![]() The majority was published as of 2011 (78%) in journals (62%) and targeted therapeutic uses of RPGs (84%). Of the 4,069 studies reviewed, 50 sources of evidence were included. To that, a systematic search in the PubMed/MEDLINE, Embase, PsycINFO, BVS/LILACS databases and grey literature was performed. A scoping review was performed on the literature about RPGs as a therapeutic tool or prevention strategy in psychotherapies and mental health, highlighting studies’ populations, forms of RPG and interventions used. Its applications and effects on human behavior and mental health are, however, still an underexplored area. Role-playing game (RPG) is a term that covers a series of forms and styles of games that involve, in some way, the creation, representation and progression of characters who interact in a fictional world under a system of structured rules. ![]() There are a nearly limitless number of settings available for these games, ranging across allīackground. The group of participants then dynamically unfold a series of social interactions and events for an improvisational-theater-like experience, but generally, except in the case of live action role-playing (LARP), without physically acting out any of the activities of their characters. ![]() The GM creates or modifies the settings in which the other participants, the Player Characters (PCs), will interact with each other and various Non-Player Characters (NPCs) under the control of the GM. Typically one of the participants is chosen to act as the narrator, or referee, of this non-competitive recreational experience, known variously as the Game Master (GM) or Dungeon Master (DM). Role-playing games are cooperative, improvisational, structured, and free form "interactive stories" (Phillips) that take place in the participants' imagination, usually seated around a table and using paper and pencil to keep track of events and persona of note. There are strong indications from dozens of scientific studies that role-playing gaming can benefit many, if not most, population groups from children to elderly, from learning disabled to physically disabled, and even for help with some forms of mental illness. Despite this stigma there is slowly increasing use of RPGs in educational and therapeutic settings. This controversy created a stigma that contributed in part to significantly slowing the adoption, acceptance, and growth of the role-playing games (RPGs) by the general public. There was a considerable amount of negative press in the 1980's about a specific fantasy role-playing game (RPG) called Dungeons & Dragons. Role-playing gaming (RPGing) is a cooperative recreational activity with many variants. Further developing the possible applications of role-playing gaming for therapeutic and educational interventions, in this essay for youth and adult populations.
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