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通过虚拟现实化身评估截肢的心理影响:一项关于焦虑和身体欣赏的研究

Evaluating Psychological Effects of Amputation Through Virtual Reality Embodiment: A Study on Anxiety and Body Appreciation.

作者信息

Manzano-Torra Aina, Porras-Garcia Bruno, Gutiérrez-Maldonado José

机构信息

Bigfinite Inc., Carrer de Còrsega 301, 08008 Barcelona, Spain.

Department of Population Health Sciences, School of Medicine, University of Utah, 295 Chipeta Way, Room 1N490, Salt Lake City, UT 84108, USA.

出版信息

J Clin Med. 2024 Nov 23;13(23):7079. doi: 10.3390/jcm13237079.

DOI:10.3390/jcm13237079
PMID:39685538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11642823/
Abstract

: A high number of patients who suffer the amputation of a lower limb will present psychological problems such as anxiety, depression, and post-traumatic stress disorder after surgery. This study embodies participants in a self-avatar with a right lower-limb amputation in a virtual reality environment. The aim was to determine if this experience increases anxiety levels compared to embodiment in a normal avatar. The study also examines whether body appreciation is related to anxiety levels. : Subjects completed the Body Appreciation Scale (BAS) questionnaire before being immersed in the virtual environment, the Visual Analogue Scale for Anxiety (VAS-A) after each condition, and the Embodiment Questionnaire at the end of the experiment. : Univariate analysis showed that participants reported significantly higher levels of anxiety when exposed to the virtual avatar with an amputation compared to the full virtual body avatar. These results indicate that lower levels of body appreciation were associated with higher levels of anxiety across conditions, suggesting that participants with lower body appreciation experienced greater psychological maladjustment (measured by anxiety) in response to the virtual scenarios. : The results suggest that the virtual avatar with a lower-limb amputation elicited significantly greater anxiety, and that body appreciation plays a key role in moderating this psychological response. Future research could focus on developing virtual exposure-based therapy for amputees using virtual reality to help reduce the anxiety experienced by patients during this process.

摘要

大量接受下肢截肢的患者术后会出现焦虑、抑郁和创伤后应激障碍等心理问题。本研究让虚拟现实环境中右下肢截肢的参与者拥有自我化身。目的是确定与拥有正常化身相比,这种体验是否会增加焦虑水平。该研究还考察身体欣赏与焦虑水平是否相关。:受试者在沉浸于虚拟环境之前完成身体欣赏量表(BAS)问卷,在每种情况后完成焦虑视觉模拟量表(VAS - A),并在实验结束时完成化身问卷。:单因素分析表明,与完整虚拟身体化身相比,参与者在接触截肢虚拟化身时报告的焦虑水平显著更高。这些结果表明,在各种情况下,较低的身体欣赏水平与较高的焦虑水平相关,这表明身体欣赏水平较低的参与者在面对虚拟场景时经历了更大的心理失调(以焦虑衡量)。:结果表明,下肢截肢的虚拟化身引发了显著更大的焦虑,并且身体欣赏在调节这种心理反应中起关键作用。未来的研究可以集中于为截肢者开发基于虚拟现实暴露的疗法,以帮助减轻患者在此过程中所经历的焦虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e3/11642823/14baf40724e7/jcm-13-07079-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e3/11642823/84df56656daf/jcm-13-07079-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e3/11642823/14baf40724e7/jcm-13-07079-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e3/11642823/84df56656daf/jcm-13-07079-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e3/11642823/14baf40724e7/jcm-13-07079-g002.jpg

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本文引用的文献

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Healthcare (Basel). 2024 Mar 9;12(6):624. doi: 10.3390/healthcare12060624.
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What Is Hidden behind Amputation? Quanti-Qualitative Systematic Review on Psychological Adjustment and Quality of Life in Lower Limb Amputees for Non-Traumatic Reasons.截肢背后隐藏着什么?非创伤性原因下肢截肢者心理调适与生活质量的定量-定性系统评价
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Gender Differences in Body Appreciation and Its Associations With Psychiatric Symptoms Among Chinese College Students: A Nationwide Survey.
中国大学生身体欣赏的性别差异及其与精神症状的关联:一项全国性调查。
Front Psychiatry. 2022 Feb 17;13:771398. doi: 10.3389/fpsyt.2022.771398. eCollection 2022.
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Avatar Embodiment. Towards a Standardized Questionnaire.阿凡达化身。迈向标准化问卷。
Front Robot AI. 2018 Jun 22;5:74. doi: 10.3389/frobt.2018.00074. eCollection 2018.
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Global prevalence of traumatic non-fatal limb amputation.全球创伤性非致命性肢体截肢的流行率。
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Front Psychol. 2020 May 15;11:956. doi: 10.3389/fpsyg.2020.00956. eCollection 2020.
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Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials.虚拟现实暴露疗法治疗焦虑及相关障碍:一项随机对照试验的荟萃分析。
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Multisensory bionic limb to achieve prosthesis embodiment and reduce distorted phantom limb perceptions.多感官仿生肢体可实现假体体现并减少幻肢感知扭曲。
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