Evidence map›Paper›PMID 33031046›Full record

ArticleJMIR mental health2020

Virtual Reality Behavioral Activation as an Intervention for Major Depressive Disorder: Case Report.

Margot Paul, Kim Bullock, Jeremy Bailenson

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR mental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04268316 (Virtual Reality Behavioral Activation), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04268316 nacompletednot on this map

Virtual Reality Behavioral Activation: An Intervention for Major Depressive Disorder

TypeinterventionalSponsorStanford UniversityRan2020 to 2021Enrolled20ConditionsMajor Depressive Disorder, MDD, DepressionArmsVirtual Reality Behavioral Activation, Behavioral Activation in real-life
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Margot PaulPGSP-Stanford PsyD Consortium, Palo Alto, CA, United States.ORCID https://orcid.org/0000-0002-1202-147X
Kim BullockDepartment of Psychiatry & Behavioral Sciences, Stanford School of Medicine, Stanford, CA, United States.ORCID https://orcid.org/0000-0003-1214-1356
Jeremy BailensonDepartment of Communication, Stanford University, Stanford, CA, United States.ORCID https://orcid.org/0000-0003-2813-3297
Palo Alto University · USStanford Medicine · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) is a global problem with an increasing incidence and prevalence. There has additionally been an increase in depression due to the COVID-19 pandemic. Behavioral activation is considered an evidence-based treatment for MDD. However, there are many barriers that could hinder one's ability to engage in behavioral activation, with COVID-19 "shelter-in-place" and social distancing orders being current and large impediments. Virtual reality (VR) has been successfully used to help treat a variety of mental health conditions, but it has not yet been used as a method of administering behavioral activation to a clinical population. Using VR to engage in behavioral activation could eliminate barriers that pandemic precautions place and help decrease symptoms of depression that are especially exacerbated in these times.

objectiveThe following case report examines the feasibility, acceptability, and tolerability of VR behavioral activation for an adult with MDD during a global pandemic. This participant was part of a larger pilot study, and the case serves as a description of the VR intervention.

methodsThe participant engaged in a weekly 50-minute psychotherapy Zoom session for 4 weeks, in which a modified behavioral activation protocol was administered using a VR headset to simulate activities. Data on mood ratings, homework compliance, and headset use were obtained from the headset. Acceptability, tolerability, and depression symptoms were obtained using self-report rating scales.

resultsThe intervention was feasible, acceptable, and tolerable, as reported by this participant. The participant's depressive symptoms decreased by five-points on the Patient Health Questionnaire-9 over a month, with a beginning score of 10 (moderate depression) and a final score of 5 (mild depression).

conclusionsThe implications of these findings for future research are discussed.

trial registrationClinicalTrials.gov NCT04268316; http://clinicaltrials.gov/ct2/show/NCT04268316.

Indexed as

acceptabilitybehaviorbehavioral activationcase reportCOVID-19depressionfeasibilityinterventionmajor depressive disorderpilot studytelehealthvirtual realityVR

Identifiers

PMID33031046
PMCPMC7641650
OpenAlexW3092340923

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.