Does Virtual Reality Increase Simulator Sickness During Exposure Therapy for Post-Traumatic Stress Disorder?

2019 ◽  
Vol 25 (9) ◽  
pp. 859-861 ◽  
Author(s):  
Greg M. Reger ◽  
Derek Smolenski ◽  
Amanda Edwards-Stewart ◽  
Nancy A. Skopp ◽  
Albert “Skip” Rizzo ◽  
...  
2021 ◽  
Vol 11 (15) ◽  
pp. 6683
Author(s):  
Sorelle Audrey Kamkuimo ◽  
Benoît Girard ◽  
Bob-Antoine J. Menelas

Virtual reality (VR) technologies allow for the creation of 3D environments that can be exploited at the human level, maximizing humans’ use of perceptual skills through their sensory channels, and enabling them to actively influence the course of events that take place in the virtual environment (VE). As such, they constitute a significant asset in the treatment of post-traumatic stress disorder (PTSD) via exposure therapy. In this article, we review the VR tools that have been developed to date for the treatment of PTSD. The article aims to analyze how VR technologies can be exploited from a sensorimotor and interactive perspective. The findings from this analysis suggest a significant emphasis on sensory stimulation to the detriment of interaction. Finally, we propose new ideas regarding the more successful integration of sensorimotor activities and interaction into VR exposure therapy for PTSD.


2018 ◽  
Vol 8 (8) ◽  
pp. 76 ◽  
Author(s):  
Sorelle Kamkuimo Kengne ◽  
Mathilde Fossaert ◽  
Benoît Girard ◽  
Bob-Antoine Menelas

Post-Traumatic Stress Disorder (PTSD) can be seen as the result of dysfunctional beliefs that associate stimuli with a danger or a threat leading to anxious reactions. Exposure therapy is so far considered to be the most effective treatment, and research suggests that it is mainly based on a habituation process. Based on learning theories, it appears that a passive systemic exposure to traumatic stimuli should not be the best option for the treatment of PTSD. We hypothesis that an active learning of safer and healthier coping strategies combined with systematic exposure should be more effective in reducing the psychological distress associated with PTSD. In this paper, we describe the theoretical foundations of this approach that focuses on the action and activity of the patient in his or her exposure environment. In this approach, we take advantage of Virtual Reality technologies and learning mechanics of serious games to allow the patient to learn new safe associations while promoting the empowerment. We named this action-centered exposure therapy (ACET). This approach exploits behaviorism, cognitivism, and constructivism learning theories. With the different benefits of virtual reality technologies, this approach would easily integrate with in-virtuo exposure therapy and would allow us to exploit as much as possible the enormous potential of these technologies. As a first step toward validation, we present a case study that supports the ACET approach.


Author(s):  
Simar Singh ◽  
Dan Nathan-Roberts

This systematic review determines the efficacy of virtual reality (VR) therapy for veterans and active service members with combat related post-traumatic stress disorder (PTSD) and identifies common themes among studies utilizing VR. A total of 222 articles were initially considered for this systematic review, and the inclusion and exclusion criteria left 14 articles to be analyzed. A statistically significant or clinically significant reduction in PTSD scores was reported in 64% of the articles after the use of a VR-based therapy. However, no articles provided evidence for VR therapy being statistically better than other forms of therapy in treating PTSD. VR exposure therapy was used in 71% of the studies, making it the most commonly used form of VR therapy, followed by VR graded exposure therapy at 21% and VRET-arousal control at 7%. Limitations and future studies are also discussed.


2021 ◽  
Author(s):  
Ivan Dandy Nugraha

Background: Post-traumatic stress disorder (PTSD) develops as a result of directly experiencing, witnessing, or being repeatedly exposed to aversive details of, a potentially traumatic event such as death, combat, sexual assault, or serious injury. It involves a persistent feeling of fear that results from inadequate consolidation of trauma memory. PTSD negatively impacts patients' daily lives and is associated with a higher risk of death. The downside of trauma-focused imaginal exposure therapy is the inability of patients to recall the underlying traumatic event and its effects. The development of modern technology has made it possible to overcome the downside. Virtual reality exposure therapy (VRET) is now available for alternative choice of PTSD therapy. VRET is allowing to create traumatic stimuli that are more controlled and realistic. VRET supports wider methodologies in clinical studies because it supports standardization duration and type of exposure for all patients. This study aimed to verify the efficacy of Virtual Reality Exposure Therapy (VRET) for Post-Traumatic Stress Disorder (PTSD).Methods: The search strategy was conducted through PubMed, LinkSpringer, and LIVIVO. About 71 articles were retrieved using ‘post-traumatic stress disorder’ and ‘virtual reality exposure’ keywords. Further, screening was carried out and resulted in 8 articles. In the end, four articles were included. To be eligible, the articles should be randomized controlled trial articles, published from 2011-2121, and published in English.Results: Four RCTs included in this study reported that VRET has a significant effect in reducing CAPS and PTSD symptoms. One study also reported that VRET could help with depressive symptoms and reduce autonomic symptoms such as heart rate as a response to trauma cues. Conclusions: VRET has an obvious and significant impact on alleviating PTSD symptoms, even though if there were a more standardized protocol or more diverse RCT the effect and use of VRET could be even more promising thus making VRET has more ground to be applied to the general population.


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