Computer-Based Cognitive Behavioral Therapy Intervention for Depression, Anxiety, and Stress Disorders: A Systematic Review

Computerized cognitive behavioral therapy (CBT) was recognized for its effectiveness in treating mental disorders such as stress, anxiety, and depression. This study explored integrating gaming and gamification into mental health interventions to enhance motivation, enjoyment, and treatment outcomes. The objective was to examine how games, gamification, and CBT techniques addressed depression, anxiety, and stress disorders (DASDs) across different age groups. A comprehensive search across scientific repositories, including PubMed, Google Scholar, and others, found 39 studies using game-based, gamification-based, or mixed approaches with CBT. These interventions were evaluated through pilot studies, randomized controlled trials, and user-centered designs. Findings suggested that integrating games and gamification with CBT effectively managed stress, anxiety, and depression across diverse age cohorts. Further research should refine these interventions to optimize their effectiveness in clinical settings and everyday applications, highlighting the potential of combining digital technologies with traditional therapies to improve mental health outcomes.