A5065056337- Schizophrenia research and treatment
- Mental Health Research Topics
- Digital Mental Health Interventions
- Mental Health and Psychiatry
- Psychosomatic Disorders and Their Treatments
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Virtual Reality Applications and Impacts
- Personality Disorders and Psychopathology
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Action Observation and Synchronization
- Health Systems, Economic Evaluations, Quality of Life
- Suicide and Self-Harm Studies
- Pharmaceutical studies and practices
- Empathy and Medical Education
- Infrared Thermography in Medicine
- Resilience and Mental Health
- Psychotherapy Techniques and Applications
- Intimate Partner and Family Violence
- Art Therapy and Mental Health
- Face Recognition and Perception
- Neuroendocrine regulation and behavior
- Social and Behavioral Studies
- Psychological Well-being and Life Satisfaction
- Mental Health Treatment and Access
- Bullying, Victimization, and Aggression
University of Groningen
2016-2024
University Medical Center Groningen
2017-2024
Lund University
2022-2023
Växjö Kommun
2022-2023
Abstract Background: Patients with generalized social anxiety disorder (SAD) avoid various situations and can be reluctant to engage in vivo exposure therapy. Highly personalized practising required before patients are ready perform exposure. Virtual reality-based therapy could beneficial for this group. Aims: To assess the feasibility potential effect of virtual cognitive behavioural (VR-CBT) severe SAD. Methods: Fifteen SAD attended up 16 VR-CBT sessions. Questionnaires on clinical...
Background Evidence was found for the effectiveness of virtual reality-based cognitive behavioral therapy (VR-CBT) treating paranoia in psychosis, but health-economic evaluations are lacking. Objective This study aimed to determine short-term cost-effectiveness VR-CBT. Methods The evaluation embedded a randomized controlled trial evaluating VR-CBT 116 patients with psychotic disorder suffering from paranoid ideation. control group (n=58) received treatment as usual (TAU) disorders accordance...
Many forensic psychiatric inpatients have difficulties regulating aggressive behavior. Evidence of effective aggression treatments is limited. We designed and investigated the effectiveness a transdiagnostic application virtual reality prevention training (VRAPT). In this randomized controlled trial at four Dutch centers, 128 with behavior were randomly assigned to VRAPT (N = 64) or waiting list control group 64). consisted 16 one-hour individual treatment sessions twice week. Assessments...
Virtual reality (VR) enables the administration of realistic and dynamic stimuli within a social context for assessment training emotion recognition. We tested novel VR recognition task by comparing across VR, video photo task, investigating covariates exploring visual attention in VR.Healthy individuals (n = 100) completed three tasks; photo, task. During emotions virtual characters (avatars) street environment were rated, eye-tracking was recorded VR.Recognition accuracy (overall 75%)...
Abstract Background Antipsychotic medication is effective for symptomatic treatment in schizophrenia-spectrum disorders. After symptom remission, continuation of antipsychotic associated with lower relapse rates and severity compared to dose reduction/discontinuation. Therefore, most guidelines recommend at least 1 year. Recently, however, these have been questioned as one study has shown that more patients achieved long-term functional remission an early discontinuation condition—a finding...
Problems in social functioning (e.g., unemployment, isolation), are common people with a psychotic disorder. Social cognition is treatment target to improve functioning, as it proximal predictor of functioning. Cognition Training (SCT) improves cognition, but may not generalize (enduringly) perhaps due insufficient opportunity practice daily-life situations. Using virtual reality (VR) for SCT could address this problem, VR customizable, accessible, and interactive. We will test the effect...
People with a psychotic disorder commonly experience problems in social cognition and functioning. Social training (SCT) improves cognition, but may inadequately simulate real-life interactions. Virtual reality (VR) provides realistic, interactive, customizable, controllable environment, which could facilitate the application of skills daily life.We developed 16-session immersive VR SCT (Dynamic Interactive Cognition Training Reality [DiSCoVR]) conducted single-group feasibility pilot...
Abstract Background Cognitive deficits may be characteristic for only a subgroup of first-episode psychosis (FEP) and the link with clinical functional outcomes is less profound than previously thought. This study aimed to identify cognitive subgroups in large sample FEP using clustering approach healthy controls as reference group, subsequently linking outcomes. Methods 204 patients were included. Hierarchical cluster analysis was performed baseline brief assessment cognition schizophrenia...
