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过去十年虚拟现实技术在惊恐障碍治疗中的应用:一项系统综述

Virtual Reality in the Treatment of Panic Disorder in the Last Decade: A Systematic Review.

作者信息

Gonçalves Lucio, Garcia Rafael, Quagliato Laiana, Appolinario Jose Carlos, Nardi Antonio

机构信息

Virtual Reality in Mental Health Laboratory (RVSM), Institute of Psychiatry (IPUB), Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

LABPR - Panic and Respiration Laboratory (LABPR), Institute of Psychiatry (IPUB), Federal University of Rio de Janeiro, Brazil.

出版信息

Clin Pract Epidemiol Ment Health. 2025 Feb 25;21:e17450179358928. doi: 10.2174/0117450179358928250123064503. eCollection 2025.

Abstract

INTRODUCTION

Virtual Reality (VR) is an interactive, three-dimensional computing environment that enables individuals to experience a sense of presence as if they are immersed in a real-world setting. VR is currently being implemented in therapeutic interventions for individuals with certain mental disorders.

OBJECTIVE

To illustrate the implementation and evolution of VR in the treatment of panic disorder, agoraphobia, and panic disorder with or without agoraphobia over the past decade.

METHOD

A systematic literature review was conducted based on articles retrieved from PubMed, Cochrane, and Web of Science, covering the period from 2013 to 2023. A total of 21 studies were selected after analyzing the titles, abstracts, and content in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

RESULTS

A total of 153 articles were initially selected and included in the study. The results demonstrated the evolution and increasing use of VR-based technologies for the treatment of mental disorders, including panic disorder and PDA.

DISCUSSION

The utilization of VR exposure therapy (VRET) for patients with panic disorder, agoraphobia, or PDA yielded measurable outcomes, including the evolution of VRET applications, an increase in the number of scientific articles and patients in recent years, as well as advancements in hardware devices, software, and other application methods, such as self-guided applications.

CONCLUSIONS

The implementation of VRET is increasing in several regions worldwide, and its evolution is indisputable for the treatment of panic disorder, agarophobia, and PDA. Comparisons with traditional methods revealed that VRET yields satisfactory and promising outcomes. The continued evolution of VR technology is expected to expand its potential application in patients with these disorders.

摘要

引言

虚拟现实(VR)是一种交互式三维计算环境,能让个体产生身临其境之感,仿佛置身于真实场景中。目前,VR正被应用于某些精神障碍患者的治疗干预中。

目的

阐述过去十年VR在惊恐障碍、广场恐惧症以及伴或不伴广场恐惧症的惊恐障碍治疗中的应用与发展。

方法

基于从PubMed、Cochrane和科学网检索到的文章进行系统文献综述,涵盖2013年至2023年期间。根据系统评价和Meta分析的首选报告项目(PRISMA)指南,在分析标题、摘要和内容后,共筛选出21项研究。

结果

最初共筛选出153篇文章纳入研究。结果表明,基于VR的技术在精神障碍治疗中的应用不断发展且使用频率增加,包括惊恐障碍和惊恐障碍伴广场恐惧症。

讨论

对惊恐障碍、广场恐惧症或惊恐障碍伴广场恐惧症患者使用VR暴露疗法(VRET)产生了可测量的结果,包括VRET应用的发展、近年来科学文章数量和患者数量的增加,以及硬件设备、软件和其他应用方法(如自助应用)的进步。

结论

VRET在全球多个地区的应用正在增加,其在惊恐障碍、广场恐惧症和惊恐障碍伴广场恐惧症治疗中的发展是无可争议的。与传统方法的比较表明,VRET产生了令人满意且有前景的结果。预计VR技术的持续发展将扩大其在这些疾病患者中的潜在应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ba/12174943/ca10245e4f17/CPEMH-21-E17450179358928_F1.jpg

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