Trauma management therapy with virtual-reality augmented exposure therapy for combat-related PTSD: A randomized controlled trial

Beidel, Déborah C.; Frueh, B. Christopher; Neer, Sandra M.; Bowers, Clint A.; Trachik, Benjamin; Uhde, Thomas W.; Grubaugh, Anouk L.

doi:10.1016/j.janxdis.2017.08.005

Cited by 121 publications

(93 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As examples, VRET has yielded results suggesting it is effective in reducing fears of spiders and heights for specific phobia (McCann et al, 2014), public speaking situations for social anxiety (Gebara, de Barros-Neto, Gertsenchtein, & Lotufo-Neto, 2016), and combat-related situations for veterans with PTSD (Beidel et al, 2017). In-session technology aids serve an array of functions, including tailoring interventions to specific client's needs, enhancing client engagement, and novel assessments of relevant client outcomes.…”

Section: In-session Treatment Aidsmentioning

confidence: 99%

Fulfilling the promise of mental health technology to reduce public health disparities: Review and research agenda.

Ralston

Andrews

Hope

2019

Clinical Psychology: Science and Practice

View full text Add to dashboard Cite

Despite significant promise, the full impact of mental health technologies has yet to be realized. With overall mental health service utilization still below 50%, those with a disorder, racial/ethnic minority, low SES, and rural populations receive services at even lower rates. Mental health technologies have been designed and proposed to address the barriers exacerbating these disparities and low utilization. However, research on these tools, which to date has appropriately prioritized effectiveness, requires significant shifts to test the ways these tools may reduce disparities. This article reviews these tools and outlines a potential framework for research that can guide the translation of these technologies into data-driven dissemination and implementation strategies. K E Y W O R D Sdisparities, dissemination and implementation, mental health, review, technology 2 of 14 | RALSTON eT AL.

show abstract

Section: In-session Treatment Aidsmentioning

confidence: 99%

Fulfilling the promise of mental health technology to reduce public health disparities: Review and research agenda.

Ralston

Andrews

Hope

2019

Clinical Psychology: Science and Practice

View full text Add to dashboard Cite

show abstract

“…NCPTSD identified 20 studies [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] ("exemplars") that were expected to be screened for inclusion in the technical brief and that highlighted challenging decision points in reviewing the literature on posttraumatic stress disorder (PTSD) treatment RCTs. In addition, studies included in the Veterans Affairs/Department of Defense (VA/DoD) clinical practice guideline 9 and in the recent AHRQ review of PTSD 42 were identified for review.…”

Section: Literature Search Strategymentioning

confidence: 99%

“…Studies without any pharmacologic arm were categorized into the nonpharmacologic table. The National Center for Posttraumatic Stress Disorder (NCPTSD) identified 20 studies as exemplars to be considered in designing and testing the screening criteria and evidence table template, [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] of which 15 studies are included in the evidence tables. 22,23,[25][26][27][28][30][31][32][34][35][36]38,40,41 Of the 20 exemplars identified, 5 were excluded as they did not meet the final inclusion criteria, and those 5 do not appear in the evidence tables.…”

Section: Included Studiesmentioning

confidence: 99%

Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: Groundwork for a Publicly Available Repository of Randomized Controlled Trial Data

O’Neil¹,

McDonagh²,

Hsu³

et al. 2019

View full text Add to dashboard Cite

The purpose of this project was to identify and abstract data from randomized controlled trials (RCTs) of posttraumatic stress disorder (PTSD) interventions to support the development of a publicly accessible data repository by the National Center for Posttraumatic Stress Disorder. Key Messages • We abstracted data from 318 RCTs, including psychotherapeutic interventions (55%), pharmacologic interventions (30%), and complementary and integrative or nonpharmacologic biological treatments (15%). • Studies included community (57%) and military/veteran (43%) populations. • Less than half of the studies reported on the loss of PTSD diagnosis or clinically meaningful response/remission of symptoms. Reporting was incomplete for many data elements. • Information on gaps in the evidence may inform future research.

show abstract

“…New advances in virtual reality (VR) technologies and high-quality consumer-grade devices [8] have opened up new prospects for virtual reality exposure therapy (VRET). VR systems for exposure therapy can offer reusable 3D environments and interactive scenarios for the feared stimuli that can be difficult to replicate in the real life, such as a virtual battle environment for post-traumatic stress disorder (PTSD) [9] or a virtual flying environment [10]. Moreover, a recent survey of VRET studies showed that it can be equally effective as in vivo exposure therapy and even has a slightly lower dropout rate compared to traditional treatment [11].We can improve and analyze VRET systems better by tracking the patient's physiological signals [12,13].…”

mentioning

confidence: 99%

Anxiety Level Recognition for Virtual Reality Therapy System Using Physiological Signals

et al. 2019

View full text Add to dashboard Cite

Virtual reality exposure therapy (VRET) can have a significant impact towards assessing and potentially treating various anxiety disorders. One of the main strengths of VRET systems is that they provide an opportunity for a psychologist to interact with virtual 3D environments and change therapy scenarios according to the individual patient’s needs. However, to do this efficiently the patient’s anxiety level should be tracked throughout the VRET session. Therefore, in order to fully use all advantages provided by the VRET system, a mental stress detection system is needed. The patient’s physiological signals can be collected with wearable biofeedback sensors. Signals like blood volume pressure (BVP), galvanic skin response (GSR), and skin temperature can be processed and used to train the anxiety level classification models. In this paper, we combine VRET with mental stress detection and highlight potential uses of this kind of VRET system. We discuss and present a framework for anxiety level recognition, which is a part of our developed cloud-based VRET system. Physiological signals of 30 participants were collected during VRET-based public speaking anxiety treatment sessions. The acquired data were used to train a four-level anxiety recognition model (where each level of ‘low’, ‘mild’, ‘moderate’, and ‘high’ refer to the levels of anxiety rather than to separate classes of the anxiety disorder). We achieved an 80.1% cross-subject accuracy (using leave-one-subject-out cross-validation) and 86.3% accuracy (using 10 × 10 fold cross-validation) with the signal fusion-based support vector machine (SVM) classifier.

show abstract

Trauma management therapy with virtual-reality augmented exposure therapy for combat-related PTSD: A randomized controlled trial

Cited by 121 publications

References 40 publications

Fulfilling the promise of mental health technology to reduce public health disparities: Review and research agenda.

Fulfilling the promise of mental health technology to reduce public health disparities: Review and research agenda.

Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder: Groundwork for a Publicly Available Repository of Randomized Controlled Trial Data

Anxiety Level Recognition for Virtual Reality Therapy System Using Physiological Signals

Contact Info

Product

Resources

About