The pathogenesis and outcome of severe mental illnesses were affected by various factors including neurobiology, psychology, and society. As a newly developed technological means, virtual reality provides a new approach for the assessment, diagnosis, and treatment of mental disorders, and has received increasing attention. In this paper, a SWOT analysis was used to identify the internal environment's strengths and weaknesses and the external environment's opportunities and threats relating to the development and application of virtual reality technology in the treatment of psychosis. In addition, a SWOT matrix analysis was used to propose corresponding development strategies, that through the top-level design of the mental health service system to encourage the participation of social forces and multi-disciplinary cooperation, to enhance the integration of hospital-community mental health services network, to strengthen targeted interventions for key populations, to promote the development of telemedicine-based rehabilitation services, to emphasize on team establishment and recruitment of health professionals, to improve community mental health service systems, to improve the incentive compensation mechanisms, and to promote the participation of the whole society in the provision of guarantee for the virtual reality-based intervention services for patients with severe mental illnesses.
[1] 国家卫生健康委, 中央政法委, 中宣部, 教育部, 公安部, 民政部, ... 中国残联. (2018. 全国社会心理服务体系建设试点工作方案. 2019-04-26取自2018). 全国社会心理服务体系建设试点工作方案. 2019-04-26取自http://www.nhc.gov.cn/jkj/s5888/201812/f305fa5ec9794621882b8bebf1090ad9.shtml
[2] 国务院办公厅. (2015. 全国精神卫生工作规划(2015—2020年).2019-04-26 取自 2015). 全国精神卫生工作规划(2015—2020年).2019-04-26 取自 http://www.gov.cn/zhengce/content/ 2015-06/18/content_9860.htm
[3] 郝伟, 于欣. (2013). 精神病学 (第7版).北京: 人民卫生出版社.
[4] 黄悦勤. (2011). 我国精神卫生的现状和挑战. 中国卫生政策研究, 04(9), 5-9. doi: 10.3969/j.issn.1674-2982.2011.09.002
[5] 黄悦勤. (2014). 精神障碍的预防与控制. 中国医学前沿杂志(电子版), 6(03), 16-21.
[6] 李改智, 杜亚松. (2018). 虚拟现实在孤独谱系障碍中的应用. 中国儿童保健杂志, 26(2), 174-176.
[7] 马弘. (2012). “医院-社会一体化”模式是中国精神卫生服务改革的重要方向. 上海精神医学, 24(3), 172-174. doi: 10.3969/j.issn.1002-0829.2012.03.007
[8] 马弘, 刘津, 何燕玲, 谢斌, 徐一峰, 郝伟, . . 于欣. (2011). 中国精神卫生服务模式改革的重要方向:686模式. 中国心理卫生杂志, 25(10), 725-728. doi: 10.3969/j.issn.1000-6729.2011. 10.002
[9] 民政部, 财政部, 卫生计生委, 中国残联. (2017). 关于加快精神障碍社区康复服务发展的意见.
[10] 王琰, 李小平, 范鑫, 张骋姣, 高睿, 郑悦,..张海音. (2018). 上海市心理卫生机构开展心理健康服务的发展现状. 中国心理卫生杂志, 32(2), 95-100. doi: 10.3969/j.issn.1000-6729.20 18.02.002
[11] 谢斌. (2017). 上海精神卫生服务的现状与前瞻. 健康教育与健康促进, 12(5), 400-402. doi: 10.16117/j.cnki.31-1974/r.201705 003
[12] Bordnick P. S., Traylor A., Copp H. L., Graap K. M., Carter B., Ferrer M., Walton A.P. (2008). Assessing reactivity to virtual reality alcohol based cues. Addict Behav, 33(6), 743-756. doi: 10.1016/j.addbeh.2007.12.010
[13] Didehbani N., Allen T., Kandalaft M., Krawczyk D., & Chapman S. (2016). Virtual reality social cognition training for children with high functioning autism. Comput Human Behav, 62, 703-711. doi: 10.1016/j.chb.2016.04.033
[14] Gorini A., Gaggioli A., Vigna C., & Riva G. (2008). A second life for eHealth: Prospects for the use of 3-D virtual worlds in clinical psychology. J Med Internet Res, 10(3), e21. doi: 10.2196/jmir. 1029
[15] Huang Y., Wang Y., Wang H., Liu Z., Yu X., Yan J., ..Wu Y. (2019). Prevalence of mental disorders in China: A cross-sectional epidemiological study. Lancet Psychiat, 6(3), 211-224. doi: 10. 1016/s2215-0366(18)30511-x
[16] Issenberg S. B., McGaghie W. C., Petrusa E. R., Lee Gordon D., & Scalese R. J. (2005). Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Med Teach, 27(1), 10-28. doi: 10.1080/0142 1590500046924
