Impact des jeux de société sur l’aspect cognitif de patients en addictologie

Abstract : Introduction - Few studies have evaluated the effects of therapeutic mediation by board games for alcohol-dependent patients. This study objective was to evaluate the interest of these games among a population of patients, belonging to the addiction service called SESAME in Amiens and to study their impact on cognitive deficits related to alcohol. Material and methods - The study included 28 patients benefiting from the game workshop and 29 witnesses, assessed using the Montreal Cognitive Assessment (MoCA) at admission (t0) and at the end of hospitalization for complex withdrawal (t1); as well as a self-survey and a hetero-survey assessing hedonic abilities and integration into the group. Results - In the game group, the mean total MoCA scores were improved between t0 and t1 with a significant difference (MoCAt0 = 23.89 ± 3.88, MoCAt1 = 25.66 ± 4.62, t test: -2.47, p<0.01). The improved sub-scores were those associated with memory, executive and visuospatial function. There was no significant improvement in the witness group (MoCAt0 = 24.86 ± 3.96, MoCAt1 = 26.36 ± 3.40, t test: -1.53, p = 0.07). Qualitative evaluations have shown an impact on the feelings of pleasure and integration in the group. Discussion - These results suggest an interest in board games with an impact on cognitive functions, feelings of personal satisfaction and social integration. Conclusion - This workshop experiment allows the (re) discovery for most of subjects, of the pleasure to share a recreational experience. Further studies would be needed to evaluate improved cognitive functions with more in-depth neuropsychological tests.
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Morgane Régnier. Thèse d'exe...
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Morgane Régnier. Impact des jeux de société sur l’aspect cognitif de patients en addictologie. Psychiatrie et santé mentale. 2018. ⟨dumas-02057310⟩



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