Positive Technology Journal

Virtual reality exposure therapy for active duty soldiers.

J Clin Psychol. 2008 Jul 8;

Authors: Reger GM, Gahm GA

Usefulness of mindfulness-based cognitive therapy for treating insomnia in patients with anxiety disorders: a pilot study.

J Nerv Ment Dis. 2008 Jun;196(6):501-3

Authors: Yook K, Lee SH, Ryu M, Kim KH, Choi TK, Suh SY, Kim YW, Kim B, Kim MY, Kim MJ

The objective of this study was to examine the usefulness of a mindfulness-based cognitive therapy (MBCT) for treating insomnia symptoms in patients with anxiety disorder. Nineteen patients with anxiety disorder were assigned to an 8-week MBCT clinical trial. Participants showed significant improvement in Pittsburgh Sleep Quality Index (Z = -3.46, p = 0.00), Penn State Worry Questionnaire (Z = -3.83, p = 0.00), Ruminative Response Scale (Z = -3.83, p = 0.00), Hamilton Anxiety Rating Scale (Z = -3.73, p = 0.00), and Hamilton Depression Rating Scale scores (Z = -3.06, p = 0.00) at the end of the 8-week program as compared with baseline. Multiple regression analysis showed that baseline Penn State Worry Questionnaire scores were associated with baseline Pittsburgh Sleep Quality Index scores. These findings suggest that MBCT can be effective at relieving insomnia symptoms by reducing worry associated sleep disturbances in patients with anxiety disorder. However, well-designed, randomized, controlled trials are needed to confirm our findings.

Internet giant Google has unveiled its response to Second Life, an online 3D world called Lively. To play with Lively, users need to download and install a client (Windows-only for now, but a Mac OS x client is planned) and then they can use their web browser (Firefox or Internet Explorer) to enter the virtual world.

Once registered, users can set up their own spaces, change the form and clothing of their avatars, and communicate with other players via chat or gestures.  

Lively is less immersive than second life and easier to use (with a drag-and-drop interface), but it is not programmable: users can only select items from the catalog provided by Google. Further, Lively has does not have money for now, though the company is considering the introduction of a currency. 

Using mental practice in stroke rehabilitation: a framework.

Clin Rehabil. 2008 Jul;22(7):579-91

Authors: Braun S, Kleynen M, Schols J, Schack T, Beurskens A, Wade D

Introduction: Motor imagery and mental practice are getting increased attention in neurological rehabilitation. Several different mental practice intervention protocols have been used in studies on its effect on recovery in stroke rehabilitation. The content of the intervention protocols itself is rarely discussed or questioned.Objective: To give a practical framework of how mental practice could be integrated into therapy, drawing on available evidence and theory. The aim of the treatment programme described is to enhance both the patient's physical performance and their empowerment and self-determination.The framework: Based on evidence from sports rehabilitation and our own experiences the framework will eventually be evaluated in a randomized controlled trial. Five steps are described to teach and upgrade the patient's imagery technique: (1) assess mental capacity to learn imagery technique; (2) establish the nature of mental practice; (3) teach imagery technique; (4) embed and monitor imagery technique; (5) develop self-generated treatments. The description is not, however, a recipe that should be followed precisely. It leaves enough room to tailor the mental practice intervention to the specific individual possibilities, skills and needs of the patient in accordance with evidence-based practice.Discussion: Different aspects of the described protocol are discussed and compared with experiences from sports and evidence available in rehabilitation.

Brain motor system function in a patient with complete spinal cord injury following extensive brain-computer interface training.

Exp Brain Res. 2008 Jul 1;

Authors: Enzinger C, Ropele S, Fazekas F, Loitfelder M, Gorani F, Seifert T, Reiter G, Neuper C, Pfurtscheller G, Müller-Putz G

Virtual reality and persecutory delusions: Safety and feasibility.

Schizophr Res. 2008 Jun 20;

Authors: Fornells-Ambrojo M, Barker C, Swapp D, Slater M, Antley A, Freeman D

OBJECTIVE: Virtual reality (VR) has begun to be used to research the key psychotic symptom of paranoia. The initial studies have been with non-clinical individuals and individuals at high risk of psychosis. The next step is to develop the technology for the understanding and treatment of clinical delusions. Therefore the present study investigated the acceptability and safety of using VR with individuals with current persecutory delusions. Further, it set out to determine whether patients feel immersed in a VR social environment and, consequently, experience paranoid thoughts. METHOD: Twenty individuals with persecutory delusions and twenty non-clinical individuals spent 4 min in a VR underground train containing neutral characters. Levels of simulator sickness, distress, sense of presence, and persecutory ideation about the computer characters were measured. A one-week follow-up was conducted to check longer-term side effects. RESULTS: The VR experience did not raise levels of anxiety or symptoms of simulator sickness. No side effects were reported at the follow-up. There was a considerable degree of presence in the VR scenario for all participants. A high proportion of the persecutory delusions group (65%) had persecutory thinking about the computer characters, although this rate was not significantly higher than the non-clinical group. CONCLUSIONS: The study indicates that brief experiences in VR are safe and acceptable to people with psychosis. Further, patients with paranoia can feel engaged in VR scenes and experience persecutory thoughts. Exposure to social situations using VR has the potential to be incorporated into cognitive behavioural interventions for paranoia.

Emotiv Systems has developed a new brain computer interface headset for video games and other uses. Emotiv’s president Tan Le claims that the headset will be on sale around the end of this year ($299).