Smeijers Danique, Koole Sander L
Forensic Psychiatric Centre Pompestichting, Nijmegen, Netherlands.
Department of Clinical Psychology, VU University Amsterdam, Amsterdam, Netherlands.
Front Psychiatry. 2019 Feb 26;10:83. doi: 10.3389/fpsyt.2019.00083. eCollection 2019.
Prior laboratory findings indicate that training avoidance movements to angry faces may lower anger and aggression among healthy participants, especially those high in trait anger. To enrich this training and make it more suitable for clinical applications, it has been developed into a Virtual Reality Game for Aggressive Impulse Management (VR-GAIME). The proposed study will examine the effects of this training in a randomized controlled trial among forensic psychiatric outpatients with aggression regulation problems ( = 60). In addition to the aggression replacement training, participants will play either the VR-GAIME or a control game. Anger will be assessed using self-report. Aggressive impulses will be measured via self-report, a validated laboratory paradigm, and rated by clinicians. The authors hypothesize that the combination of the VR-GAIME and regular aggression treatment will be more successful in reducing aggressive behavior. One of the strengths of the proposed study is that it is the first to examine the effects of a motivational intervention in a clinical sample characterized by problems in regulating anger and aggression. Another strength of the proposed study is that the VR-GAIME will be implemented as a multi-session intervention. Additionally, the VR-GAIME applies, for the first time, serious gaming and virtual reality on an avoidance motivation intervention. If positive results are found, the VR-GAIME may be systematically deployed in forensic psychiatric settings. : The trial is registered with The Netherlands National Trial Register, number: NTR6986.
先前的实验室研究结果表明，针对愤怒面孔训练回避动作可能会降低健康参与者，尤其是特质愤怒水平较高者的愤怒和攻击性。为了丰富这种训练并使其更适合临床应用，它已被开发成一款用于攻击性冲动管理的虚拟现实游戏（VR-GAIME）。拟议的研究将在一项随机对照试验中，对60名有攻击调节问题的法医精神病门诊患者检验这种训练的效果。除了攻击性替代训练外，参与者将玩VR-GAIME或一款对照游戏。愤怒将通过自我报告进行评估。攻击性冲动将通过自我报告、一种经过验证的实验室范式进行测量，并由临床医生进行评级。作者假设，VR-GAIME与常规攻击治疗相结合在减少攻击行为方面会更成功。拟议研究的优势之一在于，它是首次在以愤怒和攻击调节问题为特征的临床样本中检验动机干预的效果。拟议研究的另一个优势是，VR-GAIME将作为一种多阶段干预措施实施。此外，VR-GAIME首次将严肃游戏和虚拟现实应用于回避动机干预。如果发现积极结果，VR-GAIME可能会在法医精神病学环境中系统地部署。该试验已在荷兰国家试验注册中心注册，编号：NTR6986。
