Since the emergence of the COVID-19 pandemic in 2020, the frequency of stress and anxiety has markedly increased worldwide, with a prevalence of 29.6% and 31.9%, respectively. Trial Registration: International Platform of Registered Systematic Review and Meta-analysis Protocols INPLASY202130081 Finally, even single and short sessions of play had benefits in reducing stress and anxiety. Various gaming platforms, including consoles, PCs, smartphones, mobile consoles, and virtual reality systems, have been used with positive results. In addition to exergames and casual video games, other genres of commercial off-the-shelf games helped to reduce stress and anxiety.Ĭonclusions: Efficacy in reducing stress and anxiety has been demonstrated not only for exergames and casual video games but also for other genres such as action games, action-adventure games, and augmented reality games. The majority of the retrieved studies recruited young adults, and fewer studies have involved children, middle-aged adults, and older adults. The findings demonstrate the benefit of commercial off-the-shelf video games for reducing stress in children, adults, and older adults. Results: A total of 28 studies met the inclusion criteria for the publication period 2006-2021. The search databases were PsycINFO, Web of Science, Medline, IEEExplore, and the Cochrane Library. Methods: A systematic search of the literature was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. Objective: The aim of this systematic review was to describe the literature on the use of commercial off-the-shelf video games for diminishing stress and anxiety, examining the research outcomes along with critical variables related to computer game characteristics (ie, genre, platform, time of play). However, it is important to emphasize that not all commercial video games are equal, and their effects strongly depend on specific characteristics of the games.
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