Effect of immersive virtual reality-based cognitive remediation in patients with mood or psychosis spectrum disorders: study protocol for a randomized, controlled, double-blinded trial Article Swipe
Andreas Elleby Jespersen
,
Anders Lumbye
,
Maj Vinberg
,
Louise Birkedal Glenthøj
,
Merete Nordentoft
,
Eva Ejlersen Wæhrens
,
Gitte M. Knudsen
,
Guido Makransky
,
Kamilla Woznica Miskowiak
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13063-024-07910-7
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s13063-024-07910-7
Background Cognitive impairments are prevalent across mood disorders and psychosis spectrum disorders, but there is a lack of real-life-like cognitive training programmes. Fully immersive virtual reality has the potential to ensure motivating and engaging cognitive training directly relevant to patients’ daily lives. We will examine the effect of a 4-week, intensive virtual reality-based cognitive remediation programme involving daily life challenges on cognition and daily life functioning in patients with mood disorders or psychosis spectrum disorders and explore the neuronal underpinnings of potential treatment efficacy. Methods The trial has a randomized, controlled, double-blinded, parallel-group design. We will include 66 symptomatically stable outpatients with mood disorders or psychosis spectrum disorders aged 18–55 years with objective and subjective cognitive impairment. Assessments encompassing a virtual reality test of daily life cognitive skills, neuropsychological testing, measures of daily life functioning, symptom ratings, questionnaires on subjective cognitive complaints, and quality of life are carried out at baseline, after the end of 4 weeks of treatment and at a 3-month follow-up after treatment completion. Functional magnetic resonance imaging scans are performed at baseline and at the end of treatment. The primary outcome is a broad cognitive composite score comprising five subtasks on a novel ecologically valid virtual reality test of daily life cognitive functions. Two complete data sets for 54 patients will provide a power of 80% to detect a clinically relevant between-group difference in the primary outcome. Behavioural data will be analysed using linear mixed models in SPSS, while MRI data will be analysed with the FMRIB Expert Analysis Tool (FEAT). Treatment-related changes in neural activity from baseline to end of treatment will be investigated for the dorsal prefrontal cortex and hippocampus as the regions of interest. Discussion The results will provide insight into whether virtual reality-based cognitive remediation has beneficial effects on cognition and functioning in symptomatically stable patients with mood disorders or psychosis spectrum disorders, which can aid future treatment development. Trial registration ClinicalTrials.gov NCT06038955. Registered on September 15, 2023.
Related Topics
Concepts
Medicine
Double blinded
Randomized controlled trial
Protocol (science)
Psychosis
Mood
Cognition
Virtual reality
Double blind
Mood disorders
Clinical psychology
Psychiatry
Psychotherapist
Placebo
Psychology
Alternative medicine
Anxiety
Internal medicine
Artificial intelligence
Computer science
Pathology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s13063-024-07910-7
- https://trialsjournal.biomedcentral.com/counter/pdf/10.1186/s13063-024-07910-7
- OA Status
- gold
- Cited By
- 12
- References
- 89
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391160771
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4391160771Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s13063-024-07910-7Digital Object Identifier
- Title
-
Effect of immersive virtual reality-based cognitive remediation in patients with mood or psychosis spectrum disorders: study protocol for a randomized, controlled, double-blinded trialWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-01-24Full publication date if available
- Authors
-
Andreas Elleby Jespersen, Anders Lumbye, Maj Vinberg, Louise Birkedal Glenthøj, Merete Nordentoft, Eva Ejlersen Wæhrens, Gitte M. Knudsen, Guido Makransky, Kamilla Woznica MiskowiakList of authors in order
- Landing page
-
https://doi.org/10.1186/s13063-024-07910-7Publisher landing page
- PDF URL
-
https://trialsjournal.biomedcentral.com/counter/pdf/10.1186/s13063-024-07910-7Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://trialsjournal.biomedcentral.com/counter/pdf/10.1186/s13063-024-07910-7Direct OA link when available
- Concepts
-
Medicine, Double blinded, Randomized controlled trial, Protocol (science), Psychosis, Mood, Cognition, Virtual reality, Double blind, Mood disorders, Clinical psychology, Psychiatry, Psychotherapist, Placebo, Psychology, Alternative medicine, Anxiety, Internal medicine, Artificial intelligence, Computer science, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
12Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4, 2024: 8Per-year citation counts (last 5 years)
- References (count)
-
89Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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