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STRIVE: Stress Resilience In Virtual Environments: A Pre-Deployment VR System for Training Emotional Coping Skills and Assessing Chronic and Acute Stress Responses

机译:努力:虚拟环境中的压力恢复能力:用于培训情绪应对技能和评估慢性和急性压力反应的预部署VR系统

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The incidence of posttraumatic stress disorder (PTSD) in returning OEF/OIF military personnel is creating a significant healthcare challenge. This has served to motivate research on how to better develop and disseminate evidence-based treatments for PTSD. One emerging form of treatment for combat-related PTSD that has shown promise involves the delivery of exposure therapy using immersive Virtual Reality (VR). Initial outcomes from open clinical trials have been positive and fully randomized controlled trials are currently in progress to further validate this approach. Based on our research group's initial positive outcomes using VR to emotionally engage and successfully treat persons undergoing exposure therapy for PTSD, we have begun development in a similar VR-based approach to deliver stress resilience training with military service members prior to their initial deployment. The Stress Resilience In Virtual Environments (STRIVE) project aims to create a set of combat simulations (derived from our existing Virtual Iraq/Afghanistan exposure therapy system) that are part of a multi-episode narrative experience. Users can be immersed within challenging combat contexts and interact with virtual characters within these episodes as part of an experiential learning approach for training a range of psychoeducational and cognitive-behavioral emotional coping strategies believed to enhance stress resilience. The STRIVE project aims to present this approach to service members prior to deployment as part of a program designed to better prepare military personnel for the types of emotional challenges that are inherent in the combat environment. During these virtual training experiences users are monitored physiologically as part of a larger investigation into the biomarkers of the stress response. One such construct, Allostatic Load, is being directly investigated via physiological and neuro-hormonal analysis from specimen collections taken immediately before and after engagement in the STRIVE virtual experience.
机译:返回OEF / OIF军事人员返回OEF / OIF军事人员的发生率(PTSD)正在创造一个重要的医疗保健挑战。这有助于激发有关如何更好地发展和传播基于证据的应激障碍治疗的研究。对抗相关的PTSD的一种新兴的治疗形式,其具有所示的承诺涉及使用沉浸式虚拟现实(VR)来提供暴露治疗。开放临床试验的初始结果已经积极,并且目前正在进行完全随机对照试验,以进一步验证这种方法。根据我们的研究小组使用VR的初步积极成果,使用VR在情感上啮合并成功地治疗接受接触者治疗的人,我们已经开始开发了类似的VR基础,在初步部署之前通过军事服务成员提供压力恢复培训。虚拟环境中的应力恢复力(努力)项目旨在创建一组战斗模拟(来自我们现有的虚拟伊拉克/阿富汗曝光治疗系统),这是多集叙事体验的一部分。用户可以沉浸在具有挑战性的战斗背景下,并与这些剧集中的虚拟人物互动,作为培训一系列心理教育和认知行为情绪应对策略的体验学习方法的一部分,相信增强压力恢复力。努力项目旨在在部署之前向服务成员提供这种方法,作为计划的一部分,旨在更好地准备军事人员的战斗环境中固有的情感挑战类型。在这些虚拟培训期间,体验用户在生理学上被监测,作为对压力反应的生物标志物的更大调查的一部分。一种这样的构建体,征管载荷,通过从立即在努力虚拟体验之前和之后的标本收集中通过生理和神经激素分析直接研究。

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