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Automated virtual r...
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Miloff, AlexanderStockholms universitet,Klinisk psykologi,Stockholm Univ, Sweden
(author)
Automated virtual reality exposure therapy for spider phobia vs. in-vivo one-session treatment : A randomized non-inferiority trial
- Article/chapterEnglish2019
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Elsevier BV,2019
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LIBRIS-ID:oai:DiVA.org:su-168841
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https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-168841URI
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https://doi.org/10.1016/j.brat.2019.04.004DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:141146031URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-158843URI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding Agencies|Swedish Government innovation agency Vinnova
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This study compared the efficacy of a technician-assisted single-session virtual reality exposure therapy (VRET) for the treatment of spider phobia featuring low-cost consumer-available hardware and novel automated software to gold-standard in-vivo one-session treatment (OST), using a parallel group randomized non-inferiority design. Method Participants (N = 100) were randomized to VRET and OST arms. Assessors blinded to treatment allocation evaluated participants at pre- and post-treatment as well follow-up (3 and 12 months) using a behavioral approach test (BAT) and self-rated fear of spider, anxiety, depression and quality-of-life scales. A maximum post-treatment difference of 2-points on the BAT qualified as non-inferiority margin. Results Linear mixed models noted large, significant reductions in behavioral avoidance and self-reported fear in both groups at post-treatment, with VRET approaching the strong treatment benefits of OST over time. Non-inferiority was identified at 3- and 12- months follow-up but was significantly worse until 12-months. There was no significant difference on a questionnaire measuring negative effects. Conclusions Automated VRET efficaciously reduced spider phobia symptoms in the short-term and was non-inferior to in-vivo exposure therapy in the long-term. VRET effectiveness trials are warranted to evaluate real-world benefits and non-specific therapeutic factors accruing from the presence of a technician during treatment. ClinicalTrials.gov (NCT02533310).
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Lindner, PhilipStockholms universitet,Klinisk psykologi,Karolinska Institutet, Sweden; Stockholm Health Care Services, Stockholm County, Sweden,Stockholm Univ, Sweden; Karolinska Inst, Sweden; Stockholm Hlth Care Serv, Sweden(Swepub:su)phli9485
(author)
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Dafgård, PeterStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden
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Deak, StefanStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden
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Garke, MariaKarolinska Institutet,Karolinska Inst, Sweden; Stockholm Hlth Care Serv, Sweden
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Hamilton, WilliamMimerse AB, Sweden
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Heinsoo, JuliaStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden
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Kristoffersson, GlennStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden
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Rafi, JonasStockholms universitet,Klinisk psykologi,Stockholm Univ, Sweden(Swepub:su)jora9288
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Sindemark, KerstinStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden
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Sjölund, JessicaStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden
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Zenger, MariaStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden
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Reuterskiöld, LenaStockholms universitet,Klinisk psykologi,Stockholm Univ, Sweden(Swepub:su)lsj
(author)
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Andersson, Gerhard,1966-Linköpings universitet,Karolinska Institutet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden; Stockholm Hlth Care Serv, Sweden(Swepub:liu)geran87
(author)
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Carlbring, PerStockholms universitet,Klinisk psykologi,University of Southern Denmark, Denmark,Stockholm Univ, Sweden; Univ Southern Denmark, Denmark(Swepub:su)pecar
(author)
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Stockholms universitetKlinisk psykologi
(creator_code:org_t)
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In:Behaviour Research and Therapy: Elsevier BV118, s. 130-1400005-79671873-622X
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Miloff, Alexande ...
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Lindner, Philip
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Dafgård, Peter
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Deak, Stefan
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Garke, Maria
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Hamilton, Willia ...
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Heinsoo, Julia
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Kristoffersson, ...
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Rafi, Jonas
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Sindemark, Kerst ...
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Sjölund, Jessica
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Zenger, Maria
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Reuterskiöld, Le ...
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Carlbring, Per
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