Visuo-Haptic-Based Multimodal Feedback Virtual Reality Solution to Improve Anxiety Symptoms: A Proof-of-Concept Study
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
With proper guidance, virtual reality (VR) can provide psychiatric therapeutic strategies within a simulated environment. The visuo-haptic- based multimodal feedback VR solution has been developed to improve anxiety symptoms through immersive experience and feedback. A proof-of-concept study was performed to investigate this VR solution. Nine subjects recently diagnosed with panic disorder were recruited, and seven of them eventually completed the trial. Two VR sessions were provided to each subject. Depression, anxiety, and VR sickness were evaluated before and after each session. Although there was no significant effect of the VR sessions on psychiatric symptoms, we could observe a trend of improvement in depression, anxiety, and VR sickness. The VR solution was effective in relieving subjective anxiety, especially in panic disorder without comorbidity. VR sickness decreased over time. This study is a new proof-of-concept trial to evaluate the therapeutic effect of VR solutions on anxiety symptoms using visuo-haptic-based multimodal feedback simultaneously.
Abstract
With proper guidance, virtual reality (VR) can provide psychiatric therapeutic strategies within a simulated environment. The visuo-haptic- based multimodal feedback VR solution has been developed to improve anxiety symptoms through immersive experience and feedback. A proof-of-concept study was performed to investigate this VR solution. Nine subjects recently diagnosed with panic disorder were recruited, and seven of them eventually completed the trial. Two VR sessions were provided to each subject. Depression, anxiety, and VR sickness were evaluated before and after each session. Although there was no significant effect of the VR sessions on psychiatric symptoms, we could observe a trend of improvement in depression, anxiety, and VR sickness. The VR solution was effective in relieving subjective anxiety, especially in panic disorder without comorbidity. VR sickness decreased over time. This study is a new proof-of-concept trial to evaluate the therapeutic effect of VR solutions on anxiety symptoms using visuo-haptic-based multimodal feedback simultaneously.
참고문헌 (31)
- Gould NF, "Performance on a virtual reality spatial memory navigation task in depressed patients", Am J Psychiatry, 164, pp.516~519 (2007)
- Parsons TD, "Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias : A meta-analysis", J Behav Ther Exp Psychiatry, 39, pp.250~261 (2008)
- Rothbaum BO, "Virtual reality exposure therapy", J Psychother Pract Res, 6, pp.219~226 (1997)
- Brooks FP, "What’s real about virtual reality?", IEEE Computer Graph Appl, 19, pp.16~27 (1999)
- Anderson PL, "Virtual reality : Using the virtual world to improve quality of life in the real world", Bull Menninger Clin, 65, pp.78~91 (2001)
- Ormel J, "Common mental disorders and disability across cultures : results from the WHO Collaborative Study on Psychological Problems in General Health Care", JAMA, 272, pp.1741~1748 (1994)
- Butler AC, "The empirical status of cognitive-behavioral therapy : a review of meta-analyses", Clin Psychol Rev, 26, pp.17~31 (2006)
- Heimberg RG, "Cognitive behavioral group treatment for social phobia : Comparison with a credible placebo control", Cognit Ther Res, 14, pp.1~23 (1990)
- Foa EB, "Emotional processing of fear : exposure to corrective information", Psychol Bull, 99, pp.20~35 (1986)
- Maples-Keller JL, "The Use of Virtual Reality Technology in the Treatment of Anxiety and Other Psychiatric Disorders", Harv Rev Psychiatry, 25, pp.103~113 (2017)
- Gerardi M, "Virtual reality exposure therapy for post-traumatic stress disorder and other anxiety disorders", Curr Psychiatry Rep, 12, pp.298~305 (2010)
- Opriş D, "Virtual reality exposure therapy in anxiety disorders : a quantitative meta‐analysis", Depress Anxiety, 29, pp.85~93 (2012)
- Riva G, "Virtual environments in clinical psychology", Psychother Theor Res Pract Train, 40, pp.68~76 (2003)
- Glantz K, "Virtual reality(VR)for psychotherapy : From the physical to the social environment", Psychother Theor Res Pract Train, 33, pp.464~473 (1996)
- Wiederhold BK, "Virtual Reality Therapy for Anxiety Disorders: Advances in Evaluation and Treatment" (2005), American Psychological Association
- Wiederhold BK, "Virtual reality for posttraumatic stress disorder and stress inoculation training", J Cyber Ther Rehabil, 1, pp.23~35 (2008)
- Villani D, "New technologies for relaxation : The role of presence", Int J Stress Manag, 14, pp.260~ (2007)
- Freeman J, "Relaxation Island: virtual, and really relaxing", Proceedings of 7th international workshop on presence, 14, pp.67~72 (2004)
- Seol E, "Drop the beat: virtual reality based mindfulness and cognitive behavioral therapy for panic disorder---a pilot study", Proceedings of the 23rd ACM Symposium on Virtual Reality Software and Technology, 57 (2017), ACM
- Hergueta T, "The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10", J Clin Psychiatry, 59(Suppl 20), pp.22~33 (1998)
- 안용민, "한글판 Montgomery-Åsberg 우울증 평가 척도의 표준화 연구", 신경정신의학, 44(4), pp.466~476 (2005), 대한신경정신의학회
- Hamilton M, "The assessment of anxiety states by rating", Br J Med Psychol, 32, pp.50~55 (1959)
- Beck AT, "An inventory for measuring clinical anxiety : psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
- Spielberger CD, "Manual for the State-Trait Anxiety Inventory" (1970), Consulting Psychologists Press
- Kennedy RS, "Simulator sickness questionnaire : An enhanced method for quantifying simulator sickness", Int J Aviat Psychol, 3, pp.203~220 (1993)
- van Balkom AJ, "Comorbid depression, but not comorbid anxiety disorders, predicts poor outcome in anxiety disorders", Depress Anxiety, 25, pp.408~415 (2008)
- LaViola Jr JJ, "A discussion of cybersickness in virtual environments", ACM SIGCHI Bulletin, 32, pp.47~56 (2000)
- Wada Y, "Effects of repeated snowboard exercise in virtual reality with time lags of visual scene behind body rotation on head stability and subjective slalom run performance in healthy young subjects", Acta Otolaryngol, 136, pp.1121~1124 (2016)
- Kennedy RS, "Duration and exposure to virtual environments : sickness curves during and across sessions", Presence, 9, pp.463~472 (2000)
- Tanaka N, "Virtual reality environment design of managing both presence and virtual reality sickness", J Physiol Anthropol Appl Human Sc, 23, pp.313~317 (2004)
- Barlow DH, "Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide" (2017), Oxford University Press
