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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

Publisher, publication year, extent ...

  • Elsevier BV,2019
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:su-168841
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-168841URI
  • https://doi.org/10.1016/j.brat.2019.04.004DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:141146031URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-158843URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Swedish Government innovation agency Vinnova
  • 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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Added entries (persons, corporate bodies, meetings, titles ...)

  • 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)
  • Dafgård, PeterStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden (author)
  • Deak, StefanStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden (author)
  • Garke, MariaKarolinska Institutet,Karolinska Inst, Sweden; Stockholm Hlth Care Serv, Sweden (author)
  • Hamilton, WilliamMimerse AB, Sweden (author)
  • Heinsoo, JuliaStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden (author)
  • Kristoffersson, GlennStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden (author)
  • Rafi, JonasStockholms universitet,Klinisk psykologi,Stockholm Univ, Sweden(Swepub:su)jora9288 (author)
  • Sindemark, KerstinStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden (author)
  • Sjölund, JessicaStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden (author)
  • Zenger, MariaStockholms universitet,Psykologiska institutionen,Stockholm Univ, Sweden (author)
  • Reuterskiöld, LenaStockholms universitet,Klinisk psykologi,Stockholm Univ, Sweden(Swepub:su)lsj (author)
  • Andersson, Gerhard,1966-Linköpings universitet,Karolinska Institutet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden; Stockholm Hlth Care Serv, Sweden(Swepub:liu)geran87 (author)
  • Carlbring, PerStockholms universitet,Klinisk psykologi,University of Southern Denmark, Denmark,Stockholm Univ, Sweden; Univ Southern Denmark, Denmark(Swepub:su)pecar (author)
  • Stockholms universitetKlinisk psykologi (creator_code:org_t)

Related titles

  • In:Behaviour Research and Therapy: Elsevier BV118, s. 130-1400005-79671873-622X

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