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ABSTRACT: Background
Cognitive impairment is a frequent consequence of bipolar disorder (BD) that is difficult to prevent and treat. In addition, the quality of the preliminary evidence on the treatment of BD through Cognitive Remediation (CR) with traditional methods is poor. This study aims to evaluate the feasibility of a CR intervention with fully immersive Virtual Reality (VR) as an additional treatment for BD and offers preliminary data on its efficacy.Methods
Feasibility randomized controlled cross-over clinical study, with experimental condition lasting three months, crossed between two groups. Experimental condition: CR fully immersive VR recovery-oriented program plus conventional care; Control condition: conventional care. The control group began the experimental condition after a three months period of conventional care (waiting list). After the randomization of 50 people with BD diagnosis, the final sample consists of 39 participants in the experimental condition and 25 in the control condition because of dropouts.Results
Acceptability and tolerability of the intervention were good. Compared to the waitlist group, the experimental group reported a significant improvement regarding cognitive functions (memory: p = 0.003; attention: p = 0.002, verbal fluency: p = 0.010, executive function: p = 0.003), depressive symptoms (p = 0.030), emotional awareness (p = 0.007) and biological rhythms (p = 0.029).Conclusions
The results are preliminary and cannot be considered exhaustive due to the small sample size. However, the evidence of efficacy, together with the good acceptability of the intervention, is of interest. These results suggest the need to conduct studies with larger samples that can confirm this data.Trial registration
ClinicalTrialsgov NCT05070065, registered in September 2021.
SUBMITTER: Perra A
PROVIDER: S-EPMC10056011 | biostudies-literature | 2023 Mar
REPOSITORIES: biostudies-literature

Perra Alessandra A Galetti Alessia A Zaccheddu Rosanna R Locci Aurora A Piludu Federica F Preti Antonio A Primavera Diego D Di Natale Lorenzo L Nardi Antonio Egidio AE Kurotshka Peter Konstantin PK Cossu Giulia G Sancassiani Federica F Stella Giusy G De Lorenzo Valerio V Zreik Thurayya T Carta Mauro Giovanni MG
Journal of clinical medicine 20230309 6
<h4>Background</h4>Cognitive impairment is a frequent consequence of bipolar disorder (BD) that is difficult to prevent and treat. In addition, the quality of the preliminary evidence on the treatment of BD through Cognitive Remediation (CR) with traditional methods is poor. This study aims to evaluate the feasibility of a CR intervention with fully immersive Virtual Reality (VR) as an additional treatment for BD and offers preliminary data on its efficacy.<h4>Methods</h4>Feasibility randomized ...[more]