Étude de faisabilité d’une exposition thérapeutique en réalité virtuelle pour joueurs pathologiques

Autor: C. Marseille, Lucia Romo, J.-J. Rémond, G. Mesure, M. Hernández-Mora
Přispěvatelé: Clinique, Psychanalyse, Développement (CliPsyD), Université Paris Nanterre (UPN), Imagerie médicale et quantitative, Institut National de la Santé et de la Recherche Médicale (INSERM), CH eaubonne montmorency, Centre Hospitalier Sainte Anne [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: L'Encéphale
L'Encéphale, Elsevier Masson, 2020, 46, pp.23-29. ⟨10.1016/j.encep.2019.09.002⟩
L'Encéphale, 2020, 46, pp.23-29. ⟨10.1016/j.encep.2019.09.002⟩
ISSN: 0013-7006
DOI: 10.1016/j.encep.2019.09.002⟩
Popis: International audience; The experiment presented is the result of a partnership between the Paris-Nanterre University (CLIPSYD laboratory, EA 4430) and the CSAPA Imagine (Simone Veil Hospital, GH Eaubonne-Montmorency). Virtual reality immersion exposure for pathological gamblers is beneficial in the context of cognitive and behavioral interventions. It can be used to evoke the desire to play and to have access to automatic thoughts and mistaken beliefs of the players when they find themselves in a gambling context. Exposure is used until the urge to play diminishes and disappears which is the process of desensitization or extinction.Objective: The objective of the study was to investigate the possibilities implemented by virtual reality in the case of an exhibition for pathological gamers to create a desire to play and work with the patient in an environment identical to the ecological one. Two hypotheses were proposed. On the one hand, the virtual reality exhibition will help to change the desire to play in relation to the game. On the other hand, virtual exhibition sessions associated with cognitive restructuring will have a greater impact on the perception of reality.Method: After a diagnosis was made, participation in the study was offered to patients (n=10) in routine care and able to participate (exclusion criteria). It consisted of four virtual reality exposure sessions integrated with traditional care. Exposure did not exceed 20minutes. To carry out this study we used the virtual reality headset "Oculus Rift CV1" and the headphones measuring EEG waves, "Emotiv Epoc". A battery of questionnaires were proposed to evaluate gambling-related behaviors (ICJP, GRCS, UPPS), to analyze the interest of the virtual reality exhibition (SIS, CGI, TEI, EVA), and to glimpse the immersion abilities (QEP and QPI).Results: Ten participants aged 25 to 60 agreed to participate in the study. The results of this study demonstrated the viability of RV gamers' exposure as a tool that can help reduce pathological gambling symptoms and the severity perceived by therapists (CPI: t=1.6, P=0.001; CGI: t=4.87, P=0.001) between the beginning of the care and the end of the care and at D+1. We were also able to observe significant results (P
Databáze: OpenAIRE