Immersive Virtual Reality & Obsessive Compulsive Disorder

Consorci Hospitalari de Vic

Status: Active, not recruiting

Conditions: Obsessive-Compulsive Disorder

Treatments: Behavioral: Psychotherapy with Immersive Virtual Reality support.

Study type: Interventional

Funder types: Other

Identifiers

NCT05841017

AC-282

Details and patient eligibility

About

Immersive VR (IVR) is based on the generation and projection of images from different perspectives. Obsessive Compulsive Disorder (OCD) is considered one of the 5 most common mental disorders and one of the 20 most disabling diseases according to the World Health Organization (WHO). Its vital prevalence is about 2.5%. This study aims to establish the effectiveness of a cognitive-behavioral intervention - individual and group - using IVR in patients diagnosed with OCD compared to a group receiving standard treatment by the Mental Health Center. A sample will be obtained from the list of all patients registered in the Mental Health Service of the University Hospital of Vic (Vic, Catalonia) with the primary or secondary diagnosis of Obsessive Compulsive Disorder according to Diagnostic and Statistical Manual of Mental Disorders (DSM 5) and in active treatment status in the period between January 2021 and January 2023. Randomized controlled clinical trial. Variables: sociodemographic, clinical, OCD symptom follow-up and quality of life. Measurement instruments: Yale-Brown Obsessive Compulsive Scale (Y-BOCS), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Immersive Tendencies Questionnaire (ITQ), Presence Questionnaire, EuroQoL-5D (EQ-5D). Inclusion criteria: Patients over 18 years of age with a primary or secondary diagnosis of Obsessive Compulsive Disorder with one of the following specifiers: with good or acceptable introspection (1) or with little introspection (2); persons with current activity at the Mental Health Center. Exclusion criteria: patients with a diagnosis of intellectual disability, autistic spectrum disorder, active substance-related disorders, neuro-cognitive disorder and/or severe personality disorder; acute psychopathological decompensation; insufficient command of Catalan and/or Spanish; advanced disease and/or disease that significantly hinders the follow-up of the intervention.

Enrollment: 98 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults (≥18 years of age)
• Outpatient
• Current diagnostic of obsessive compulsive disorder with good or fair insight (1) or with poor insight (2)
• Follow-up by mental health network in Vic Hospital Consortium of Catalonia
• Signed informed consent

Exclusion criteria

• Intellectual disabilities
• Autism spectrum disorder
• Active substance-related disorders
• Neurocognitive disorders
• Several personality disorders
• Clinical acute psychotic relapse

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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98 participants in 2 patient groups

Intervention group

Experimental group

Description:

The intervention group will participate in a psychoeducational group (1) and in individual psychological intervention based in Cognitive Behavioural Therapy (2).

Treatment:

Behavioral: Psychotherapy with Immersive Virtual Reality support.

Control group

No Intervention group

Description:

Usual clinic care.