Vol. 14 Núm. 2 (2022)
7 min
Cómo citar
Métricas
14
Visualizaciones
1
Descargas
Compartir
Compartir
Resumen (ES)
La Realidad Virtual (RV) es una tecnología cada vez más popular en el ámbito de la intervención sanitaria, siendo considerada una herramienta no farmacológica para el manejo del dolor agudo durante procedimientos médicos dolorosos. A pesar de la evidencia científica en la eficacia de la RV como técnica analgésica, no hay estudios que evalúen la utilidad de incluir narraciones terapéuticas en los escenarios virtuales. El objetivo de este estudio fue evaluar si la inclusión de una narrativa terapéutica en un entorno virtual relajante puede mejorar los efectos analgésicos de la RV. Para ello, se dividió aleatoriamente a 62 participantes en dos grupos experimentales en la misma prueba de criopresión: Condición 1 - Relajación en RV sin narrativa (RVs/N) y Condición 2 - Relajación en RV con narrativa (RVc/N). Los resultados mostraron que el grupo de narrativa terapéutica evidenció una mayor tolerancia al dolor. En particular, esto se vio constatado en mayores tiempos de mantenimiento y de tolerancia total en la prueba de criopresión en el grupo de narrativa terapéutica, respecto al grupo sin la narrativa terapéutica. Los participantes de la condición RVc/N fueron capaces de tolerar el dolor un 85.35% más de tiempo que los participantes de la condición RVs/N. No hubo diferencias significativas en relación a los niveles de ansiedad subjetiva, pero sí en los niveles de intensidad del dolor. Los resultados también sugirieron que el grupo con narrativa terapéutica informó una percepción más rápida del tiempo y de mayores niveles de diversión. El presente estudio es pionero en evidenciar los beneficios de la inclusión de una narrativa terapéutica en un escenario virtual para mejorar la gestión del dolor agudo. Estos resultados revelan la necesidad de incorporar profesionales de la salud mental en equipos multidisciplinarios dirigidos al diseño, desarrollo, implementación y evaluación de aplicaciones digitales dirigidas a la intervención sanitaria.
Adams, M. L., & Arminio, G. J. (2008). Non-Pharmacologic Pain Management Intervention. Clinics in Podiatric Medicine and Surgery, 25(3), 409-429. http://doi.org/10.1016/j.cpm.2008.02.003
Alsina-Jurnet, I., & Gutierrez-Maldonado, J. (2010). Influence of personality and individual abilities on the sense of presence experienced in virtual environments. 2009 2nd Conference on Human System Interactions. http://doi.org/10.1109/hsi.2009.5090971
Anderson, A. P., Mayer, M. D., Fellows, A. M., Cowan, D. R., Hegel, M. T., & Buckey, J. C. (2017). Relaxation with Immersive Natural Scenes Presented Using Virtual Reality. Aerospace medicine and human performance, 88(6), 520–526. https://doi.org/10.3357/AMHP.4747.2017
Benedetti, F., Carlino, E., & Pollo, A. (2011). How Placebos Change the Patient’s Brain. Neuropsychopharmacology, 36(1), 339–354. http://doi.org/10.1038/npp.2010.81
Blum, J., Rockstroh, C., & Göritz, A. S. (2019). Heart Rate Variability Biofeedback Based on Slow-Paced Breathing With Immersive Virtual Reality Nature Scenery. Frontiers in psychology, 10, 2172. https://doi.org/10.3389/fpsyg.2019.02172
Carvalho, M. R. D., Freire, R. C., & Nardi, A. E. (2010). Virtual reality as a mechanism for exposure therapy. The World Journal of Biological Psychiatry, 11(2-2), 220–230. http://doi.org/10.3109/15622970802575985
