Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-18T07:52:13.925Z Has data issue: false hasContentIssue false
  • English
  • Français

La realidad virtual muestra una alta sensibilidad a los conflictos multisensoriales en la agorafobia

Published online by Cambridge University Press:  12 May 2020

Isabelle Viaud-Delmon ,
Olivier Warusfel ,
Angeline Seguelas ,
Emmanuel Rio  and
Roland Jouvent
Isabelle Viaud-Delmon
Affiliation:
CNRS-UPMC UMR 7593, PaVillon Clérambault, Hôpital de la Salpêtrière, 47 boulevard de l'Hôpital, 75013 , París, Francia
Olivier Warusfel
Affiliation:
IRCAM-CNRS UMR 9912, París, Francia
Angeline Seguelas
Affiliation:
CNRS-UPMC UMR 7593, PaVillon Clérambault, Hôpital de la Salpêtrière, 47 boulevard de l'Hôpital, 75013 , París, Francia
Emmanuel Rio
Affiliation:
IRCAM-CNRS UMR 9912, París, Francia
Roland Jouvent
Affiliation:
CNRS-UPMC UMR 7593, PaVillon Clérambault, Hôpital de la Salpêtrière, 47 boulevard de l'Hôpital, 75013 , París, Francia
Get access

Resumen

El propósito primario de este estudio era evaluar el efecto de la retroalimentación auditiva en un sistema de realidad virtual (RV) planeado para el uso clínico y estudiar los diferentes factores que se deben tener en cuenta al construir un entorno virtual (EV) bimodal. Realizamos un experimento en el que evaluamos el desempeño espacial en pacientes con agorafobia y sujetos normales comparando dos clases de EV: visual solo (Vis) y auditivo-visual (AVis), durante sesiones separadas. Se equipó a los sujetos con un visualizador montado en la cabeza acoplado a un sistema sensor electromagnético e inmerso en una ciudad virtual. Su tarea era localizar diferentes mojones y familiarizarse con la ciudad. En la condición AVis, se equipó a los sujetos con el visualizador montado en la cabeza y auriculares, que proporcionaban un paisaje sonoro actualizado en tiempo real según su movimiento en la ciudad virtual. Aunque el desempeño general era comparable a través de las condiciones, la sensación comunicada por los sujetos de estar inmerso en el ambiente era más convincente en el entorno AVis. Sin embargo, los pacientes mostraron más síntomas de mareo de simulación en esta condición. El resultado de este estudio apunta al déficit de integración multisensorial en los pacientes con agorafobia y subrayan la necesidad de más investigaciones sobre los sistemas de RV multimodal para su uso clínico.

Keywords

Realidad virtualIntegración multisensorialAgorafobiaTrastornos de ansiedadTerapia cibernética
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 14 , Issue 2 , March 2007 , pp. 65 - 72
Copyright
Copyright © European Psychiatric Association 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

