通过基于虚拟现实的治疗来缓解精神分裂症的负面症状,以社会奖励学习 (ENGAGE) 为目标:随机,受控,评估者盲目的试点研究协议
Valentin M Donath1, Emma Slebsager Ries1, Lise Mariegaard1
1VIRTU Research Group, Mental Health Centre Copenhagen, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.
PloS one
|October 8, 2025
概括
这项试点研究探讨了精神分裂症谱系障碍 (SSD) 中负面症状 (NS) 的虚拟现实辅助心理治疗 (VRT). 新的VRT针对社会奖励学习,旨在改善NS患者的生活质量和功能结果.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 神经科学是一个神经科学.
- 数字治疗学数字治疗学
背景情况:
- 精神分裂症谱系障碍 (SSD) 的负面症状 (NS) 显著损害了生活质量,对当前的药物治疗反应不佳.
- 社会认知和奖励处理方面的缺陷与NS的发展和持久性有关.
- 迫切需要有效的心理社会干预措施,直接针对NS.
研究的目的:
- 评估新型虚拟现实辅助心理治疗 (VRT) 干预NS在SSD患者中的可行性和可接受性.
- 研究VRT在缓解NS和改善功能结果和生活质量的潜在有效性.
- 使用磁共振成像 (MRI) 探索与VRT相关的神经生物学和行为变化.
主要方法:
- 一个随机的,评估者盲目的,受控的试点研究,涉及30名SSD的门诊患者.
- 参与者被随机分配,接受通常治疗 (TAU) 或TAU加10次个人VRT.
- 可行性,可接受性,临床症状 (阳性和阴性),功能结果和生活质量通过采访和生态瞬间评估 (EMA) 进行了评估.
主要成果:
- 该研究目前正在招募参与者,数据收集正在进行中.
- 在研究完成后,将报告初步可行性和可接受性数据.
- 探索性分析将检查VRT干预的神经成像和行为相关性.
结论:
- 虚拟现实辅助心理治疗 (VRT) 是一种有希望的新方法,用于解决精神分裂症谱系障碍 (SSD) 的负面症状 (NS).
- 这项试点研究将提供关于VRT针对社会奖励学习的可行性,可接受性和潜在有效性的关键数据.
- 需要进一步的研究来证实VRT对NS的治疗益处及其对长期结果的影响.
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