虚拟现实认知行为疗法与偏执妄想的认知行为疗法:一个务实,单盲,多中心随机临床优越性试验
Elise C D van der Stouwe1, Chris N W Geraets1, Maureen Berkhof1
1University Medical Center Groningen, https://ror.org/03cv38k47University of Groningen, Groningen, The Netherlands.
Psychological medicine
|July 6, 2025
概括
基于虚拟现实的偏执思想认知行为疗法 (VR-CBTp) 显示,暂时偏执症的减少比标准CBTp更大. 虽然这两种疗法都改善了症状,但VR-CBTp在特定领域表现出了额外的益处.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 虚拟现实 (VR) 显示了增强精神疾病心理治疗的潜力.
- 研究了基于VR的偏执狂思想的认知行为疗法 (VR-CBTp),而不是标准的CBTp.
研究的目的:
- 为了比较VR-CBTp与标准CBTp在治疗精神病频谱障碍患者的偏执思想的疗效.
- 评估VR-CBTp对暂时偏执和二次结果的影响,包括症状,社会功能和自尊.
主要方法:
- 一个实用,单盲,随机的临床试验,涉及7个精神卫生中心98名参与者.
- 参与者接受了VR-CBTp (n=48) 或标准CBTp (n=50) 的最多16次会议.
- 主要结果:通过经验采样方法 (ESM) 暂时的偏执;次要结果:各种症状措施,社会功能,自尊和计划.
主要成果:
- 两组都经历了暂时偏执症的减少,VR-CBTp组的效果明显更大.
- 二次偏执测量证实了两种疗法的改善,但并没有始终发现有利于VR-CBTp的相互作用效应.
- VR-CBTp在治疗后的安全行为,抑郁和自尊,以及随访时的自尊和焦虑方面显示出额外的好处.
结论:
- CBTp和VR-CBTp都是对偏执狂思想的有效治疗方法.
- 在精神疾病中,VR-CBTp可能为偏执狂思想提供稍微优越的治疗优势.
- 局限性包括缺失的初级结果数据,原因是ESM合规性低于预期,样本规模较小.
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