虚拟现实暴露疗法治疗焦虑障碍的随机对照试验meta分析

被引:21
作者
丁欣放 [1 ]
李岱 [2 ]
机构
[1] 首都医科大学卫生管理与教育学院医学人文学系
[2] 阿呆科技(北京)有限公司
关键词
虚拟现实; 暴露疗法; 焦虑障碍; 认知行为疗法; meta分析;
D O I
暂无
中图分类号
R749.72 [];
学科分类号
摘要
目的:考察虚拟现实暴露疗法(VRET)对焦虑障碍的治疗效果及其影响因素。方法:通过文献检索,收集31篇通过随机化对照试验法考察VRET对焦虑障碍治疗效果的文献,将这些研究报告的数据转换为效应量进行meta分析。31篇研究时间跨度为1995年4月-2017年4月,样本量为1231人。结果:在结束治疗后,VRET组与症状直接相关的焦虑水平(Hedge's g=1.027,95%CI:0.75~1.30)和整体的主观痛苦程度(Hedge's g=1.018,95%CI:0.18~1.84)均低于等待组,同时在认知(Hedge's g=1.092,95%CI:0.34~1.84)、行为(Hedge's g=0.550,95%CI:0.19~0.91)和生理指标(Hedge's g=0.652,95%CI:0.11~1.42)上与等待组相比均表现出提升,治疗效果在6个月或1年后依然得以保持。VRET与传统心理治疗的治疗效果差异无统计学意义(Hedge's g=-0.028,95%CI:-0.21~0.15)。结论:虚拟现实暴露疗法对焦虑障碍有较好的治疗效果。
引用
收藏
页码:191 / 199
页数:9
相关论文
共 24 条
[1]
虚拟现实暴露疗法对大学生面试焦虑的干预研究 [D]. 
王雪 .
北京林业大学,
2015
[2]
Exposure to Virtual Social Interactions in the Treatment of Social Anxiety Disorder: A Randomized Controlled Trial.[J].Isabel L. Kampmann;Paul M.G. Emmelkamp;Dwi Hartanto;Willem-Paul Brinkman;Bonne J.H. Zijlstra;Nexhmedin Morina.Behaviour Research and Therapy.2015,
[3]
Can virtual reality exposure therapy gains be generalized to real-life? A meta-analysis of studies applying behavioral assessments.[J].Nexhmedin Morina;Hiske Ijntema;Katharina Meyerbr?ker;Paul M.G. Emmelkamp.Behaviour Research and Therapy.2015,
[4]
Virtual Reality Exposure Therapy Does Not Provide Any Additional Value in Agoraphobic Patients: A Randomized Controlled Trial [J].
Meyerbroeker, K. ;
Morina, N. ;
Kerkhof, G. A. ;
Emmelkamp, P. M. G. .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 2013, 82 (03) :170-176
[5]
Virtual reality and mobile phones in the treatment of generalized anxiety disorders: a phase-2 clinical trial [J].
Repetto, Claudia ;
Gaggioli, Andrea ;
Pallavicini, Federica ;
Cipresso, Pietro ;
Raspelli, Simona ;
Riva, Giuseppe .
PERSONAL AND UBIQUITOUS COMPUTING, 2013, 17 (02) :253-260
[6]
Global prevalence of anxiety disorders: a systematic review and meta-regression.[J].A. J. Baxter;K. M. Scott;T. Vos;H. A. Whiteford.Psychological Medicine.2012, 5
[7]
Virtual reality exposure therapy in anxiety disorders: a quantitative meta-analysis [J].
Opris, David ;
Pintea, Sebastian ;
Garcia-Palacios, Azucena ;
Botella, Cristina ;
Szamoskoezi, Stefan ;
David, Daniel .
DEPRESSION AND ANXIETY, 2012, 29 (02) :85-93
[8]
Isolating the Effect of Virtual Reality Based Exposure Therapy for Agoraphobia: a Comparative Trial.[J].Brenda K. Wiederhold;Giuseppe Riva;Stephane Bouchard;Eric Malbos;Ronald M. Rapee;Manolya Kavakli.Studies in Health Technology and Informatics.2011,
[9]
Virtual Reality Interoceptive Exposure for the Treatment of Panic Disorder and Agoraphobia.[J].Brenda K. Wiederhold;Giuseppe Riva;Sun I. Kim;M.A. Pérez-Ara;S. Quero;C. Botella;R. Baños;S. Andreu-Mateu;A. García-Palacios;J. Bretón-López.Studies in Health Technology and Informatics.2010,
[10]
Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: A meta-analysis.[J].Thomas D. Parsons;Albert A. Rizzo.Journal of Behavior Therapy and Experimental Psychiatry.2007, 3