Virtual Reality and Augmented Reality in Psychiatric Disorders

Yıl 2021, Cilt: 9 Sayı: 3, 516 - 532, 30.09.2021

Neşe Özkan Yılmaz , Fecir Duran , Ugur Fidan

https://doi.org/10.29109/gujsc.961331

Cited By: 3

Öz

In this study, studies conducted in the last 10 years in psychiatric disorders with virtual reality and augmented reality application were examined. Studies done so far; The psychiatric disorder studied, the equipment used, the number of people participating in the study, the database in which the study was scanned, and the results of the studies were evaluated according to the criteria. Studies using disease-specific questionnaires include 30% of all studies. In some studies, it is seen that physiological parameters are also used. Studies using physiological parameters correspond to only 10% of all studies. The practices carried out are to reduce the symptoms brought by the disease and to increase the quality of life by helping to eliminate the disease conditions of the people. Approximately 77% of the studies were carried out in the field of virtual reality and 23% in the field of augmented reality. Based on the articles examined within the scope of the study, some deficiencies in virtual reality and/or augmented reality applications in psychiatric diseases were identified. For example, whether the applications made have a disturbing effect on the users should be determined by using the SSQ questionnaire. In addition, the auditory parameters as well as the visual parameters that make up the virtual environment should be used effectively in this process. It has been observed that among the studies in the literature, the positive or negative effects of auditory parameters on users are not mentioned. It is considered that it will be beneficial for studies to examine the effect of auditory elements in the use of virtual reality environment.

Anahtar Kelimeler

Virtual reality, augmented reality, neurodevelopmental disorders, anxiety / phobia, pain perception / feeling, mental disorders

Psikiyatrik Rahatsızlıklarda Sanal Gerçeklik ve Artırılmış Gerçeklik

Öz

Bu çalışmada sanal gerçeklik ve artırılmış gerçeklik uygulaması ile psikiyatrik rahatsızlıklarda son 10 yılda yapılan çalışmalar incelenmiştir. Günümüze kadar yapılan çalışmalar; çalışılan psikiyatrik rahatsızlık, kullanılan ekipmanlar, çalışmaya katılan kişi sayısı, çalışmanın tarandığı veri tabanı ve çalışmaların sonuçları kriterlerine göre ele alınmıştır. Hastalığa özgü kullanılan anketlerin kullanıldığı çalışmalar tüm çalışmaların %30’u içermektedir. Bazı çalışmalarda fizyolojik parametrelerden de yararlanıldığını görülmektedir. Fizyolojik parametrelerden yararlanılarak yapılan çalışmalar tüm çalışmalar içerisinde sadece %10’luk kısma denk gelmektedir. Gerçekleştirilen uygulamalar hastalığın getirdiği semptomları azaltmak ve kişilerin hastalık durumlarını ortadan kaldırmaya yardımcı olarak yaşam kalitesini arttırmaktır. Çalışmaların yaklaşık %77’si sanal gerçeklik alanında %23’si ise artırılmış gerçeklik alanında yapılmıştır. Çalışma kapsamında incelenen makalelerden yola çıkarak psikiyatrik hastalıklarda sanal gerçeklik ve/veya artırılmış gerçeklik uygulamaları ile ilgili bazı eksiklikler tespit edilmiştir. Örneğin yapılan uygulamaların kullanıcılar üzerinde rahatsız edici bir etkisinin olup olmama durumu SSQ anketi kullanılarak tespit edilmelidir. Ayrıca sanal çevreyi oluşturan görsel parametreler kadar işitsel parametreler de bu süreçte etkin olarak kullanılmalıdır. Literatürde yer alan çalışmalar içerisinde işitsel parametrelerin kullanıcıları olumlu ya da olumsuz etki durumlarına değinilmediği görülmüştür. Sanal gerçeklik ortamını kullanımında işitsel ögelerin de etkisini incelemek çalışmalar açısından faydalı olacağı değerlendirilmektedir.

Anahtar Kelimeler

Sanal gerçeklik, artırılmış gerçeklik, nörogelişimsel bozukluklar, anksiyete/fobi, ağrı algısı/hissi, mental bozukluklar

