用虚拟现实为基础的干预来为双极性障碍患者提供综合认知补救和恢复导向计划:随机可行性试验的6个月和12个月认知结果
Alessandra Perra1, Mauro Giovanni Carta1, Diego Primavera1
1Department of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
Behavioral sciences (Basel, Switzerland)
|April 26, 2025
概括
虚拟现实认知补救 (VR-CR) 治疗双相情感障碍 (BD) 在12个月后显示持续的认知改善. 精神教育融合是BDVR-CR干预中长期利益的关键.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 康复技术 康复技术 康复技术
背景情况:
- 认知补救 (CR) 旨在在康复中产生长期影响.
- 与精神教育相结合的虚拟现实 (VR) 显示出对双相情感障碍 (BD) 的承诺.
- 在BD之前的一项VR-CR可行性试验报告了高接受度和认知收益.
研究的目的:
- 评估BDVR-CR干预后认知结果的6至12个月稳定性.
- 评估BD患者沉浸式VR-CR的长期影响.
主要方法:
- 在初始VR-CR试验后6至12个月的随访.
- 对二级认知结果的评估:视觉空间能力,记忆,注意力,语言流性和执行功能.
- 使用弗里德曼测试进行统计分析.
主要成果:
- 36名参与者完成了随访.
- 认知功能通常保持稳定或改善,语言显著增长 (p=0.02).
- 视觉空间和执行功能表现出不一致的轨迹.
结论:
- 沉浸式VR-CR程序在12个月后对患有BD的个人表现出认知功能的整体稳定性.
- 整合心理教育策略可能对维持长期临床益处至关重要.
- 建议与对照组和更大的样本进行进一步研究.
相关概念视频
Bipolar Disorder
30
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
30
Rational Emotive Behavior Therapy
26
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
26
Electroconvulsive Therapy
18
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
18
Treatment Strategies for Psychological Disorders
54
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
54
Psychosis: Goals of Pharmacotherapy
95
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
95


