Harnessing Immersive Virtual Reality: A Comprehensive Scoping Review of its Applications in Assessing, Understanding, and Treating Eating Disorders.

IF 5.5 2区 医学 Q1 PSYCHIATRY
Current Psychiatry Reports Pub Date : 2024-09-01 Epub Date: 2024-07-31 DOI:10.1007/s11920-024-01523-2
Anna Flavia Di Natale, Silvia Francesca Maria Pizzoli, Giulia Brizzi, Daniele Di Lernia, Fabio Frisone, Andrea Gaggioli, Elisa Rabarbari, Osmano Oasi, Claudia Repetto, Chiara Rossi, Elisa Scerrati, Daniela Villani, Giuseppe Riva
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Abstract

Background: Immersive Virtual Reality (IVR) has shown promise in the assessment, understanding, and treatment of eating disorders (EDs), providing a dynamic platform for clinical innovation. This scoping review aims to synthesize the recent advancements and applications of IVR in addressing these complex psychological disorders.

Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols, focusing on studies published in the past five years. It included peer-reviewed papers that used IVR for ED assessment, examination, or treatment. A comprehensive database search provided a selection of relevant articles, which were then methodically screened and analyzed.

Results: Twenty studies met the inclusion criteria, with a primary focus on Anorexia Nervosa (AN), Bulimia Nervosa (BN), and Binge Eating Disorder (BED). The application of IVR was categorized into three areas: assessment, understanding, and treatment. IVR was found to be an effective tool in assessing body image distortions and emotional responses to food, providing insights that are less accessible through traditional methods. Furthermore, IVR offers innovative treatment approaches by facilitating exposure therapy, modifying body-related biases, and enabling emotional regulation through embodied experiences. The studies demonstrate IVR's potential to improve body image accuracy, reduce food-related anxieties, and support behavioral changes in ED patients.

Conclusion: IVR stands out as a transformative technology in the field of EDs, offering comprehensive benefits across diagnostic, therapeutic, and experiential domains. The IVR's ability to simulate the brain's predictive coding mechanisms provides a powerful avenue for delivering embodied, experiential interventions that can help recalibrate distorted body representations and dysfunctional affective predictive models implicated in EDs. Future research should continue to refine these applications, ensuring consistent methodologies and wider clinical trials to fully harness IVR's potential in clinical settings.

Abstract Image

利用沉浸式虚拟现实:对其在评估、了解和治疗饮食失调症中的应用进行全面的范围界定。
背景:沉浸式虚拟现实(IVR)在饮食失调(ED)的评估、理解和治疗方面大有可为,为临床创新提供了一个动态平台。本范围综述旨在总结 IVR 在解决这些复杂心理障碍方面的最新进展和应用:本综述遵循《系统综述和元分析协议首选报告项目》,重点关注过去五年中发表的研究。其中包括将 IVR 用于 ED 评估、检查或治疗的同行评审论文。通过全面的数据库搜索,筛选出了相关文章,然后对这些文章进行了有条不紊的筛选和分析:20项研究符合纳入标准,主要集中在神经性厌食症(AN)、神经性贪食症(BN)和暴食症(BED)。IVR 的应用分为三个方面:评估、理解和治疗。研究发现,IVR 是评估身体形象扭曲和对食物的情绪反应的有效工具,能提供传统方法难以提供的见解。此外,IVR 通过促进暴露疗法、改变与身体相关的偏见以及通过具身体验实现情绪调节,提供了创新的治疗方法。这些研究表明,IVR 有潜力提高身体形象的准确性,减少与食物有关的焦虑,并支持 ED 患者的行为改变:结论:IVR 是急诊室领域的一项变革性技术,在诊断、治疗和体验领域具有全面的优势。IVR 能够模拟大脑的预测编码机制,为提供体现性、体验性干预提供了一个强大的途径,有助于重新调整与 ED 有关的扭曲的身体表征和功能失调的情感预测模型。未来的研究应继续完善这些应用,确保采用一致的方法和更广泛的临床试验,以充分利用 IVR 在临床环境中的潜力。
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来源期刊
CiteScore
11.30
自引率
3.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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