虚拟现实疗法针对精神病患者的参考思想:单盲并行组随机对照试验
EunJin Jeon1, Ling Li1,2, Thi-Hung Le1,2
1Department of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea.
Psychological medicine
|April 28, 2025
概括
虚拟现实 (VR) 疗法有效地减少了精神病患者的妄想. 这种VR治疗显示了轻微的副作用和改善了社会功能,为管理精神病症状提供了一种有前途的新方法.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字治疗学数字治疗学
- 临床心理学 临床心理学
背景情况:
- 有限的研究存在于虚拟现实 (VR) 对于精神病中的迫害妄想.
- 这项研究探讨了VR治疗精神病患者对参考错觉 (DOR) 的疗效和安全性.
研究的目的:
- 评估VR疗法在稳定精神病门诊患者中减少妄想的有效性.
- 评估VR治疗的安全性.
- 通过路径分析探索影响VR治疗结果的心理因素.
主要方法:
- 78名稳定的精神病门诊患者被随机分为VR治疗 (VR-T) 或VR控制 (VR-C) 组.
- 参与者接受了前后评估,使用精神病症状评分尺度-妄想 (PSYRATS-D) 和修订绿色等. 偏执思维量表 (R-GPTS). 偏执思维量表.
- 进行了各种自我评级尺度和安全评估;建立了路径模型.
主要成果:
- 与VR-C组相比,VR-T组的PSYRATS-D得分显著改善.
- 对于社会和职业功能评估量表 (SOFAS) 的得分,观察到一个显著的群体×时间相互作用.
- 虚拟现实疾病发生频繁,但是轻微的;对负面评价的恐惧和抑郁症的得分介于结果.
结论:
- 虚拟现实疗法在年轻,稳定的精神病患者中减少妄想方面表现出有效性.
- 治疗与轻度,耐受性的副作用有关.
- 建议进行进一步的研究,为老年人群开发多样化的VR内容.
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