Chafin, S., Roy, M., Gerin, W., & Christenfeld, N. (2004). Music can facilitate blood pressure recovery from stress. British Journal of Health Psychology, 9(3), 393–403. http://doi.org/10.1348/1359107041557020
Chan, E., Foster, S., Sambell, R., & Leong, P. (2018). Clinical efficacy of virtual reality for acute procedural pain management: A systematic review and meta-analysis. PLOS ONE, 13(7), e0200987. http://doi.org/10.1371/journal.pone.0200987
Dahlquist, L. M., McKenna, K. D., Jones, K. K., Dillinger, L., Weiss, K. E., & Ackerman, C. S. (2007). Active and passive distraction using a head-mounted display helmet: Effects on cold pressor pain in children. Health Psychology, 26(6), 794 – 801. http://dx.doi.org/10.1037/0278-6133.26.6.794
De la Cruz, M., Casañ, G. A., Sanz, P. J. & Marin, R. (2020). A new virtual reality interface for underwater intervention missions. IFAC, Papers online, 53-2. http://doi.org/10.1016/j.ifacol.2020.12.1468
Eccleston, C., & Crombez, G. (1999). Pain demands attention: A cognitive–affective model of the interruptive function of pain. Psychological Bulletin, 125(3), 356–366. http://doi.org/10.1037/0033-2909.125.3.356
Georgescu, R., Fodor, L. A., Dobrean, A., & Cristea, I. A. (2020). Psychological interventions using virtual reality for pain associated with medical procedures: a systematic review and meta-analysis. Psychological Medicine, 50(11), 1795-1807. http://doi.org/10.1017/s0033291719001855
Gerardi, M., Cukor, J., Difede, J., Rizzo, A., & Rothbaum, B. O. (2010). Virtual Reality Exposure Therapy for Post-Traumatic Stress Disorder and Other Anxiety Disorders. Current Psychiatry Reports, 12(4), 298–305. http://doi.org/10.1007/s11920-010-0128-4
Gorini, A., Capideville, C. S., De Leo, G., Mantovani, F., & Riva, G. (2011). The role of immersion and narrative in mediated presence: the virtual hospital experience. Cyberpsychology, behavior and social networking, 14(3), 99–105. https://doi.org/10.1089/cyber.2010.0100
Hoffman, H. G., Garcia-Palacios, A., Kapa, V., Beecher, J., & Sharar, S. R. (2003). Immersive virtual reality for reducing experimental ischemic pain. International Journal of Human-Computer Interaction, 15(3), 469–486. https://doi.org/10.1207/S15327590IJHC1503_10
Hoffman, H. G., Patterson, D. R., Carrougher, G. J., & Sharar, S. R. (2001). Effectiveness of virtual reality-based pain control with multiple treatments. The Clinical journal of pain, 17(3), 229–235. https://doi.org/10.1097/00002508-200109000-00007
Hoffman, H. G., Seibel, E. J., Richards, T. L., Furness, T. A., Patterson, D. R., & Sharar, S. R. (2006). Virtual Reality Helmet Display Quality Influences the Magnitude of Virtual Reality Analgesia. The Journal of Pain, 7(11), 843–850. http://doi.org/10.1016/j.jpain.2006.04.006
Hoffman, H. G., Sharar, S. R., Coda, B., Everett, J. J., Ciol, M., Richards, T., & Patterson, D. R. (2004). Manipulating presence influences the magnitude of virtual reality analgesia. Pain, 111(1), 162–168. http://doi.org/10.1016/j.pain.2004.06.013
IASP - International Association for the Study of Pain. (2005) Ethical standards in pain management and research. Retrieved 2019, December 2. https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1213
Jameson, E., Trevena, J., & Swain, N. (2011). Electronic Gaming as Pain Distraction. Pain Research and Management, 16(1), 27–32. http://doi.org/10.1155/2011/856014
