2011 Winter Editorial

Journal of CyberTherapy & Rehabilitation

Winter 2011, Volume 4, Issue 4

 

How Can we Help preserve Mental Capital?

First, let me define what I mean by the concept of mental wealth or mental capital. The Foresight Project on Mental Health and Well-being says that it “encompasses a person’s cognitive and emotional resources. It includes their cognitive ability, how flexible and efficient they are at learning, and their ‘emotional intelligence,’ such as their social skills and resilience in the face of stress. It therefore conditions how well an individual is able to contribute effectively to society, and also to experience a high personal quality of life.” The study focused on the U.K., but the 20-year trends cited as affecting the mental wealth of that country are relevant to the rest of the EU, the U.S., and other parts of the world. Trends include the aging of the population (increasing dementia), changes in the global economy (rise of China and India, need for more training and work-life balance), the changing nature and expectations of society and public services (balance of responsibility), and new science and technology (equal access to their benefits).

These same themes emerge in the resulting study article, “The mental wealth of nations,” by Beddington et al., which reported on the group’s evaluation of the scientific evidence to produce this independent assessment involving 450 experts from 16 countries. The authors of this paper urged development of initiatives to support early diagnosis and treatment of childhood learning problems, workplace environments that promote mental health and programs that advance learning among elders to slow cognitive decline. They noted, “How a nation develops and uses its mental capital not only has a significant effect on its economic competitiveness and prosperity but is also important for mental health and well- being and social cohesion and inclusion.”

Pointing to a disproportionate share of investment in mental health relative to its disease burden, the U.S. National Institute of Mental Health (NIMH) created the Grand Challenges in Global Mental Health, identifying research priorities for the next 10 years that will make a difference in people’s mental health. These 25 specific challenges are grouped into broad goals that seek to:

  • Identify root causes, risk and protective factors
  • Advance prevention and implementation of early interventions
  • Improve treatments and expand access to care
  • Raise awareness of the global burden
  • Build human resource capacity
  • Transform health-system and policy responses

NIMH lists guiding principles for funding such research:

  • Use a life-course approach to study
  • Use system-wide approaches to address suffering
  • Use evidence-based interventions
  • Understand environmental influences

So how can we, as clinical and research professionals with spe- cialties in, for example, psychology, physical medicine and rehabilitation, or autism, help our clients boost their mental capital?

 

  1.  Improved access to education can help: “The [Foresight] Project has identified a number of technologies … ubiquitous and mobile technologies; artificial intelligence; assessment technologies; and tools to support teachers in designing and exchanging learning activities.” A virtual environment to help children with autism learn to cross the street is one example of how we can use the technolo- gies we espouse for early intervention, the most cost-effective way to prevent mental ill health.
  2.  Although the mechanisms are not yet understood, a growing number of studies show that physical exercise may prevent or mitigate the effects of depression, and a Stanford University study showed that a virtual representation of one’s self gaining or losing weight in proportion to the exercise completed motivated volunteers to complete more exercise.
  3.  While we are just beginning to debate the legal and ethical im- plications of using pharmacological (smart drugs) means of improving mental wealth, use of these drugs in controlled clinical trials and publication of results that show minimal side effects from long-term use will pave the way for their mainstreaming.
  4. Neurocognitive activation via cognitive training is a promising area of investigation, as I reported in my recent article co-authored with Dr. Mark Wiederhold. With the aid of fMRI-safe Virtual Reality goggles, we can study the brain while a patient interacts with a virtual environment, and learn how to tailor treatments to pro- duce the desired activations in that individual’s brain.
  5.  Finally, I would encourage you to continue to advocate for mental health funding by governments. As the Foresight study authors noted, “… a cross-governmental approach is needed to realize the full benefits … Interventions may have long timescales before they see any returns. Implementing these recommendations will require significant changes in the nature of governance, placing mental capital and well-being at the heart of policy-making.”

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

www.vrphobia.eu

2010 Winter Editorial

Journal of CyberTherapy & Rehabilitation

Winter 2010, Volume 3, Issue 4

 

  EDITORIAL

Let me take this opportunity to welcome readers to the Winter 2010 issue of the Journal of CyberTherapy & Re- habilitation (JCR). Our peer-reviewed academic journal continues to promote and explore advanced technologies for therapy, training, education, prevention and rehabil- itation. With the end of 2010 drawing to a close, we take this time to reflect on the advancement and recognition JCR has received. We have seen our exposure grow, partly as a result of newly acquired indexing with Scopus and Embase, Cabell’s, Gale, EBSCO and PsycINFO. JCR continues to reach an ever-expanding number of readers around the globe, both as subscribers and at var- ious academic conferences.

