Sohn Bo Kyung, Hwang Jae Yeon, Park Su Mi, Choi Jung-Seok, Lee Jun-Young, Lee Ji Yeuon, Jung Hee-Yeon
1 Department of Psychiatry, SMG-SNU Boramae Medical Center , Seoul, Korea.
2 Department of Psychiatry, Kangdong Sacred Heart Hospital , Seoul, Korea.
Cyberpsychol Behav Soc Netw. 2016 Nov;19(11):686-691. doi: 10.1089/cyber.2016.0215.
Maintaining employment is difficult for patients with schizophrenia because of deterioration of psychosocial and cognitive functions. Such patients usually require vocational rehabilitation training, which is both demanding and costly. In this study, we developed a virtual reality-based vocational rehabilitation training program (VR-VRTP) for such patients and evaluated its feasibility as an alternative to traditional rehabilitation programs. We developed the VR-VRTP to include various situations commonly encountered in two types of occupations: convenience store employee and supermarket clerk. We developed practical situations, as well as a system for providing feedback, to ensure patients would not lose interest during training. Nine participants each performed the VR-VRTP repeatedly per week for a total of 8 weeks. At baseline and after training, all participants were evaluated using the following clinical and neuropsychological tests: Manchester Scale, Clinical Global Impression, Personal and Social Performance Scale (PSP), Hamilton Depression Rating Scale, Zung Depression Rating Scale, Beck Anxiety Inventory, Wisconsin Card Sorting Test, Stroop Test, Rey-Osterrieth Complex Figure Test (RCFT), and Auditory Verbal Learning Test (AVLT). After training, patient scores improved on the PSP, general symptoms on the Manchester Scale, AVLT, and delayed recall on the RCFT. The Manchester positive symptom score showed a trend of improvement. No significant changes were observed for other measures. The VR-VRTP may improve general psychosocial function and memory, potentially influencing real-world vocational performance. These findings provide preliminary evidence regarding the utility of the VR-VRTP in patients with schizophrenia.
由于心理社会和认知功能的衰退，精神分裂症患者维持就业很困难。这类患者通常需要职业康复训练，而这种训练既要求高又成本高昂。在本研究中，我们为这类患者开发了一种基于虚拟现实的职业康复训练项目（VR-VRTP），并评估了其作为传统康复项目替代方案的可行性。我们开发的VR-VRTP涵盖了便利店员工和超市店员这两种职业中常见的各种情况。我们设计了实际场景以及提供反馈的系统，以确保患者在训练过程中不会失去兴趣。九名参与者每周重复进行VR-VRTP训练，共持续8周。在基线期和训练后，所有参与者均接受以下临床和神经心理学测试：曼彻斯特量表、临床总体印象量表、个人和社会表现量表（PSP）、汉密尔顿抑郁评定量表、zung抑郁自评量表、贝克焦虑量表、威斯康星卡片分类测验、斯特鲁普测验、雷-奥斯特里茨复杂图形测验（RCFT）和听觉言语学习测验（AVLT）。训练后，患者在PSP、曼彻斯特量表的总体症状、AVLT以及RCFT的延迟回忆方面得分有所提高。曼彻斯特阳性症状评分呈改善趋势。其他指标未观察到显著变化。VR-VRTP可能会改善一般心理社会功能和记忆力，潜在地影响现实世界中的职业表现。这些发现为VR-VRTP在精神分裂症患者中的效用提供了初步证据。
