Virtual Reality exposure therapy for public speaking anxiety in routine care: a single-subject effectiveness trial

Virtual Reality exposure therapy for public speaking anxiety in routine care : a single-subject effectiveness trial

Lindner, Philip (författare): Stockholms universitet,Klinisk psykologi,Karolinska Institutet, Sweden; Region Stockholm, Sweden,Stockholm Univ, Sweden; Karolinska Inst, Sweden; Stockholm Hlth Care Serv, Sweden

Miloff, Alexander (författare): Stockholms universitet,Klinisk psykologi,Stockholm Univ, Sweden

Andersson, Gerhard, Fil dr, Med dr, 1966- (författare): Linköpings universitet,Karolinska Institutet,Psykologi,Filosofiska fakulteten,Karolinska Inst, Sweden; Stockholm Hlth Care Serv, Sweden

Carlbring, Per (författare): Stockholms universitet,Klinisk psykologi,Stockholm Univ, Sweden

(creator_code:org_t)

2020-09-01
2021
Engelska.
Ingår i: Cognitive Behaviour Therapy. - : Informa UK Limited. - 1650-6073 .- 1651-2316. ; 50:1, s. 67-87

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Abstract Ämnesord

Stäng

Virtual Reality (VR) can be used as a therapeutic tool to conduct efficacious in-session exposure therapy by presenting virtual equivalents of phobic stimuli, yet past hardware restrictions hindered implementation in routine care and effectiveness studies. The current study examines the effectiveness of a VR-assisted treatment protocol for public speaking anxiety with demonstrated efficacy, this time in routine care, using affordable VR hardware. Participants (n = 23) were recruited via a private clinic and treated by one of four psychologists with only minimal VR-training. Using a single-subject design and dual-slope modeling (adjusting the treatment-onset slope for treatment effects), we found a significant, large decrease in self-rated public speaking anxiety following the primary three-hour session, similar in magnitude to the previous efficacy trial. Multilevel modeling of in-session process measures suggests that the protocol works as intended, by decreasing catastrophic belief expectancy and distress, and increasing perceived performance quality. Adherence to the online transition program that followed-encouraging in-vivo exposure-was relatively poor, yet symptoms decrease continued. No change was observed over the three-month follow-up period. We conclude that VR exposure therapy can be effective under routine care conditions and is an attractive approach for future, large-scale implementation and effectiveness trials.

Av författaren/redakt...: Lindner, Philip; Dagöö, Jesper; Hamilton, Willia ...; Miloff, Alexande ...; Andersson, Gerha ...; Schill, Andreas; visa fler...; Carlbring, Per; visa färre...

Om ämnet

SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi; och Tillämpad psykol ...

Av lärosätet: Stockholms universitet; Karolinska Institutet; Linköpings universitet

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