The Effectiveness of Combined Treatment Based on Virtual Reality and Mindfulness on Cortisol Levels in Individuals with Generalized Anxiety Disorder

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Masomi Toktam; Manshaee Gholamreza; Farhadi Hadi

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Journal Paper

Paper Information

Journal: Journal of Arak University Medical Sciences Year:2023 | Volume:26 | Issue:5 Page(s): 47-55

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Information Journal Paper

Title

The Effectiveness of Combined Treatment Based on Virtual Reality and Mindfulness on Cortisol Levels in Individuals with Generalized Anxiety Disorder

Author(s)

Masomi Toktam | Manshaee Gholamreza | Farhadi Hadi | Issue Writer Certificate

Keywords

Combined treatmentQ4

virtual realityQ4

mindfulnessQ4

cortisolQ4

Abstract

2Introduction: This research aimed to investigate the effectiveness of Combined treatment based on virtual reality and mindfulness on cortisol levels in individuals with generalized anxiety disorder. Methods: The study employed a semi-experimental design with a pre-test-post-test control group and a two-month follow-up period. The study population included all individuals with symptoms of generalized anxiety disorder who referred to the clinics of the Psychological Services Center and Counseling in Region 3, the Counseling and Psychological Services Center of Welfare in Region 6, and the Aryaz Counseling and Psychological Services of Region 6, Tehran, from April 2022 to the end of autumn 2022. Results: The sample consisted of 30 individuals (10 males and 20 females) with generalized anxiety disorder, selected purposefully and randomly assigned to a treatment group based on virtual reality and mindfulness (15 individuals) and a control group (15 individuals). Pre-test, post-test, and follow-up cortisol levels were measured, and the Generalized Anxiety Disorder 7-item scale (GAD-7) was used as the entry criterion. Subsequently, the experimental group received an eight-session, 17-minute weekly treatment based on virtual reality and mindfulness. Participants in this group, while immersed in a virtual environment, watched 360-degree virtual reality videos, "Walking by the Beach" and "Pebbles in the Lake," accompanied by mindfulness audio contemplation, "Being Present and Breathing," and "Wise Mind," using a VR headset and VR-ARBOX. The control group received no treatment. Conclusions: After completing the interventions, post-tests and two-month follow-ups were conducted. The data were analyzed using repeated measures analysis of variance (ANOVA) with SPSS23 software, revealing that the Combined treatment based on virtual reality and mindfulness was effective in reducing cortisol levels. It is suggested that this combined method is used as a clinical intervention in order to reduce the level of anxiety and cortisol of people suffering from generalized anxiety disorder alone or along with other psychological and pharmaceutical interventions.

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