Kaynakça

• [1] Cortese, S., Attention-Deficit Hyperactivity Disorder and Autism Spectrum Disorder, In Psychiatric Symptoms and Comorbidities in Autism Spectrum Disorder Springer, Cham., (2016), (pp. 79-91).
• [2] Azuma, R., Baillot, Y., Behringer, R., Feiner, S., Julier, S., and MacIntyre, B., Recent advances in augmented reality. Comput. Graph., 25, doi:10.1109/38. 963459, (2001), 1–15.
• [3] Aksoy, U. M., Nörogelişimsel Bozukluklar: Bir Ağacın Farklı Dalları. İstanbul Kanuni Sultan Süleyman Tıp Dergisi, 11(ek), (2019), 1-4.
• [4] Mantar, A., Yemez, B., & Alkın, T., Anksiyete duyarlılığı ve psikiyatrik bozukluklardaki yeri. Türk Psikiyatri Dergisi, 22(3), (2011), 187-193.
• [5] Tütüncü, R., & Günay, H., Kronik agri, psikolojik etmenler ve depresyon/Chronic pain, psychological factors and depression. Dicle Tip Dergisi, 38(2), 257, (2011).
• [6] Välimäki, M., Hätönen, H. M., Lahti, M. E., Kurki, M., Hottinen, A., Metsäranta, K., ... & Adams, C. E., Virtual reality for treatment compliance for people with serious mental illness. Cochrane Database of Systematic Reviews, (10), (2014).
• [7] Kandalaft, M. R., Didehbani, N., Krawczyk, D. C., Allen, T. T., Chapman, S. B., Virtual reality social cognition training for young adults with high-functioning autism. Journal of autism and developmental disorders, 43(1), (2013), 34-44.
• [8] Díaz-Orueta, U., Garcia-López, C., Crespo-Eguílaz, N., Sánchez-Carpintero, R., Climent, G., Narbona, J., AULA virtual reality test as an attention measure: Convergent validity with Conners’ Continuous Performance Test. Child Neuropsychology, 20(3), (2014), 328-342.
• [9] Lin, C. Y., Chang, Y. M., Interactive augmented reality using Scratch 2.0 to improve physical activities for children with developmental disabilities. Research in developmental disabilities, 37, (2015), 1-8.
• [10] Newbutt, N., Sung, C., Kuo, H. J., Leahy, M. J., Lin, C. C., Tong, B., Brief report: A pilot study of the use of a virtual reality headset in autism populations. Journal of autism and developmental disorders, 46(9), (2016), 3166-3176.
• [11] Crowell, C., Sayis, B., Benitez, J. P., Pares, N., Mixed reality, full-body interactive experience to encourage social initiation for autism: Comparison with a control nondigital intervention. Cyberpsychology, Behavior, and Social Networking, 23(1), (2020), 5-9.
• [12] Antão, J. Y. F. D. L., Abreu, L. C. D., Barbosa, R. T. D. A., Crocetta, T. B., Guarnieri, R., Massetti, T., ... & Monteiro, C. B. D. M., Use of augmented reality with a motion-controlled game utilizing alphabet letters and numbers to improve performance and reaction time skills for people with autism spectrum disorder. Cyberpsychology, Behavior, and Social Networking, 23(1), (2020), 16-22.
• [13] Newbutt, N., Bradley, R., Conley, I., Using virtual reality head-mounted displays in schools with autistic children: views, experiences, and future directions. Cyberpsychology, Behavior, and Social Networking, 23(1), (2020), 23-33.
• [14] Gorini, A., Riva, G., The potential of Virtual Reality as anxiety management tool: a randomized controlled study in a sample of patients affected by Generalized Anxiety Disorder. Trials, 9(1), (2008), 1-9.
• [15] Botella, C., Bretón-López, J., Quero, S., Baños, R., & García-Palacios, A., Treating cockroach phobia with augmented reality. Behavior therapy, 41(3), (2010), 401-413.
• [16] Powers, M. B., Briceno, N. F., Gresham, R., Jouriles, E. N., Emmelkamp, P. M., Smits, J. A., Do conversations with virtual avatars increase feelings of social anxiety?. Journal of anxiety disorders, 27(4), (2013), 398-403.
• [17] Rus-Calafell, M., Gutiérrez-Maldonado, J., Botella, C., Baños, R. M., Virtual reality exposure and imaginal exposure in the treatment of fear of flying: a pilot study. Behavior modification, 37(4), (2013), 568-590.
• [18] Shiban, Y., Schelhorn, I., Pauli, P., Mühlberger, A., Effect of combined multiple contexts and multiple stimuli exposure in spider phobia: A randomized clinical trial in virtual reality. Behaviour research and therapy, 71, (2015), 45-53.
• [19] Botella, C., Pérez-Ara, M. Á., Bretón-López, J., Quero, S., García-Palacios, A., & Baños, R. M., In vivo versus augmented reality exposure in the treatment of small animal phobia: a randomized controlled trial. PloS one, 11(2), e0148237, (2016).
