Deficient gaze pattern during virtual multiparty conversation in patients with schizophrenia

Han, Kyung Seok; Shin, Jeong Won; Yoon, Sang Duk; Jang, Dong Pyo; Kim, Jae Jin

doi:10.1016/j.compbiomed.2014.03.012

Cited by 12 publications

(10 citation statements)

References 42 publications

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“…Some digital technologies, called virtual realities, are capable of giving their users the impression that they are inside a simulated space. These technologies could be widely used for research purposes to investigate the mechanisms of abnormal rationality because they allow us to assess patients' behavior in particular environments, to provoke symptoms if their trigger is known and to measure symptom severity (Bekele et al, 2017;Canty et al, 2017;Han et al, 2014;Hesse et al, 2017;Mohammadi et al, 2018;Salgado-Pineda et al, 2016;van Bennekom et al, 2017). The clinical implementation of virtual/augmented reality (VR/AR) technologies in psychiatry and psychotherapy aims to teach patients coping skills that can be transferred from a virtual environment to their daily life.…”

Section: Digital Technologies and Their Impact On Patient Identity And Self-perceptionmentioning

confidence: 99%

Digital Technologies for Schizophrenia Management: A Descriptive Review

2021

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While the implementation of digital technology in psychiatry appears promising, there is an urgent need to address the implications of the absence of ethical design in the early development of such technologies. Some authors have noted the gap between technology development and ethical analysis and have called for an upstream examination of the ethical issues raised by digital technologies. In this paper, we address this suggestion, particularly in relation to digital healthcare technologies for patients with schizophrenia spectrum disorders. The introduction of digital technologies in psychiatry offers a broad spectrum of diagnostic and treatment options tailored to the health needs and goals of patients’ care. These technologies include wearable devices, smartphone applications for high-immersive virtual realities, smart homes, telepsychiatry and messaging systems for patients in rural areas. The availability of these technologies could increase access to mental health services and improve the diagnostics of mental disorders. Additional Instruction Abstract In this descriptive review, we systematize ethical concerns about digital technologies for mental health with a particular focus on individuals suffering from schizophrenia. There are many unsolved dilemmas and conflicts of interest in the implementation of these technologies, such as (1) the lack of evidence on efficacy and impact on self-perception; (2) the lack of clear standards for the safety of their daily implementation; (3) unclear roles of technology and a shift in the responsibilities of all parties; (4) no guarantee of data confidentiality; and (5) the lack of a user-centered design that meets the particular needs of patients with schizophrenia. mHealth can improve care in psychiatry and make mental healthcare services more efficient and personalized while destigmatizing mental health disorders. To ensure that these technologies will benefit people with mental health disorders, we need to heighten sensitivity to ethical issues among mental healthcare specialists, health policy makers, software developers, patients themselves and their proxies. Additionally, we need to develop frameworks for furthering sustainable development in the digital technologies industry and for the responsible usage of such technologies for patients with schizophrenia in the clinical setting. We suggest that digital technology in psychiatry, particularly for schizophrenia and other serious mental health disorders, should be integrated into treatment with professional supervision rather than as a self-treatment tool.

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Section: Digital Technologies and Their Impact On Patient Identity And Self-perceptionmentioning

confidence: 99%

Digital Technologies for Schizophrenia Management: A Descriptive Review

2021

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“…VR-based assessments were found to be feasible and did not increase anxiety or cause negative experiences . Studies found that clinical samples displayed various indicators of social functioning impairments in these social environments, such as reduced eye gaze and greater interpersonal distance as measured by eye or position tracking technology within the HMD (Choi et al, 2010;Geraets et al, 2018;Han et al, 2014;, greater interpersonal sensitivity (McDonnell et al, 2018), increased physical stress responses (Counotte et al, 2016), less accuracy in facial recall (Dietrichkeit et al, 2020), less accuracy in identifying emotions and social cues (Souto et al, 2013;Souto et al, 2020), higher belief inflexibility bias and more attention to threat and more external attributions (Pot-Kolder et al, 2017), and notably, in six studies, increased paranoid ideation, (Freeman et al, 2010;Hesse et al, 2017;Valmaggia et al, 2015;Veling et al, 2016;. One study used VR as an assessment of social functioning over six sessions in the context of testing an antipsychotic treatment and found that antipsychotic medication significantly improved social functioning as assessed by VR .…”

Section: Head-mounted Display Studiesmentioning

confidence: 99%

Virtual reality-based assessment and treatment of social functioning impairments in psychosis: a systematic review

Riches

Pisani

Bird

et al. 2021

International Review of Psychiatry

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People with psychosis can experience social functioning impairments. Virtual reality (VR) has been used to assess and treat these difficulties. This systematic review (Prospero CRD42015026288) provides an evaluation of these VR applications. PsycINFO, MEDLINE, Embase, Web of Science, Cochrane Library, and Scopus were searched until May 2020. The Effective Public Health Practice Project (EPHPP) Quality Assessment Tool was used to assess studies. Database searching identified 3810 titles. Fifty-eight studies (published 2005-2020; N ¼ 2,853), comprising twenty-six head-mounted display studies (20 assessment, 6 treatment) and thirtytwo immersive 2D screen studies (23 assessment, 9 treatment), were included. There were fortyeight observational studies and ten randomised controlled trials, with 1570 participants (of which, 185 were at ultra-high risk of psychosis) in VR test groups. Nearly half the studies were published since 2016. Assessments targeted cognitive and behavioural indicators of social functioning, e.g. paranoia, eye gaze, or interpersonal distance. Treatments promoted cognitivebehavioural social skills or job interview training. Studies indicate feasibility, acceptability, and effectiveness of VR for social functioning impairments in psychosis. Limitations of studies include the narrow scope of social functioning, small sample sizes, and limited randomised controlled trials and standardised interventions. Findings suggest VR has potential to be integrated with existing psychological approaches.

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“…Bu çalışmada, şizofreni hastalarında sanal çok taraflı sohbetler sırasında sosyal davranışların özellikleri araştırılmıştır. Sanal ortam avatarları, olumlu ve olumsuz duygu yüklü durumları, dinleme ve konuşma aşamalarını içeren sanal üç taraflı konuşma görevini gerçekleştirmişlerdir [44].…”

Section: Diğer Mental Bozukluklar (Other Mental Disorders)unclassified

Virtual Reality and Augmented Reality in Psychiatric Disorders

YILMAZ

Duran

Fidan

2021

Gazi Üniversitesi Fen Bilimleri Dergisi Part C: Tasarım Ve Teknoloji

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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.

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Deficient gaze pattern during virtual multiparty conversation in patients with schizophrenia

Cited by 12 publications

References 42 publications

Digital Technologies for Schizophrenia Management: A Descriptive Review

Digital Technologies for Schizophrenia Management: A Descriptive Review

Virtual reality-based assessment and treatment of social functioning impairments in psychosis: a systematic review

Virtual Reality and Augmented Reality in Psychiatric Disorders

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