In the first article of this issue, Cho and Lee describe the creation and implementation of a virtual optokinetic stimulation program to treat pseudoneglect in healthy individuals. Results and whether the program might be applicable in a clinical setting are addressed as well.

In the second paper, Valtchanov and Ellard explore physiological and affective responses to immersion in Virtual Reality (VR) to determine which environments, natural versus urban, have the most soothing effects on stress.

Next, Lister, Piercey, and Joordens discuss the effective- ness of VR to treat fear of public speaking and expound on future areas of application.

The following paper by Kündiger et al. addresses an online counseling system to treat eating disorders, and how it can complement more traditional methods of treatment and therapy. Level of acceptance for patients is discussed and ways in which to make the program more effective and user-friendly.

An interesting study by Wiederhold, Gavshon, and Wiederhold explores the combination of psychodynamic psychotherapy and VR. Often VR is used in combination with cognitive behavioral therapy, but its use with other types of therapy have found success as well.

A final paper by Santos-Ruiz et al. explores whether the Trier Social Stress Test can be integrated with VR environments to effectively measure levels of stress and anx- iety.

I would like to send a sincere thanks to contributing au- thors for their inspiring work and dedication to this field of research. I also want to thank JCR’s Associate Editors – Professors Botella, Bouchard, Gamberini and Riva for their continued leadership and hard work, as well as or internationally renowned Editorial Board for their contributions. Our board continues to grow, representing diverse disciplines, countries, and areas of expertise.

We continue to strive to provide readers with engaging, informative material, as well as extra supplements, including the newly added continuing education quizzes and book reviews. As always, we welcome your input and suggestions on ways to strengthen JCR’s scientific rigor and visibility. As well as input and recommendations, we welcome new submissions from scholars, researchers, and academics, instructions for which can be found in the back of the journal.

We look forward to providing our readers with cutting-edge studies and information in the upcoming year, and thank you for your continued support.

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

2010 Fall Editorial

Journal of CyberTherapy & Rehabilitation

Fall 2010, Volume 3, Issue 3

 

 EDITORIAL

We are pleased to bring the Fall 2010 issue of the Journal of CyberTherapy & Rehabilitation (JCR) to our expand- ing audience around the world. Our quarterly published peer-reviewed academic journal explores the uses of ad- vanced technologies for therapy, training, education, prevention and rehabilitation. JCR continues to actively focus on the rapidly expanding worldwide trend of applying groundbreaking technology towards the field of healthcare.

To educate our readers on new advancements in fields such as robotics, adaptive displays, E-health, virtual re- ality (VR) and non-invasive physiological monitoring as they are applied to diverse disciplines in healthcare, we present comprehensive articles submitted by preeminent scholars in the field. This issue includes topics such as the creation of a virtual aquatic world to aid in education and using night vision during operations to possibly allow greater VR immersion for patients while in surgery.

In the first article of this issue, Wrzesien presents a pilot evaluation of a virtual interactive learning system aiming to teach children about the Mediterranean Sea and relevant ecological issues. The author also considers ways to improve the software after receiving preliminary feed- back.

Next, King, Delfabbro and Griffiths show the reader how cognitive-behavioral therapy might be employed to treat addicts of video games and discuss preliminary treatment techniques for such an addiction.

Thirdly, Rodrigues, Sauzéon, Wallet and N’Kaoua present a study comparing subjects’ spatial performance on a pedestrian route based on the type of learning environment, real or virtual, the exploration mode used during the learning phase and the type of spatial test administered at retrieval. Through this study the authors hope to further

In the fourth article Cowan et al. discuss a serious game for the purpose of teaching orthopedic surgery residents a total knee arthroplasty procedure using a problem based learning approach. The study assessed user per- ceptions of the game’s ease of use and potential for learning and engagement.

In the following article, Stadie et al. examine the differences in efficacy of reconstructing a 3-D arrangement of objects presented as a real model, a magnetic resonance image (MRI) or a VR model. The findings were then ap- plied to real life scenarios aiming to optimize the visual basis for anatomy training and surgery planning.

In the sixth article, Mosso et al. present results of surgeries performed on rabbits using night vision goggles and list ways in which this could benefit patients in the future, such as allowing for greater immersion and distrac- tion during operations using VR in a dark room.

Lastly, Tse and Ho address the management of chronic pain in the elderly population, focusing on a non-pharmacological method known as multisensory stimulation therapy.

