Evidence map›Paper›PMID 34801979›Full record

ArticleJournal of medical Internet research2021

The Effects of Virtual Reality Treatment on Prefrontal Cortex Activity in Patients With Social Anxiety Disorder: Participatory and Interactive Virtual Reality Treatment Study.

Hojun Lee, JongKwan Choi, Dooyoung Jung, Ji-Won Hur, Chul-Hyun Cho

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 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

5 authors at 4 institutions in 1 country.

Hojun LeeDepartment of Psychiatry, School of Medicine, Keimyung University, Daegu, Republic of Korea.ORCID 0000-0001-8154-4373
JongKwan ChoiOBELAB Inc, Seoul, Republic of Korea.ORCID 0000-0003-2159-9246
Dooyoung JungDepartment of Biomedical Engineering, Ulsan National Institute of Science and Technology, Ulsan, Republic of Korea.ORCID 0000-0002-5381-4847
Ji-Won HurSchool of Psychology, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-1939-7365
Chul-Hyun ChoDepartment of Psychiatry, College of Medicine, Chungnam National University, Daejeon, Republic of Korea.ORCID 0000-0002-1663-9680
Chungnam National University · KRKeimyung University Dongsan Medical Center · KRKorea University · KRUlsan National Institute of Science and Technology · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttempts to use virtual reality (VR) as a treatment for various psychiatric disorders have been made recently, and many researchers have identified the effects of VR in psychiatric disorders. Studies have reported that VR therapy is effective in social anxiety disorder (SAD). However, there is no prior study on the neural correlates of VR therapy in patients with SAD.

objectiveThe aim of this study is to find the neural correlates of VR therapy by evaluating the treatment effectiveness of VR in patients with SAD using portable functional near-infrared spectroscopy (fNIRS).

methodsPatients with SAD (n=28) were provided with 6 sessions of VR treatment that was developed for exposure to social situations with a recording system of each participant's self-introduction in VR. After each VR treatment session, the first-person view (video 1) and third-person view (video 2) clips of the participant's self-introduction were automatically generated. The functional activities of prefrontal regions were measured by fNIRS while watching videos 1 and 2 with a cognitive task, before and after whole VR treatment sessions, and after the first session of VR treatment. We compared the data of fNIRS between patients with SAD and healthy controls (HCs; n=27).

resultsWe found that reduction in activities of the right frontopolar prefrontal cortex (FPPFC) in HCs was greater than in the SAD group at baseline (t=-2.01, P=.049). Comparing the frontal cortex activation before and after VR treatment sessions in the SAD group showed significant differences in activities of the FPPFC (right: t=-2.93, P<.001; left: t=-2.25, P=.03) and the orbitofrontal cortex (OFC) (right: t=-2.10, P=.045; left: t=-2.21, P=.04) while watching video 2.

conclusionsActivities of the FPPFC and OFC were associated with symptom reduction after VR treatment for SAD. Our study findings might provide a clue to understanding the mechanisms underlying VR treatment for SAD.

trial registrationClinical Research Information Service (CRIS) KCT0003854; https://tinyurl.com/559jp2kp.

Indexed as

Phobia, SocialVirtual RealityVirtual Reality Exposure TherapyHumansInformation ServicesPrefrontal Cortexanxietybrain activityeffectivenessfNIRSprefrontal cortexsocial anxiety disordervirtual reality

Identifiers

PMID34801979
PMCPMC8726045
OpenAlexW3216329321

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.