اکتشاف و پردازش هوشمند دانش

اکتشاف و پردازش هوشمند دانش

درمان نوآورانه واقعیت مجازی برای OCD: اثربخشی، بینش‌های عصبی، و دستورالعمل‌های آینده

نوع مقاله : مقاله پژوهشی

نویسندگان
1 دانشکده ی مهندسی پزشکی - دانشگاه ازاد تهران مرکز - تهران-
2 گروه مهندسی پزشکی - دانشگاه ازاد واحد علوم تحقیقات - تهران ایران
3 دانشکده علوم پزشکی - دانشگاه بیرجند - ایران
چکیده
Background: Obsessive-Compulsive Disorder (OCD) is a debilitating mental health condition that can significantly impair an individual's quality of life. While traditional exposure-based therapies have shown promise, there is a growing interest in the use of virtual reality (VR) to enhance the effectiveness of OCD treatment. This study aimed to investigate the impact of a VR-based intervention on OCD symptom severity, associated mental health outcomes, and underlying neural correlates.
Methods: Thirty individuals diagnosed with OCD were recruited for this study. Participants engaged in a series of VR-based exposure therapy sessions, during which their brain activity was continuously monitored using a 32-channel EEG system. The primary outcome measure was the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), and secondary measures included assessments of anxiety, depression, and quality of life. Data was analyzed using repeated-measures ANOVA and correlational analyses.
Results: The VR-based intervention resulted in a significant reduction in OCD symptom severity, as measured by the Y-BOCS, from baseline to post-treatment, and these improvements were maintained at the 3-month follow-up. Participants also reported significant improvements in anxiety, depression, and quality of life. The EEG data analysis revealed increased alpha and beta power in the medial prefrontal cortex and anterior cingulate cortex, brain regions associated with cognitive control and emotional regulation, which were positively correlated with the degree of clinical improvement.
Conclusion: This study provides evidence for the efficacy of VR-based therapy in the treatment of OCD and suggests that this approach may lead to measurable changes in brain function that are linked to positive clinical outcomes. The involvement of bachelor's degree students in the research process highlights the value of interdisciplinary collaboration in advancing the field of mental health treatment.
کلیدواژه‌ها

1.      Dellazizzo, L., Potvin, S., Phraxayavong, K., & Dumais, A. (2021). One-year randomized trial comparing virtual reality-assisted therapy to cognitive–behavioral therapy for patients with treatment-resistant schizophrenia. npj Schizophrenia7(1), 9.
2.      Fernández-Álvarez, J., Di Lernia, D., & Riva, G. (2020). Virtual reality for anxiety disorders: rethinking a field in expansion. Anxiety disorders: Rethinking and understanding recent discoveries, 389-414.
3.      Ferraioli, F., Culicetto, L., Cecchetti, L., Falzone, A., Tomaiuolo, F., Quartarone, A., & Vicario, C. M. (2024). Virtual Reality Exposure Therapy for Treating Fear of Contamination Disorders: A Systematic Review of Healthy and Clinical Populations. Brain Sciences14(5), 510.
4.      Ferreri, F., Bourla, A., Peretti, C. S., Segawa, T., Jaafari, N., & Mouchabac, S. (2019). How new technologies can improve prediction, assessment, and intervention in obsessive-compulsive disorder (e-OCD). JMIR mental health6(12), e11643.
5.      Goldani Moghadam, M., Hosseini Sede, S., Mousavi, S. B., Mohtasham, S., Ehteshampour, A., Alikhani, R., ... & Zare_Bidaki, M. (2021). Virtual Reality Videos and Their Effect on Adolescent Anxiety during Orthodontic Treatments: A Parallel Randomized Controlled Trial. Interdisciplinary Journal of Virtual Learning in Medical Sciences12(1), 29-37.
6.      Javaherirenani, R., Mortazavi, S. S., Shalbafan, M., Ashouri, A., & Farani, A. R. (2022). Virtual reality exposure and response prevention in the treatment of obsessive-compulsive disorder in patients with contamination subtype in comparison with in vivo exposure therapy: a randomized clinical controlled trial. BMC psychiatry22(1), 740.
7.      Mousavi, S. A., Tahami, E., & Bidaki, M. Z. (2023). The Effect of Using Virtual Reality Games on Health and Fitness. Journal of Computer & Robotics17(1), 17-26.
8.      Ogugua, J. O., Okongwu, C. C., Akomolafe, O. O., Anyanwu, E. C., & Daraojimba, O. D. (2024). Mental health and digital technology: a public health review of current trends and responses. International Medical Science Research Journal4(2), 108-125.
9.      Reddy, Y. J., Sudhir, P. M., Manjula, M., Arumugham, S. S., & Narayanaswamy, J. C. (2020). Clinical practice guidelines for cognitive-behavioral therapies in anxiety disorders and obsessive-compulsive and related disorders. Indian journal of psychiatry62(Suppl 2), S230-S250.
10.  Sariya, A., Nanawati, R., & Agarwal, S. (2022). Use of Virtual Reality in Exposure Therapy and Other Psychological Treatment Methods. In Multimedia Computing Systems and Virtual Reality (pp. 1-26). CRC Press.
11.  Semeniuc, S., Sterie, M. C., Soponaru, C., Butnaru, S., & Gavrilovici, O. (2023). Therapists’ problematic experiences when working with obsessive-compulsive disorder: a qualitative investigation of schema modes, mode cycles, and strategies to return to healthy adult mode. Frontiers in Psychiatry14, 1157553.
12.  Singh, A., Anjankar, V. P., & Sapkale, B. (2023). Obsessive-compulsive disorder (OCD): a comprehensive review of diagnosis, comorbidities, and treatment approaches. Cureus15(11).
13.  Sumathi, S., Nivethika, S. D., Naresh, M., Pranyka, R. A., & Srividhya, M. (2023, December). Virtual Reality Exposure Therapy for Claustrophobia and Nyctophobia. In 2023 Intelligent Computing and Control for Engineering and Business Systems (ICCEBS) (pp. 1-5). IEEE.
14.  Tabbaa, L., Ang, C. S., Siriaraya, P., She, W. J., & Prigerson, H. G. (2021). A reflection on virtual reality design for psychological, cognitive and behavioral interventions: design needs, opportunities and challenges. International Journal of Human–Computer Interaction37(9), 851-866.
15.  Wu, M. S., Thamrin, H., & Pérez, J. (2020). Exposure with response prevention for obsessive-compulsive disorder in children and adolescents. In Exposure Therapy for Children with Anxiety and OCD (pp. 245-268). Academic Press.