薬物関連障害の予防と治療における仮想現実:ランダム化制御試験の体系的レビュー
Renata Glavak-Tkalić1, Mara Šimunović1, Katarina Perić Pavišić1
1Ivo Pilar Institute of Social Sciences, Zagreb, Croatia.
Clinical psychology & psychotherapy
|August 23, 2025
まとめ
バーチャルリアリティ (VR) の介入は,薬物乱用,特にアルコールとニコチン依存症の治療に希望を示しています. 多くの研究で好ましい欲求への影響が報告されているが,長期的に薬物使用の減少を確認するにはさらなる研究が必要である.
科学分野:
- 神経科学
- 精神科
- デジタル・ヘルス
背景:
- 薬物乱用 (SA) は,新しい介入を必要とする重要な世界的な健康問題です.
- バーチャル・リアリティ (VR) は,SAの魅力的でパーソナライズされた治療方法を提供します.
- SAの治療と予防におけるVRの有効性に関するランダム化対照試験 (RCT) は限られている.
研究 の 目的:
- 薬物関連障害に対するVR介入を体系的に検討する.
- SAの治療と予防におけるVRの有効性を評価する.
主な方法:
- 4つのデータベースを介して包括的な文献検索が行われました.
- 2人の研究者が独立してPRISMAのガイドラインに従って研究をスクリーニングした.
- 20件のRCTは,このレビューに含まれる基準を満たした.
主要な成果:
- 検討されたRCTはアルコール,ニコチン,違法薬物使用に焦点を当てた.
- 一般的なVR方法には,曝露療法と認知行動療法が含まれていました.
- 20件のうち17件で少なくとも1つの結果にプラスの効果が認められ,しばしば嗜好が改善され,10件のうち7件で薬物使用の減少や禁欲の改善が報告された.
結論:
- VRはアルコールとニコチン使用障害の治療の可能性を示しています.
- VRの介入における異質性は,標準化とメカニズム探索のためのさらなる研究を必要とします.
- 違法薬物使用障害に対するVRの有効性を評価するには,さらなる研究が必要である.
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