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长期护理机构中抑郁症和情绪的虚拟现实疗法

Virtual Reality Therapy for Depression and Mood in Long-Term Care Facilities.

作者信息

Zhai Kevin, Dilawar Azwa, Yousef Mohammad S, Holroyd Sean, El-Hammali Haithem, Abdelmonem Marwa

机构信息

Premedical Unit, Weill Cornell Medicine-Qatar, Cornell University, Doha P.O. Box 24144, Qatar.

Department of Physiology and Biophysics, Weill Cornell Medicine-Qatar, Cornell University, Doha P.O. Box 24144, Qatar.

出版信息

Geriatrics (Basel). 2021 Jun 4;6(2):58. doi: 10.3390/geriatrics6020058.

Abstract

Virtual reality (VR) describes a family of technologies which immerse users in sensorily-stimulating virtual environments. Such technologies have increasingly found applications in the treatment of neurological and mental health disorders. Depression, anxiety, and other mood abnormalities are of concern in the growing older population-especially those who reside in long-term care facilities (LTCFs). The transition from the familiar home environment to the foreign LTCF introduces a number of stressors that can precipitate depression. However, recent studies reveal that VR therapy (VRT) can promote positive emotionality and improve cognitive abilities in older people, both at home and in LTCFs. VR thus holds potential in allowing older individuals to gradually adapt to their new environments-thereby mitigating the detrimental effects of place attachment and social exclusion. Nevertheless, while the current psychological literature is promising, the implementation of VR in LTCFs faces many challenges. LTCF residents must gain trust in VR technologies, care providers require training to maximize the positive effects of VRT, and decision makers must evaluate both the opportunities and obstacles in adopting VR. In this review article, we concisely discuss the implications of depression related to place attachment in LTCFs, and explore the potential therapeutic applications of VR.

摘要

虚拟现实(VR)是指一系列能让用户沉浸于感官刺激的虚拟环境中的技术。这类技术在神经和精神健康障碍的治疗中得到了越来越广泛的应用。抑郁症、焦虑症及其他情绪异常在老年人群体中愈发受到关注,尤其是那些居住在长期护理机构(LTCF)中的老年人。从熟悉的家庭环境过渡到陌生的长期护理机构会带来许多压力源,这些压力源可能引发抑郁症。然而,最近的研究表明,虚拟现实疗法(VRT)能够促进老年人产生积极情绪,并提高他们的认知能力,无论是在家中还是在长期护理机构中。因此,VR有望让老年人逐渐适应新环境,从而减轻场所依恋和社会排斥的不利影响。尽管目前的心理学文献前景乐观,但在长期护理机构中实施VR仍面临诸多挑战。长期护理机构的居民必须信任VR技术,护理人员需要接受培训以最大限度地发挥虚拟现实疗法的积极效果,决策者必须评估采用VR的机遇和障碍。在这篇综述文章中,我们简要讨论了与长期护理机构中场所依恋相关的抑郁症的影响,并探讨了VR潜在的治疗应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f18a/8293126/7c772dbaf1db/geriatrics-06-00058-g001.jpg

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