Bibliographic Details
| Title: |
Feasibility of the virtual reality-based assessments in patients with panic disorder |
| Authors: |
Byung-Hoon Kim, Jae-Jin Kim, Jooyoung Oh, Seung-Hyun Kim, Changsu Han, Hyun-Ghang Jeong, Moon-Soo Lee, Junhyung Kim |
| Source: |
Frontiers in Psychiatry, Vol 14 (2023) |
| Publisher Information: |
Frontiers Media S.A., 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Psychiatry |
| Subject Terms: |
virtual reality, anxiety, assessment, panic disorder, physiological responses, relaxation, Psychiatry, RC435-571 |
| More Details: |
IntroductionRecurrences and diagnostic instability of panic disorder (PD) are common and have a negative effect on its long-term course. Developing a novel assessment tool for anxiety that can be used in a multimodal approach may improve these problems in panic disorder patients. This study assessed the feasibility of virtual reality-based assessment in panic disorder (VRA-PD).MethodsTwenty-five patients with PD (ANX group) and 28 healthy adults (CON group) participated in the study. VRA-PD consisted of four modules based on the key components of cognitive behavior therapy for an anxiety disorder: “Baseline evaluation module” (M0), “Daily environment exposure module” (M1), “Relaxation module” (M2), and “Interoceptive exposure module” (M3). Multiple evaluations, including self-rating anxiety scores (AS) and physiological responses [heart rate variability (HRV) index], were performed in three steps at M1, M2, and M3, and once at M0. Comparisons between patients with PD and healthy controls, factor analysis of variables in VRA-PD, changes in responses within modules, and correlation analysis between variables in VRA-PD and anxiety symptoms assessed by psychological scales were performed.ResultsAll participants completed the VRA-PD without discontinuation. The ANX group reported significantly higher AS for all steps and a smaller HRV index in M1 (steps 1 and 2) and M2 (step 1). Repeated-measures analysis of covariance (ANCOVA) revealed significant interaction effects for AS in M1 (F = 4.09, p = 0.02) and M2 (F = 4.20, p = 0.02), and HRV index in M2 (F = 16.22, p < 0.001) and M3 (F = 21.22, p = 0.02). The HRV index only indicated a good model fit for the three-factor model, reflecting the construct of the VRA-PD. Both AS and HRV indexes were significantly correlated with anxiety and depression symptoms.DiscussionThe current study provides preliminary evidence that the VRA-PD could be a valid anxiety behavior assessment tool. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1664-0640 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1084255/full; https://doaj.org/toc/1664-0640 |
| DOI: |
10.3389/fpsyt.2023.1084255 |
| Access URL: |
https://doaj.org/article/263f0b8c7b09435b8d4591e03a1e9895 |
| Accession Number: |
edsdoj.263f0b8c7b09435b8d4591e03a1e9895 |
| Database: |
Directory of Open Access Journals |
