The odds that a player will have a
positive interaction in a game with a cooperative element are far higher
than in
one where everyone is trying to crush each other — especially
online, where the other driving factor is anonymity.
There is growing evidence for
online mindfulness courses being as effective as other face - to - face interventions and
online courses for stress even without a therapeutic alliance.37 — 40 Previously found Perceived Stress Scale (PSS) effect sizes are comparable to those found with face - to - face mindfulness and CBT interventions, including our previous research examining the course currently under investigation.40 — 42
One RCT found that an automated internet - based therapy including CBT and mindfulness actually had better outcomes for Irritable Bowel Syndrome (IBS)
than the comparative
online therapist - led intervention, suggesting that the effects of internet interventions can not be attributed to, and do not rely on, therapist interaction.43 Studies are finding that
online mindfulness courses can be beneficial for depression in samples with IBS and epilepsy and anxiety symptoms in a non-clinical sample comparing a 3 - week mindfulness course with
positive psychology interventions and treatment as usual (see Monshat38 for a review).