scholarly journals The Use of Virtual Reality in Craving Assessment and Cue-Exposure Therapy in Substance Use Disorders

2014 ◽  
Vol 8 ◽  
Author(s):  
Antoine Hone-Blanchet ◽  
Tobias Wensing ◽  
Shirley Fecteau
Keyword(s):  
Substance Use ◽  
Virtual Reality ◽  
Substance Use Disorders ◽  
Exposure Therapy ◽  
Cue Exposure

scholarly journals Translating Virtual Reality Cue Exposure Therapy for Binge Eating into a Real-World Setting: An Uncontrolled Pilot Study

2021 ◽  
Vol 10 (7) ◽  
pp. 1511
Author(s):  
Katherine Nameth ◽  
Theresa Brown ◽  
Kim Bullock ◽  
Sarah Adler ◽  
Giuseppe Riva ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Eating Disorder ◽  
Binge Eating ◽  
Real World ◽  
Exposure Therapy ◽  
Post Treatment ◽  
Cue Exposure ◽  
Treatment Gains ◽  
Intent To Treat

Binge-eating disorder (BED) and bulimia nervosa (BN) have adverse psychological and medical consequences. Innovative interventions, like the integration of virtual reality (VR) with cue-exposure therapy (VR-CET), enhance outcomes for refractory patients compared to cognitive behavior therapy (CBT). Little is known about the feasibility and acceptability of translating VR-CET into real-world settings. To investigate this question, adults previously treated for BED or BN with at least one objective or subjective binge episode/week were recruited from an outpatient university eating disorder clinic to receive up to eight weekly one-hour VR-CET sessions. Eleven of 16 (68.8%) eligible patients were enrolled; nine (82%) completed treatment; and 82% (9/11) provided follow-up data 7.1 (SD = 2.12) months post-treatment. Overall, participant and therapist acceptability of VR-CET was high. Intent-to-treat objective binge episodes (OBEs) decreased significantly from 3.3 to 0.9/week (p < 0.001). Post-treatment OBE 7-day abstinence rate for completers was 56%, with 22% abstinent for 28 days at follow-up. Among participants purging at baseline, episodes decreased from a mean of one to zero/week, with 100% abstinence maintained at follow-up. The adoption of VR-CET into real-world clinic settings appears feasible and acceptable, with a preliminary signal of effectiveness. Findings, including some loss of treatment gains during follow-up may inform future treatment development.

Application of Virtual Reality-Cue Exposure Therapy for Reducing Alcohol Craving

2006 ◽  
Author(s):  
Hyoseok Kwon ◽  
Sungwon Roh ◽  
Joonho Choi ◽  
Byung-Hwan Yang ◽  
Jang-Han Lee
Keyword(s):  
Virtual Reality ◽  
Exposure Therapy ◽  
Cue Exposure ◽  
Alcohol Craving

Application of Virtual Reality-Cue Exposure Therapy for Reducing Alcohol Craving

2006 ◽  
Author(s):  
H. Kwon ◽  
J. Choi ◽  
S. Roh ◽  
B-H. Yang ◽  
J-H. Lee
Keyword(s):  
Virtual Reality ◽  
Exposure Therapy ◽  
Cue Exposure ◽  
Alcohol Craving

scholarly journals Does trauma-focused exposure therapy exacerbate symptoms among patients with comorbid PTSD and substance use disorders?

2019 ◽  
Vol 48 (1) ◽  
pp. 38-53
Author(s):  
Cynthia L. Lancaster ◽  
Daniel F. Gros ◽  
Michael C. Mullarkey ◽  
Christal L. Badour ◽  
Therese K. Killeen ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Prolonged Exposure ◽  
Exposure Therapy ◽  
Psychological Symptoms ◽  
Depression Symptoms ◽  
Post Traumatic Stress ◽  
Concurrent Treatment ◽  
Symptom Exacerbation ◽  
Post Traumatic

AbstractBackground: Although exposure-based therapy is a well-established, effective treatment for post-traumatic stress disorder (PTSD), some practitioners report reluctance to implement it due to concerns that it may exacerbate symptoms of PTSD and commonly comorbid disorders, such as substance use disorders (SUD).Aim: This study compared the exacerbation of psychological symptoms among participants with comorbid PTSD and SUD who received either SUD treatment alone or SUD treatment integrated with exposure therapy for PTSD.Method: Participants (N = 71) were treatment-seeking, military Veterans with comorbid PTSD and SUD who were randomized to 12 individual sessions of either (1) an integrated, exposure-based treatment (Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure; COPE); or (2) a non-exposure-based, SUD-only treatment (Relapse Prevention; RP). We examined between-group differences in the frequency of statistically reliable exacerbations of PTSD, SUD and depression symptoms experienced during treatment.Results: At each of the 12 sessions, symptom exacerbation was minimal and generally equally likely in either treatment group. However, an analysis of treatment completers suggests that RP participants experienced slightly more exacerbations of PTSD symptoms during the course of treatment.Conclusions: This study is the first to investigate symptom exacerbation throughout trauma-focused exposure therapy for individuals with comorbid PTSD and SUD. Results add to a growing literature which suggests that trauma-focused, exposure-based therapy does not increase the risk of symptom exacerbation relative to non-exposure-based therapy.

