Tatjana Anne Korbanka, Sandra Schild, Isabelle Mack, Katrin Elisabeth Giel, Simone Claire Behrens
{"title":"在虚拟现实中对肥胖个体治疗进展的反映：一项试点研究。","authors":"Tatjana Anne Korbanka, Sandra Schild, Isabelle Mack, Katrin Elisabeth Giel, Simone Claire Behrens","doi":"10.1007/s40519-025-01780-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Obesity is a major health challenge, requiring the development of more effective interventions. Setting realistic goals and developing detailed plans that anticipate potential challenges can be helpful strategies for bridging the intention-behavior gap. Immersive technologies, such as virtual reality (VR), are considered to further support closing this gap by reducing the distance to one's future self.</p><p><strong>Methods: </strong>This study investigates a novel VR-supported reflection exercise as an additional treatment module within a conservative obesity treatment regime. It examines its feasibility, acceptance and short- and medium-term effects on participants' therapy motivation, body dissatisfaction, self-esteem, depressive symptoms, and eating behavior. 23 participants (BMI: M = 43.44 kg/m<sup>2</sup>, SD = 4.42) were presented with a real-time animated body avatar that had the average body shape for their individual height, initial weight, and realistic target weight (- 10%), and standard appearance matched in terms of hair and skin color. The avatar could be viewed from first-person and mirror perspectives. The exercise included reflective questions about their experience, well-being, daily life, and eating and movement behavior.</p><p><strong>Results: </strong>Participation and dropout rates of the VR-supported reflection exercise, user experience ratings, assessments on general discomfort and qualitative feedback demonstrated good feasibility and acceptance of the VR exercise. There were no measurable effects of a single session on clinical outcomes, including motivation to change, eating disorder psychopathology, self-esteem and depressive symptoms.</p><p><strong>Conclusions: </strong>The VR-based reflection exercise was feasible and well-accepted. The sample was highly burdened with multimorbidity, severe obesity (grade III), and psychological stress. A clinical trial with sufficient dosage would be required to infer about clinical effects.</p><p><strong>Level of evidence: </strong>Level 4.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"74"},"PeriodicalIF":2.8000,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443911/pdf/","citationCount":"0","resultStr":"{\"title\":\"Reflection of therapy progress in virtual reality for individuals affected by obesity: a pilot study.\",\"authors\":\"Tatjana Anne Korbanka, Sandra Schild, Isabelle Mack, Katrin Elisabeth Giel, Simone Claire Behrens\",\"doi\":\"10.1007/s40519-025-01780-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Obesity is a major health challenge, requiring the development of more effective interventions. Setting realistic goals and developing detailed plans that anticipate potential challenges can be helpful strategies for bridging the intention-behavior gap. Immersive technologies, such as virtual reality (VR), are considered to further support closing this gap by reducing the distance to one's future self.</p><p><strong>Methods: </strong>This study investigates a novel VR-supported reflection exercise as an additional treatment module within a conservative obesity treatment regime. It examines its feasibility, acceptance and short- and medium-term effects on participants' therapy motivation, body dissatisfaction, self-esteem, depressive symptoms, and eating behavior. 23 participants (BMI: M = 43.44 kg/m<sup>2</sup>, SD = 4.42) were presented with a real-time animated body avatar that had the average body shape for their individual height, initial weight, and realistic target weight (- 10%), and standard appearance matched in terms of hair and skin color. The avatar could be viewed from first-person and mirror perspectives. The exercise included reflective questions about their experience, well-being, daily life, and eating and movement behavior.</p><p><strong>Results: </strong>Participation and dropout rates of the VR-supported reflection exercise, user experience ratings, assessments on general discomfort and qualitative feedback demonstrated good feasibility and acceptance of the VR exercise. There were no measurable effects of a single session on clinical outcomes, including motivation to change, eating disorder psychopathology, self-esteem and depressive symptoms.</p><p><strong>Conclusions: </strong>The VR-based reflection exercise was feasible and well-accepted. The sample was highly burdened with multimorbidity, severe obesity (grade III), and psychological stress. A clinical trial with sufficient dosage would be required to infer about clinical effects.</p><p><strong>Level of evidence: </strong>Level 4.</p>\",\"PeriodicalId\":11391,\"journal\":{\"name\":\"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity\",\"volume\":\"30 1\",\"pages\":\"74\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-09-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443911/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s40519-025-01780-x\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s40519-025-01780-x","RegionNum":3,"RegionCategory":"医学","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：肥胖是一项重大的健康挑战，需要开发更有效的干预措施。设定现实的目标，制定详细的计划，预测潜在的挑战，可以帮助弥合意图和行为之间的差距。虚拟现实（VR）等沉浸式技术被认为可以通过缩短与未来自我的距离来进一步缩小这一差距。方法：本研究探讨了一种新的vr支持的反射练习作为保守肥胖治疗方案中的附加治疗模块。研究其可行性、可接受性及中短期对被试治疗动机、身体不满意、自尊、抑郁症状和饮食行为的影响。23名参与者（BMI: M = 43.44 kg/m2, SD = 4.42）被呈现给一个实时动画身体化身，该身体化身具有他们个人身高、初始体重和现实目标体重（- 10%）的平均体型，并且在头发和肤色方面符合标准外观。角色可以从第一人称视角和镜像视角观看。这项练习包括关于他们的经历、幸福感、日常生活、饮食和运动行为的反思性问题。结果：VR支持的反思练习的参与率和辍学率、用户体验评分、一般不适评估和定性反馈表明VR练习具有良好的可行性和可接受性。单次治疗对临床结果没有可测量的影响，包括改变的动机、饮食失调精神病理、自尊和抑郁症状。结论：基于vr的反思练习是可行且被广泛接受的。该样本具有多重疾病、严重肥胖（III级）和心理压力。需要足够剂量的临床试验来推断临床效果。证据等级：四级。
Reflection of therapy progress in virtual reality for individuals affected by obesity: a pilot study.
Purpose: Obesity is a major health challenge, requiring the development of more effective interventions. Setting realistic goals and developing detailed plans that anticipate potential challenges can be helpful strategies for bridging the intention-behavior gap. Immersive technologies, such as virtual reality (VR), are considered to further support closing this gap by reducing the distance to one's future self.
Methods: This study investigates a novel VR-supported reflection exercise as an additional treatment module within a conservative obesity treatment regime. It examines its feasibility, acceptance and short- and medium-term effects on participants' therapy motivation, body dissatisfaction, self-esteem, depressive symptoms, and eating behavior. 23 participants (BMI: M = 43.44 kg/m2, SD = 4.42) were presented with a real-time animated body avatar that had the average body shape for their individual height, initial weight, and realistic target weight (- 10%), and standard appearance matched in terms of hair and skin color. The avatar could be viewed from first-person and mirror perspectives. The exercise included reflective questions about their experience, well-being, daily life, and eating and movement behavior.
Results: Participation and dropout rates of the VR-supported reflection exercise, user experience ratings, assessments on general discomfort and qualitative feedback demonstrated good feasibility and acceptance of the VR exercise. There were no measurable effects of a single session on clinical outcomes, including motivation to change, eating disorder psychopathology, self-esteem and depressive symptoms.
Conclusions: The VR-based reflection exercise was feasible and well-accepted. The sample was highly burdened with multimorbidity, severe obesity (grade III), and psychological stress. A clinical trial with sufficient dosage would be required to infer about clinical effects.
期刊介绍：
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
