Virtual reality compared with in vivo exposure in the treatment of social anxiety disorder: a three-arm randomised controlled trial
Virtual reality compared with in vivo exposure in the treatment of social anxiety disorder: a three-arm randomised controlled trial
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DOI：
10.1192/bjp.bp.116.184234
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发表时间：
2017-04-01
影响因子：
10.5
通讯作者：
Roucaut, Francois Xavier
中科院分区：
文献类型：
--
作者：
Bouchard, Stephane;Dumoulin, Stephanie;Roucaut, Francois Xavier
社交焦虑障碍（SAD）患者害怕社交互动，可能不愿意寻求涉及暴露于社交场合的治疗。社会曝光进行虚拟现实（VR），嵌入在个人认知行为疗法（CBT），可能是一个答案。AimsTo表明，进行VR曝光在CBT SAD是有效的，是更实用的治疗师比进行曝光在vivo.MethodParticipants被随机分配到VR曝光（n = 17），在体内曝光（n = 22）或等候名单（n = 20）。主动臂的参与者每周接受14次单独的CBT，并通过问卷调查和行为回避测试评估结果。（试验注册号ISRCTN 99747069。）结果与等待名单相比，两个CBT组的主要（Liebowitz社交焦虑量表）和所有五个次要结局指标均有所改善。在主要结局指标和一项次要指标上，治疗后在VR中进行暴露比在体内更有效。6个月随访时保持改善。VR是显着更实用的治疗师比在体内exposure.ConclusionsUsing VR可以优于标准CBT作为一个潜在的解决方案，治疗避免和作为一个有效的，具有成本效益和实用的媒体曝光。和G.R.是虚拟环境开发公司Cliniques et Developpement In Virtuo的顾问并拥有其股权;但是，Cliniques et Developpement In Virtuo并未创建本研究中使用的虚拟环境。这些安排的条款由Universite ' du魁北克en Outaouais根据其利益冲突政策进行审查和批准。版权和使用（C）The皇家精神病学家学院2017.
Background People with social anxiety disorder (SAD) fear social interactions and may be reluctant to seek treatments involving exposure to social situations. Social exposure conducted in virtual reality (VR), embedded in individual cognitive-behavioural therapy (CBT), could be an answer.AimsTo show that conducting VR exposure in CBT for SAD is effective and is more practical for therapists than conducting exposure in vivo.MethodParticipants were randomly assigned to either VR exposure (n = 17), in vivo exposure (n = 22) or waiting list (n = 20). Participants in the active arms received individual CBT for 14 weekly sessions and outcome was assessed with questionnaires and a behaviour avoidance test. (Trial registration number ISRCTN99747069.)ResultsImprovements were found on the primary (Liebowitz Social Anxiety Scale) and all five secondary outcome measures in both CBT groups compared with the waiting list. Conducting exposure in VR was more effective at post-treatment than in vivo on the primary outcome measure and on one secondary measure. Improvements were maintained at the 6-month follow-up. VR was significantly more practical for therapists than in vivo exposure.ConclusionsUsing VR can be advantageous over standard CBT as a potential solution for treatment avoidance and as an efficient, cost-effective and practical medium of exposure.Declaration of interestS.B. and G.R. are consultants to and own equity in Cliniques et Developpement In Virtuo, which develops virtual environments; however, Cliniques et Developpement In Virtuo did not create the virtual environments used in this study. The terms of these arrangements were reviewed and approved by Universite ' du Quebec en Outaouais, in accordance with its policy on conflicts of interest.Copyright and usage(C) The Royal College of Psychiatrists 2017.