{"title":"虚拟现实暴露疗法治疗叙利亚难民妇女慢性战争相关创伤后应激障碍:一项混合方法试点研究。","authors":"Timotaos Basmaji","doi":"10.1037/tra0002015","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the feasibility and efficacy of a culturally adapted virtual reality exposure therapy program for Syrian refugee women with chronic posttraumatic stress disorder (PTSD).</p><p><strong>Method: </strong>A mixed methods pilot study was conducted with eight Syrian refugee women (aged 25-60) in Lebanon. Participants completed a 13-session virtual reality exposure therapy intervention delivered in three phases: auditory triggers, audiovisual simulations, and immersive 360° war-related environments. PTSD symptoms were assessed pre and postintervention using the validated Arabic PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders,</i> fifth edition (American Psychiatric Association, 2013) supplemented by qualitative interviews.</p><p><strong>Results: </strong>Participants demonstrated a significant reduction in PTSD symptoms (mean PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition decrease: 30.75 points, <i>p</i> < .001, <i>d</i> = 2.89). Six out of eight participants achieved subclinical PTSD levels posttreatment. Symptom reductions persisted at 6-month follow-up (<i>p</i> < .001). Qualitative themes highlighted improved emotional regulation, reduced hypervigilance, and challenges with claustrophobia during immersion.</p><p><strong>Conclusions: </strong>This pilot study provides preliminary evidence that virtual reality exposure therapy is a promising, scalable, and culturally sensitive intervention for trauma-exposed refugee populations. Future research with larger randomized trials is warranted to confirm efficacy and improve accessibility in humanitarian settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Virtual reality exposure therapy for chronic war-related posttraumatic stress disorder in Syrian refugee women: A mixed methods pilot study.\",\"authors\":\"Timotaos Basmaji\",\"doi\":\"10.1037/tra0002015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study evaluates the feasibility and efficacy of a culturally adapted virtual reality exposure therapy program for Syrian refugee women with chronic posttraumatic stress disorder (PTSD).</p><p><strong>Method: </strong>A mixed methods pilot study was conducted with eight Syrian refugee women (aged 25-60) in Lebanon. Participants completed a 13-session virtual reality exposure therapy intervention delivered in three phases: auditory triggers, audiovisual simulations, and immersive 360° war-related environments. PTSD symptoms were assessed pre and postintervention using the validated Arabic PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders,</i> fifth edition (American Psychiatric Association, 2013) supplemented by qualitative interviews.</p><p><strong>Results: </strong>Participants demonstrated a significant reduction in PTSD symptoms (mean PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition decrease: 30.75 points, <i>p</i> < .001, <i>d</i> = 2.89). Six out of eight participants achieved subclinical PTSD levels posttreatment. Symptom reductions persisted at 6-month follow-up (<i>p</i> < .001). Qualitative themes highlighted improved emotional regulation, reduced hypervigilance, and challenges with claustrophobia during immersion.</p><p><strong>Conclusions: </strong>This pilot study provides preliminary evidence that virtual reality exposure therapy is a promising, scalable, and culturally sensitive intervention for trauma-exposed refugee populations. Future research with larger randomized trials is warranted to confirm efficacy and improve accessibility in humanitarian settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":20982,\"journal\":{\"name\":\"Psychological trauma : theory, research, practice and policy\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychological trauma : theory, research, practice and policy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/tra0002015\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological trauma : theory, research, practice and policy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/tra0002015","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的:本研究评估了一种文化适应的虚拟现实暴露治疗方案对患有慢性创伤后应激障碍(PTSD)的叙利亚难民妇女的可行性和有效性。方法:对黎巴嫩的8名叙利亚难民妇女(25-60岁)进行了一项混合方法的试点研究。参与者完成了13个阶段的虚拟现实暴露治疗干预,分为三个阶段:听觉触发、视听模拟和沉浸式360°战争相关环境。采用经验证的《阿拉伯语创伤后应激障碍诊断与统计手册》第五版(美国精神病学协会,2013年),辅以定性访谈,评估干预前后的创伤后应激障碍症状。结果:参与者表现出PTSD症状的显著减少(精神障碍诊断与统计手册第五版PTSD检查表平均减少:30.75分,p < 0.001, d = 2.89)。8名参与者中有6名在治疗后达到了亚临床PTSD水平。在6个月的随访中,症状持续减轻(p < 0.001)。定性主题强调改善情绪调节,减少过度警惕,并挑战幽闭恐惧症在浸泡。结论:这项试点研究提供了初步证据,表明虚拟现实暴露疗法是一种有前途的、可扩展的、文化敏感的创伤暴露难民干预措施。未来有必要进行更大规模的随机试验,以确认疗效并改善人道主义环境下的可及性。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Virtual reality exposure therapy for chronic war-related posttraumatic stress disorder in Syrian refugee women: A mixed methods pilot study.
Objective: This study evaluates the feasibility and efficacy of a culturally adapted virtual reality exposure therapy program for Syrian refugee women with chronic posttraumatic stress disorder (PTSD).
Method: A mixed methods pilot study was conducted with eight Syrian refugee women (aged 25-60) in Lebanon. Participants completed a 13-session virtual reality exposure therapy intervention delivered in three phases: auditory triggers, audiovisual simulations, and immersive 360° war-related environments. PTSD symptoms were assessed pre and postintervention using the validated Arabic PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, fifth edition (American Psychiatric Association, 2013) supplemented by qualitative interviews.
Results: Participants demonstrated a significant reduction in PTSD symptoms (mean PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, fifth edition decrease: 30.75 points, p < .001, d = 2.89). Six out of eight participants achieved subclinical PTSD levels posttreatment. Symptom reductions persisted at 6-month follow-up (p < .001). Qualitative themes highlighted improved emotional regulation, reduced hypervigilance, and challenges with claustrophobia during immersion.
Conclusions: This pilot study provides preliminary evidence that virtual reality exposure therapy is a promising, scalable, and culturally sensitive intervention for trauma-exposed refugee populations. Future research with larger randomized trials is warranted to confirm efficacy and improve accessibility in humanitarian settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy.
The journal publishes empirical research on a wide range of trauma-related topics, including:
-Psychological treatments and effects
-Promotion of education about effects of and treatment for trauma
-Assessment and diagnosis of trauma
-Pathophysiology of trauma reactions
-Health services (delivery of services to trauma populations)
-Epidemiological studies and risk factor studies
-Neuroimaging studies
-Trauma and cultural competence