Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study

BACKGROUND: Patients in general hospitals often display concomitant signs of mental maladjustment: low mood, anxiety, apathy, asthenia, all of which can have a negative impact on the course of the underlying disease and the recovery process. One of the non-pharmacological approaches that has gained...

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Main Authors: Taisiya А. Lepilkina, Allan G. Beniashvili, Roman A. Cheremin, Natalya G. Malyukova, Margarita A. Morozova, Mikhail A. Bogdanov, Denis S. Burminsky, Sergei S. Potanin, Svetlana V. Rodkina, George E. Rupchev, Margarita N. Eip
Format: Article
Language:English
Published: Eco-Vector 2023-03-01
Series:Consortium Psychiatricum
Subjects:
Online Access:https://consortium-psy.com/jour/article/viewFile/221/pdf
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author Taisiya А. Lepilkina
Allan G. Beniashvili
Roman A. Cheremin
Natalya G. Malyukova
Margarita A. Morozova
Mikhail A. Bogdanov
Denis S. Burminsky
Sergei S. Potanin
Svetlana V. Rodkina
George E. Rupchev
Margarita N. Eip
author_facet Taisiya А. Lepilkina
Allan G. Beniashvili
Roman A. Cheremin
Natalya G. Malyukova
Margarita A. Morozova
Mikhail A. Bogdanov
Denis S. Burminsky
Sergei S. Potanin
Svetlana V. Rodkina
George E. Rupchev
Margarita N. Eip
author_sort Taisiya А. Lepilkina
collection DOAJ
description BACKGROUND: Patients in general hospitals often display concomitant signs of mental maladjustment: low mood, anxiety, apathy, asthenia, all of which can have a negative impact on the course of the underlying disease and the recovery process. One of the non-pharmacological approaches that has gained wider acceptance in medical practice in recent years is the use of procedures based on virtual reality. AIM: Assess the efficacy of the new domestic, virtual reality application Flow as relates to symptoms of anxiety and asthenia in patients undergoing inpatient treatment. METHODS: The study was open-label and had a comparison group; the patients were assigned to the experimental or control group using a randomization table. The patients were assessed using the Spielberger State Anxiety Inventory; the Fatigue Symptom Rating Scale; the Well-being, Activity, Mood questionnaire; the Depression Anxiety Stress Scale; and the Clinical Global Impression Scale. Physical parameters were measured before and after each virtual reality session. The obtained data were statistically processed. RESULTS: The study involved 60 patients. In 40 patients, the treatment program included a course of five daily relaxation sessions in virtual reality; the control group consisted of 20 patients, who were treated in accordance with the usual practice of the institution. The addition of virtual reality sessions to the standard treatment course yielded significant advantage in terms of affective symptoms reduction in patients both after a single session and as a result of undergoing the full course, and several days after its completion. The patients in the experimental group also showed a significant decrease in blood pressure after the sessions, and this was most pronounced in individuals who initially had elevated and high blood pressure. CONCLUSION: The use of relaxation program courses in the virtual reality application Flow is an effective and promising means of non-pharmacological care for non-psychiatric inpatients showing symptoms of anxiety, apathy, depressive mood, as well as hypertension.
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spelling doaj.art-4815eca65be04108ad921b93331579722023-04-03T12:29:13ZengEco-VectorConsortium Psychiatricum2712-76722713-29192023-03-0141385110.17816/CP221106Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label StudyTaisiya А. Lepilkina0https://orcid.org/0000-0002-2640-4658Allan G. Beniashvili1https://orcid.org/0000-0002-5149-3760Roman A. Cheremin2https://orcid.org/0000-0001-6018-6327Natalya G. Malyukova3https://orcid.org/0000-0003-1142-0804Margarita A. Morozova4https://orcid.org/0000-0002-7847-2716Mikhail A. Bogdanov5https://orcid.org/0000-0002-5033-7221Denis S. Burminsky6https://orcid.org/0000-0001-7098-2570Sergei S. Potanin7https://orcid.org/0000-0002-9180-1940Svetlana V. Rodkina8https://orcid.org/0000-0002-0478-1380George E. Rupchev9https://orcid.org/0000-0002-4440-095XMargarita N. Eip10https://orcid.org/0000-0001-8666-5019Mental Health Research CenterMental Health Research CenterSpeech Pathology and Neurorehabilitation CenterSpeech Pathology and Neurorehabilitation CenterMental Health Research CenterSpeech Pathology and Neurorehabilitation CenterMental Health Research CenterMental Health Research CenterSpeech Pathology and Neurorehabilitation CenterMental Health Research CenterSpeech Pathology and Neurorehabilitation CenterBACKGROUND: Patients in general hospitals often display concomitant signs of mental maladjustment: low mood, anxiety, apathy, asthenia, all of which can have a negative impact on the course of the underlying disease and the recovery process. One of the non-pharmacological approaches that has gained wider acceptance in medical practice in recent years is the use of procedures based on virtual reality. AIM: Assess the efficacy of the new domestic, virtual reality application Flow as relates to symptoms of anxiety and asthenia in patients undergoing inpatient treatment. METHODS: The study was open-label and had a comparison group; the patients were assigned to the experimental or control group using a randomization table. The patients were assessed using the Spielberger State Anxiety Inventory; the Fatigue Symptom Rating Scale; the Well-being, Activity, Mood questionnaire; the Depression Anxiety Stress Scale; and the Clinical Global Impression Scale. Physical parameters were measured before and after each virtual reality session. The obtained data were statistically processed. RESULTS: The study involved 60 patients. In 40 patients, the treatment program included a course of five daily relaxation sessions in virtual reality; the control group consisted of 20 patients, who were treated in accordance with the usual practice of the institution. The addition of virtual reality sessions to the standard treatment course yielded significant advantage in terms of affective symptoms reduction in patients both after a single session and as a result of undergoing the full course, and several days after its completion. The patients in the experimental group also showed a significant decrease in blood pressure after the sessions, and this was most pronounced in individuals who initially had elevated and high blood pressure. CONCLUSION: The use of relaxation program courses in the virtual reality application Flow is an effective and promising means of non-pharmacological care for non-psychiatric inpatients showing symptoms of anxiety, apathy, depressive mood, as well as hypertension.https://consortium-psy.com/jour/article/viewFile/221/pdfvirtual realitynon-pharmacological therapycomorbid mental symptomsmaladjustment reactionlowering blood pressure
spellingShingle Taisiya А. Lepilkina
Allan G. Beniashvili
Roman A. Cheremin
Natalya G. Malyukova
Margarita A. Morozova
Mikhail A. Bogdanov
Denis S. Burminsky
Sergei S. Potanin
Svetlana V. Rodkina
George E. Rupchev
Margarita N. Eip
Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study
Consortium Psychiatricum
virtual reality
non-pharmacological therapy
comorbid mental symptoms
maladjustment reaction
lowering blood pressure
title Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study
title_full Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study
title_fullStr Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study
title_full_unstemmed Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study
title_short Efficacy of a Relaxation Scenario in Virtual Reality for the Comorbid Symptoms of Anxiety and Asthenia in a General Hospital Setting: A Pilot Comparative Randomized Open-Label Study
title_sort efficacy of a relaxation scenario in virtual reality for the comorbid symptoms of anxiety and asthenia in a general hospital setting a pilot comparative randomized open label study
topic virtual reality
non-pharmacological therapy
comorbid mental symptoms
maladjustment reaction
lowering blood pressure
url https://consortium-psy.com/jour/article/viewFile/221/pdf
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