001     274054
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037 _ _ |a DZNE-2025-00035
041 _ _ |a English
082 _ _ |a 600
100 1 _ |a Tsamitros, N.
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245 _ _ |a Craving induction through virtual reality cue-exposure for patients with alcohol dependence in rehabilitation treatment.
260 _ _ |a [London]
|c 2024
|b Macmillan Publishers Limited, part of Springer Nature
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520 _ _ |a New therapeutic approaches for alcohol dependence (AD) include virtual reality (VR)-based treatments offering scalable options for cue exposure (CE), a well-established strategy in cognitive behavioral therapy. This study aimed to evaluate the feasibility and tolerability of a new VR-CE paradigm. On an explorative basis, factors influencing the induction of craving were examined. This single-arm monocentric clinical study included n = 21 patients with AD in inpatient rehabilitation treatment, that completed one VR-CE session including confrontation with alcohol-associated stimuli. Measurements of subjective craving before, during and after exposure, affective states, VR side effects as cybersickness and the sense of presence in VR were conducted. Craving levels during and directly after VR-CE were significantly higher than before the intervention. Craving levels 20 min after VR-CE did not significantly differ compared to those before VR-CE. Patients described a pronounced sense of presence and only mild symptoms of cybersickness. Craving was significantly correlated with cybersickness. While positive affect decreased throughout the VR exposure, negative affect did not differ significantly in pre-post-comparisons. This study shows that craving induction through our VR-CE paradigm is feasible and well-tolerated by patients with AD in long-term rehabilitation. These results contribute to the development and future research of therapeutic VR-CE approaches.
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650 _ 7 |a Alcohol dependence
|2 Other
650 _ 7 |a Craving
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650 _ 7 |a Cue exposure
|2 Other
650 _ 7 |a Cybersickness
|2 Other
650 _ 7 |a Sense of presence
|2 Other
650 _ 7 |a Virtual reality
|2 Other
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Alcoholism: rehabilitation
|2 MeSH
650 _ 2 |a Alcoholism: psychology
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Craving
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Adult
|2 MeSH
650 _ 2 |a Cues
|2 MeSH
650 _ 2 |a Virtual Reality
|2 MeSH
650 _ 2 |a Virtual Reality Exposure Therapy: methods
|2 MeSH
650 _ 2 |a Cognitive Behavioral Therapy: methods
|2 MeSH
700 1 _ |a Gutwinski, S.
|b 1
700 1 _ |a Beck, A.
|b 2
700 1 _ |a Lange Mussons, S.
|b 3
700 1 _ |a Sebold, M.
|b 4
700 1 _ |a Schöneck, R.
|b 5
700 1 _ |a Wolbers, T.
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700 1 _ |a Bermpohl, F.
|b 7
700 1 _ |a Heinz, A.
|b 8
700 1 _ |a Lütt, A.
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773 _ _ |a 10.1038/s41598-024-81071-0
|g Vol. 14, no. 1, p. 30550
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