While continuing to provide our readers with the latest scholarly studies presented in an informative and engag- ing medium, we will continue to offer the newly added Continuing Education quiz (see page 337 for more details) each issue. In addition, we will now be bringing the readers book reviews, the first of which appears in this issue on page 334, discussing “Interface Fantasy: A Lacanian Cyborg Ontology” by André Nusselder.

Although JCR has been receiving international attention from peers, international institutions and international conferences for some time, we are excited to inform readers that JCR is also continuing to become more widely known and recognized by the scientific commu- nity, as evidenced by the fact that it is now indexed with PsycINFO, Elsevier, Cabell’s, Gale and EBSCO. This recognition will further our cause to inform the wider community about ways in which healthcare can benefit from the applications of advanced technologies.

I would like to take this opportunity to sincerely thank the contributing authors for their inspiring work and ded- ication to this field of research. I also want to as always thank JCR’s Associate Editors – Professors Botella, Bouchard, Gamberini and Riva for their leadership and hard work, as well as or internationally renowned Edi- torial Board for their contributions. Thank you also to our outside reviewers for taking the time to ensure the rigorous nature of the articles.

As always, we welcome your submissions, comments, and thoughts on innovation.

Lastly, I would like to recognize what a huge success our 15th CyberPsychology & CyberTherapy Conference, held in Seoul, Korea in June, was. As you know, JCR is one of the two official journals of the International Association of CyberPsychology, Training & Rehabilitation (iACToR). The annual international conference series agreed, in 2009, to become the official conference of iACToR. So, along with CyberPsychology, Behavior, & Social Networking Journal (CPB&SN), CyberTherapy & Rehabilitation (C&R) Magazine, and JCR, we cele- brate our Combined Communications Platform. We are very excited for next year’s conference to be held June 20-22 in Gatineau, Canada.

We look forward to the future growth of our cause and thank you, our readers and subscribers, for your continued support.

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

2010 Spring Editorial

Journal of CyberTherapy & Rehabilitation

Spring 2010, Volume 3, Issue 1

 

EDITORIAL

Welcome, readers and researchers, to the Spring 2010 issue of the Journal of CyberTherapy & Rehabilitation (JCR). Our peer-reviewed quarterly academic journal continues to explore and support the uses of advanced technologies for therapy, training, education, preven- tion and rehabilitation. JCR is unique in the fact that it focuses on the rapidly expanding worldwide trend of applying ground-breaking technology towards the field of healthcare, with an emphasis on the fields of psychi- atry, psychology, physical medicine and rehabilitation, neurorehabilitation, oncology, obesity, eating disorders and autism.

With a growing international base of readers and sup- porters driven by a similar goal of advancing the use of technology in the healthcare sector, JCR has re- ceived positive attention from peers, international in- stitutions and international conferences. To keep readers abreast of new developments, within this issue of JCR we present comprehensive articles submitted by preeminent scholars in the field, featuring such top- ics as combining physical activity with learning in an augmented reality setting, including the sense of ol- faction more commonly in VR, and how communica- tion is used in virtual worlds like Second Life.

In the first article Voorhees et al. study the relationship between attitude and adherence to treatment in adoles- cents with sub-threshold depression in order to improve public health strategies to prevent depressive disorders.

Next, Baus and Bouchard address the sense of olfaction and ways in which it can further and enrich VR any ad- vocate the growth of the field while discussing possible applications in virtual environments.

In an attempt to merge learning and physical activity in the classroom, Hsiao next looks at using augmented re- ality and VR applications to provide more effective teaching methods and increase retention, while provid- ing much-needed exercise to the younger population at the same time.

In the fourth article, Alquda et al. use Virtual Humans to look at how race and sex can affect how people interpret others’ pain, pain coping skills, related mood, and other factors.

Lastly, Park discusses the use of Second Life as an ex- ample of how activities in virtual worlds might be used as a communication environment to better understand each other, with an emphasis in this study on gender.

As well as continuing to provide our readers with the latest studies presented in an informative and engaging medium, we will be offering one Continuing Education quiz per issue as a further added service to our sub- scribers and others interested in supporting their educa- tion. For more information, see page 95.

I would like to sincerely thank the contributing authors for their inspiring work and dedication to this field of research. I also want to thank JCR’s Associate Editors – Professor Botella, Professor Bouchard, Professor Gamberini and Professor Riva for their leadership and hard work, as well as or internationally renowned Edi- torial Board for their contributions. I would also like to take this opportunity to welcome new Board members – Linda A. Jackson of Michigan State University, Julian Dooley of Edith Cowan University, Wijnand IJsselsteijn from the Eindhoven University of Technology, Joshua Fogel from the University of New York, and XiaoXiang Zheng of Zhejiang University – whose diverse back- ground and placement around the globe will bring added richness to our board. We encourage readers and sub- scribers to contact us with ideas and we welcome sub- missions. Your input continues to enrich our publication.

