虚拟现实暴露疗法在飞行恐惧症中的应用

种疗法可以利用虚拟现实技术(virtualreality,VR)增强暴露治疗的适用性和恐惧症的患病率为2.9%[2];另一项在普通人群的暴露疗法是飞行恐惧症首选的心理疗法[4]。传统以为患者创造一个安全的特殊区域[6]。虚拟现实技术(virtualreali作者于2023年3—10月，使用关键词“virtualrealityexposuretherapD,结合关键词“fearofflying”、“avioph最终纳入文献36篇，其中英文文献35篇，中文文献1篇，ioraltherapy,CBT)有效干预飞行恐惧症的关键机制[10],这可能同样解释了超过70%的受访者报告在随访时继续飞行[15],表明虚拟世界中的经验可以改变其他研究者对比了VRET与想象暴露疗法的疗效。Rus-Calafell等[16]的R效。Maltby等[22]招募45名受试者随机分为VRET组和小组安慰治疗组。研究效果维持得很好。在Muhlberger等[23]的研究中，30名飞行恐惧症患者被随机计了单次VRET,并通过RCT研究比较了有无运动模拟的单次VRET与单独的认知系统脱敏以及眼动脱敏再处理疗法用于治疗飞行恐惧症的疗效，研究表明VRET反应的人旁边后对飞行产生恐惧)和信息学习(如看太多关于飞行的负面媒体报述研究大多采用头盔显示器(headmounteddisplay,HMD)将个体与真实世界完椅上接受治疗，飞行座椅的软垫通常会被安装在一个运动平大型的基于运动的VR系统为患者提供更为真实的飞行体验[32],以期带来更加用者可以在自己的智能手机上下载并结合一个5美元的硬纸板HMD使用。研究者研究揭示了这类低成本、自助式VR设备及干预方案用于治疗飞行恐惧症的潜在恐惧情绪的元素，提供更多通道整合的虚拟内容(如增加运动刺激、嗅觉刺激),treatmentoffearofflying[J]AviatSpaceEnogicsurveyonalcoholandrelated7(7):1047-1059.DOI:10.1017/S00332917[3]GrimholtTK,BonsaksenT88.DOI:10.3357/AMHP.5125.2019.[4]OakesM,BorR.ThepsychologyoffearofficalevaluationofcurrTravelMedInfectDis,2010,8(6):aid.2010.10.002.68-20210927-00554.YanZJ,WangPC,LiZJ.Applicationofvirtualtyindiagnosisandtreatmentofobsessive-compulsivhinJBehavMedBrainS[6]InozuM,CelikcanU,AkinB,etal.Theuseofvirtualreality(VeffectivealternativeObsessive-CompulsiveandRelatedDisorders,2020,25.DOI:10.1016/j.[7]OakesM,BorR.Thepsychologyoffearofflying(partI):acriticalevaluationofcurrentpersptiologyoffearofflying[J]TravelMedInfectDis,2010,8(6)38.DOI:10.1016/j.tmaid.2010.10.001.[8]WallachHS,Bar-ZviM.Virtual-reality-assistedtreatmentofflightphobia[J]IsrJPsychiatryRelatSci,200[9]FerrandM,RuffaultA,Tytelmanrform,2015,86(8):723-727.DOI:10.3357/AMHP.4211.2015.[10]BusscherB,SpinhovenP.Cognitivstudywith3-yearfollow-up[J]Jtmentinphobias:asystematicr5-1710.DOI:10.1007/s11126-021[12]GottliebA,DonigerGM,HusseinY,etal.Theefficacyofavrealityexposuretheravestudy[J]FrontPsychol,2021,12:641393.DOI:10.3389sychol,2000,68(6):1020-1026.[14]RothbaumBO,HodgesL,AndersonPL,etal.Twelve-fvirtualrealityandstandardexpoing[J]JConsultClinPsychol,2002,70(2):428-432.DOI:10.[15]RothbaumBO,Andtherapyandstandard(invivo)exposuretherapyiearofflying[J]BehavTher,2006,37(1):80-90.DOI:10.1016/j.beth.ng:apilotstudy[J]BehavModif,2013,37(4):568-590.DOI:10.[17]WiederholdBK,JangDP,GevirtzRG,etal.Thetreatmentoffearof posuretherapy[J].IEEETransInfTechnolBiomed,脑科学杂志，2022,31(5):469-473.DOI:10.3760/cma.j.cn371468 473.DOI:10.3760/371468-20210710-0038ntfearsandanxietydisorders:areviewoftheliterature[J].JAnxietyDisord,2016,42:113-128.DOI:10.1016/j.janxdis.2016.07.0ilitybiofeedbackPsycholMed,2017,47(15):2578-2586.DOI:10.101odif,2011,35(1):3-30.DOI:10.1177/01454455103[22]MaltbyN,Kirschpyforthetreatmentoffearofflying:acontrolledinvestigation[J]JConsultClinPsychol,2002,70(5):1112-1118.DOI:10.1037//fflightphobicstoflightsinvirtualreality[J]BehavResTh1,39(9):1033-1050.DOI:10.1016/[24]MuhlbergerA,WiedemannG,PauliPualrealityexposuretreatmentforfearofflying[J]PsychotherRes,2003,13(3):323-336.DOI:10.1093/ptr/kpg030.[25]TriscariMT,FaraciP,CatalisanoD,etal.Effectivenessofivebehavioraltherapyintegratedwithsystematicdesensitiz ithvirtualrealityexposuretherahtanxiety:arandomizedtrial[J]NeuropsychiatrDis591-2598.DOI:10.2147/NDT[26]WeismanJS,Rodandextensionoftechniquesach[J]ClinPsycholRev,2018,59:41-51.DOI:10.1016/j.cpr.2017.[27]Ribé-VinesJM,Gutiérrez-Maldonaofvirtualreality-basedexposuretherapyforthetreatmentoffearofflying:asystematic2023,16:e19.DOI:10.1017/s1754470x23[28]InozuM,CelikcanU,Trakdividualswithhighcontaminati[29]PriceM,AndersonP.Theroleofpresenceinvirtualrealityexposuretherapy[J]JAnxietyDisord,2007,21(5):742-751.DOI:10.10[30]SerranoB,BanosRM,BotellaC.Virtualrealityandstimulationoftouchandsmellforinducingrelaxation:al[J]ComputersinHumanBehavior,2016,55:1-8.DOI:10.1016/j.chb.2015.08.007.[31]Ribé-VinesJM,Gutiérrez-MaldonadoJ,ZabolipourZ,etal.Virtualrealityexposurewithvibrotactilestimulationforthetreatmearofflying:apilotstudy[J]JBehavThe2:101915.DOI:10.1016/j.jbtep.2023.101915.[32]CzerniakE,CaspiA,LitvinM,etal.Anoveltreatmentom,2016,87(4):411-416.DOI:10.3357/AMHP.4485.2016.onsolidationtopreventthereturnoffearinpatientswithfearofflying[J]DepressAnxiety,2017,34(7):610-620.DOI:10.1002/da.[34]ShibanY,DiemerJ,MullerJ,etal.trategyoravoidancebehavior?a7(1):29.DOI:10.1186/s12888-0onsestoaversiveflying-cues[J]PLoSOne,2018,13(4):e0194519.DOI:10.1371/journal.pone.0194519.withfearinvirtualenvironments[37]Meyerbröke