Integrating Virtual Reality With Activity Management for the Treatment of Fibromyalgia Acceptability and Preliminary Efficacy
Integrating Virtual Reality With Activity Management for the Treatment of Fibromyalgia Acceptability and Preliminary Efficacy
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DOI：
10.1097/ajp.0000000000000196
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发表时间：
2015-06-01
影响因子：
2.9
通讯作者：
Botella, Cristina
中科院分区：
文献类型：
--
作者：
Garcia-Palacios, Azucena;Herrero, Rocio;Botella, Cristina
目的：认知行为疗法（CBT）治疗纤维肌痛综合征（FMS）是治疗这种疾病的重要干预措施。经验证据表明，尽管结果是有希望的，但需要进一步的研究来更适当地应对这些患者。本研究的重点是探索使用虚拟现实（VR）作为辅助活动管理组件。本研究的目的是提出一项小型随机对照试验的结果，以检验该成分的初步疗效和可接受性。材料和方法：最终样本由61名根据美国风湿病学会诊断为FMS的女性组成。将样本随机分为两组：虚拟现实治疗组和正常治疗组。结果：VR条件下的参与者在主要结局方面取得了显着改善：用FIQ测量残疾。次要结果的改善也很显著，如感知生活质量和慢性疼痛应对量表中的一些应对策略：任务坚持和锻炼。其他次要结局指标如疼痛强度、干扰和抑郁没有差异。参与者对虚拟现实组件的满意度很高。讨论：效果与治疗中所针对的心理方面有关。该成分被从公立医院转介的FMS患者很好地接受。这些发现表明，虚拟现实成分在FMS的CBT治疗中可能是有用的，并鼓励我们继续探索将虚拟现实与CBT干预相结合用于FMS的治疗。
Objectives: Cognitive-behavioral therapies (CBT) for fibromyalgia syndrome (FMS) are important interventions in the management of this condition. Empirical evidence reports that although the results are promising, further research is needed to respond more appropriately to these patients. This study focuses on exploring the use of Virtual Reality (VR) as an adjunct to the activity management component. The aim of this study is to present the results of a small-sized randomized controlled trial to test the preliminary efficacy and acceptability of this component.Materials and Methods: The final sample was composed of 61 women diagnosed with FMS according to the American College of Rheumatology. The sample was randomly allocated to 2 conditions: VR treatment and treatment as usual.Results: Participants in the VR condition achieved significant improvements in the primary outcome: disability measured with the FIQ. The improvement was also significant in secondary outcomes, such as perceived quality of life and some of the coping strategies included in the Chronic Pain Coping Inventory: task persistence and exercise. There were no differences in other secondary outcome measures like pain intensity and interference and depression. Participants reported high satisfaction with the VR component.Discussion: The effects were related to the psychological aspects targeted in the treatment. The component was well accepted by FMS patients referred from a public hospital. These findings show that the VR component could be useful in the CBT treatment of FMS and encourage us to continue exploring the use of integrating VR with CBT interventions for the treatment of FMS.