• [20] Shiban, Y., Peperkorn, H., Alpers, G. W., Pauli, P., Mühlberger, A., Influence of perceptual cues and conceptual information on the activation and reduction of claustrophobic fear. Journal of behavior therapy and experimental psychiatry, 51, (2016), 19-26.
• [21] Schweizer, T., Schmitz, J., Plempe, L., Sun, D., Becker-Asano, C., Leonhart, R., Tuschen-Caffier, B., The impact of pre-existing anxiety on affective and cognitive processing of a Virtual Reality analogue trauma. Plos one, 12(12), e0190360, (2017).
• [22] Tsai, C. F., Yeh, S. C., Huang, Y., Wu, Z., Cui, J., Zheng, L., The effect of augmented reality and virtual reality on inducing anxiety for exposure therapy: a comparison using heart rate variability. Journal of Healthcare Engineering, (2018).
• [23] Yeh, S. C., Li, Y. Y., Zhou, C., Chiu, P. H., Chen, J. W., Effects of virtual reality and augmented reality on induced anxiety. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 26(7), (2018), 1345-1352.
• [24] Brás, S., Soares, S. C., Cruz, T., Magalhães, T., Marques, B., Dantas, C., ... & Fernandes, J. M., The feasibility of an augment reality system to study the psychophysiological correlates of fear‐related responses. Brain and behavior, 8(9), e01084, (2018).
• [25] Martens, M. A., Antley, A., Freeman, D., Slater, M., Harrison, P. J., Tunbridge, E. M., It feels real: physiological responses to a stressful virtual reality environment and its impact on working memory. Journal of Psychopharmacology, 33(10), (2019), 1264-1273.
• [26] Freeman, D., Yu, L. M., Kabir, T., Martin, J., Craven, M., Leal, J., ... & Waite, F., Automated virtual reality (VR) cognitive therapy for patients with psychosis: study protocol for a single-blind parallel group randomised controlled trial (gameChange). BMJ open, 9(8), e031606, (2019).
• [27] Schwarzmeier, H., Leehr, E. J., Böhnlein, J., Seeger, F. R., Roesmann, K., Gathmann, B., ... & Dannlowski, U., Theranostic markers for personalized therapy of spider phobia: Methods of a bicentric external cross‐validation machine learning approach. International journal of methods in psychiatric research, 29(2), e1812, (2020).
• [28] Bossenbroek, R., Wols, A., Weerdmeester, J., Lichtwarck-Aschoff, A., Granic, I., van Rooij, M. M., Efficacy of a virtual reality biofeedback game (DEEP) to reduce anxiety and disruptive classroom behavior: Single-case study. JMIR mental health, 7(3), e16066, (2020).
• [29] Dibbets, P., A novel virtual reality paradigm: Predictors for stress-related intrusions and avoidance behavior. Journal of behavior therapy and experimental psychiatry, 67, 101449, (2020).
• [30] Raghav, K., Van Wijk, A. J., Abdullah, F., Islam, M. N., Bernatchez, M., De Jongh, A., Efficacy of virtual reality exposure therapy for treatment of dental phobia: a randomized control trial. BMC oral health, 16(1), (2016), 1-11.
• [31] Niharika, P., Reddy, N. V., Srujana, P., Srikanth, K., Daneswari, V., Geetha, K. S., Effects of distraction using virtual reality technology on pain perception and anxiety levels in children during pulp therapy of primary molars. Journal of Indian Society of Pedodontics and Preventive Dentistry, 36(4), 364, (2018).
• [32] Gujjar, K. R., Van Wijk, A., Sharma, R., De Jongh, A., Virtual reality exposure therapy for the treatment of dental phobia: a controlled feasibility study. Behavioural and cognitive psychotherapy, 46(3), 367, (2018).
• [33] Jiang, M. Y., Upton, E., Newby, J. M., A randomised wait-list controlled pilot trial of one-session virtual reality exposure therapy for blood-injection-injury phobias. Journal of Affective Disorders, 276, (2020), 636-645.
• [34] Kanzler, C. M., Schwarz, A., Held, J. P., Luft, A. R., Gassert, R., Lambercy, O., Technology-aided assessment of functionally relevant sensorimotor impairments in arm and hand of post-stroke individuals. Journal of neuroengineering and rehabilitation, 17(1), (2020), 1-15.
• [35] da Costa, R. M. E. M., de Carvalho, L. A. V., The acceptance of virtual reality devices for cognitive rehabilitation: a report of positive results with schizophrenia. Computer methods and programs in biomedicine, 73(3), (2004), 173-182.
