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虚拟现实暴露疗法在治疗公众演讲焦虑和社交焦虑障碍中的应用

Virtual Reality exposure therapy in the treatment of public speaking anxiety and social anxiety disorder.

作者信息

Seuling Patrik D, Czernin Nathaly S, Schiele Miriam A

机构信息

Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hauptstrasse 5, 79104 Freiburg, Germany.

出版信息

Neurosci Appl. 2024 May 23;3:104074. doi: 10.1016/j.nsa.2024.104074. eCollection 2024.

Abstract

Virtual Reality (VR) has emerged as a promising tool in the treatment of anxiety disorders, particularly for exposure-based interventions. This literature review summarizes recent research on the efficacy of Virtual Reality Exposure Therapy (VRET) for addressing public speaking anxiety (PSA) and Social Anxiety Disorder (SAD). VRET demonstrates comparable efficacy to traditional exposure. While VRET exhibits relatively low drop-out rates, challenges related to immersion and sense of presence in the virtual environment remain to be addressed. Additionally, patients' preferences for VRET over exposure could enhance treatment adherence. The accessibility and cost-effectiveness of VRET render it a valuable therapeutic option, particularly for individuals with limited access to or low acceptance towards traditional therapy options. Self-guided VRET shows promise as an effective treatment approach, but its efficacy and safety necessitate further investigation. Ethical considerations pertaining to data protection and quality control are crucial when employing VRET applications. Careful implementation and monitoring are necessary to ensure patient privacy and safety. In conclusion, VRET holds significant promise as an effective and accessible treatment modality for SAD and PSA, offering new opportunities for prevention and management in the field of anxiety disorders. Continued research and advancements in VRET technology are expected to enhance its potential as a valuable tool in the mental health care landscape.

摘要

虚拟现实(VR)已成为治疗焦虑症的一种有前景的工具,尤其是在基于暴露的干预方面。这篇文献综述总结了近期关于虚拟现实暴露疗法(VRET)治疗公众演讲焦虑(PSA)和社交焦虑障碍(SAD)疗效的研究。VRET显示出与传统暴露疗法相当的疗效。虽然VRET的退出率相对较低,但与虚拟环境中的沉浸感和临场感相关的挑战仍有待解决。此外,患者对VRET优于暴露疗法的偏好可能会提高治疗依从性。VRET的可及性和成本效益使其成为一种有价值的治疗选择,特别是对于那些难以获得传统治疗选择或对其接受度较低的个体。自我引导的VRET显示出作为一种有效治疗方法的前景,但其疗效和安全性需要进一步研究。在使用VRET应用程序时,与数据保护和质量控制相关的伦理考量至关重要。谨慎实施和监测对于确保患者隐私和安全是必要的。总之,VRET作为一种有效且可及的治疗SAD和PSA的方式具有重大前景,为焦虑症领域的预防和管理提供了新机会。预计VRET技术的持续研究和进步将增强其作为心理健康护理领域有价值工具的潜力。

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