ABSTRACT
During the coronavirus outbreak, it was noted that pre-existing psychological illnesses worsened, and numerous research indicate that those with contamination-related obsessions and cleaning compulsions (C-OCD) may be more affected. Virtual Reality (VR) and other immersive technologies have shown to be effective for the treatment of disorders related to anxiety, thus showing their potential to transform OCD treatment by means of integrating virtual elements. VR exposure has shown benefits compared to live or imagined exposure, however, to be effective it must be able to elicit high emotional arousal in users. Based on this, the present work aimed to develop different virtual environments scenarios and evaluate their efficacy in generating an emotional response in people with C-OCD symptoms. Based on the literature review, two virtual scenarios were created (dirty public bathroom and unhygienic kitchen). Subsequently, two groups were then constituted: C-OCD group (n = 20, aged between 18 and 48 years) characterized by an obtained score of more than 13 points (cut-point) in the Yale-Brown Scale for Obsessive-Compulsive Disorder (Y-BOCS) and by showing C-OCD symptoms when doing the structured interview (SCID-I), and a control group (n = 20, aged between 18 and 56 years), all participants were residents of the Dominican Republic. Exposure to the virtual environments generated high levels of state and subjective anxiety in both groups, although significantly higher in the C-OCD group. The results obtained indicate that the VR scenarios developed are suitable for eliciting emotional responses and, consequently, that they can be used to complement the treatment of C-OCD.
ABSTRACT
Resumen
Introducción: la obesidad y el sobrepeso son factores de riesgo para desencadenar enfermedades crónicas. Los adolescentes obesos son más susceptibles que los no obesos a presentar síntomas de ansiedad, disminución del rendimiento escolar, aislamiento social, baja autoestima y depresión.
Objetivo: comparar la percepción de calidad de vida relacionada con la salud (CVRS) en adolescentes obesos, en no obesos y en los padres de ambos.
Metodología: estudio descriptivo y transversal, en una muestra de 98 adolescentes (de 13 a 18 años), 57 de ellos con obesidad y 41 sin obesidad, además de sus respectivos padres. Se midió peso, talla e índice de masa corporal (IMC) y se utilizó el cuestionario The Pediatric Quality of Life Inventory (PedsQL" 4.0). Se hizo el análisis estadístico con U de Mann-Whitney y r de Pearson para IMC y CVRS.
Resultados: en la dimensión física y psicosocial los adolescentes no obesos y sus padres tuvieron una mejor percepción que los adolescentes obesos y sus padres. En el grupo de adolescentes obesos existió correlación significativa entre el IMC y la función escolar (r = 0.310 y p = 0.049).
Conclusión: en términos de percepción global de la CVRS, hubo diferencias en la percepción entre los grupos. La mejor percepción se presentó en el grupo de adolescentes no obesos y sus padres.
Abstract
Introduction: Obesity and overweight are risk factors that may lead to the development of chronic diseases; obese adolescents are more susceptible than non-obese to present symptoms of anxiety, decreased school performance, social isolation, low self-esteem and depression.
Objective: To compare the perception of quality of life related to health (HRQOL) in obese and non-obese adolescents and their parents.
Methods: Descriptive and cross-sectional study, in a sample of 98 adolescents (13-18 years of age), 57 of them with obesity and 41 without obesity, as well as their parents. Weight, height and body mass index (BMI) were measured and the Pediatric Quality of Life Inventory questionnaire (PedsQL" 4.0) was used. The analysis was made with Mann-Whitney U and Pearson's r tests for BMI and HRQoL.
Results: in the physical and psychosocial dimension non-obese adolescents and their parents had better perception than obese adolescents and their parents. In the group of obese adolescents there was a significant correlation between the BMI and the school function (r = 0.310 and p = 0.049).
Conclusion: In terms of global perception of HRQoL, there were differences in perception between the groups. The group of non-obese adolescents and their parents had the best perception.
