Division of Health Sciences Research, Department of Medicine, Cedars-Sinai Health System, Pacific Theatre Building 116 N. Robertson Blvd, Suite 800, Los Angeles, CA, 90048, USA.
Cedars-Sinai Center for Outcomes Research and Education (CS-CORE), Los Angeles, CA, USA.
Curr Gastroenterol Rep. 2024 Nov;26(11):294-303. doi: 10.1007/s11894-024-00940-w. Epub 2024 Aug 13.
Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction that significantly impacts health-related quality of life (HRQOL). This article explores the potential role of virtual reality (VR)-based cognitive behavioral therapy (CBT) in treating patients with IBS.
While CBT is a proven, skills-based therapy approach that modifies behaviors and alters dysfunctional thinking patterns to influence the gut-brain axis and improve IBS symptoms, it is rarely prescribed given a paucity of CBT-trained clinicians. We developed a novel VR program that delivers a standardized CBT program over an 8-week period to help patients manage their symptoms. In initial qualitative validation testing, patients expressed positive perceptions about using VR CBT for IBS. Home-based, standardized VR CBT has the potential to be an effective and scalable treatment option for patients with IBS. While initial studies have shown proof-of-concept definitive randomized controlled trials are needed to demonstrate the efficacy of self-administered VR CBT in IBS.
肠易激综合征(IBS)是一种肠脑相互作用的紊乱,严重影响健康相关生活质量(HRQOL)。本文探讨了基于虚拟现实(VR)的认知行为疗法(CBT)在治疗 IBS 患者中的潜在作用。
CBT 是一种经过验证的基于技能的治疗方法,可改变行为并改变功能失调的思维模式,以影响肠脑轴并改善 IBS 症状,但由于缺乏 CBT 训练的临床医生,因此很少开出处方。我们开发了一种新的 VR 程序,可在 8 周内提供标准化的 CBT 计划,以帮助患者管理其症状。在初步的定性验证测试中,患者对使用 VR CBT 治疗 IBS 表示出积极的看法。基于家庭的标准化 VR CBT 有可能成为 IBS 患者的一种有效且可扩展的治疗选择。虽然初步研究已经证明了概念验证,但仍需要进行确定性随机对照试验来证明自我管理的 VR CBT 在 IBS 中的疗效。