{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T11:52:53Z","timestamp":1792237973109,"version":"4.4.0"},"reference-count":59,"publisher":"Georg Thieme Verlag KG","issue":"09\/10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Extended-Reality-Technologien (XR; Virtual, Augmented und Mixed Reality)\ner\u00f6ffnen neue M\u00f6glichkeiten f\u00fcr Psychotherapie und psychosomatische\nVersorgung. Ziel dieser Arbeit ist es, aktuelle Anwendungen und die\nEvidenzlage zu XR in der Psychotherapie und Psychosomatik in einer \u00dcbersicht\ndarzustellen.<\/jats:p>\n                  <jats:p>Es wurde ein narrativer Review konzeptueller Arbeiten sowie Studien zu\nkonkreten Anwendungsbereichen und Akzeptanz von XR in der klinischen\nVersorgung durchgef\u00fchrt. Betrachtet werden psychosomatisch relevante\nAnwendungsfelder im Rahmen der psychotherapeutischen Richtlinienverfahren,\nbei der Entwicklung innovativer st\u00f6rungsspezifischer Interventionen sowie in\nerg\u00e4nzenden Verfahren wie Achtsamkeit, Entspannung oder k\u00fcnstlerischen\nTherapien.<\/jats:p>\n                  <jats:p>Konzeptuell k\u00f6nnen der stark kontrollierte Charakter von XR, die intensive\nDarbietung und die M\u00f6glichkeit von Perspektivwechseln auch in andere\nPersonen f\u00fcr den Einsatz von XR sprechen. F\u00fcr viele Interventionen aus\nRichtlinienverfahren existieren bereits XR-Varianten, wobei die virtuelle\nExposition bisher am besten untersucht ist. Innovative Entwicklungen zielen\nvor allem auf Perspektivwechsel und Embodiment anderer Personen oder\nVarianten des Selbst ab. Dar\u00fcber hinaus finden sich vielf\u00e4ltige\nEinsatzm\u00f6glichkeiten in Entspannungsverfahren, Achtsamkeit,\nAufmerksamkeitslenkung und k\u00fcnstlerischen Therapien. Bei grunds\u00e4tzlich\noffener Haltung der Therapeut*innen wurden jedoch einige praktische H\u00fcrden\neiner breiten Implementierung in die Versorgung identifiziert.<\/jats:p>\n                  <jats:p>XR ist ein erg\u00e4nzendes Medium, das neue Erfahrungsr\u00e4ume er\u00f6ffnet. F\u00fcr die\npsychosomatische Versorgung bietet es Potenzial, erfordert jedoch eine enge\nEinbettung in therapeutische Gesamtkonzepte. H\u00fcrden bestehen in technischem\nund personellem Aufwand, Datenschutz sowie fehlender Kostenerstattung.<\/jats:p>\n                  <jats:p>XR bietet ein breites Anwendungspotenzial in der psychosomatischen Medizin,\ndoch bedarf es weiterer klinischer Studien, standardisierter Konzepte und\ntragf\u00e4higer Versorgungsstrukturen, um dieses Potenzial in der Praxis nutzbar\nzu machen.<\/jats:p>","DOI":"10.1055\/a-2862-9035","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T22:42:39Z","timestamp":1779144159000},"page":"437-445","source":"Crossref","is-referenced-by-count":1,"title":["Erweiterte Realit\u00e4t in der psychosomatischen Forschung und\nVersorgung: Ein vielf\u00e4ltiges Instrument mit breitem\nAnwendungsbereich"],"prefix":"10.1055","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9409-4229","authenticated-orcid":false,"given":"Steffen","family":"Holsteg","sequence":"additional","affiliation":[{"name":"Klinisches Institut f\u00fcr Psychosomatische Medizin und Psychotherapie,\nMedizinische Fakult\u00e4t und Universit\u00e4tsklinikum D\u00fcsseldorf,\nHeinrich-Heine-Universit\u00e4t D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana Anne","family":"Korbanka","sequence":"additional","affiliation":[{"name":"Abt. Psychosomatische Medizin und Psychotherapie, Universit\u00e4tsklinikum\nT\u00fcbingen, T\u00fcbingen, Germany"},{"name":"Deutsches Zentrum f\u00fcr Psychische Gesundheit, T\u00fcbingen,\nGermany"},{"name":"Kompetenzzentrum f\u00fcr Essst\u00f6rungen T\u00fcbingen (KOMET),\nUniversit\u00e4tsklinikum