Appl Clin Inform 2017; 08(03): 719-730
DOI: 10.4338/ACI-2016-10-RA-0172
Research Article
Schattauer GmbH

A Web-based Game for Teaching Facial Expressions to Schizophrenic Patients

Kemal Hakan Gülkesen
1  Department of Biostatistics and Medical Informatics, Faculty of Medicine, Akdeniz University, Antalya, Turkey
,
Filiz Işleyen
1  Department of Biostatistics and Medical Informatics, Faculty of Medicine, Akdeniz University, Antalya, Turkey
,
Buket Cinemre
2  Department of Psychiatry, Faculty of Medicine, Akdeniz University, Antalya, Turkey
,
Mehmet Kemal Samur
3  Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute and Harvard School of Public Health, Boston, USA
,
Semiha Şen Kaya
2  Department of Psychiatry, Faculty of Medicine, Akdeniz University, Antalya, Turkey
,
Neşe Zayim
1  Department of Biostatistics and Medical Informatics, Faculty of Medicine, Akdeniz University, Antalya, Turkey
› Author Affiliations
Further Information

Publication History

received: 16 October 2016

accepted: 27 April 2017

Publication Date:
20 December 2017 (online)

Summary

Background: Recognizing facial expressions is an important social skill. In some psychological disorders such as schizophrenia, loss of this skill may complicate the patient’s daily life. Prior research has shown that information technology may help to develop facial expression recognition skills through educational software and games.

Objectives: To examine if a computer game designed for teaching facial expressions would improve facial expression recognition skills of patients with schizophrenia.

Methods: We developed a website composed of eight serious games. Thirty-two patients were given a pre-test composed of 21 facial expression photographs. Eighteen patients were in the study group while 14 were in the control group. Patients in the study group were asked to play the games on the website. After a period of one month, we performed a post-test for all patients.

Results: The median score of the correct answers was 17.5 in the control group whereas it was 16.5 in the study group (of 21) in pretest. The median post-test score was 18 in the control group (p=0.052) whereas it was 20 in the study group (p<0.001).

Conclusions: Computer games may be used for the purpose of educating people who have difficulty in recognizing facial expressions.

Citation: Gülkesen KH, Işleyen F, Cinemre B, Şamur MK, Sen Kaya S, Zayim N. A web-based game for teaching facial expressions to schizophrenic patients. Appl Clin Inform 2017; 8: 719–730 https://doi.org/10.4338/ACI-2016-10-RA-0172

Clinical Relevance Statement

The use of computer games, or in other words serious games, should be investigated to improve individual health in those with various medical conditions.


Human Subjects Protections

The study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects, and the study protocol was approved by Akdeniz University Ethical Committee of Clinical Research.