학술논문

Beyond symptom self-report: use of a computer “avatar” to assess post-traumatic stress disorder (PTSD) symptoms.
Document Type
Article
Source
Stress: The International Journal on the Biology of Stress. Nov2016, Vol. 19 Issue 6, p593-598. 6p.
Subject
*POST-traumatic stress disorder
*AVATARS (Virtual reality)
*MENTAL health of veterans
*SYMPTOMS
*TASK performance
COMPUTERS in psychometrics
Language
ISSN
1025-3890
Abstract
Post-traumatic stress disorder (PTSD) can occur in the wake of exposure to a traumatic event. Currently, PTSD symptoms are assessed mainly through self-report in the form of questionnaire or clinical interview. Self-report has inherent limitations, particularly in psychiatric populations who may have limited awareness of deficit, reduced attention span, or poor vocabulary and/or literacy skills. Diagnosis and evaluation of treatment efficacy would be aided by behavioral measures. A viable alternative may be virtual environments, in which the participant guides an on-screen "avatar" through a series of onscreen events meant to simulate real-world situations. Here, a sample of 82 veterans, self-assessed for PTSD symptoms was administered such a task, in which the avatar was confronted with situations that might evoke avoidant behavior, a core feature of PTSD. Results showed a strong correlation between PTSD symptom burden and task performance; in fact, the ability to predict PTSD symptom burden based on simple demographic variables (age, sex, combat exposure) was significantly improved by adding task score as a predictor variable. The results therefore suggest that virtual environments may provide a new way to assess PTSD symptoms, while avoiding at least some of the limitations associated with symptom self-report, and thus might be a useful complement to questionnaire or clinical interview, potentially facilitating both diagnosis and evaluation of treatment efficacy. [ABSTRACT FROM AUTHOR]