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가상현실기법을 활용한 정신건강교육 및 기술훈련 프로그램의 우울증상 회복 및 자살위험성 감소 효과

Treatment Effect of Psychoeducation and Training Program Using Virtual Reality Technique in the Patients with Depressive Symptoms

신경정신의학 2020년 59권 1호 p.51 ~ 60
김민지 ( Kim Min-Ji ) - 영남대학교 의과대학 정신과학교실

최선우 ( Choi Sun-Woo ) - 연세대학교 의과대학 의학행동과학연구소
문선영 ( Moon Sun-Young ) - 연세대학교 의과대학 의학행동과학연구소
박해인 ( Park Hae-In ) - 연세대학교 의과대학 의학행동과학연구소
황희경 ( Hwang Hee-Kyung ) - 연세대학교 의과대학 의학행동과학연구소
김민경 ( Kim Min-Kyeong ) - 연세대학교 의과대학 정신과학교실
석정호 ( Seok Jeong-Ho ) - 연세대학교 의과대학 정신과학교실

Abstract


Objectives: To compare the clinical effectiveness of the virtual reality (VR) programs in assessing psychosocial problems, improving symptoms, and reducing suicide risk in depressive patients with those of pharmacotherapy.

Methods: Thirty-six patients were recruited with depression in the treatment group and 22 participants in the healthy control group through internet advertisements between November 2018 and March 2019. Participants in the treatment group were allocated randomly at a 1:1 ratio to either the VR group or pharmacotherapy group. At the baseline, all participants were assessed with a comprehensive battery for their psychological characteristics by structured scales using VR technologies. Assessments of patients in the treatment group were repeated four weeks after therapeutic intervention. The primary outcome measures were the Korean Version of Quick Inventory of Depressive Symptomatology-Self-Report and suicidality scales of the Korean Mini International Neuropsychiatric interview. The borderline personality (Personality Assessment Inventory-Borderline Features Scale) and resilience (Korean Resilience Questionnaire) were also evaluated.

Results: Twenty-four depressive patients completed the treatment, and the final assessment was conducted after four weeks of treatment. In the initial assessment, the patient group showed significantly higher depressive symptoms, suicidality, borderline personality trait, and lower resilience than healthy control group. After the four-week therapeutic interventions, the VR group showed significant improvement in depression, suicidality, borderline personality trait, and resilience. In addition, there was no significant difference in the treatment efficacy between the VR group and the pharmacotherapy group.

Conclusion: In this study, the VR treatment program has clear benefits for emotional distress and reducing suicidality in depressive patients. Evidence-based VR treatments may show new clinical potential for depressive disorder.

키워드

가상현실; 정신치료; 우울증; 자살사고
Virtual reality; Psychotherapy; Depressive disorder; Suicidal ideation
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