Anksiyete Bozukluklarında Sanal Gerçeklik
Yıl 2018,
Cilt: 10 Sayı: 1, 99 - 117, 31.03.2018
Elif Üzümcü
Burçin Akın
Hüseyin Nergiz
,
Müjgan İnözü
,
Ufuk Çelikcan
Öz
Sanal gerçeklik, bireyin duyularını yanıltarak fiziksel olarak sanal ortamın içindeymiş gibi hissetmesine olanak sağlayan üç boyutlu bilgisayar grafikleri temelli teknolojilerin kullanıldığı görece yeni bir maruz bırakma aracıdır. Sanal gerçeklik çalışmalarının son yıllarda klinik psikoloji alanında da yaygınlaştığı; sanal gerçekliğe dayalı terapilerin başta anksiyete bozuklukları olmak üzere geniş bir yelpazede uygulama alanına sahip olduğu görülmektedir. Sanal gerçekliğin zihinsel imgelemeye kıyasla daha gerçekçi olduğu ve daha güçlü bir “orada olma” hissi yarattığı; yaşantısal maruz bırakmaya kıyasla ise daha güvenli bir başlangıç noktası olduğu, daha kullanışlı ve kontrollü bir şekilde uygulanabildiği belirtilmektedir. Bu derleme makalesinde anksiyete bozukluklarında (özgül fobi, panik bozukluk ve agorafobi, yaygın anksiyete bozukluğu, sosyal fobi), travma sonrası stres bozukluğunda ve obsesif-kompulsif bozuklukta sanal gerçekliğe dayalı olarak gerçekleştirilen maruz bırakma çalışmalarının incelenmesi amaçlanmıştır.
Kaynakça
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Virtual Reality for Anxiety Disorders
Yıl 2018,
Cilt: 10 Sayı: 1, 99 - 117, 31.03.2018
Elif Üzümcü
Burçin Akın
Hüseyin Nergiz
,
Müjgan İnözü
,
Ufuk Çelikcan
Öz
Virtual reality is a relatively new exposure tool that uses three-dimensional computer-graphics-based technologies which allow the individual to feel as if they are physically inside the virtual environment by misleading their senses. As virtual reality studies have become popular in the field of clinical psychology in recent years, it has been observed that virtual-reality-based therapies have a wide range of application areas, especially on anxiety disorders. Studies indicate that virtual reality can be more realistic than mental imagery and can create a stronger feeling of “presence”; that it is a safer starting point compared to in vivo exposure; and that it can be applied in a more practical and controlled manner. The aim of this review is to investigate exposure studies based on virtual reality in anxiety disorders (specific phobias, panic disorder and agoraphobias, generalized anxiety disorder, social phobia), posttraumatic stress disorder and obsessive compulsive disorder.
Kaynakça
- Abdüsselam MS, Karal H (2012) Fizik öğretiminde artırılmış gerçeklik ortamlarının öğrenci akademik başarısı üzerine etkisi: 11. sınıf manyetizma konusu örneği. Eğitim ve Öğretim Araştırmaları Dergisi, 1:170-181.
- Abramowitz JS, Brigidi BD, Roche KR (2001) Cognitive-behavioral therapy for obsessive-compulsive disorder: a review of the treatment literature. Res Soc Work Pract, 11:357-372.
- APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC, American Psychiatric Association.
- Anderson P, Rothbaum BO, Hodges LF (2003) Virtual reality in the treatment of social anxiety: two case reports. Cogn Behav Prac, 10:240–247.
- Anderson PL, Zimand E, Hodges LF, Rothbaum BO (2005) Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure. Depress Anxiety, 22:156-158.
- Balcıoğlu İ, Ünsalver BÖ (2006) Yaygın anksiyete bozukluğu: epidemiyoloji, prognoz ve farmakolojik olmayan tedaviler. Cerrahpaşa Tıp Fakültesi Dergisi, 37:115-120.
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- Belloch A, Cabedo E, Carrió C, Lozano-Quilis JA, Gil-Gómez JA, Gil-Gómez H (2014) Virtual reality exposure for OCD: is it feasible? Revista de Psicopatología y Psicología Clínica, 19:37-44.
- Botella C, Baños RM, Perpiñá C, Villa H, Alcañiz M, Rey A (1998) Virtual reality treatment of claustrophobia: a case report. Behav Res Ther, 36:239–246.
- Botella C, Baños RM, Villa H, Perpiñá C, García-Palacios A (2000) Virtual reality in the treatment of claustrophobic fear: a controlled, multiple-baseline design. Behav Ther, 31:583-595.
- Botella C, Osma J, Garcia-Palacios A, Quero S, Baños RM (2004) Treatment of flying phobia using virtual reality: data from a 1-year follow-up using a multiple baseline design. Clin Psychol Psychother, 11:311–323.
- Botella CM, Juan MC, Baños RM, Alcañiz M, Guillén V, Rey B (2005) Mixing realities? an application of augmented reality for the treatment of cockroach phobia. Cyberpsychol Behav, 8:162–171.
- Botella C, Villa H, García-Palacios A, Baños RM, Quero S, Alcañiz M et al. (2007) Virtual reality exposure in the treatment of panic disorder and agoraphobia: a controlled study. Clin Psychol Psychother, 14:164–175.
- Botella C, Breton-López J, Quero S, Baños RM, García-Palacios A, Zaragoza, I et al. (2011) Treating cockroach phobia using a serious game on a mobile phone and augmented reality exposure: a single case study. Comput Human Behav, 27:217–217.
- Bouchard S, St-Jacques J, Côté S, Robillard G, Renaud P (2003) Exemples de l’utilisation de la réalité virtuelle dans le traitement des phobies (using virtual reality in the treatment of phobias). Revue Francophone de Clinique Comportementale et Cognitive, 8(4):5–12.
- Bouchard S, Côté S, St-Jacques J, Robillard G, Renaud P (2006) Effectiveness of virtual reality exposure in the treatment of arachnophobia using 3D games. Technol Health Care, 14:19-27.
- Bouchard S, Dumoulin S, Robillard G, Guitard T, Klinger E, Forget H et al. (2011) A randomized control trial for the use of in virtuo exposure in the treatment of social phobia: final results. J Cyber Ther Rehabil, 4:197-200.
- Bullinger AH (2005) Treating acrophobia in a virtual environment. 10th Annual CyberTherapy Conference, June 6–10 2005, Basel, Switzerland.
- Carlin AS, Hoffman HG, Weghorst S (1997) Virtual reality and tactile augmentation in the treatment of spider phobia: a case report. Behav Res Ther, 35:153-158.
- Choi YH, Jang DP, Ku JH, Shin MB, Kim SI (2001) Short-term treatment of acrophobia with virtual reality therapy (VRT): a case report. Cyberpsychol Behav, 4:349–354.
- Côté S, Bouchard S (2008) Virtual reality exposure for phobias: a critical review. J Cyber Ther Rehabil, 1:75-91.
- Deacon BJ, Abramowitz JS (2004) Cognitive and behavioral treatments for anxiety disorders: a review of meta-analytic findings. J Clin Psychol, 60:429-441.
- Difede J, Hoffman HG (2002) Virtual reality exposure therapy for World Trade Center post-traumatic stress disorder: a case report. Cyberpsychol Behav, 5:529–535.
- Dilbaz N (2000) Sosyal anksiyete bozukluğu: tanı, epidemiyoloji, etiyoloji, klinik ve ayırıcı tanı. Klinik Psikiyatri Dergisi, 2:3-21.
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