Virtual Reality Interventions and Psychosocial Functioning in Schizophrenia Spectrum Disorders: A Systematic Review

IF 2.7 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-12-18 DOI:10.1002/cpp.70020

Emine Ilgın Hoşgelen, Sinem Güneri, Burak Erdeniz, Köksal Alptekin

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Abstract

Objective

The objective of this study is to evaluate the effectiveness of virtual reality (VR) intervention programs that aim to improve psychosocial functioning in schizophrenia spectrum disorders and evaluate the quality assessment of these studies.

Methods

PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guideline was followed to conduct this systematic review. The literature search was performed in Web of Science (WoS) and PubMed, by two independent researchers on two occasions, on 1 March 2023 and 20 August 2023. Risk of bias of the studies was evaluated by The Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies.

Results

Fifteen studies met inclusion criteria, targeting social skills (n = 5), social cognitive skills (n = 7) and vocational training (n = 3). In these studies, a total of 292 participants enrolled in VR interventions and a total of 258 participants enrolled in control groups. In this systematic review, there were eight cohort studies, where seven were with a single-group pretreatment and posttreatment evaluation and one was with a control group, and one controlled trial and six randomized controlled trials were included. Several studies reported significant improvements in both psychosocial functioning and clinical symptoms, whereas others found improvements only in either psychosocial functioning or clinical symptoms, and still others found no improvements at all. The limitations of the studies include small sample sizes and standardized intervention methods. There is a very high variability in session duration, frequency and total treatment period.

Conclusion

Although VR intervention programs offer unique opportunities for psychosocial improvement, heterogeneity in methodologies and mixed results highlight the need for further research.

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精神分裂症谱系障碍的虚拟现实干预和社会心理功能：系统综述。

目的：本研究的目的是评估虚拟现实（VR）干预计划的有效性，旨在改善精神分裂症谱系障碍患者的社会心理功能，并评估这些研究的质量评估。方法：遵循PRISMA（优选报告项目用于系统评价和荟萃分析）指南进行本系统评价。文献检索由两名独立研究人员于2023年3月1日和2023年8月20日两次在Web of Science （WoS）和PubMed中进行。采用有效公共卫生实践项目（EPHPP）定量研究质量评估工具对研究的偏倚风险进行评价。结果：15项研究符合纳入标准，分别针对社会技能（n = 5）、社会认知技能（n = 7）和职业培训（n = 3）。在这些研究中，共有292名参与者参加了VR干预，共有258名参与者参加了对照组。本系统综述共纳入8项队列研究，其中7项为单组前、后处理评价，1项为对照组，包括1项对照试验和6项随机对照试验。一些研究报告称，心理社会功能和临床症状均有显著改善，而另一些研究仅发现心理社会功能或临床症状有所改善，还有一些研究发现根本没有改善。研究的局限性包括样本量小，干预方法标准化。在治疗持续时间、频率和总治疗时间方面有很大的可变性。结论：尽管虚拟现实干预方案为心理社会改善提供了独特的机会，但方法的异质性和混合结果突出了进一步研究的必要性。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.