混合的,基于移动的干预与集成的虚拟现实曝光疗法的有效性,用于恐慌障碍和 agoraphobia:一个随机对照试验
Jari Planert1, Anne Sophie Hildebrand1, Alla Machulska1
1Department of Clinical Psychology and Psychotherapy, University of Siegen, Obergraben 23, Siegen 57072, Germany.
Cognitive behaviour therapy
|August 28, 2025
概括
将虚拟现实暴露疗法 (VRET) 整合到基于互联网和移动的干预措施 (IMI) 中, 虽然自我报告的症状在两组中都有相似的改善,但VRET导致临床医生评估的缓解率更高.
科学领域:
- 精神病学
- 心理健康技术
- 临床心理学
背景情况:
- 恐慌症 (PD) 和 agoraphobia (AG) 是常见的心理健康状况.
- 基于互联网和移动的干预 (IMI) 提供了可访问的治疗选择.
- 虚拟现实曝光疗法 (VRET) 正在成为增强数字干预中的曝光疗法的工具.
研究的目的:
- 评估导向IMI与集成VRET治疗PD和AG的有效性.
- 将IMI与VRET的结果与接受压力教育和放松的活跃对照组进行比较.
主要方法:
- 一项预先注册的随机对照试验,涉及32名患有PD和/或AG的患者.
- 参与者被分配到一个实验组 (IMI与VRET) 或一个主动对照组 (压力教育/放松).
- 评估的结果包括自我报告的症状严重程度 (恐慌和恐惧焦虑量表) 和临床医生评估的缓解程度 (MINI-Dips).
主要成果:
- 在这两组患者中,随着时间的推移,症状显著减少.
- 与对照组相比,实验组 (使用VRET的IMI) 在随访时的缓解率显著提高.
- 这两组在治疗后和随访时均报告了类似的症状缓解,突出显示了自我和临床医生报告的结果之间的差异.
结论:
- 将VRET整合到IMI可以为治疗恐慌障碍和恐惧场所提供额外的好处,特别是在实现临床医生评估的缓解方面.
- 这些发现强调了VRET作为数字心理健康干预措施的补充值.
- 自我和临床医生报告的结果之间的差异强调了治疗研究中需要多方面的评估方法.
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