虚拟现实曝光培训 - - 一项随机对照试验 - - 为患有社会焦虑的青少年提供虚拟现实曝光培训
Elizabeth S Uduwa Vidanalage1,2, Jella De Lee3, Dirk Hermans3
1Utrecht University, Utrecht, The Netherlands. s.e.uduwavidanalage@uu.nl.
BMC psychiatry
|April 18, 2025
概括
虚拟现实暴露 (VRE) 和体内暴露 (IVE) 有效地减少了青少年的社会焦虑. 这项研究比较了VRE和IVE,确定了个性化数字心理健康治疗的机制和预测因素.
科学领域:
- 心理健康 心理健康
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 社会焦虑在青少年中普遍存在,这是一个关键的发展时期.
- 虚拟现实暴露 (VRE) 对成人社会焦虑有希望,但青少年研究有限.
- 对于青少年社会焦虑的早期干预至关重要.
研究的目的:
- 为了评估VRE的疗效和可接受性与体内暴露 (IVE) 对社会焦虑的青少年.
- 确定VRE和IVE的变化机制 (例如,预期违反,习惯,自我有效性).
- 在临床,个性和VR相关因素中探索治疗反应的预测因素.
主要方法:
- 随机对照试验 (RCT) 参与120名青少年 (年龄12-16岁) 患有亚临床到中度社会焦虑.
- 三个条件:VRE,IVE,或等候名单控制 (WL).
- 基于暴露的七次干预,在基线,治疗后和3 / 6个月的随访中使用验证的尺度 (SPAI-18,LSAS-避免,SPWSS) 进行评估.
主要成果:
- 假设与WL相比,VRE和IVE的社会焦虑症状显著减少.
- 预计VRE和IVE之间的可比的长期疗效.
- 定性主题分析,以探索参与者的经验和两种暴露方法的可接受性.
结论:
- VRE可以作为青少年社会焦虑的可行早期干预.
- 了解机制和预测因素可以为个性化的数字心理健康治疗提供信息.
- 这些发现有助于推进青少年心理健康的VRE研究.
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