ReWIND: A CBT-Based Serious Game to Improve Cognitive Emotion Regulation and Anxiety Disorder

ReWIND functions as a 3D, story-driven role-playing game designed to mitigate anxiety disorders by embedding Cognitive Behavioral Therapy (CBT) principles directly into its narrative and mechanics. By utilizing Ellis’ ABCDE model, the game provides a structured environment for users to identify and restructure maladaptive thought patterns. This intervention serves as a non-intrusive, accessible therapeutic tool aimed at improving cognitive emotion regulation among adults, offering a digital alternative to traditional psychoeducation methods.

A randomized controlled trial involving 40 university students demonstrated that the game significantly outperforms static, non-game reading tasks in reducing both symptom severity and trait anxiety. Participants reported higher levels of engagement and user satisfaction, suggesting that the game’s visual simulations provide a more effective medium for therapeutic delivery than conventional materials. These findings indicate that integrating interactive mechanics into clinical frameworks enhances the user's perceived control over their emotional states.

While the current results validate the efficacy of the game as a mental health intervention, the scope remains limited to a one-month trial period. Future development should focus on extending the duration of the intervention to maximize long-term clinical outcomes and incorporating more immersive multimedia elements. Expanding the application of this model to a broader range of anxiety disorders will be essential for establishing the game as a robust, scalable tool within the serious games industry. By bridging the gap between clinical psychology and interactive entertainment, this approach offers a promising pathway for accessible, technology-driven mental health support.