Immersive Virtual Reality Applications in Schizophrenia Spectrum Therapy: A Systematic Review.

Immersive Virtual Reality Applications in Schizophrenia Spectrum Therapy: A Systematic Review.
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DOI:
10.3390/ijerph17176111
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发表时间:
2020-08-22
影响因子:
--
通讯作者:
Caponnetto P
Caponnetto P
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bisso E;Signorelli MS;Milazzo M;Maglia M;Polosa R;Aguglia E;Caponnetto P

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(1)背景:虚拟现实(VR)是由头盔显示器(HMD)和控制器组成的三维交互式虚拟环境,是一种完全沉浸式的计算机模拟体验。最近有人提议使用虚拟现实来治疗各种精神疾病,包括精神分裂症的谱系。我们的综述旨在调查目前关于沉浸式虚拟现实在精神病症状治疗中使用的现有证据。(2)方法:应用计算机检索2019年4月至2020年6月期间沉浸式虚拟现实技术在精神分裂症治疗中的应用,检索Web of Science、EMBASE、CogcINFO、CINHAL等相关研究。(3)结果:共鉴定出2601条唯一记录。其中,全文论文进行了资格评定,其中6篇符合纳入标准,并被纳入最终的系统评审。(4)结论:目前关于沉浸式虚拟现实的可用数据有限,因为对该主题的研究很少;但它已经证明了它在成功治疗包括妄想、幻觉或认知和社交技能在内的各种精神症状方面的有效性和多功能性。现有文献一致认为,沉浸式VR的治疗效果是安全、耐受和长期持续的。目前还没有严重副作用的报道。在一些特定的病例中,VR疗法被发现比通常的治疗非常有效,允许有效的无药物干预,因此对患者没有副作用,即使在那些对正常药物治疗耐药的患者中也是如此。
(1) Background: Virtual Reality (VR) is a fully immersive computer simulated experience consisting of a three-dimensional interactive virtual environment, through a head-mounted display (HMD) and controller. The use of virtual reality has recently been proposed for the treatment of various psychiatric conditions, including the spectrum of schizophrenia. Our review aims to investigate the current available evidence regarding the use of immersive virtual reality in the treatment of psychotic symptoms. (2) Methods: From April 2019 to June 2020, we conducted a systematic review aimed at identifying therapeutic applications in immersive virtual reality for the spectrum of schizophrenia, searching for relevant studies on Web of Science, EMBASE, PsycINFO and CINHAL. (3) Results: We identified a total of 2601 unique records. Of these, 64 full-text articles were assessed for eligibility, and six out of these met the inclusion criteria and were included in the final systematic review. (4) Conclusions: The available data on immersive virtual reality are currently limited due to the few studies carried out on the topic; however, it has demonstrated its effectiveness and versatility in successfully treating various psychotic symptoms including delusions, hallucinations, or cognitive and social skills. Existing literature agrees on safe, tolerable, and long-term persistence of the therapeutic effects obtained by immersive VR. No serious side effects have been reported. In some specific cases, VR therapy was found to be very effective compared to usual treatment, allowing effective drug free interventions, and therefore without side effects for patients, even in those resistant to normal drug therapies.
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