Pattern of craving response among smokers exposed to virtual reality

2011 ◽  
Vol 26 (S2) ◽  
pp. 91-91
Author(s):  
I. Pericot-Valverde ◽  
O. García-Rodríguez ◽  
K.P. Cabas-Hoyos ◽  
M. Ferrer-García ◽  
J. Gutiérrez-Maldonado
Keyword(s):  
Smoking Cessation ◽  
Substance Use ◽  
Virtual Reality ◽  
Secondary Analysis ◽  
Repeated Exposure ◽  
Cue Exposure ◽  
Exposure Treatment ◽  
Long Duration ◽  
Cue Exposure Treatment

IntroductionTobacco craving is an intense desire to smoke. Cue-induced craving is considered the main responsible for relapse after smoking cessation. Cue Exposure Treatment (CET) consists of controlled and repeated exposure to stimuli associated with substance use in order to reduce craving associated.ObjectiveTo analyze the pattern of craving response of smokers exposed to Virtual Reality environments.MethodsForty-six smokers were exposed randomly to complex virtual scenes of 6 minutes long duration with smoking related cues that reproduce typical situations where people use to smokes. Craving was assessed before each exposure and 6 times during navigation with a visual analogic scale. For this secondary analysis the evolution of craving response were explored for the environments that produced the most and the least craving responses.ResultsIn the environment that produced the highest craving level, the pattern of response remains similar after the second assessment during the exposure, that is, after two minutes. For the environment that trigger the lowest levels, the responses gradually increased during the exposure and the highest level appeared in the last craving assessment, after 6 minutes.ConclusionsThis study has several implications. In the first place, virtual reality environments are able to elicit craving. In the second, we found that differents patterns of craving response exist in response to VR environments. Furthermore, the results obtained in the present study may be useful for cessation programs that include CET, in which is it necessary to know the pattern of desire during the exposure.

scholarly journals Virtual Reality-Based Treatment Approaches in the Field of Substance Use Disorders

2021 ◽  
Author(s):  
N. Tsamitros ◽  
M. Sebold ◽  
S. Gutwinski ◽  
A. Beck
Keyword(s):  
Clinical Trials ◽  
Substance Use ◽  
Virtual Reality ◽  
Substance Use Disorders ◽  
Assessment Tool ◽  
Negative Consequences ◽  
Controlled Clinical Trials ◽  
Randomized Controlled Clinical Trials ◽  
Randomized Controlled ◽  
Large Samples

Abstract Purpose Substance use disorders (SUD) are burdening chronic conditions characterized by high relapse rates despite severe negative consequences. Substance-related cues that elicit craving by means of automatic physiological and behavioural responses have long been suggested to predict relapse. One major mechanism contributing to relapse behaviour are cue-induced behavioural approach tendencies towards the addictive agent. Recently, there has been an emerging interest in virtual reality (VR)-based approaches to assess and modify craving and its related responses. This review aims at elucidating (1) VR techniques applied in the field of SUD, (2) VR as an induction/assessment tool for biopsychological correlates of craving and (3) VR-based therapeutic approaches. Findings There is an emerging number of studies focusing on different substances of abuse incorporating VR in craving induction/assessment as well as therapy. Despite some limitations as missing of randomized controlled clinical trials with large samples and missing data on the long-term effects of VR treatment, the VR approach showed consistent results in eliciting and reducing craving across different substances. Summary This review suggests virtual reality as a promising tool for the assessment and treatment of craving among individuals with substance use disorders. Because of its ecological validity, VR unifies the benefits of a laboratory setting with the advantages of a realistic environment. Further studies with large samples and randomized controlled clinical trials using more homogenous VR techniques as well as assessment of objective biophysiological craving markers are required.

scholarly journals Translating Virtual Reality Cue Exposure Therapy for Binge Eating into a Real-World Setting: A Pilot Study

2021 ◽  
Author(s):  
Katherine Nameth ◽  
Theresa Brown ◽  
Kim Bullock ◽  
Sarah Adler ◽  
Giuseppe Riva ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Eating Disorder ◽  
Binge Eating ◽  
Real World ◽  
Exposure Therapy ◽  
Post Treatment ◽  
Cue Exposure ◽  
Treatment Gains ◽  
Intent To Treat

Binge-eating disorder (BED) and bulimia nervosa (BN) have adverse psychological and medical consequences. Novel interventions, like the integration of virtual reality (VR) with cue-exposure therapy (VR-CET), enhance outcomes for refractory patients compared to cognitive behavior therapy (CBT). Little is known about the feasibility and acceptability of translating VR-CET into real-world settings. To investigate this question, adults previously treated for BED or BN with at least one objective or subjective binge episode/week were recruited from an outpatient University eating disorder clinic to receive up to eight weekly one-hour VR-CET sessions. Eleven of 16 (68.8%) eligible patients enrolled; nine (82%) completed treatment; 82% (9/11) provided follow-up data 7.1 (SD=2.12) months post-treatment. Overall, participant and therapist acceptability of VR-CET was high. Intent-to-treat objective binge episodes (OBEs) decreased significantly from 3.3 to 0.9/week (p &amp;lt; .001). Post-treatment OBE 7-day abstinence rate for completers was 56%, with 22% abstinent for 28 days at follow-up. Among participants purging at baseline, episodes decreased from a mean of one to zero/week, with 100% abstinence maintained at follow-up. The adoption of VR-CET into real-world clinic settings appears feasible and acceptable, with a preliminary signal of efficacy. Findings, including some loss of treatment gains during follow-up may inform future treatment development.

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