Cognitive behavioural therapy in virtual reality treatments across mental health conditions: a systematic review

Dilgul, Merve; Martínez, J. Ros; Laxhman, Neelam; Priebe, Stefan; Bird, Victoria

doi:10.17650/2712-7672-2020-1-1-30-46

Cited by 6 publications

(5 citation statements)

References 111 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Approximately 30% of young people who experience psychosis disengage from therapy (Doyle et al, 2014). These limitations might be solved by combining CBTp with virtual reality (VR) (Dilgul et al, 2020; Freeman et al, 2019; Pot‐Kolder et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…VR has the ability to represent social environments that trigger physiological and psychological responses equivalent to what a given context in the real world would create (Valmaggia et al, 2016). This makes VR environments ecologically valid for the treatment of various psychological disorders (Dilgul et al, 2020; Rus‐Calafell et al, 2018; Valmaggia et al, 2016). The technology allows social scenarios to be personalized, repeated and varied, and the therapist to observe discreetly and give feedback in real time.…”

Section: Introductionmentioning

confidence: 99%

“…Barriers to practice may also be smaller with VR than in real life, as users know that their actions have no real‐world consequences, and that the VR can be stopped at any time (Bisso et al, 2020; Nijman et al, 2020). Since VR in therapy is well accepted by patients, and has a lower drop‐out rate, it might potentially improve access and adherence to psychological treatments (Boeldt et al, 2019; Dilgul et al, 2020). For adolescents who experience challenges and fears within the peer social context, VR provides an opportunity to confront these in less threatening settings, with fewer social risks (Parrish et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Views of young people with psychosis on using virtual reality assisted therapy. A qualitative study

Holgersen

Nordgreen

Hegelstad

et al. 2022

Early Intervention Psych

View full text Add to dashboard Cite

Aim: Service disengagement is a challenge in young individuals struggling with psychosis. Combining cognitive behavioural therapy for psychosis (CBTp) with virtual reality (VR) has proven acceptable and potentially effective for symptoms and social functioning in adults with psychosis. However, studies focusing on young adolescents are lacking. The aim of the present study was to investigate the acceptability of VR-assisted CBTp among adolescents with psychosis. Methods: A qualitative study investigating the acceptability of VR during exposurebased social training among adolescents with early onset psychosis. Thematic analysis was used to identify, analyse, interpret and report patterns from the qualitative interviews. Results: A total of 27 adolescents with psychosis were invited to participate, 11 declined and 16 were enrolled (59%), and all completed the study. The participants were from 13 until 18 years old, mean age 16 years. None of them had previous experience with use of VR in therapy, but 10 out of 16 participants had prior experience with VR from playing video games. Regarding acceptability, 14 out of 16 had positive expectations towards using VR in CBTp, and they would prefer using VR during exposure-based social training to real-life training only. Conclusions: VR-assisted CBTp can be an acceptable intervention for adolescents with psychosis, given their comfort with technology and the opportunity to confront their fears in less threatening virtual social settings with fewer social risks. The present study yields support to continue developing VRassisted therapy for adolescents, and focusing on VR-interventions for early onset psychosis.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Views of young people with psychosis on using virtual reality assisted therapy. A qualitative study

Holgersen

Nordgreen

Hegelstad

et al. 2022

Early Intervention Psych

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Despite encouraging predictions and rapid uptake of digitally enabled therapies, there is limited research into VR treatments for depression (Freeman et al, 2017;Dilgul et al, 2020). Furthermore, most VR research into mental health treatment has generally focused on its use one-to-one, in a clinic, with a health care professional (Dilgul et al, 2020). It is suggested that delivering VR treatments in this format is unlikely to improve treatment accessibility (Price et al, 2014;Fairburn and Patel, 2017;Bucci et al, 2019;Ralston et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality Group Therapy for the Treatment of Depression: A Qualitative Study on Stakeholder Perspectives

Dilgul

Hickling

Antonie³

et al. 2021

Front. Virtual Real.

