Skip to main content
Top
Published in: BMC Psychiatry 1/2021

Open Access 01-12-2021 | Schizophrenia | Research article

Verification of using virtual reality to evaluate deficiencies in cognitive function among patients with schizophrenia in the remission stage: a cross-sectional study

Authors: Bochao Huang, Shangda Li, Bing Sun, Hailong lyu, Weijuan Xu, Jianping Jiao, Fen Pan, Jianbo Hu, Jinkai Chen, Yaping Chen, Manli Huang, Yi Xu

Published in: BMC Psychiatry | Issue 1/2021

Login to get access

Abstract

Background

Schizophrenia is associated with widespread cognitive impairment. The MATRICS Consensus Cognitive Battery (MCCB) is most frequently used to assess cognitive function. However, the MCCB test is time consuming for the clinician. Virtual reality (VR) has emerged as an adjunctive tool to overcome this limitation and provides a new means to assess cognitive function.

Methods

The present study examined the validity and safety of using VR technology to assess cognitive function in Han Chinese patients with schizophrenia (SZs). The VR cognition training system (VRCTS) was used to simulate real-life supermarkets and assess cognitive function. Thirty-two SZs and 25 healthy controls (HCs) underwent VRCTS and MCCB assessments. An auxiliary diagnosis model was created based on the outcomes of the VRCTS to classify SZs and HCs by cognitive impairment.

Results

Significant differences in completion time between the SZs and HCs were detected using the VRCTS. SZs spent more time completing tasks than HCs. The outcome of VRCTS significantly correlated with the MCCB. The auxiliary diagnosis model had a sensitivity of 88.89% and a specificity of 88.89%.

Conclusions

These results support the use of VR technology in the assessment of cognitive impairment in Han Chinese schizophrenia patients.