Abstract Background and Hypothesis Social cognition training (SCT), an intervention for social functioning, might be improved by using virtual reality (VR), because VR may offer better opportunities to practice in a potentially more realistic environment. To date, no controlled studies have investigated VR-SCT. This study VR-SCT, “DiSCoVR”. We hypothesized that DiSCoVR would improve functioning. Study Design Participants were randomized (n = 41) or relaxation (‘VRelax’, n 40), active control...
Negative affective processes may contribute to maintenance of paranoia in patients with psychosis, and vice versa. Successful treatment break these pathological symptom networks. This study examined whether virtual reality based cognitive behavioral therapy (VR-CBT) for influences momentary states, VR-CBT changes the adverse interplay between states paranoia. Patients a psychotic disorder (n = 91) were randomized 16-session or as usual (TAU). With experience sampling method (structured diary...
Symptom severity and social functioning are important outcomes after first episode psychosis (FEP), yet current evidence about associations between them is inconsistent lacks (subclinical) momentary insights. The Ecological Momentary Assessment (EMA) study was conducted in 58 people remission from FEP, as part of the HAMLETT (Handling Antipsychotic Medication: Long-term Evaluation Targeted Treatment) trial. At baseline, participants were prompted to report mental states context 10x/day for...
Many patients with a psychotic disorder participate poorly in society. When disorders are partial remission, feelings of paranoia, delusions reference, social anxiety and self-stigmatization often remain at diminished severity may lead to avoidance places people. Virtual reality exposure therapy (VRET) is an evidence-based treatment for several disorders. For disorder, the VRETp was developed help them experience feared situations. The present study aims investigate effects on participation...
Virtual Reality cognitive behavioral therapy (VR-CBT) has proven to be an effective treatment method for paranoia and anxiety in psychosis. However, it is unknown, which individuals benefit most from VR-CBT. Previous studies examined factors affecting the effect of regular CBTp, including illness duration, paranoia, depression, pre-therapy avoidance behaviors, but results are inconsistent. The study aims investigate that influence effectiveness A total 95 participants with a psychotic...
Studies have consistently demonstrated increased stress sensitivity in individuals with psychosis. Since may play a role the onset and maintenance of psychosis, this could potentially be promising target for treatment. The current study was first to investigate whether reactivity recovery from daily-life stressors psychosis change response treatment, namely virtual-reality-based cognitive behavioral therapy (VR-CBT). 116 patients were randomized either VR-CBT or waiting list control group...
Background: Safety behaviors, both positive (maladaptive coping behavior) and negative (avoidance behavior), are used by people with paranoid delusions to avoid perceived threats.Safety behaviors contribute the persistence of preventing disconfirmation threat beliefs may influence other psychiatric symptoms.This study investigated how changes in safety related ideation, social anxiety, depression, cognitive biases self-esteem over time.Methods: This included 116 patients diagnosed a...
Background Treating violent behavior in prisons comes with challenges, such as the inability to practice safely triggering situations and motivational issues. A solution may be use of Virtual Reality (VR). With VR, specific conditions or needs can tailored for individual practice, it enhance motivation VR has proven a safe effective tool mental health treatment. Objective pilot study was conducted test acceptability, feasibility, preliminary effects Aggression Prevention Treatment (VRAPT)...
Introduction Problems with adequately regulating aggression are comon in people mild to borderline intellectual disabilities (MBID). Learning through experience has been shown be effective MBID. Therefore, we adapted an prevention training that uses virtual reality (VR), which was initially made for a forensic psychiatric population. We aimed assess the feasibility of this VR
Reliable and valid assessment of paranoia is important in forensic psychiatry for providing adequate care. VR technology may add to current procedures, as it enables observation within realistic (social) situations resembling the complexity everyday life. constitutes a promising tool forensics, due restricted nature psychiatric hospitals ethical challenges arising from observing potentially dangerous behaviors real life.To investigate feasibility paranoid ideation inpatients qualitatively by...
Abstract Background Patients with a psychotic disorder often suffer from low self-esteem, which has been related to higher suicidal risk, poor quality of life and, the maintenance and depression symptoms. However, intervention studies are scarce reported interventions concern individual therapies provided by highly educated psychologists. Both setting required qualifications therapist may contribute level availability an intervention. Therefore we aimed investigate efficacy easily accessible...
Background: Individuals who have a psychotic disorder often find it difficult to recognize emotions, read others’ mental states, and assess social situations. These cognitive deficits are highly predictive of problems in daily life functioning. Meta-analyses show that cognition can be improved by training (SCT) approaches; however, long-term effects appear limited. Given functions is best executed manner resembles integrated with participants’ lives as much possible, plausible explanation...