View full text Add to dashboard Cite

Background: Cognitive behavioral group therapy alleviates depression by teaching patients to think and behave in more positive ways. Teletherapy (e.g., Zoom) is becoming more widely used, especially during the COVID-19 pandemic (where meeting in person is not safe). The current study explores the acceptability of taking teletherapy to the next level: Virtual Reality Group Therapy (VRGT).Methods: Semistructured interviews were conducted to explore stakeholder views on VRGT. Ten depressed patients and ten therapists watched a demonstration video of the proposed VRGT intervention and tested the VR application using a stand-alone VR headset. In VRGT, patients will use an avatar to interact with each other and with their therapist via networked multiparticipant VR.Results: Therapists and patients generally responded favorably to the idea of doing group therapy sessions in VR. Patients especially liked the idea of remaining anonymous via an avatar. Patients and therapists both indicated that the anonymity provided by avatars could increase patient’s willingness to make disclosures (to talk more freely and honestly), which could increase participation and could lead to better group cohesion.Conclusion: Although the findings suggested that VRGT may be more acceptable for some patients than for others, overall, the response of the patients and therapists was largely positive. Recommendations from this study could be used during the COVID-19 pandemic to deliver VRGTs. Finally, design ideas for creating a group VR world custom-designed for group therapy are discussed.

show abstract

In my future shoes: using VR decision support tools in moral and practical prenatal decisions for an enriched and less biased simulation of one’s future self (Preprint)

Tyebally-Fang¹,

Spitale²,

Viganò³

2023

Preprint

View full text Add to dashboard Cite

BACKGROUND An expectant mother faces several decisions related to pregnancy that cannot be tackled with the rational choice method or by consulting medical evidence. These choices are moral and practical prenatal decisions, which involve respectively the prospective mother’s moral and practical identities. Current genetic counselling services do not support expectant mothers in such decisions, and the mental processes employed, such as mental simulation, are prone to decision-making biases that increase the likelihood of making sub-optimal decisions. OBJECTIVE We show how the quality of moral and practical prenatal decisions can be improved using virtual reality (VR) and provide practical recommendations for the design and development of an effective and ethically aligned VR tool for such prenatal decisions. METHODS This is a theoretical study on moral and practical decisions in pregnancy, which adopts the logical-conceptual method of philosophy. RESULTS VR technology is a suitable decision-support tool for making moral and practical prenatal decisions. Yet, to be effective and ethically aligned, VR should comply to a set of practical recommendations for its design and development that we provide. CONCLUSIONS VR allows the operationalization of biopsychosocial support in the clinical encounter, facilitates the individual’s reflection on her values and beliefs, supports the contextualization of available choices to an individual’s circumstance, presents complex information in more understandable forms, and enhances the ability of mental simulation. An effective VR tool facilitating decision-making in moral and practical prenatal decisions should consider the specific needs of its target audience and be built in consultation with the relevant stakeholders and experts in the field (e.g., social workers, therapists, clinicians). Moreover, VR scenarios that are part of this tool should be community specific, presented in an emotionally balanced manner, and based in reality. Finally, VR tools should be distributed as part of a public health program for reasons of fairness. This study provides the theoretical basis and framework for the development of a better consulting support in pregnancy and contributes to a more inclusive patient engagement in prenatal decision-making, which has been advocated for in contemporary medical practice. CLINICALTRIAL Not applicable

show abstract

Cognitive behavioural therapy in virtual reality treatments across mental health conditions: a systematic review

Cited by 6 publications

References 111 publications

Views of young people with psychosis on using virtual reality assisted therapy. A qualitative study

Views of young people with psychosis on using virtual reality assisted therapy. A qualitative study

Virtual Reality Group Therapy for the Treatment of Depression: A Qualitative Study on Stakeholder Perspectives

In my future shoes: using VR decision support tools in moral and practical prenatal decisions for an enriched and less biased simulation of one’s future self (Preprint)

Contact Info

Product

Resources

About