Effect of Virtual Reality on Stress Reduction and Change of Physiological Parameters Including Heart Rate Variability in People With High Stress: An Open Randomized Crossover Trial

被引:37
作者
Kim, Hyewon [1 ]
Kim, Dong Jun [2 ,3 ,4 ]
Kim, Seonwoo [5 ]
Chung, Won Ho [6 ]
Park, Kyung-Ah [7 ]
Kim, James D. K. [8 ]
Kim, Dowan [9 ]
Kim, Min Ji
Kim, Kiwon [5 ,10 ]
Jeon, Hong Jin [2 ,3 ,4 ]
机构
[1] Hanyang Univ, Dept Psychiat, Med Ctr, Seoul, South Korea
[2] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Psychiat,Depress Ctr, Seoul, South Korea
[3] Sungkyunkwan Univ, Samsung Adv Inst Hlth Sci & Technol SAIHST, Dept Med Device Management & Res, Dept Hlth Sci & Technol, Seoul, South Korea
[4] Sungkyunkwan Univ, Samsung Adv Inst Hlth Sci & Technol SAIHST, Dept Clin Res Design & Evaluat, Seoul, South Korea
[5] Samsung Med Ctr, Res Inst Future Med, Stat & Data Ctr, Seoul, South Korea
[6] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Otorhinolaryngol, Seoul, South Korea
[7] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Ophthalmol, Seoul, South Korea
[8] Samsung Elect Co Ltd, Samsung Res, AR Lab, Seoul, South Korea
[9] Samsung Elect Co Ltd, Samsung Res, Adv Solut Team, Seoul, South Korea
[10] Hallym Univ, Coll Med, Kangdong Sacred Heart Hosp, Dept Psychiat, Seoul, South Korea
来源
FRONTIERS IN PSYCHIATRY | 2021年 / 12卷
关键词
virtual reality; biofeedback; heart rate variability; stres; stress reduction; MENTAL STRESS; PITUITARY VOLUME; LIFE STRESS; DISORDER; EXPOSURE; PERSONALITY; ANXIETY; VULNERABILITY; NEUROTICISM; BIOFEEDBACK;
D O I
10.3389/fpsyt.2021.614539
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Introduction: Although, attempts to apply virtual reality (VR) in mental healthcare are rapidly increasing, it is still unclear whether VR relaxation can reduce stress more than conventional biofeedback. Methods: Participants consisted of 83 healthy adult volunteers with high stress, which was defined as a score of 20 or more on the Perceived Stress Scale-10 (PSS-10). This study used an open, randomized, crossover design with baseline, stress, and relaxation phases. During the stress phase, participants experienced an intentionally generated shaking VR and serial-7 subtraction. For the relaxation phase, participants underwent a randomly assigned relaxation session on day 1 among VR relaxation and biofeedack, and the other type of relaxation session was applied on day 2. We compared the State-Trait Anxiety Inventory-X1 (STAI-X1), STAI-X2, the Numeric Rating Scale (NRS), and physiological parameters including heart rate variability (HRV) indexes in the stress and relaxation phases. Results: A total of 74 participants were included in the analyses. The median age of participants was 39 years, STAI-X1 was 47.27 (SD = 9.92), and NRS was 55.51 (SD = 24.48) at baseline. VR and biofeedback significantly decreased STAI-X1 and NRS from the stress phase to the relaxation phase, while the difference of effect between VR and biofeedback was not significant. However, there was a significant difference in electromyography, LF/HF ratio, LF total, and NN50 between VR relaxation and biofeedback. Conclusion: VR relaxation was effective in reducing subjectively reported stress in individuals with high stress.
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收藏
页数:11
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