Virtual reality and paranoid ideations in people with an 'at-risk mental state' for psychosis

被引:79
作者
Valmaggia, Lucia R. [1 ,2 ,3 ]
Freeman, Daniel [4 ]
Green, Catherine [4 ]
Garety, Philippa [4 ]
Swapp, David [5 ]
Antley, Angus [5 ]
Prescott, Corinne [1 ,2 ]
Fowler, David [6 ]
Kuipers, Elizabeth [4 ]
Bebbington, Paul [7 ,8 ]
Slater, Mel [5 ,9 ]
Broome, Matthew
McGuire, Philip K. [1 ,2 ]
机构
[1] Kings Coll London, Inst Psychiat, Dept Psychol Med, London SE5 8AF, England
[2] Kings Coll London, Inst Psychiat, OASIS, London SE5 8AF, England
[3] Maastricht Univ, Dept Psychiat & Neuropsychol, Maastricht, Netherlands
[4] Kings Coll London, Inst Psychiat, Dept Psychol, London WC2R 2LS, England
[5] UCL, Dept Comp Sci, London WC1E 6BT, England
[6] Univ E Anglia, Sch Med Hlth Policy & Practice, Norwich NR4 7TJ, Norfolk, England
[7] UCL, Dept Mental Hlth Sci, London WC1E 6BT, England
[8] Camden & Islington Mental Hlth & Social Care NHS, London, England
[9] Univ Politecn Cataluna, ICREA Virtual Real Ctr Barcelona, E-08028 Barcelona, Spain
基金
英国惠康基金;
关键词
D O I
10.1192/bjp.191.51.s63
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Virtual reality provides a means of studying paranoid thinking in controlled laboratory conditions. However, this method has not been used with a clinical group. Aims To establish the feasibility and safety of using virtual reality methodology in people with an at-risk mental state and to investigate the applicability of a cognitive model of paranoia to this group. Method Twenty-one participants with an at-risk mental state were assessed before and after entering a virtual reality environment depicting the inside of an underground train. Results Virtual reality did not raise levels of distress at the time of testing or cause adverse experiences over the subsequent week. Individuals attributed mental states to virtual reality characters including hostile intent. Persecutory ideation in virtual reality was predicted by higher levels of trait paranoia, anxiety, stress, immersion in virtual reality, perseveration and interpersonal sensitivity. Conclusions Virtual reality is an acceptable experimental technique for use with individuals with at-risk mental states. Paranoia in virtual reality was understandable in terms of the cognitive model of persecutory delusions. Declaration of interest None.
引用
收藏
页码:S63 / S68
页数:6
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