Trial registration

China Clinical Trial Registry, ChiVTR1800016121. Registered 13 May 2018, http://​www.​chictr.​org.​cn/​showproj.​aspx?​proj=​27233
Literature
3.
4.
go back to reference Shi C, Kang L, Yao S, Ma Y, Li T, Liang Y, Cheng Z, Xu Y, Shi J, Xu X, et al. The MATRICS consensus cognitive battery (MCCB): co-norming and standardization in China. Schizophr Res. 2015;169(1–3):109–15.PubMedPubMedCentralCrossRef Shi C, Kang L, Yao S, Ma Y, Li T, Liang Y, Cheng Z, Xu Y, Shi J, Xu X, et al. The MATRICS consensus cognitive battery (MCCB): co-norming and standardization in China. Schizophr Res. 2015;169(1–3):109–15.PubMedPubMedCentralCrossRef
5.
go back to reference Nuechterlein KH, Green MF, Kern RS, Baade LE, Barch DM, Cohen JD, Essock S, Fenton WS, Frese FJ 3rd, Gold JM, et al. The MATRICS consensus cognitive battery, part 1: test selection, reliability, and validity. Am J Psychiatry. 2008;165(2):203–13.PubMedCrossRef Nuechterlein KH, Green MF, Kern RS, Baade LE, Barch DM, Cohen JD, Essock S, Fenton WS, Frese FJ 3rd, Gold JM, et al. The MATRICS consensus cognitive battery, part 1: test selection, reliability, and validity. Am J Psychiatry. 2008;165(2):203–13.PubMedCrossRef
6.
go back to reference McCleery A, Ventura J, Kern RS, Subotnik KL, Gretchen-Doorly D, Green MF, Hellemann GS, Nuechterlein KH. Cognitive functioning in first-episode schizophrenia: MATRICS consensus cognitive battery (MCCB) profile of impairment. Schizophr Res. 2014;157(1–3):33–9.PubMedPubMedCentralCrossRef McCleery A, Ventura J, Kern RS, Subotnik KL, Gretchen-Doorly D, Green MF, Hellemann GS, Nuechterlein KH. Cognitive functioning in first-episode schizophrenia: MATRICS consensus cognitive battery (MCCB) profile of impairment. Schizophr Res. 2014;157(1–3):33–9.PubMedPubMedCentralCrossRef
7.
go back to reference Cao A, Shen T, Li H, Wu C, McCabe M, Mellor D, Byrne L, Zhang J, Huang J, Peng D, et al. Dysfunction of cognition patterns measured by MATRICS consensus cognitive battery (MCCB) among first episode schizophrenia patients and their biological parents. Shanghai Arch Psychiatry. 2017;29(3):154–60.PubMedPubMedCentral Cao A, Shen T, Li H, Wu C, McCabe M, Mellor D, Byrne L, Zhang J, Huang J, Peng D, et al. Dysfunction of cognition patterns measured by MATRICS consensus cognitive battery (MCCB) among first episode schizophrenia patients and their biological parents. Shanghai Arch Psychiatry. 2017;29(3):154–60.PubMedPubMedCentral
8.
go back to reference Freeman D, Reeve S, Robinson A, Ehlers A, Clark D, Spanlang B, Slater M. Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychol Med. 2017;47(14):2393–400.PubMedPubMedCentralCrossRef Freeman D, Reeve S, Robinson A, Ehlers A, Clark D, Spanlang B, Slater M. Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychol Med. 2017;47(14):2393–400.PubMedPubMedCentralCrossRef
9.
go back to reference Mohammadi A, Hesami E, Kargar M, Shams J. Detecting allocentric and egocentric navigation deficits in patients with schizophrenia and bipolar disorder using virtual reality. Neuropsychol Rehabil. 2018;28(3):398–415.PubMedCrossRef Mohammadi A, Hesami E, Kargar M, Shams J. Detecting allocentric and egocentric navigation deficits in patients with schizophrenia and bipolar disorder using virtual reality. Neuropsychol Rehabil. 2018;28(3):398–415.PubMedCrossRef
10.
go back to reference Sorkin A, Weinshall D, Modai I, Peled A. Improving the accuracy of the diagnosis of schizophrenia by means of virtual reality. Am J Psychiatry. 2006;163(3):512–20.PubMedCrossRef Sorkin A, Weinshall D, Modai I, Peled A. Improving the accuracy of the diagnosis of schizophrenia by means of virtual reality. Am J Psychiatry. 2006;163(3):512–20.PubMedCrossRef
11.
go back to reference Kurtz MM, Baker E, Pearlson GD, Astur RS. A virtual reality apartment as a measure of medication management skills in patients with schizophrenia: a pilot study. Schizophr Bull. 2007;33(5):1162–70.PubMedCrossRef Kurtz MM, Baker E, Pearlson GD, Astur RS. A virtual reality apartment as a measure of medication management skills in patients with schizophrenia: a pilot study. Schizophr Bull. 2007;33(5):1162–70.PubMedCrossRef
12.
go back to reference Baker EK, Kurtz MM, Astur RS. Virtual reality assessment of medication compliance in patients with schizophrenia. CyberPsychol Behav. 2006;9(2):224–9.PubMedCrossRef Baker EK, Kurtz MM, Astur RS. Virtual reality assessment of medication compliance in patients with schizophrenia. CyberPsychol Behav. 2006;9(2):224–9.PubMedCrossRef
13.
go back to reference Dyck M, Winbeck M, Leiberg S, Chen Y, Mathiak K. Virtual faces as a tool to study emotion recognition deficits in schizophrenia. Psychiatry Res. 2010;179(3):247–52.PubMedCrossRef Dyck M, Winbeck M, Leiberg S, Chen Y, Mathiak K. Virtual faces as a tool to study emotion recognition deficits in schizophrenia. Psychiatry Res. 2010;179(3):247–52.PubMedCrossRef
14.
go back to reference Man DWK, Ganesan B, Yip CCK, Lee COP, Tsang SYL, Yu PWP, Young JGE, Shum DHK. Validation of the virtual-reality prospective memory test (Hong Kong Chinese version) for individuals with first-episode schizophrenia. Neuropsychol Rehabil. 2018;28(7):1197–210.PubMedCrossRef Man DWK, Ganesan B, Yip CCK, Lee COP, Tsang SYL, Yu PWP, Young JGE, Shum DHK. Validation of the virtual-reality prospective memory test (Hong Kong Chinese version) for individuals with first-episode schizophrenia. Neuropsychol Rehabil. 2018;28(7):1197–210.PubMedCrossRef