T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Karger","sequence":"additional","affiliation":[{"name":"Klinisches Institut f\u00fcr Psychosomatische Medizin und Psychotherapie,\nMedizinische Fakult\u00e4t und Universit\u00e4tsklinikum D\u00fcsseldorf,\nHeinrich-Heine-Universit\u00e4t D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Giel","sequence":"additional","affiliation":[{"name":"Abt. Psychosomatische Medizin und Psychotherapie, Universit\u00e4tsklinikum\nT\u00fcbingen, T\u00fcbingen, Germany"},{"name":"Deutsches Zentrum f\u00fcr Psychische Gesundheit, T\u00fcbingen,\nGermany"},{"name":"Kompetenzzentrum f\u00fcr Essst\u00f6rungen T\u00fcbingen (KOMET),\nUniversit\u00e4tsklinikum T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Dinger","sequence":"additional","affiliation":[{"name":"Klinisches Institut f\u00fcr Psychosomatische Medizin und Psychotherapie,\nMedizinische Fakult\u00e4t und Universit\u00e4tsklinikum D\u00fcsseldorf,\nHeinrich-Heine-Universit\u00e4t D\u00fcsseldorf, D\u00fcsseldorf, Germany"},{"name":"Klinik f\u00fcr Psychosomatische Medizin und Psychotherapie, LVR-Klinikum\nD\u00fcsseldorf - Kliniken der Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf, D\u00fcsseldorf,\nGermany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Behrens","sequence":"additional","affiliation":[{"name":"Abt. Psychosomatische Medizin und Psychotherapie, Universit\u00e4tsklinikum\nT\u00fcbingen, T\u00fcbingen, Germany"},{"name":"Deutsches Zentrum f\u00fcr Psychische Gesundheit, T\u00fcbingen,\nGermany"},{"name":"Kompetenzzentrum f\u00fcr Essst\u00f6rungen T\u00fcbingen (KOMET),\nUniversit\u00e4tsklinikum T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1145\/3134301","article-title":"A Survey of Presence and Related Concepts","volume":"50","author":"R Skarbez","year":"2018","journal-title":"ACM Computing Surveys"},{"key":"ref2","first-page":"1","article-title":"A Note on Presence","volume":"3","author":"M Slater","year":"2003","journal-title":"Presence Connect"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"627194","DOI":"10.3389\/frvir.2021.627194","article-title":"Behavioral Framework of Immersive Technologies (BehaveFIT): How and Why Virtual\nReality can Support Behavioral Change Processes","volume":"2","author":"C Wienrich","year":"2021","journal-title":"Frontiers in Virtual Reality"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1011620","article-title":"How immersive virtual reality can become a key tool to advance research and\npsychotherapy of eating and weight disorders","volume":"13","author":"S C Behrens","year":"2022","journal-title":"Frontiers in Psychiatry"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1089\/cpb.2007.9962","article-title":"Comparing acceptance and refusal rates of virtual reality exposure vs. in vivo\nexposure by patients with specific phobias","volume":"10","author":"A Garcia-Palacios","year":"2007","journal-title":"Cyberpsychol Behav"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.janxdis.2018.08.003","article-title":"Virtual reality exposure therapy for anxiety and related disorders: A\nmeta-analysis of randomized controlled trials","volume":"61","author":"E Carl","year":"2019","journal-title":"Journal of Anxiety Disorders"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1097\/j.pain.0000000000003083","article-title":"Effects of virtual reality on psychophysical measures of pain: superiority to\nimagination and nonimmersive conditions","volume":"165","author":"J Tesarz","year":"2024","journal-title":"Pain"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"575943","DOI":"10.3389\/frvir.2020.575943","article-title":"Avatar Embodiment. 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