With the start of a new year, new possibilities abound and we will continue to promote the growth of the di- verse field of advanced technologies for healthcare in Europe and worldwide. We are happy to count you as a part of this movement and thank you for your continued support.

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

2009 Winter Editorial

Journal of CyberTherapy & Rehabilitation

Winter 2009, Volume 2, Issue 4

 

EDITORIAL

Welcome to the Winter 2009 issue of the Journal of Cy- berTherapy & Rehabilitation (JCR). We are pleased to bring this special issue of our publication to readers, critics and researchers around the world. Our peer-re- viewed academic journal explores the uses of advanced technologies for therapy, training, education, prevention and rehabilitation. JCR is a quarterly published aca- demic journal, unique in the fact that it focuses on the rapidly expanding worldwide trend of applying ground- breaking technology towards the field of healthcare. Psychiatry, psychology, physical medicine and rehabil- itation, neurorehabilitation, oncology, obesity, eating disorders and autism continue to be main areas of inter- est studied by JCR.

Since our inaugural issue, JCR has received interna- tional attention from peers, international institutions and international conferences. A common thirst for new knowledge and application of cutting-edge technolo- gies to better the lives of others brings this diverse group of people towards a similar goal. Advanced tech- nologies, such as robotics, adaptive displays, E-health, virtual reality (VR) and non-invasive physiological monitoring are now applied to many diverse fields of healthcare. As this body of research is added to, pa- tients, doctors and therapists can look towards a hopeful future and new ways to treat mental and physical dis- orders. Within this issue of JCR, we present compre- hensive review articles submitted by preeminent scholars in the field. The content is diverse, featuring such topics as VR immersions, the effects of video game playing and even online forums to treat sufferers of disease.

This special issue of JCR includes three full papers, as well as all presented abstracts, written by presenters from the “Beyond Brain Machine Interface: Motor, Cognitive and Virtual” pre-conference workshop, held September 2, 2009 in Minneapolis, Minnesota. The conference, co-organized by the Army Research Office, IEEE EMBS and the Interactive Media Institute, edu- cated attendees on more efficient and intuitive ways of achieving system control than manual manipulation and allowed for discourse among academics, members of the scientific community, biomedical device engineers and the clinician user community. Scientists from five different countries and ten diverse institutions gathered to discuss these technologies and developments in their fields of research, and gave formal presentations on their papers.

In this issue’s first article Cai, Milcent and Franco ex- plore the human-machine visual digest system by fo- cusing on the relationship between gaze and object. They describe ways to better utilize network bandwidth and in turn, minimize the resulting media footprint by combining human vision and machine vision.

Next, Scherer et al. discuss brain-computer interface re- search using EEG and ECoG-based paradigms that are presented to the reader, along with ways to improve in- formation transfer rates. Different BCI projects are dis- cussed, such as an anatomically correct testbed for a human hand model.

In the following article, Raspelli et al. conduct further research on the Multiple Errands Test, applying virtual reality to assess executive functions in patients suffer- ing from Parkinson’s disease and stroke.

In the fourth manuscript, Pallavicini et al. report find- ings on a study to treat sufferers of Generalized Anxiety Disorder using biofeedback, virtual reality and mobile phones. The use of mobile phones allowed patients to continue treatment in an outpatient setting and ad- dresses the classic problem associated with VR ther- apy–the lack of mobility for the treatment system.

Gras, Hummer and Hine, in the fifth manuscript, com- pare the reliability and validity of the Nintendo Wii Fit to the widely used NeuroCom EquiTest, to measure bal- ance and help rehabilitate patients.

Lastly, Cantelmi and Talli explain the psychological and psychopathological risks associated with overuse of the Internet, including the problems associated with defining a relevant syndrome, possible diagnostic cri- teria and possible therapies for treatment.

This issue of JCR will continue to explore the ways in which healthcare, in Europe and worldwide, can benefit from the applications of technology. I would like to sin- cerely thank the contributing authors for their inspiring work and dedication to this field of research. I also want to thank JCR’s Associate Editors – Professor Botella, Professor Bouchard, Professor Gamberini and Professor Riva for their leadership and hard work, as well as our internationally renowned Editorial Board for their contributions. We encourage readers and subscribers to con- tact us with ideas and manuscripts. Your input continues to enrich our publication. Looking to 2010, we are op- timistic as this diverse field continues to grow and at- tract those wishing to learn more and those already supporting and implementing new technologies. With only more room to grow, we will continue to bring you news of further developments in the upcoming year.