15.
go back to reference Keefe RSE, Davis VG, Atkins AS, Vaughan A, Patterson T, Narasimhan M, Harvey PD. Validation of a computerized test of functional capacity. Schizophr Res. 2016;175(1–3):90–6.PubMedPubMedCentralCrossRef Keefe RSE, Davis VG, Atkins AS, Vaughan A, Patterson T, Narasimhan M, Harvey PD. Validation of a computerized test of functional capacity. Schizophr Res. 2016;175(1–3):90–6.PubMedPubMedCentralCrossRef
16.
go back to reference Ruse SA, Harvey PD, Davis VG, Atkins AS, Fox KH, Keefe RS. Virtual reality functional capacity assessment in schizophrenia: preliminary data regarding feasibility and correlations with cognitive and functional capacity performance. Schizophr Res Cogn. 2014;1(1):e21–6.PubMedPubMedCentralCrossRef Ruse SA, Harvey PD, Davis VG, Atkins AS, Fox KH, Keefe RS. Virtual reality functional capacity assessment in schizophrenia: preliminary data regarding feasibility and correlations with cognitive and functional capacity performance. Schizophr Res Cogn. 2014;1(1):e21–6.PubMedPubMedCentralCrossRef
17.
go back to reference Andreasen NC, Carpenter WT Jr, Kane JM, Lasser RA, Marder SR, Weinberger DR. Remission in schizophrenia: proposed criteria and rationale for consensus. Am J Psychiatry. 2005;162(3):441–9.PubMedCrossRef Andreasen NC, Carpenter WT Jr, Kane JM, Lasser RA, Marder SR, Weinberger DR. Remission in schizophrenia: proposed criteria and rationale for consensus. Am J Psychiatry. 2005;162(3):441–9.PubMedCrossRef
18.
go back to reference Sui J, Pearlson GD, Du Y, Yu Q, Jones TR, Chen J, Jiang T, Bustillo J, Calhoun VD. In search of multimodal neuroimaging biomarkers of cognitive deficits in schizophrenia. Biol Psychiatry. 2015;78(11):794–804.PubMedPubMedCentralCrossRef Sui J, Pearlson GD, Du Y, Yu Q, Jones TR, Chen J, Jiang T, Bustillo J, Calhoun VD. In search of multimodal neuroimaging biomarkers of cognitive deficits in schizophrenia. Biol Psychiatry. 2015;78(11):794–804.PubMedPubMedCentralCrossRef
19.
go back to reference Spieker EA, Astur RS, West JT, Griego JA, Rowland LM. Spatial memory deficits in a virtual reality eight-arm radial maze in schizophrenia. Schizophr Res. 2012;135(1–3):84–9.PubMedCrossRef Spieker EA, Astur RS, West JT, Griego JA, Rowland LM. Spatial memory deficits in a virtual reality eight-arm radial maze in schizophrenia. Schizophr Res. 2012;135(1–3):84–9.PubMedCrossRef
20.
go back to reference Park KM, Ku J, Park IH, Park JY, Kim SI, Kim JJ. Improvement in social competence in patients with schizophrenia: a pilot study using a performance-based measure using virtual reality. Hum Psychopharmacol. 2009;24(8):619–27.PubMedCrossRef Park KM, Ku J, Park IH, Park JY, Kim SI, Kim JJ. Improvement in social competence in patients with schizophrenia: a pilot study using a performance-based measure using virtual reality. Hum Psychopharmacol. 2009;24(8):619–27.PubMedCrossRef
21.
go back to reference Josman N, Schenirderman AE, Klinger E, Shevil E. Using virtual reality to evaluate executive functioning among persons with schizophrenia: a validity study. Schizophr Res. 2009;115(2–3):270–7.PubMedCrossRef Josman N, Schenirderman AE, Klinger E, Shevil E. Using virtual reality to evaluate executive functioning among persons with schizophrenia: a validity study. Schizophr Res. 2009;115(2–3):270–7.PubMedCrossRef
22.
go back to reference Canty AL, Neumann DL, Shum DHK. Using virtual reality to assess theory of mind subprocesses and error types in early and chronic schizophrenia. Schizophr Res Cogn. 2017;10:15–9.PubMedPubMedCentralCrossRef Canty AL, Neumann DL, Shum DHK. Using virtual reality to assess theory of mind subprocesses and error types in early and chronic schizophrenia. Schizophr Res Cogn. 2017;10:15–9.PubMedPubMedCentralCrossRef
23.
go back to reference Liu Y, Tan W, Chen C, Liu C, Yang J, Zhang Y. A review of the application of virtual reality Technology in the Diagnosis and Treatment of cognitive impairment. Front Aging Neurosci. 2019;11:280.PubMedPubMedCentralCrossRef Liu Y, Tan W, Chen C, Liu C, Yang J, Zhang Y. A review of the application of virtual reality Technology in the Diagnosis and Treatment of cognitive impairment. Front Aging Neurosci. 2019;11:280.PubMedPubMedCentralCrossRef
24.
go back to reference Park KM, Ku J, Choi SH, Jang HJ, Park JY, Kim SI, Kim JJ. A virtual reality application in role-plays of social skills training for schizophrenia: a randomized, controlled trial. Psychiatry Res. 2011;189(2):166–72.PubMedCrossRef Park KM, Ku J, Choi SH, Jang HJ, Park JY, Kim SI, Kim JJ. A virtual reality application in role-plays of social skills training for schizophrenia: a randomized, controlled trial. Psychiatry Res. 2011;189(2):166–72.PubMedCrossRef
Metadata
Title
Verification of using virtual reality to evaluate deficiencies in cognitive function among patients with schizophrenia in the remission stage: a cross-sectional study
Authors
Bochao Huang
Shangda Li
Bing Sun
Hailong lyu
Weijuan Xu
Jianping Jiao
Fen Pan
Jianbo Hu
Jinkai Chen
Yaping Chen
Manli Huang
Yi Xu
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Schizophrenia
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-020-03029-6

Other articles of this Issue 1/2021

BMC Psychiatry 1/2021 Go to the issue