Effects and safety of virtual reality-based mindfulness in patients with psychosis: a randomized controlled pilot study

被引：5

作者：

Lee, Bo Mi ^{[1
,2
]}

Kim, Sung-Wan ^{[3
]}

Lee, Bong Ju ^{[4
]}

Won, Seung-Hee ^{[5
]}

Park, Yong-han ^{[6
]}

Kang, Chae Yeong ^{[1
,2
]}

Li, Ling ^{[1
,2
]}

Rami, Fatima Zahra ^{[1
,2
]}

Chung, Young-Chul ^{[1
,2
]}

机构：

[1] Jeonbuk Natl Univ, Dept Psychiat, Med Sch, Jeonju 54907, South Korea

[2] Jeonbuk Natl Univ, Biomed Res Inst, Jeonbuk Natl Univ Hosp, Res Inst Clin Med, Jeonju 54907, South Korea

[3] Chonnam Natl Univ, Dept Psychiat, Med Sch, Gwangju 501746, South Korea

[4] Inje Univ, Coll Med, Haeundae Paik Hosp, Dept Psychiat, Busan 48108, South Korea

[5] Kyungpook Natl Univ, Dept Psychiat, Sch Med, Daegu 41944, South Korea

[6] Parks Psychiat Clin, Jeju, South Korea

来源：

SCHIZOPHRENIA | 2023年 / 9卷 / 01期

关键词：

SELF-REPORT MEASURE; PERSECUTORY DELUSIONS; TRAINING-PROGRAM; SCHIZOPHRENIA; SCALE; HALLUCINATIONS; COMPASSION; DISORDERS; VALIDITY; PEOPLE;

D O I：

10.1038/s41537-023-00391-8

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Virtual reality (VR) technology can be a supporting tool to enhance mindfulness. Recently, many research using VR-based mindfulness (VBM) has been carried out in various psychiatric disorders but not in psychosis. We investigated safety and effects of virtual reality-based mindfulness (VBM) in patients with psychosis as a pilot study. Sixty-four patients were randomly assigned to VBM or to VR control. For VBM, education and meditation videos were provided. For VR control, 3-dimensional natural scenes were shown. Both programs consisted of 8 weekly sessions, each lasting about 30min. Pre- and post-assessments were performed using the experiences questionnaire (EQ), psychotic symptom rating scales-delusion (PSYRATS-D), PSYRATS-auditory hallucinations (AH), motivation and pleasure scale-self rating (MAP-SR) and etc. The safety questionnaire was also surveyed after 1st and 8th session. Physiological measures such as skin conductance level (SCL), heart rate (HR) and RR interval, were collected during the VR interventions. Limited individuals participated in the safety questionnaire and physiological measures. All the results were presented in mean and standard deviation. We did not observe significant results in group x time interaction and main effects of group and time in the decentering and clinical scales. However, within group comparison showed that patients randomized to VBM showed increased decentering (p=0.029) and decreased amount (p=0.032) and duration of preoccupation (p=0.016) in the PSYRATS-D. For the feelings and motivations about close caring relationships of the MAP-SR, we observed a significant group x time interaction (p=0.027). The frequency of VR sickness was high but its severity was mild. There were significant differences only in HR over time in the VBM group (p=0.01). These results suggest that VBM was not more effective in reducing decentering and psychiatric symptoms than VR control but its adversity was modest.

引用

页数：9

共 57 条

[1]

American Psychiatric Association D. S. & American Psychiatric Association, 1994, Diagnostic and statistical manual of mental disorders: DSM-4

[2]

Amista Narcie Faith, 2017, [Journal of Digital Contents Society, 디지털콘텐츠학회논문지], V18, P1551

[3]

Beck A.T., 1996, BECK DEPRESSION INVE, V2nd, DOI [DOI 10.1037/T00742-000, 10.1037/t00742-000]

[4] Using Virtual Reality Exposure Therapy to Enhance Treatment of Anxiety Disorders: Identifying Areas of Clinical Adoption and Potential Obstacles [J].