[17] Kandalaft M. R., Didehbani N., Krawczyk D. C., Allen T. T., & Chapman S. B. (2013). Virtual reality social cognition training for young adults with high-functioning autism. J Autism Dev Disord, 43(1), 34-44. doi:10.1007/s10803-012-1544-6
[18] Kim H. E., Hong Y. J., Kim M. K., Jung Y. H., Kyeong S., & Kim J. J. (2017). Effectiveness of self-training using the mobile-based virtual reality program in patients with social anxiety disorder. Comput Human Behav, 73, 614-619. doi: 10.1016/j.chb.2017.04.017
[19] Lee S. H., Han D. H., Oh S., Lyoo I. K., Lee Y. S., Renshaw P. F., & Lukas S. E. (2009). Quantitative electroencephalographic (qEEG) correlates of craving during virtual reality therapy in alcohol-dependent patients. Pharmacol Biochem Behav, 91(3), 393-397. doi: 10.1016/j.pbb.2008.08.014
[20] Ma, H. (2012). Integration of hospital and community services-the ‘686 Project'-is a crucial component in the reform of China's mental health services. Shanghai Arch Psychiatry, 24(3), 172-174. doi: 10.39 69/j.issn.1002-0829.2012.03.007
[21] Maples-Keller J. L., Bunnell B. E., Kim S. J., & Rothbaum B. O. (2017). The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders. Harv Rev Psychiatry, 25(3), 103-113. doi: 10.1097/hrp.0000000000000138
[22] Mesa-Gresa P., Gil-Gómez H., Lozano-Quilis J. A., & Gil-Gómez J. A. (2018). Effectiveness of virtual reality for children and adolescents with autism spectrum disorder: An evidence-based systematic review. Sensors (Basel), 18(8). doi: 10.3390/s18082486
[23] Mishkind M. C., Norr A. M., Katz A. C., & Reger G. M. (2017). Review of virtual reality treatment in psychiatry: Evidence versus current diffusion and use. Curr Psychiatry Rep, 19(11), 80. doi: 10.1007/s119 20-017-0836-0
[24] Park K. M., Ku J., Choi S. H., Jang H. J., Park J. Y., Kim S. I., & Kim J. J. (2011). A virtual reality application in role-plays of social skills training for schizophrenia: A randomized, controlled trial. Psychiatry Res, 189(2), 166-172. doi: 10.1016/j.psychres.2011.04.003
[25] Powers, M. B., & Emmelkamp, P. M. (2008). Virtual reality exposure therapy for anxiety disorders: A meta-analysis. J Anxiety Disord, 22(3), 561-569. doi: 10.1016/j.janxdis.2007.04.006
[26] Saladin M. E., Brady K. T., Graap K., & Rothbaum B. O. (2006). A preliminary report on the use of virtual reality technology to elicit craving and cue reactivity in cocaine dependent individuals. Addict Behav, 31(10), 1881-1894. doi: 10.1016/j.addbeh.2006.01.004
[27] Smith M. J., Ginger E. J., Wright K., Wright M. A., Taylor J. L., Humm L. B., ..Fleming M. F. (2014). Virtual reality job interview training in adults with autism spectrum disorder. J Autism Dev Disord, 44(10), 2450-2463. doi: 10.1007/s10803-014-2113-y
[28] Smith M. J., Ginger E. J., Wright M., Wright K., Boteler Humm L., Olsen D., ..Fleming M. F. (2014). Virtual reality job interview training for individuals with psychiatric disabilities. J Nerv Ment Dis, 202(9), 659-667. doi: 10.1097/NMD.0000000000000187
[29] Tieri G., Morone G., Paolucci S., & Iosa M. (2018). Virtual reality in cognitive and motor rehabilitation: Facts, fiction and fallacies. Expert Rev Med Devices, 15(2), 107-117. doi: 10.1080/ 17434440.2018.1425613
[30] Tsang, M. M., & Man, D. W. (2013). A virtual reality-based vocational training system (VRVTS) for people with schizophrenia in vocational rehabilitation. Schizophr Res, 144(1-3), 51-62. doi: s10.1016/j.schre s.2012.12.024
[31] Wiederhold B. K., Miller I. T., & Wiederhold M. D. (2018). Using virtual reality to mobilize health care mobile virtual reality technology for attenuation of anxiety and pain. IEEE Consum Electr M, 7(1), 106-109. doi: 10.1109/mce.2017.2715365
