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Publication
Efficacy of adaptive cognitive training through desktop virtual reality and paper-and-pencil in the treatment of mental and behavioral disorders
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Advisor(s)
Abstract(s)
Cognitive defcits are a core feature of mental and behavioral disorders, leading to poor treatment adherence and functional ity. Virtual reality (VR) methodologies are promising solutions for cognitive interventions in psychiatry once they provide
greater ecological validity. This study assessed and compared two content-equivalent cognitive training (CT) interventions,
delivered in desktop VR (Reh@City v2.0) and paper-and-pencil (Task Generator (TG)) formats, in patients with mental and
behavioral disorders. 30 patients were randomly assigned to the Reh@City v2.0 group and the TG group. Both groups of
patients underwent a time-matched 24-sessions intervention. Neuropsychological assessments were performed at baseline,
post-intervention, and follow-up. A within-groups analysis revealed signifcant improvements in visual memory and depres sive symptomatology after the Reh@City intervention. The TG group improved in processing speed, verbal memory, and
quality of life (social relationships and environmental domains). Between groups, Reh@City led to a greater reduction in
depressive symptomatology, whereas the TG group showed higher improvements in social relationships aspects of quality
of life. At follow-up, previous gains were maintained and new improvements found in the Reh@City (global cognitive func tion, language, visuospatial and executive functions) and the TG groups (attention). The Reh@City signifcantly reduced
depressive symptomatology, and the TG led to greater improvements in processing speed, abstraction, and social relationships
domain of quality of life at follow-up. Both interventions were associated with important cognitive, emotional, and quality
of life benefts, which were maintained after two months. Reh@City and TG should be considered as complementary CT
methods for patients with mental and behavioral disorders.
Trial registration The trial is registered at ClinicalTrials.gov, number NCT04291586.
Description
Keywords
Cognitive training Desktop virtual reality Ecological validity Psychiatric setting Mental disorders Behavioral disorders . Faculdade de Ciências Exatas e da Engenharia Escola Superior de Saúde
Citation
Câmara, J., Ferreira, R., Teixeira, L., Nóbrega, J., Romeira, C., & Faria, A. L. (2021). Efficacy of adaptive cognitive training through desktop virtual reality and paper-and-pencil in the treatment of mental and behavioral disorders. Virtual Reality, 1-16.
Publisher
Springer