Katsuki, F., & Constantinidis, C. (2013). Bottom-Up and Top-Down Attention. The Neuroscientist, 20(5), 509–521. http://doi.org/10.1177/1073858413514136
Kenney, M. P., & Milling, L. S. (2016). The effectiveness of virtual reality distraction for reducing pain: A meta-analysis. Psychology of Consciousness: Theory, Research, and Practice, 3(3), 199–210. http://doi.org/10.1037/cns0000084
Kothgassner, O. D., Goreis, A., Kafka, J. X., Van Eickels, R. L., Plener, P. L., & Felnhofer, A. (2019). Virtual reality exposure therapy for posttraumatic stress disorder (PTSD): a meta-analysis. European Journal of Psychotraumatology, 10(1), 1654782. http://doi.org/10.1080/20008198.2019.1654782
Kwekkeboom, K. L., & Gretarsdottir, E. (2006). Systematic Review of Relaxation Interventions for Pain. Journal of Nursing Scholarship, 38(3), 269–277. http://doi.org/10.1111/j.1547-5069.2006.00113.x
Lanier, J. (1989) A Vintage Virtual Reality Interview. Whole Earth Review. Retrieved 2019, December 2. http://www.jaronlanier.com/jaron%20whole%20earth%20review.pdf
Li, A., Montaño, Z., Chen, V. J., & Gold, J. I. (2011). Virtual reality and pain management: current trends and future directions. Pain Management, 1(2), 147–157. http://doi.org/10.2217/pmt.10.15
Loreto-Quijada, D., Gutiérrez Maldonado, J., Gutiérrez-Martínez, O., & Nieto-Luna, R. (2011). Non-Interactive Virtual Reality to Manage Pain. Anuario De psicología / The UB Journal of Psychology, 41(1), 67-79. https://raco.cat/index.php/AnuarioPsicologia/article/view/249931
Loreto-Quijada, D., Gutiérrez-Maldonado, J., Nieto, R., Gutiérrez-Martínez, O., Ferrer-García, M., Saldaña, C., Fusté-Escolano A. & Liutsko, L. (2014). Differential effects of two virtual reality interventions: Distraction versus pain control. Cyberpsychology, Behavior and Social Networking, 17(6), 353–358. http://dx.doi.org/10.1089/cyber.2014.0057
Magora, F., Cohen, S., Shochina, M. & Dayan, E. (2006). Virtual reality immersion method of distraction to control experimental ischemic pain. The Israel Medical Association Journal, 8(4), 261–265. https://pubmed.ncbi.nlm.nih.gov/16671363/
Mallari, B., Spaeth, E. K., Goh, H., & Boyd, B. S. (2019). Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis. Journal of Pain Research, 12, 2053–2085. http://doi.org/10.2147/jpr.s200498
Malloy, K. M., & Milling, L. S. (2010). The effectiveness of virtual reality distraction for pain reduction: A systematic review. Clinical Psychology Review, 30(8), 1011–1018. http://doi.org/10.1016/j.cpr.2010.07.001
Melzack R. (2001). Pain and the neuromatrix in the brain. Journal of dental education, 65(12), 1378–1382. https://pubmed.ncbi.nlm.nih.gov/11780656/
Miron, D., Duncan, G. H., & Bushnell, C. M. (1989). Effects of attention on the intensity and unpleasantness of thermal pain. Pain, 39(3), 345–352. http://doi.org/10.1016/0304-3959(89)90048-1
Mitchell, L. A., MacDonald, R. A. ., & Brodie, E. E. (2004). Temperature and the cold pressor test. The Journal of Pain, 5(4), 233–237. http://doi.org/10.1016/j.jpain.2004.03.004
Mourot, L., Bouhaddi, M., & Regnard, J. (2009) Effects of the Cold Pressor Test on Cardiac Autonomic Control in Normal Subjects. Feb 2008. Physiol Res., 58(1), 83-91. http://doi.org/10.33549/physiolres.931360
Muñoz, E. & Pedemonte, H. (2007). Dolor experimental y analgesia hipnótica. ACHED, 47, 18-28. https://www.revistaeldolor.cl/storage/articulos/December2020/ksWZ1q5xdjXTdS3I6NLA.pdf