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute

2009 Summer Editorial

Journal of CyberTherapy & Rehabilitation

Summer 2009, Volume 2, Issue 2

 

EDITORIAL

Welcome to the Summer 2009 issue of the Journal of CyberTher- apy & Rehabilitation (JCR). We are pleased to bring the fifth issue of our publication to readers, critics and researchers around the world. Our peer-reviewed academic journal explores the uses of advanced technologies for therapy, training, education, pre- vention and rehabilitation. JCR is a quarterly-published aca- demic journal, unique in the fact that it focuses on the rapidly expanding worldwide trend of applying ground-breaking tech- nology towards the field of healthcare. Psychiatry, psychology, physical medicine and rehabilitation, neurorehabilitation, oncol- ogy, obesity, eating disorders and autism continue to be main areas of interest studied by JCR.

Since our inaugural issue, JCR has received attention from peers, international institutions and international conferences. A common thirst for new knowledge and application of cutting-edge technolo- gies to better the lives of others drives this diverse group of people towards a similar goal. Advanced technologies, such as robotics, adaptive displays, E-health, virtual reality (VR) and non-invasive physiological monitoring are now applied to many diverse fields of healthcare. As this body of research is added to, patients, doctors and therapists can look towards a hopeful future and new ways to treat mental and physical disorders. The content of this issue of JCR reflects our diversity, featuring such topics as VR immersions, the effects of video game playing and online forums to treat suf- ferers of disease.

In the first article Wang and Reid explore the application of a virtual reality-cognitive rehabilitation (VR-CR) approach in treating autism in children. In this study, virtual reality (VR) was used as an interactive, cognitive-focused treatment which allowed for greater flexibility than traditional methods for treating autism.

Next, Murray presents research based on the treatment of phan- tom limb pain in amputees using VR. Studies using research stemming from traditional “mirror-box” methods were con- ducted and Murray looks closely at three VR systems that were implemented in the treatment of phantom limb pain.

In the third article, Aime, Cotton and Bouchard take a close look at women suffering from eating disorders and implement VR as an experimental new form of treatment for these patients. VR im- mersions were conducted to assess whether or not treatment was successful in helping women suffering from eating disorders as well as overall concern over their weight and shape.

Bouchard, St-Jacques, Renaud and Wiederhold, in the fourth manuscript, address the side effects of immersions in VR for people suffering from anxiety disorders. In this study, researchers used a sample group of patients suffering from anxieties of various types and measured reports of side effects before and after VR immer- sions to determine whether or not patients and therapists should be concerned about the lasting complications of side effects.
In the fifth paper, King and Delfabbro present findings on re- search detailing motivational differences in video game play. Factors that were considered include motivation to play video games, intrinsic and extrinsic motivations, and total time spent playing. These findings can be used to help video game players determine if their playing behavior points to a problematic level of involvement.

In another article addressing video game playing, Wang and Yang explore the relationships between thrill seeking, perceived risk and aggressive tendencies and how these factors relate to the acceptance of playing violent video games. Behavioral in- tention was also closely studied as well as differences in male and female gaming styles.

Lastly, Fullwood and Wootton examine the possibilities of com- puter-mediated communication (CMC) to help patients deal with emotionally-sensitive issues. To do so, an online support forum produced by the National Society of Epilepsy was used. Key fac- tors, such as anonymity and willingness for disclosure, were studied and used to determine whether CMC meets criteria for offering support to sufferers.

Future issues of JCR will continue to explore the ways in which healthcare, in Europe and worldwide, can benefit from innova- tive applications of technology. I would like to sincerely thank the contributing authors for their inspiring work and dedication to this field of research. I also want to thank JCR’s Associate Ed- itors – Professor Botella, Professor Bouchard, Professor Gam- berini and Professor Riva for their leadership and hard work, as well as our internationally renowned Editorial Board for their contributions. We encourage readers and subscribers to contact us with ideas and manuscripts. Thank you again for your support of JCR. We look forward to providing you with more ways in which technology is contributing to increased quality of life in citizens of the world.

 

 

Brenda K. Wiederhold, Ph.D., MBA, BCIA

Editor-in-Chief, Journal of CyberTherapy & Rehabilitation

Virtual Reality Medical Institute