TY - JOUR AU - Gaggioli, Andrea AU - Pallavicini, Federica AU - mororganti, Luca AU - Serino, Silvia AU - Scaratti, Chiara AU - Briguglio, Marilena AU - Crifaci, Giulia AU - Vetrano, Noemi AU - giulitano, Annunziata AU - Bernava, Giuseppe AU - Tartarisco, Gennaro AU - Pioggia, Giovanni AU - Raspelli, Simona AU - Cipresso, Pietro AU - Vigna, Cinzia AU - Grassi, Alessandra AU - Baruffi, Margherita AU - Wiederhold, Brenda AU - Riva，朱塞佩PY - 2014 DA - 2014/07/08 TI -体验虚拟场景的实时监控管理(Interreality)心理压力:一块随机对照试验乔- J地中海互联网Res SP - e167六世- 16 - 7 KW -心理压力千瓦Interreality KW -虚拟现实KW -生物传感器KW -心率KW -心率变异性KW -生物反馈训练KW -放松训练KW -生理监测KW -智能手机AB -背景:最近科技和医学的融合为行为健康护理提供了创新的方法和工具。其中，一种新兴的方法是在基于暴露的协议中使用虚拟现实(VR)来治疗焦虑症，特别是创伤后应激障碍。然而，没有经过系统测试的虚拟现实协议可用于管理心理压力。目的:我们的目的是评估一种新的技术范式Interreality在管理和预防心理压力方面的疗效。Interreality的主要特征是虚拟世界与现实世界之间的双重联系，通过使用先进技术(虚拟世界、可穿戴生物传感器和智能手机)的实时监控和支持(识别关键情况和评估临床变化)实现体验式虚拟场景(完全由治疗师控制，用于学习应对技能和提高自我效能)。方法:该研究被设计为一项区域随机对照试验，涉及121名参与者，他们来自两种不同的工人群体——教师和护士——他们高度暴露于心理压力下。参与者是在米兰招募的教师样本(第1块:n=61)和在意大利墨西拿招募的护士样本(第2块:n=60)。每个区块内的参与者随机分为(1)实验组(EG): n=40; B1=20, B2=20, which received a 5-week treatment based on the Interreality paradigm; (2) Control Group (CG): n=42; B1=22, B2=20, which received a 5-week traditional stress management training based on cognitive behavioral therapy (CBT); and (3) the Wait-List group (WL): n=39, B1=19, B2=20, which was reassessed and compared with the two other groups 5 weeks after the initial evaluation. Results: Although both treatments were able to significantly reduce perceived stress better than WL, only EG participants reported a significant reduction (EG=12% vs CG=0.5%) in chronic “trait” anxiety. A similar pattern was found for coping skills: both treatments were able to significantly increase most coping skills, but only EG participants reported a significant increase (EG=14% vs CG=0.3%) in the Emotional Support skill. Conclusions: Our findings provide initial evidence that the Interreality protocol yields better outcomes than the traditionally accepted gold standard for psychological stress treatment: CBT. Consequently, these findings constitute a sound foundation and rationale for the importance of continuing future research in technology-enhanced protocols for psychological stress management. Trial Registration: ClinicalTrials.gov: NCT01683617; http://clinicaltrials.gov/show/NCT01683617 (Archived by WebCite at http://www.webcitation.org/6QnziHv3h). SN - 1438-8871 UR - //www.mybigtv.com/2014/7/e167/ UR - https://doi.org/10.2196/jmir.3235 UR - http://www.ncbi.nlm.nih.gov/pubmed/25004803 DO - 10.2196/jmir.3235 ID - info:doi/10.2196/jmir.3235 ER -