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虚拟现实疗法治疗青少年和成人焦虑症的有效性:随机对照试验的系统评价和荟萃分析

Effectiveness of virtual reality therapy in the treatment of anxiety disorders in adolescents and adults: a systematic review and meta-analysis of randomized controlled trials.

作者信息

Zeng Weisi, Xu Jialan, Yu Jiayan, Chu Xin

机构信息

School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

出版信息

Front Psychiatry. 2025 Feb 27;16:1553290. doi: 10.3389/fpsyt.2025.1553290. eCollection 2025.

DOI:10.3389/fpsyt.2025.1553290
PMID:40084050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11904249/
Abstract

BACKGROUND

To evaluate the effect of virtual reality therapy on anxiety disorders in adolescents and adults by Meta-analysis.

METHODS

A comprehensive literature search was conducted by PubMed, Web of Science, Embase, CINAHL, Scopus, Cochrane (from inception to November 2024). Two researchers independently performed literature screening, quality evaluation and data extraction, and Stata16.0 and Review Man 5.4 software were used for Meta-analysis.

RESULTS

A total of 33 studies involving 3182 adolescents and adults with anxiety disorders were included. The results of Meta-analysis showed that compared with conventional interventions, virtual reality therapy significantly improved the symptoms and level of anxiety in patients with anxiety disorder [SMD = -0.95, 95%CI (-1.22,-0.69), Z = 7.05, P < 0.00001].

CONCLUSION

The current findings suggest that VR therapy interventions have a positive effect on improving the anxiety state of patients with anxiety disorders. The aforementioned research findings must be confirmed by more high-caliber studies due to the number and quality limitations of the contained literature.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/display, identifier CRD42024574772.

摘要

背景

通过Meta分析评估虚拟现实疗法对青少年和成人焦虑症的疗效。

方法

通过PubMed、Web of Science、Embase、CINAHL、Scopus、Cochrane(从创刊至2024年11月)进行全面的文献检索。两名研究人员独立进行文献筛选、质量评估和数据提取,并使用Stata16.0和Review Man 5.4软件进行Meta分析。

结果

共纳入33项研究,涉及3182名患有焦虑症的青少年和成人。Meta分析结果显示,与传统干预措施相比,虚拟现实疗法显著改善了焦虑症患者的症状和焦虑水平[标准化均数差(SMD)=-0.95,95%置信区间(CI)(-1.22,-0.69),Z=7.05,P<0.00001]。

结论

目前的研究结果表明,虚拟现实疗法干预对改善焦虑症患者的焦虑状态具有积极作用。由于所纳入文献的数量和质量限制,上述研究结果必须通过更多高质量的研究加以证实。

系统评价注册

https://www.crd.york.ac.uk/prospero/display,标识符CRD42024574772。

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J Med Internet Res. 2024 Oct 28;26:e52609. doi: 10.2196/52609.
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Efficacy of a Virtual Reality Rehabilitation Protocol Based on Art Therapy in Patients with Stroke: A Single-Blind Randomized Controlled Trial.基于艺术疗法的虚拟现实康复方案对中风患者的疗效:一项单盲随机对照试验
Brain Sci. 2024 Aug 27;14(9):863. doi: 10.3390/brainsci14090863.
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3-Dimensional Virtual Reality Versus 2-Dimensional Video for Distraction During the Induction of Anesthesia in Children to Reduce Anxiety: A Randomized Controlled Trial.
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Anesth Analg. 2024 Aug 23. doi: 10.1213/ANE.0000000000007119.
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Effects of virtual reality and nature sounds on pain and anxiety during hysterosalpingography: a randomized controlled trial.虚拟现实和自然声音对子宫输卵管造影术疼痛和焦虑的影响:一项随机对照试验。
Rev Assoc Med Bras (1992). 2024 Aug 16;70(7):e20231599. doi: 10.1590/1806-9282.20231599. eCollection 2024.
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