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用生物反来增强自我指导的虚拟现实暴露治疗社会焦虑:一个随机对照试验

Preethi Premkumar¹, Nadja Heym², James A C Myers³

¹Division of Psychology, London South Bank University, London, United Kingdom.

Frontiers in psychiatry

|November 27, 2024

概括

虚拟现实曝光疗法 (VRET) 有效地治疗社会焦虑. 将生物反添加到VRET有助于个人在公开演讲练习期间管理生理兴奋和焦虑.

科学领域:

心理学心理学心理学
神经科学是一个神经科学.
计算机科学计算机科学

背景情况:

自主引导的虚拟现实暴露疗法 (VRET) 已在改善公开演讲焦虑 (PSA) 和降低心率方面表现出有效性.
心率升高是社会焦虑的一个特征,VRET降低心率的能力表明,有潜力来控制焦虑.
在VRET期间持续的生物反可以进一步帮助社会焦虑的个体管理他们的生理兴奋.

研究的目的:

为了确定生物反是否提高VRET对社会焦虑的有效性.
调查生物反对VRET课程期间生理兴奋和感知焦虑的影响.

主要方法:

72名具有高度社会焦虑的人被随机分配到VRET与生物反或VRET单独组.
参与者在三个星期内接受了三个为期一小时的VRET课程,在虚拟环境中发表公开演讲.
生物反组获得了关于心率和前额α不对称 (FAA) 的实时数据,旨在减少兴奋.

主要成果:

两组患者在治疗结束时的PSA和一个月的随访后的整体社会焦虑都得到改善.
VRET-plus-biofeedback组在最初的会话中显示出FAA的更一致的减少.
接受生物反的参与者报告说,在整个治疗过程中,感知到的兴奋程度下降得更大.

结论:

生物反可以稳定生理兴奋,并减少暴露治疗期间感知到的焦虑.
自导VRET治疗社会焦虑的治疗益处在治疗后的一个月内得到维持.

关键词:

在纵向的长度上.感知控制的感知控制生理兴奋 - - 生理兴奋.存在的存在存在的存在.社会焦虑社会焦虑

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