[1]Bernstein, EMPutnam, FWDevelopment, reliability, and validity of a dissociation scale. J Nerv Ment Dis 1986;174:727-35.CrossRefGoogle ScholarPubMed
[2]Blauert, JSpatial hearing. Cambridge: MA: MIT Press; 1983.Google Scholar
[3]Botella, CBanos, RMPerpina, CVilla, HAlcaniz, MRey, AVirtual reality treatment of claustrophobia: a case report. Behav Res Ther 1998;36:239-46.CrossRefGoogle ScholarPubMed
[4]Bremner, JDStaib, LHKaloupek, DSouthwick, SMSoufer, RChamey, DSNeural correlates of exposure to traumatic pictures and sound in Vietnam combat veterans with and without posttraumatic stress disorder: a positron emission tomography study. Biol Psychiatry 1999;45:806-16.CrossRefGoogle ScholarPubMed
[5]Carlin, ASHoffman, HGWeghorst, SVirtual reality and tactile augmentation in the treatment of spider phobia: a case report. Behav Res Ther 1997;35:153-8.CrossRefGoogle ScholarPubMed
[6]Darves-Bornoz, JMDegiovanni, AGaillard, PValidation of a French version of the Dissociative Experiences Scale in a rape-victim population. Can J Psychiatry 1999;44(3):271-5.CrossRefGoogle Scholar
[7]Delerue, OWarusfel, OAuthoring of virtual sound scenes in the context of the LISTEN project. In: Proceedings of the 22nd AES Conference. 2002. p. 39–47.Google Scholar
[8]Gilkey, RHWeisenberger, JMThe sense of presence for the suddenly- deafened adult: Implications for virtual environments. Presente Teleoper Virtual Environ 1995;4(4):357-63.CrossRefGoogle Scholar
[9]Golledge, RGLoomis, JMKlatzky, RLFlury, AYang, XDesigning a personal guidance-system to aid navigation without sight: progress on the GIS component. Int J Geogr Inform Syst 1991;5:373-95.Google Scholar
[10]Hendrix, CBarfield, WThe sense of presence within auditory virtual environments. Presence Teleoper Virtual Environ 1996;3:290–301.CrossRefGoogle Scholar
[11]Ichimura, ANkajia, IJuzoji, HInvestigation and analysis of a reported incident resulting in an actual airline hijacking due to a fanatical and engrossed VR State. Cyberpsychol Behav 2001;4:355-63.Google Scholar
[12]Jacob, RGFurman, JMDurrant, JDTurner, SMPanic, agoraphobia, and vestibular dysfunction. Am J Psychiatry 1996;153:503-12.Google ScholarPubMed
[13]Jacob, RGFurman, JMDurrant, JDTurner, SMSurface dependence: a balance control strategy in panic disorder with agoraphobia. Psychosom Med 1997;59:323-30.CrossRefGoogle ScholarPubMed
[14]Jot, JMReal-time spatial Processing of sounds for music, multimedia and interactive human-computer interfaces. Multimedia Syst 1999;7:55–69.CrossRefGoogle Scholar
[15]Jot, JMWarusfel, OA real-time spatial sound processor for masic and virtual reality applications. In: Proceedings of ICMC’95. Canada: Banff; 1995. p. 294-5.Google Scholar
[16]Lecrubier, YSheehan, DWeiller, EAmorim, PBonora, LIHamett, K et al. The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psyhichiatry 1997;12:224-31.CrossRefGoogle Scholar
[17]Lipowski, ZJSensory and information inputs overload: behavioural effects. Comp Psychiatry 1975;16:199–221.CrossRefGoogle Scholar
[18]Loomis, JMDistal attribution and presence. Presence Teleoper Virtual Environ 1992; 1(1): 113-9.Google Scholar
[19]Loomis, JMKlatzky, RLGolledge, RGNavigating without vision: basic and applied research. Optom Vis Sci 2001;78:282-9.CrossRefGoogle ScholarPubMed
[20]Marriage, JBames, NMIs central hyperacusis a symptom of 5- hydroxytryptamine (5-HT) dysfunction? J Laryngol Otol 1995;109:915-21.CrossRefGoogle ScholarPubMed
[21]Moore, KWiederbold, BKWiederhold, MDRiva, GPanic and agoraphobia in a virtual world. Cyberpsychol Behav 2002;5(3):197–202.CrossRefGoogle Scholar
[22]Reason, JTRelations between motion sickness susceptibility, the spiral after-effect and loudness estimation. Br J.Psychol 1968; 59:385-93.Google ScholarPubMed
[23]Regenbrecht, HTSchubert, TWFriedman, FMeasuring the sense of presence and its relation to fear of heights in virtual environments. Int J Hum Comput Interact 1998;10:233-49.CrossRefGoogle Scholar
[24]Robillard, GBouchard, SFoumier, TRenaud, PAnxiety and presence during VR immersion: a comparative study of the reactions of phobic and non-phobic participants in therapeutic virtual environments derived from Computer games. Cyberpsychol Behav 2003;6(5):467-76.CrossRefGoogle ScholarPubMed
[25]Rothbaum, BOHodges, LFKooper, ROpdyke, DWilliford, JSNorth, MEffectiveness of computer-generated (virtual reality) graded exposure in the treatment of acrophobia. Am J Psychiatry 1995;152:626-8.Google ScholarPubMed
[26]Schubert, TFriedmann, FRegenbrecht, HThe experience of presence: factor analytic insights. Presence Teleoper Virtual Environ 2001;10:266-81.Google Scholar
[27]Sheridan, TBMusings on telepresence and virtual presence. Presence Teleoper Virtual Environ 1992; 1(1): 120-5.CrossRefGoogle Scholar
[28]Spielberger, CDGorsuch, RLLushene, RVagg, PRJacobs, GAManual for the State-Trait Anxiety Inventory (STAI), Form Y. Palo Alto: Consulting Psychologists Press; 1983.Google Scholar
[29]Stephens, SDPersonality and the slope of loudness function. Q J Exp Psychol 1970;22:9–13.CrossRefGoogle ScholarPubMed
[30]Tarr, MJWarren, WHVirtual reality in behavioral neuroscience and beyond. Nat Neurosci 2002;5:1089-92.CrossRefGoogle ScholarPubMed
[31]Vastfjall, DLarsson, PKleiner, MEmotion and auditory virtual environments: affect-based judgments of music reproduced with virtual reverberation times. Cyberpsychol Behav 2002;5:19–32.CrossRefGoogle ScholarPubMed
[32]Viaud-Delmon, IIvanenko, YPBerthoz, AJouvent, RAdaption as sensorial profile in trait anxiety: a study with virtual reality. J Anxiety Disord 2000;14:583–601.CrossRefGoogle Scholar
[33]Viaud-Delmon, IBerthoz, AJouvent, RMultisensory integration for spatial orientation in trait anxiety subjects: absence of visual dependence. Eur Psychiatry 2002;17:194-9.CrossRefGoogle ScholarPubMed
[34]Wiederhold, BKJang, DPKaneda, MCabral, ILurie, YMay, T et al. An investigation into physiological responses in virtual environments: an objective measurement of presence. In: Riva, GGalimberti, C editors. Towards cyberpsychology: Mind, cognitions and society in the internet age. Amsterdam: IOS Press; 2003. p. 175-83.Google Scholar
[35]Yardley, LLuxon, LBird, JLear, SBritton, JVestibular and posturographic test results in people with symptoms of panic and agoraphobia. J Audiological Med 1994;3:48–65.Google Scholar