Riva Giuseppe, Raspelli Simona, Pallavicini Federica, Grassi Alessandra, Algeri Davide, Wiederhold Brenda K, Gaggioli Andrea
Applied Technology for Neuro-Psychology Lab., Istituto Auxologico Italiano, Italy.
Stud Health Technol Inform. 2010;154:20-5.
The term "psychological stress" describes a situation in which a subject perceives that environmental demands tax or exceed his or her adaptive capacity. According to the Cochrane Database of Systematic Reviews, the best validated approach covering both stress management and stress treatment is the Cognitive Behavioral (CBT) approach. We aim to design, develop and test an advanced ICT based solution for the assessment and treatment of psychological stress that is able to improve the actual CBT approach. To reach this goal we will use the "interreality" paradigm integrating assessment and treatment within a hybrid environment, that creates a bridge between the physical and virtual worlds. Our claim is that bridging virtual experiences (fully controlled by the therapist, used to learn coping skills and emotional regulation) with real experiences (allowing both the identification of any critical stressors and the assessment of what has been learned) using advanced technologies (virtual worlds, advanced sensors and PDA/mobile phones) is the best way to address the above limitations. To illustrate the proposed concept, a clinical scenario is also presented and discussed: Paola, a 45 years old nurse, with a mother affected by progressive senile dementia.
“心理压力”一词描述的是一种情况，即个体认为环境要求使其承受压力或超出其适应能力。根据考科蓝系统评价数据库，涵盖压力管理和压力治疗的最佳验证方法是认知行为疗法（CBT）。我们旨在设计、开发和测试一种基于先进信息通信技术的解决方案，用于心理压力的评估和治疗，该方案能够改进实际的认知行为疗法。为实现这一目标，我们将采用“跨现实”范式，在混合环境中整合评估和治疗，在物理世界和虚拟世界之间架起一座桥梁。我们认为，利用先进技术（虚拟世界、先进传感器和个人数字助理/手机）将虚拟体验（完全由治疗师控制，用于学习应对技巧和情绪调节）与真实体验（既能识别任何关键压力源，又能评估所学内容）相结合，是解决上述局限性的最佳方式。为说明所提出的概念，还给出并讨论了一个临床案例：保拉，一名45岁的护士，其母亲患有进行性老年痴呆症。
