Effects of virtual reality-based cognitive training for adolescents with depressive episodes: A pilot randomized controlled study

被引:2
作者
Lyu, Sihui [1 ]
Zhong, Shuming [1 ]
Luo, Yange [2 ]
Yan, Shuya [1 ]
Ran, Hanglin [2 ]
Duan, Manying [2 ]
Song, Kailin [2 ]
Ye, Kaiwei [2 ]
Miao, Haofei [2 ]
Hu, Yilei [2 ]
Song, Zijin [2 ]
Lai, Shunkai [1 ]
Zhang, Yiliang [1 ]
He, Jiali [1 ]
Zhu, Yunxia [1 ]
Jia, Yanbin [1 ]
机构
[1] Jinan Univ, Affiliated Hosp 1, Dept Psychiat, Guangzhou 510630, Peoples R China
[2] Jinan Univ, Sch Management, Guangzhou 510630, Peoples R China
基金
中国国家自然科学基金;
关键词
Adolescents; Depressive episodes; Cognitive function; Virtual reality technology; Cognitive training; BIPOLAR DISORDER; EXECUTIVE FUNCTION; WORKING-MEMORY; RATING-SCALE; ATTENTION; CHILDREN; METAANALYSIS; DYSFUNCTION; IMPAIRMENT;
D O I
10.1016/j.psychres.2024.116144
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Cognitive impairment is a common symptom in depression, yet few intervention strategies target adolescents. This study investigated the effects of an attention and working memory cognitive training system based on virtual reality (VRCT) in adolescents with mild to moderate depressive episodes. Adolescents with depression were randomized into a VR training group (VRG, n = 47) or a waitlist control group (WT, n = 46). The VR training consisted of three 10-min tasks per session, conducted three sessions per week for 20 sessions over 7 weeks. Forty-four healthy adolescents participated as a comparison group for baseline cognitive assessment. Cognitive functions and depressive symptoms were assessed using the Das-Naglieri cognitive assessment system, driven by the Planning, Attention, Simultaneous, and Successive (PASS) processing theory, and the Hamilton Depression Rating Scale-24 at pre- and post-intervention. Baseline results indicated significantly lower cognitive scores in patients compared to healthy adolescents. Post-intervention, the VRG demonstrated significant improvements in all four cognitive scales (effect sizes 0.56 to 0.76) and a significant reduction in depressive symptoms compared to the WT. These findings suggest that VRCT holds potential for improving cognitive impairments and alleviating depressive symptoms in adolescents with depression. Further large-scale and follow-up studies are necessary to confirm long-term benefits.
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页数:10
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