Novo André, Fonsêca Jéssica, Barroso Bárbara, Guimarães Manuel, Louro Afonso, Fernandes Hélder, Lopes Rui Pedro, Leitão Paulo
Campus de Santa Apolónia, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal.
Center for Health Technology and Services Research (CINTESIS), R. Plácido da Costa, 4200-450 Porto, Portugal.
Healthcare (Basel). 2021 Oct 23;9(11):1429. doi: 10.3390/healthcare9111429.
Schizophrenia is a chronic psychiatric disorder with symptoms that can severely affect patients' quality of life. While drug administration inhibits most of the positive symptoms, it fails to effectively treat the negative symptoms and in turn relies on rehabilitation therapies. With technological progress, virtual reality (VR) has been the target of recent studies in terms of mental health rehabilitation and has been shown to be a tool with ecological validity in order to introduce the individual to situations similar to their daily life.
From July to August 2021, we conducted a systematic review with the purpose of understanding the impact of virtual reality rehabilitation on negative symptoms and psychosocial rehabilitation in the schizophrenia spectrum. The searches were performed in the databases Web of Science, Scopus, and PubMed.
In our search, we identified 201 results, where 108 duplicates were excluded, resulting in a final balance of 93. After reading and assessing the titles and abstracts, 66 studies were excluded. Of the remaining 27 reports, 23 were excluded for not meeting the previously defined eligibility criteria, resulting in the inclusion of four studies in this systematic review.
The available data on the specific topic was limited and could have been more complete. However, in our review, we were able to identify statistically relevant results demonstrating the effectiveness of intervention. We could find medium to large effects, allowing VR to be an ally for rehabilitation of symptoms related to schizophrenia.
精神分裂症是一种慢性精神疾病，其症状会严重影响患者的生活质量。虽然药物治疗能抑制大多数阳性症状，但无法有效治疗阴性症状，转而依赖康复治疗。随着技术进步，虚拟现实（VR）已成为近期心理健康康复研究的对象，并已被证明是一种具有生态效度的工具，可让个体置身于与其日常生活相似的情境中。
2021年7月至8月，我们进行了一项系统综述，旨在了解虚拟现实康复对精神分裂症谱系中阴性症状和心理社会康复的影响。检索在科学网、Scopus和PubMed数据库中进行。
在我们的检索中，共识别出201条结果，其中排除108条重复项，最终剩余93条。在阅读并评估标题和摘要后，排除66项研究。在其余27份报告中，23项因不符合先前定义的纳入标准而被排除，最终本系统综述纳入4项研究。
关于该特定主题的现有数据有限，本可更完整。然而，在我们的综述中，我们能够识别出具有统计学意义的结果，证明干预的有效性。我们发现了中等到较大的效果，这使得VR能够成为精神分裂症相关症状康复的辅助手段。
