Virtual reality in the diagnostic and therapy for mental disorders: A systematic review

Wiebe, Annika; Kannen, Kyra; Selaskowski, Benjamin; Mehren, Aylin; Thöne, Ann-Kathrin; Pramme, Lisa; Blumenthal, Nike; Li, Mengtong; Asché, Laura; Jonas, Stephan; Bey, Katharina; Schulze, Marcel; Steffens, Maria; Pensel, Max Christian; Guth, Matthias; Rohlfsen, Felicia; Ekhlas, Mogda; Lügering, Helena; Fileccia, Helena; Pakos, Julian; Lux, Silke; Philipsen, Alexandra; Braun, Niclas

doi:10.1016/j.cpr.2022.102213

Cited by 74 publications

(56 citation statements)

References 640 publications

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“…Consequently, there is an emerging presence of VRbased psychiatric assessment tools, summarised by Chitale et al (2022); Freeman et al (2017); Lindner et al, 2019;Geraets et al (2022). This body of research is in the early stages but Wiebe et al (2022) declare that there is a growing evidence base for the assessment and treatment of anxiety disorders and phobias in particular, which have received the most attention. Nevertheless, the predictive strength of multi-modal data is already being demonstrated in the computerized assessment platform created by Thymia 1 ; Fara et al (2022a) discuss the improvement in accuracy of depression diagnosis when fusing modalities from performance features of the n-Back Task with linguistic and acoustic characteristics.…”

Section: Behavioural Health Monitoring In Virtual Realitymentioning

confidence: 99%

The future potential of virtual reality countermeasures for maintaining behavioural health during long duration space exploration

Thomas

2023

Front. Virtual Real.

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Long duration space exploration is no longer a fantasy, with Elon Musk claiming to launch astronauts to Mars as early as 2029. The substantial increase in spaceflight duration required for a Mars mission has resulted in a stronger focus on behavioural health outcomes at NASA, with increased interest in using virtual reality countermeasures to both monitor and promote psychological wellbeing. From the perspective of a practitioner psychologist, this paper first considers the utility of virtual reality assessment of emerging behavioural health concerns for remote monitoring purposes. Key opportunities include using virtual reality for functional cognitive testing and leveraging the predictive abilities of multimodal data for personalised insights into symptomology. Suggestions are given as to how astronauts can self-monitor usage of virtual leisure activities that facilitate positive emotional experiences. Secondly, the potential to develop virtual reality countermeasures to deliver semi-structured therapeutic interventions such as collaborative cognitive-behavioural formulation in the absence of real-time communication is discussed. Finally, considerations for the responsible implementation of psychological monitoring tools are reviewed within a context of fostering psychological safety and reducing stigma.

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Section: Behavioural Health Monitoring In Virtual Realitymentioning

confidence: 99%

The future potential of virtual reality countermeasures for maintaining behavioural health during long duration space exploration

Thomas

2023

Front. Virtual Real.

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“…Virtual reality (VR) has successfully been used for delivering ET (VR-ET) to treat several anxiety disorders [10] , [11] , [12] , [13] as well as other neurological conditions [14] with generally comparable [15] , [16] or in some cases superior [17] effectiveness to in vivo therapy exposure. Arguably, as VR is a useful tool for delivering ET and allows the therapist to customize exposures to the individual’s needs [18] , it has potential to treat the unique fears experienced by PwE.…”

Section: Introductionmentioning

confidence: 99%

Describing epilepsy-related anxiety to inform the design of a virtual reality exposure therapy: Results from Phase 1 of the AnxEpiVR clinical trial

Tchao

Lewis-Fung

Gray

et al. 2023

Epilepsy & Behavior Reports

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“…VR allows for creating complex, three‐dimensional, immersive, and thereby highly realistic test environments, whilst still maintaining high levels of standardization (Parsons, 2015). For the neuropsychological characterization of ADHD in children, some VR scenarios have already been developed (for a review, see Wiebe, Kannen, Selaskowski, et al, 2022), the two most prominent examples being the Virtual Classroom (Rizzo et al, 2006) and the AULA Nesplora (Iriarte et al, 2016). In both scenarios, children are immersed into a virtual classroom surrounded by virtual classmates and instructed to perform a CPT.…”

Section: Introductionmentioning

confidence: 99%

Multimodal assessment of adult attention‐deficit hyperactivity disorder: A controlled virtual seminar room study

Wiebe,

Aslan,

Brockmann

et al. 2023

Clin Psychology and Psychoth

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In the assessment of adult attention‐deficit hyperactivity disorder (ADHD) symptoms, the diagnostic value of neuropsychological testing is limited. Partly, this is due to the rather low ecological validity of traditional neuropsychological tests, which usually present abstract stimuli on a computer screen. A potential remedy for this shortcoming might be the use of virtual reality (VR), which enables a more realistic and complex, yet still standardized test environment. The present study investigates a new VR‐based multimodal assessment tool for adult ADHD, the virtual seminar room (VSR). Twenty‐five unmedicated ADHD patients, 25 medicated ADHD patients, and 25 healthy controls underwent a virtual continuous performance task (CPT) in the VSR with concurrent visual, auditive, and audiovisual distractions. Simultaneously, head movements (actigraphy), gaze behaviour (eye tracking), subjective experience, electroencephalography (EEG), and functional near‐infrared spectroscopy (fNIRS) were recorded. Significant differences between unmedicated patients with ADHD and healthy controls were found in CPT performance, head actigraphy, distractor gaze behaviour, and subjective experience. Moreover, CPT performance parameters demonstrated potential utility for assessing medication effects within the ADHD population. No group differences were found in the Theta‐Beta‐Ratio (EEG) or dorsolateral‐prefrontal oxy‐haemoglobin (fNIRS). Overall, the results are very promising regarding the potential of the VSR as an assessment tool for adult ADHD. In particular, the combined assessment of CPT, actigraphy, and eye tracking parameters appears to be a valid approach to more accurately capture the heterogeneous symptom presentation of the disorder.

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Virtual reality in the diagnostic and therapy for mental disorders: A systematic review

Cited by 74 publications

References 640 publications

The future potential of virtual reality countermeasures for maintaining behavioural health during long duration space exploration

The future potential of virtual reality countermeasures for maintaining behavioural health during long duration space exploration

Describing epilepsy-related anxiety to inform the design of a virtual reality exposure therapy: Results from Phase 1 of the AnxEpiVR clinical trial

Multimodal assessment of adult attention‐deficit hyperactivity disorder: A controlled virtual seminar room study

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