关键词: Cognitive Behavioural Therapy Digital Interventions Mental Health Treatment Narrative Analysis Virtual Reality

来  源:   DOI:10.17650/2712-7672-2020-1-1-30-46   PDF(Pubmed)

Abstract:
UNASSIGNED: Virtual reality (VR) has been effectively used in the treatment of many mental health disorders.However, significant gaps exist in the literature. There is no treatment framework for researchers to use when developing new VR treatments. One recommended treatment across a range of diagnoses, which may be suitable for use in VR treatments, is Cognitive Behavioural Therapy (CBT). The aim of this systematic review is to investigateCBT treatment methods that utilize VR to treat mental health disorders.
UNASSIGNED: To investigate how CBT has been used in VR to treat mental health disorders and to report onthe treatment characteristics (number of sessions, duration, and frequency) that are linked to effective and ineffective trials.
UNASSIGNED: Studies were included if patients had a mental health diagnosis and their treatment included immersiveVR technology and CBT principles. Data were extracted in relation to treatment characteristics and outcomes,and analysed using narrative synthesis.
UNASSIGNED: Ninety-three studies were analysed. Exposure-based VR treatments were mainly used to treat anxiety related disorders. Treatments generally consisted of eight sessions, once a week for approximately one hour. VR treatments were commonly equal to or more effective than traditional face-to-face methods. No specific treatment characteristics were linked to this effectiveness.
UNASSIGNED: The number, frequency and duration of the VR treatment sessions identified in this review, could be used as a treatment framework by researchers and clinicians. This could potentially save researchers time and money when developing new interventions.
摘要:
虚拟现实(VR)已有效地用于治疗许多心理健康障碍。然而,文献中存在显著差距。研究人员在开发新的VR治疗方法时没有可使用的治疗框架。在一系列诊断中推荐的一种治疗方法,这可能适用于VR治疗,认知行为疗法(CBT)。本系统综述的目的是研究利用VR治疗心理健康障碍的CBT治疗方法。
为了调查如何在VR中使用CBT来治疗心理健康障碍,并报告治疗特征(会议次数,持续时间,和频率)与有效和无效的试验有关。
如果患者有心理健康诊断,并且他们的治疗包括沉浸式VR技术和CBT原则,则包括研究。提取与治疗特征和结果相关的数据,并使用叙事综合进行分析。
分析了93项研究。基于暴露的VR治疗主要用于治疗焦虑相关疾病。治疗通常包括八个疗程,每周一次,大约一个小时。VR治疗通常等于或比传统的面对面方法更有效。没有具体的治疗特征与这种有效性相关。
数字,本综述中确定的VR治疗会话的频率和持续时间,可作为研究人员和临床医生的治疗框架。这可能会在开发新的干预措施时节省研究人员的时间和金钱。
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