Patterson, D.R., Hoffman, H.G., Palacios, A.G. & Jensen, M. J. (2006). Analgesic effects of posthypnotic suggestions and virtual reality distraction on thermal pain. Journal of abnormal psychology, 115(4), 834-841. https://pubmed.ncbi.nlm.nih.gov/17100541/
Rachlin, H. (1985). Pain and behavior. Behavioral and Brain Sciences, 8(1), 43–83. https://doi.org/10.1017/S0140525X00019488
Relaxvr.co. (2018). Relax VR - Beautiful Locations and Guided Meditations in Virtual Reality. [en linea] Disponible en: http://www.relaxvr.co
Schneider, S. M., Kisby, C. K., & Flint, E. P. (2010). Effect of virtual reality on time perception in patients receiving chemotherapy. Supportive Care in Cancer, 19(4), 555–564. http://doi.org/10.1007/s00520-010-0852-7
Seinfeld, S., Bergstrom, I., Pomes, A., Arroyo-Palacios, J., Vico, F., Slater, M., & Sanchez-Vives,M. V. (2016). Influence of Music on Anxiety Induced by Fear of Heights in Virtual Reality. Frontiers in Psychology, 6. http://doi.org/10.3389/fpsyg.2015.01969
Sharar, S. R., Miller, W., Teeley, A., Soltani, M., Hoffman, H. G., Jensen, M. P., & Patterson, D. R. (2008). Applications of virtual reality for pain management in burn-injured patients. Expert Review of Neurotherapeutics, 8(11), 1667–1674. http://doi.org/10.1586/14737175.8.11.1667
Sil, S., Dahlquist, L. M., Thompson, C., Hahn, A., Herbert, L., Wohlheiter, K., & Horn, S. (2014). The effects of coping style on virtual reality enhanced videogame distraction in children undergoing cold pressor pain. Journal of Behavioral Medicine, 37, 156 –165. http://dx.doi.org/10.1007/s10865-012-9479-0
Simkin, P., & Bolding, A. (2004). Update on Nonpharmacologic Approaches to Relieve Labor Pain and Prevent Suffering. Journal of Midwifery & Women’s Health, 49(6), 489–504. http://doi.org/10.1016/j.jmwh.2004.07.007
Slater, M., & Wilbur, S. (1997). A Framework for Immersive Virtual Environments (FIVE): Speculations on the Role of Presence in Virtual Environments. Presence: Teleoperators and Virtual Environments, 6(6), 603–616. http://doi.org/10.1162/pres.1997.6.6.603
Triberti, S., Repetto, C., & Riva, G. (2014). Psychological Factors Influencing the Effectiveness of Virtual Reality–Based Analgesia: A Systematic Review. Cyberpsychology, Behavior, and Social Networking, 17(6), 335–345. http://doi.org/10.1089/cyber.2014.0054
Trout, K. K. (2004). The Neuromatrix Theory of Pain: Implications for Selected Nonpharmacologic Methods of Pain Relief for Labor. Journal of Midwifery & Women’s Health, 49(6), 482–488. http://doi.org/10.1016/j.jmwh.2004.07.009
Wender, R., Hoffman, H.G., Hunner, H.H., Seibel, E.J., Patterson, D.R., & Sharar, S.R. (2009). Interactivity Influences The Magnitude Of Virtual Reality Analgesia. Journal of cyber therapy and rehabilitation, 2(1), 27-33. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2853033/
Wismeijer, A. A., & Vingerhoets, A. J. J. M. (2005). The use of virtual reality and audiovisual eyeglass systems as adjunct analgesic techniques: A review of the literature. Annals of Behavioral Medicine, 30(3), 268–278. http://doi.org/10.1207/s15324796abm3003_11
Explorar
Artículos
Volúmenes
Sobre la revista
Más leídos
Neuropsicología Latinoamericana
Neuropsicología Latinoamericana
Neuropsicología Latinoamericana
Neuropsicología Latinoamericana
Neuropsicología Latinoamericana