Clinical Relevance of Immersive Virtual Reality in the Assessment and Treatment of Addictive Disorders: A Systematic Review and Future Perspective
| Autor: | Jeannette van Manen, Janika Heitmann, Dirk Heylen, Arnt F. A. Schellekens, Laura De Fuentes-Merillas, Boukje A G Dijkstra, Wiebren Markus, Simon Langener, Randy Klaassen, Joanne Van Der Nagel |
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| Přispěvatelé: | Human Media Interaction, Digital Society Institute, Health Technology & Services Research, Clinical Psychology and Experimental Psychopathology |
| Rok vydání: | 2021 |
| Předmět: |
UT-Gold-D
Psychotherapist assessment medicine.medical_treatment media_common.quotation_subject Exposure therapy Stress-related disorders Donders Center for Medical Neuroscience [Radboudumc 13] Psychological intervention Review PsycINFO Virtual reality law.invention Experimental Psychopathology and Treatment Cue‐reactivity systematic review Randomized controlled trial law medicine Clinical endpoint Clinical significance media_common treatment business.industry Addiction cue-reactivity General Medicine virtual reality Medicine addiction business |
| Zdroj: | Journal of Clinical Medicine, 10 Journal of Clinical Medicine, Vol 10, Iss 3658, p 3658 (2021) Journal of Clinical Medicine, 10, 16 Journal of Clinical Medicine Journal of Clinical Medicine, 10(16):3658. MDPI Journal of Clinical Medicine, 10(16):3658. MDPI AG |
| ISSN: | 2077-0383 |
| Popis: | Contains fulltext : 237001.pdf (Publisher’s version ) (Open Access) (1) Background: Virtual reality (VR) has been investigated in a variety of psychiatric disorders, including addictive disorders (ADs); (2) Objective: This systematic review evaluates the current evidence of immersive VR (using head-mounted displays) in the clinical assessment and treatment of ADs; (3) Method: PubMed and PsycINFO were queried for publications up to November 2020; (4) Results: We screened 4519 titles, 114 abstracts and 85 full-texts, and analyzed 36 articles regarding the clinical assessment (i.e., diagnostic and prognostic value; n = 19) and treatment (i.e., interventions; n = 17) of ADs. Though most VR assessment studies (n = 15/19) showed associations between VR-induced cue-reactivity and clinical parameters, only two studies specified diagnostic value. VR treatment studies based on exposure therapy showed no or negative effects. However, other VR interventions like embodied and aversive learning paradigms demonstrated positive findings. The overall study quality was rather poor; (5) Conclusion: Though VR in ADs provides ecologically valid environments to induce cue-reactivity and provide new treatment paradigms, the added clinical value in assessment and therapy remains to be elucidated before VR can be applied in clinical care. Therefore, future work should investigate VR efficacy in randomized clinical trials using well-defined clinical endpoints. 26 p. |
| Databáze: | OpenAIRE |
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