{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T12:22:26Z","timestamp":1791375746271,"version":"4.3.1"},"reference-count":66,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T00:00:00Z","timestamp":1538352000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Games for Health Journal"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Exposure and response prevention (ERP) therapy is considered a first-line treatment for obsessive\u2013compulsive disorder (OCD). Dysregulation in the cortico-striato-thalamo-cortical (CSTC) circuit has been implicated in the pathophysiology of OCD, as have decreased functional connectivity (FC) between the dorsal anterior cingulate cortex (dACC) and the prefrontal cortex and increased FC between the dACC and the basal ganglia. We hypothesized that a new ERP-inspired mobile \u201cserious game\u201d would improve clinical symptoms in OCD and that symptom improvement would be associated with altered FC within CSTC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Fifteen OCD subjects and 15 healthy controls were recruited. All subjects completed questionnaires covering demographic data, the Yale\u2013Brown Obsessive-Compulsive Scale, the Beck Depressive Inventory, and the Beck Anxiety Inventory. In addition, all subjects were scanned at baseline to assess brain FC using resting-state functional magnetic resonance imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After 3 weeks of gameplay, FC from the left dACC seed to the right frontal precentral gyrus and from the right dACC seed to the left inferior frontal gyrus and the right middle frontal gyrus, increased in the OCD group. Responders showed increased brain connectivity from the left dACC seed to the right superior frontal gyrus compared with nonresponders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our results suggest that serious games may improve symptoms in OCD and that this improvement may be related to increased brain connectivity between the dACC and the prefrontal cortex. Further exploration is needed to assess the potential role of serious games in OCD treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/g4h.2017.0158","type":"journal-article","created":{"date-parts":[[2018,8,21]],"date-time":"2018-08-21T10:40:19Z","timestamp":1534848019000},"page":"317-326","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Investigation of a Mobile \u201cSerious Game\u201d in the Treatment of Obsessive\u2013Compulsive Disorder: A Pilot Study"],"prefix":"10.1177","volume":"7","author":[{"given":"Ji Sun","family":"Hong","sequence":"first","affiliation":[{"name":"Chung Ang University Hospital","place":["South Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun Mi","family":"Kim","sequence":"additional","affiliation":[{"name":"Chung Ang University Hospital","place":["South Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Aboujaoude","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doug Hyun","family":"Han","sequence":"additional","affiliation":[{"name":"Chung Ang University Hospital","place":["South Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,10,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_3_3_3_2","first-page":"339","article-title":"Obsessive\u2013compulsive disorder in the community: 12-month prevalence, comorbidity and impairment","volume":"47","author":"Adam Y","year":"2012","unstructured":"Adam Y, , Meinlschmidt G, , Gloster AT, et al. 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