(1) Background: Virtual Reality (VR) is a fully immersive computer simulated experience consisting of a three-dimensional interactive virtual environment, through a head-mounted display (HMD) and controller. The use of virtual reality has recently been proposed for the treatment of various psychiatric conditions, including the spectrum of schizophrenia. Our review aims to investigate the current available evidence regarding the use of immersive virtual reality in the treatment of psychotic symptoms. (2) Methods: From April 2019 to June 2020, we conducted a systematic review aimed at identifying therapeutic applications in immersive virtual reality for the spectrum of schizophrenia, searching for relevant studies on Web of Science, EMBASE, PsycINFO and CINHAL. (3) Results: We identified a total of 2601 unique records. Of these, 64 full-text articles were assessed for eligibility, and six out of these met the inclusion criteria and were included in the final systematic review. (4) Conclusions: The available data on immersive virtual reality are currently limited due to the few studies carried out on the topic; however, it has demonstrated its effectiveness and versatility in successfully treating various psychotic symptoms including delusions, hallucinations, or cognitive and social skills. Existing literature agrees on safe, tolerable, and long-term persistence of the therapeutic effects obtained by immersive VR. No serious side effects have been reported. In some specific cases, VR therapy was found to be very effective compared to usual treatment, allowing effective drug free interventions, and therefore without side effects for patients, even in those resistant to normal drug therapies.
Our data show that the prevalence of GERD typical symptoms is higher in patients with NAFLD. GERD was associated with higher BMI and MetS, but not with age and diabetes type 2. NAFLD remained strongly associated with GERD, independently of a coexisting MetS status. Consistent with these findings, MetS can be considered a shared background, but cannot completely explain this correlation. We suggest NAFLD as an independent risk factor for GERD symptoms.
Man and technology seem to co-evolve into a process of reciprocal conditioning. On the one hand, the man modifies (and evolves) the technology according to his needs, on the other the technology revolutionates the man and the way in which it lives. Psychology, therefore, as a discipline afferent to the human sciences, is called to take an interest in this relationship and to understand its complexity. A fundamental role in this sense is covered by “cyberpsychology” which investigates all those psychological phenomena that are associated with technology and aims to analyse the processes of change triggered by the interaction between man and the new media. From the psychological point of view, if on the one hand it is important to understand how man changes in contact with the new technologies and to what problems he is meeting. On the other hand, there is a need to understand how new technologies, given their transformative potential, can find a place within the therapeutic practice. In this regard, some of the technologies used in the clinical field have been analysed including: virtual reality, biosensors, artificial intelligence and affective computing. With the aim of understanding to what extent and how technological progress and the emergence of new technologies can contribute and generate value within the psychological panorama. Following the PRISMA statement a bibliographic research was carried out, which provided for consultation of the Medline and PsycINFO databases. The criteria according to which works have been selected rather than others refer to their precision and sensitivity with which they propose to treat technological applications in the field of health psychology and from this the emergence of the new theme “CYBER HEALTH PSYCHOLOGY”. The results of the research suggest that the integrated use of psychological techniques and new technologies is extremely productive in terms of potential improvement of health and therefore of “health empowerment”. In this vision, new technologies are not intended to replace traditional procedures but to integrate them by making available features and potential that man does not have in nature. Given the great potential of the instruments analyzed that still today continue to evolve and refine it is advisable to know them, validate their effectiveness and adapt our operational models to new realities.
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