Res. 42(1), 69–80 (2018)
Tai, B., Volkow, N.D.: Treatment for substance use disorder: opportunities and challenges under the affordable care act. Soc. Work Public Health 28(3–4), 165–174 (2013)
Valmaggia, L.R., Latif, L., Kempton, M.J., Rus-Calafell, M.: Virtual reality in the psychological treatment for mental health problems: an systematic review of recent evidence. Psychiatry Res. 236, 189–195 (2016)
Vogeley, K., Fink, G.R.: Neural correlates of the first-person-perspective. Trends Cogn. Sci. 7(1), 38–42 (2003)
Vollstädt-Klein, S., et al.: Effects of cue-exposure treatment on neural cue reactivity in alcohol dependence: a randomized trial. Biol. Psychiat. 69(11), 1060–1066 (2011)
Acknowledgment
We would like to thank Nathan Sioui and Marly Beaudoin for the 3D Assets of the environment and Pierre Tousignant and Guillaume Côté for the supervision of these 3D artists.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this paper
Cite this paper
Ehret, F., Francillette, Y., Girard, B., Menelas, BA.J. (2021). Action-Centered Exposure Therapy Using a Serious Game to Help Individuals with Alcohol Use Disorder. In: Fletcher, B., Ma, M., Göbel, S., Baalsrud Hauge, J., Marsh, T. (eds) Serious Games. JCSG 2021. Lecture Notes in Computer Science(), vol 12945. Springer, Cham. https://doi.org/10.1007/978-3-030-88272-3_13
Download citation
DOI: https://doi.org/10.1007/978-3-030-88272-3_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-88271-6
Online ISBN: 978-3-030-88272-3
eBook Packages: Computer ScienceComputer Science (R0)