Riva Giuseppe, Bacchetta Monica, Cesa Gianluca, Conti Sara, Molinari Enrico
Applied Technology for Neuro-Psychology Lab, Istituto Auxologico Italiano, Verbania, Italy.
Stud Health Technol Inform. 2002;85:402-8.
e-health, the integration of telehealth technologies with the Internet and shared virtual reality could become a significant enabler of consumer health initiatives. In fact, they provide an increasingly accessible communication channel for a growing part of the population. In the past decade medical applications of virtual reality (VR) and telemedicine have been rapidly developing, and the technology has changed from a research curiosity to a commercially and clinically important area of medical informatics technology. The chapter details the characteristics of the Experiential Cognitive Therapy (ECT), an integrated inpatient/outpatient (4 weeks) and telemedicine approach (24 weeks) that tries to enhance the classical cognitive-behavioral method used in the treatment of eating disorders, through VR sessions and telemedicine support in the follow-up stage. Particularly, using VR and telemedicine, ECT is able to address body experience disturbances, interpersonal relationships, self efficacy and motivation to change, key issues for the development and maintenance of eating disorders that are somehow neglected by actual clinical guidelines.
电子健康,即将远程医疗技术与互联网和共享虚拟现实相结合,可能成为推动消费者健康倡议的重要因素。事实上,它们为越来越多的人群提供了日益便捷的沟通渠道。在过去十年中,虚拟现实(VR)和远程医疗的医学应用一直在迅速发展,这项技术已从研究领域的新奇事物转变为医学信息技术中具有商业和临床重要性的领域。本章详细介绍了体验认知疗法(ECT)的特点,这是一种住院/门诊综合(4周)和远程医疗方法(24周),旨在通过VR疗程和随访阶段的远程医疗支持,强化用于治疗饮食失调的经典认知行为方法。特别是,ECT利用VR和远程医疗,能够解决身体体验障碍、人际关系、自我效能感和改变动机等问题,而这些问题是饮食失调发展和维持的关键因素,但在现行临床指南中却在某种程度上被忽视了。