5
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Virtual reality in assessment and treatment of schizophrenia: a systematic review Translated title: Realidade virtual na avaliação e no tratamento da esquizofrenia: uma revisão sistemática

      review-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective To conduct a systematic review about the use of virtual reality (VR) for evaluation, treatment and/or rehabilitation of patients with schizophrenia, focused on: areas, fields and objectives; methodological issues; features of the VR used; viability and efficiency of this resource. Methods Searches were performed about schizophrenia and virtual reality in PsycINFO, Academic Search Complete, MEDLINE Complete, CINAHL with Full Text, Web of Science and Business Source Premier databases, using the following keywords: [“schizophrenia”] AND [“virtual reality” OR “serious game”] AND [“treatment” OR “therapy” OR “rehabilitation”]. The search was carried out between November 2013 and June 2014 without using any search limiters. Results A total of 101 papers were identified, and after the application of exclusion criteria, 33 papers remained. The studies analysed focused on the use of VR for the evaluation of cognitive, social, perceptual and sensory skills, and the vast majority were experimental studies, with virtual reality specifically created for them. All the reviewed papers point towards a reliable and safe use of VR for evaluating and treating cognitive and social deficits in patients with schizophrenia, with different results in terms of generalisation, motivation, assertiveness and task participation rate. Some problems were highlighted, such as its high cost and a constant need for software maintenance. Conclusion The studies show that using the virtual reality may streamline traditional evaluation/rehabilitation programmes, allowing to enhance the results achieved, both in the cognitive and in the social field, helping for the legitimisation of this population’s psycho-social inclusion.

          Translated abstract

          Objetivo Realizar uma revisão sistemática sobre a utilização da realidade virtual (RV) na avaliação, tratamento e/ou reabilitação de pessoas com esquizofrenia, enfocando: as áreas, domínios e objetivos; as questões metodológicas; as características da RV utilizada; a viabilidade e eficácia desse recurso. Métodos Foram realizadas buscas por artigos sobre esquizofrenia e realidade virtual nas bases de dados PsycINFO, Academic Search Complete, MEDLINE Complete, CINAHL with Full Text, Web of Science e Business Source Premier, utilizando as palavras-chave: [“schizophrenia”] AND [“virtual reality” OR “serious game”] AND [“treatment” OR “therapy” OR “rehabilitation”]. A busca foi realizada entre novembro de 2013 e junho de 2014, sem a utilização de limitadores de pesquisa. Resultados Foram identificadas 101 publicações e, depois de aplicados critérios de exclusão, permaneceram 33 artigos. Os estudos analisados concentram-se no uso da RV para a avaliação de habilidades cognitivas, sociais e perceptossensoriais, sendo na ampla maioria estudos experimentais, com ambientes virtuais criados especificamente para os estudos. Todos os artigos revisados apontam para o uso fiável e seguro da RV na avaliação e tratamento de pessoas com esquizofrenia, com resultados diferenciados relativamente a generalização, motivação, assertividade e taxa de participação na realização de tarefas. Foram assinaladas dificuldades como alto custo e necessidade constante de manutenção de software. Conclusão Ficou evidenciado que o recurso do ambiente virtual pode potencializar os programas de avaliação/reabilitação tradicionais, permitindo ampliar as dimensões dos resultados obtidos, tanto no âmbito cognitivo quanto no social, iluminando o caminho da legitimação da reinserção psicossocial dessa população.

          Related collections

          Most cited references62

          • Record: found
          • Abstract: not found
          • Article: not found

          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            A meta-analysis of cognitive remediation in schizophrenia.

            This study evaluated the effects of cognitive remediation for improving cognitive performance, symptoms, and psychosocial functioning in schizophrenia. A meta-analysis was conducted of 26 randomized, controlled trials of cognitive remediation in schizophrenia including 1,151 patients. Cognitive remediation was associated with significant improvements across all three outcomes, with a medium effect size for cognitive performance (0.41), a slightly lower effect size for psychosocial functioning (0.36), and a small effect size for symptoms (0.28). The effects of cognitive remediation on psychosocial functioning were significantly stronger in studies that provided adjunctive psychiatric rehabilitation than in those that provided cognitive remediation alone. Cognitive remediation produces moderate improvements in cognitive performance and, when combined with psychiatric rehabilitation, also improves functional outcomes.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              The use of virtual reality in acrophobia research and treatment.

              Acrophobia, or fear of heights, is a widespread and debilitating anxiety disorder affecting perhaps 1 in 20 adults. Virtual reality (VR) technology has been used in the psychological treatment of acrophobia since 1995, and has come to dominate the treatment of numerous anxiety disorders. It is now known that virtual reality exposure therapy (VRET) regimens are highly effective for acrophobia treatment. This paper reviews current theoretical understanding of acrophobia as well as the evolution of its common treatments from the traditional exposure therapies to the most recent virtually guided ones. In particular, the review focuses on recent innovations in the use of VR technology and discusses the benefits it may offer for examining the underlying causes of the disorder, allowing for the systematic assessment of interrelated factors such as the visual, vestibular and postural control systems.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                jbpsiq
                Jornal Brasileiro de Psiquiatria
                J. bras. psiquiatr.
                Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (Rio de Janeiro )
                1982-0208
                March 2015
                : 64
                : 1
                : 70-81
                Affiliations
                [1 ] Universidade do Porto Portugal
                [2 ] Universidade Federal do Paraná Brazil
                [3 ] Instituto Politécnico do Porto Portugal
                Article
                S0047-20852015000100070
                10.1590/0047-2085000000059
                8fa481b2-8f2f-41d0-aefe-c9a163b96669

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0047-2085&lng=en
                Categories
                PSYCHIATRY

                Clinical Psychology & Psychiatry
                Schizophrenia,virtual reality,evaluation,rehabilitation,review,Esquizofrenia,realidade virtual,avaliação,reabilitação,revisão

                Comments

                Comment on this article