Move by move towards mental health: a quasi-randomized pilot study on chess as a therapeutic approach in adolescents with mental disorders

Background - Mental disorders affect around 14% of adolescents worldwide and often lead to lasting cognitive and emotional difficulties. Executive functions (EF) are frequently impaired and health-related quality of life (HRQoL) is reduced. Chess has been proposed as a low-cost cognitive remediation...

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Main Authors: Gerhardt, Sarah (Author) , Hoier, Stefanie (Author) , Seeger, Alexandra (Author) , Schmidt, Roland (Author) , Weber, Larissa (Author) , Mechler, Konstantin (Author) , Banaschewski, Tobias (Author) , Häge, Alexander (Author) , Vollstädt-Klein, Sabine (Author)
Format: Article (Journal)
Language:English
Published: June 15, 2026
In: Clinical child psychology and psychiatry
Year: 2026, Pages: 1-19
ISSN:1461-7021
DOI:10.1177/13591045261453970
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1177/13591045261453970
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Author Notes:Sarah Gerhardt, Stefanie Hoier, Alexandra Seeger, Roland Schmidt, Larissa Weber, Konstantin Mechler, Tobias Banaschewski, Alexander Häge and Sabine Vollstädt-Klein
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Summary:Background - Mental disorders affect around 14% of adolescents worldwide and often lead to lasting cognitive and emotional difficulties. Executive functions (EF) are frequently impaired and health-related quality of life (HRQoL) is reduced. Chess has been proposed as a low-cost cognitive remediation training (CRT). This pilot study examined whether a chess-based CRT could enhance EF and HRQoL in adolescents with mental disorders. - Methods - A quasi-experimental study was conducted at a child and adolescent psychiatry department. Participants aged 13-17 years were assigned to either a six-week chess intervention (experimental group, EG) or treatment as usual (control group, CG). Both groups received standard multidisciplinary therapy, while the EG additionally participated in weekly 90-min chess sessions based on The King’s Plan for Kids. Cognitive flexibility (DCCS), inhibitory control (Stop-Signal Task), sustained attention (d2-R), and working memory (n-back task) were assessed alongside HRQoL (KIDSCREEN-27). Data were analyzed using t-tests. - Results - Thirty-three adolescents were included (19 EG, 14 CG; 82% female). The EG showed significantly faster reaction times in the working memory task (p = .016, d = 0.79) and greater Psychological well-being CG (p = .035, d = 0.67). No significant group differences were found for other EF measures. - Conclusion - Chess-based CRT was associated with improved working memory efficiency and psychological well-being, supporting its potential as a feasible, engaging, and low-risk adjunct to standard therapy. Larger randomized trials are needed to confirm these preliminary results.
Item Description:Gesehen am 14.07.2026
Physical Description:Online Resource
ISSN:1461-7021
DOI:10.1177/13591045261453970