• [36] Sorkin, A., Weinshall, D., Modai, I., Peled, A., Improving the accuracy of the diagnosis of schizophrenia by means of virtual reality. American Journal of Psychiatry, 163(3), (2006), 512-520.
• [37] Kim, K., Kim, S. I., Cha, K. R., Park, J., Rosenthal, M. Z., Kim, J. J., ... & Kim, C. H., Development of a computer-based behavioral assessment of checking behavior in obsessive-compulsive disorder. Comprehensive Psychiatry, 51(1), (2010), 86-93.
• [38] Chang, Y. J., Kang, Y. S., & Huang, P. C., An augmented reality (AR)-based vocational task prompting system for people with cognitive impairments. Research in developmental disabilities, 34(10), (2013), 3049-3056.
• [39] Hervás, R., Bravo, J., & Fontecha, J., An assistive navigation system based on augmented reality and context awareness for people with mild cognitive impairments. IEEE Journal of Biomedical and Health Informatics, 18(1), (2013), 368-374.
• [40] Krieger, V., Lallart, E., & Jouvent, R., Bodily manifestations of affects: The example of gait and virtual reality. In 2013 Humaine Association Conference on Affective Computing and Intelligent Interaction (pp. 179-184). IEEE, (2013).
• [41] Schall Jr, M. C., Rusch, M. L., Lee, J. D., Dawson, J. D., Thomas, G., Aksan, N., & Rizzo, M. ,Augmented reality cues and elderly driver hazard perception. Human factors, 55(3), (2013), 643-658.
• [42] Mirelman, A., Rochester, L., Reelick, M., Nieuwhof, F., Pelosin, E., Abbruzzese, G., ... & Hausdorff, J. M., V-TIME: a treadmill training program augmented by virtual reality to decrease fall risk in older adults: study design of a randomized controlled trial. BMC neurology, 13(1), (2013), 1-12.
• [43] Rus-Calafell, M., Gutiérrez-Maldonado, J., Ribas-Sabaté, J., A virtual reality-integrated program for improving social skills in patients with schizophrenia: a pilot study. Journal of behavior therapy and experimental psychiatry, 45(1), (2014), 81-89.
• [44] Han, K., Shin, J., Yoon, S. Y., Jang, D. P., Kim, J. J., Deficient gaze pattern during virtual multiparty conversation in patients with schizophrenia. Computers in biology and medicine, 49, (2014), 60-66.
• [45] Veling, W., Pot-Kolder, R., Counotte, J., van Os, J., van der Gaag, M., Environmental social stress, paranoia and psychosis liability: a virtual reality study. Schizophrenia bulletin, 42(6), (2016), 1363-1371.
• [46] Silva, R. D. D. C., Albuquerque, S. G., Muniz, A. D. V., Ribeiro, S., Pinheiro, P. R., Albuquerque, V. H. C., Reducing the schizophrenia stigma: a new approach based on augmented reality. Computational intelligence and neuroscience, (2017).
• [47] Donnari, S., Canonico, V., Fatuzzo, G., Bedetti, C., Marchiafava, M., Menna, M., Elisei, S., New technologies for art therapy interventions tailored to severe disabilities. Psychiatria Danubina, 31(Suppl 3),(2019), 462-466.
• [48] Rohrbach, N., Gulde, P., Armstrong, A. R., Hartig, L., Abdelrazeq, A., Schröder, S., ... & Hermsdörfer, J., An augmented reality approach for ADL support in Alzheimer’s disease: a crossover trial. Journal of neuroengineering and rehabilitation, 16(1), (2019), 1-11.
• [49] Roth, D., Purps, C. F., & Neumann, W. J., A Virtual Morris Water Maze to Study Neurodegenarative Disorders. In 2020 IEEE International Symposium on Mixed and Augmented Reality Adjunct (ISMAR-Adjunct) (pp. 141-146). IEEE, (2020).
• [50] Coelho, T., Marques, C., Moreira, D., Soares, M., Portugal, P., Marques, A., ... & Fernandes, L., Promoting Reminiscences with Virtual Reality Headsets: A Pilot Study with People with Dementia. International Journal of Environmental Research and Public Health, 17(24), 9301, (2020).
• [51] Shin, Y. B., Kim, J. J., Kim, H., Kim, S. J., Eom, H., Jung, Y. H., Kim, E., Managing Game-Related Conflict With Parents of Young Adults With Internet Gaming Disorder: Development and Feasibility Study of a Virtual Reality App. JMIR serious games, 9(1), e22494, (2021).
• [52] Cieślik, B., Mazurek, J., Rutkowski, S., Kiper, P., Turolla, A., & Szczepańska-Gieracha, J., Virtual reality in psychiatric disorders: a systematic review of reviews. Complementary Therapies in Medicine, 102480, (2020).