Virtual reality-based cognitive behavioural therapy for patients with generalized social anxiety disorder: a pilot study
Patients with generalized social anxiety disorder (SAD) avoid various social situations and can be reluctant to engage in in vivo exposure therapy. Highly personalized practising can be required before patients are ready to perform in vivo exposure. Virtual reality-based therapy could be beneficial...
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| Veröffentlicht in: | Behavioural and cognitive psychotherapy 2019-11, Vol.47 (6), p.745-750 |
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| creator | Geraets, Chris N.W. Veling, Wim Witlox, Maartje Staring, Anton B.P. Matthijssen, Suzy J.M.A. Cath, Danielle |
| description | Patients with generalized social anxiety disorder (SAD) avoid various social situations and can be reluctant to engage in in vivo exposure therapy. Highly personalized practising can be required before patients are ready to perform in vivo exposure. Virtual reality-based therapy could be beneficial for this group.
To assess the feasibility and potential effect of virtual reality-based cognitive behavioural therapy (VR-CBT) for patients with severe generalized SAD.
Fifteen patients with generalized SAD attended up to 16 VR-CBT sessions. Questionnaires on clinical and functional outcomes, and diary assessments on social activity, social anxiety and paranoia were completed at baseline, post-treatment and at 6-months follow-up.
Two patients dropped out of treatment. Improvements in social anxiety and quality of life were found at post-treatment. At follow-up, depressive symptoms had decreased, and the effect on social anxiety was maintained. With respect to diary assessments, social anxiety in company and paranoia were significantly reduced by post-treatment. These improvements were maintained at follow-up. No increase was observed in social activity.
This uncontrolled pilot study demonstrates the feasibility and treatment potential of VR-CBT in a difficult-to-treat group of patients with generalized SAD. Results suggest that VR-CBT may be effective in reducing anxiety as well as depression, and can increase quality of life. |
| doi_str_mv | 10.1017/S1352465819000225 |
| format | Article |
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To assess the feasibility and potential effect of virtual reality-based cognitive behavioural therapy (VR-CBT) for patients with severe generalized SAD.
Fifteen patients with generalized SAD attended up to 16 VR-CBT sessions. Questionnaires on clinical and functional outcomes, and diary assessments on social activity, social anxiety and paranoia were completed at baseline, post-treatment and at 6-months follow-up.
Two patients dropped out of treatment. Improvements in social anxiety and quality of life were found at post-treatment. At follow-up, depressive symptoms had decreased, and the effect on social anxiety was maintained. With respect to diary assessments, social anxiety in company and paranoia were significantly reduced by post-treatment. These improvements were maintained at follow-up. No increase was observed in social activity.
This uncontrolled pilot study demonstrates the feasibility and treatment potential of VR-CBT in a difficult-to-treat group of patients with generalized SAD. Results suggest that VR-CBT may be effective in reducing anxiety as well as depression, and can increase quality of life.</description><identifier>ISSN: 1352-4658</identifier><identifier>EISSN: 1469-1833</identifier><identifier>DOI: 10.1017/S1352465819000225</identifier><identifier>PMID: 30915939</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Anxiety - psychology ; Anxiety - therapy ; Anxiety disorders ; Behavior modification ; Brief Clinical Report ; Cognitive ability ; Cognitive Behavioral Therapy ; Computer applications ; Depression - therapy ; Fear & phobias ; Feasibility studies ; Feedback ; Female ; Generalized anxiety disorder ; Homework ; Humans ; Male ; Middle Aged ; Paranoid Disorders - therapy ; Patients ; Phobia, Social - psychology ; Phobia, Social - therapy ; Pilot Projects ; Quality of Life ; Social anxiety ; Social Behavior ; Social interaction ; Social research ; Software ; Surveys and Questionnaires ; Therapists ; Therapy ; Virtual reality ; Virtual Reality Exposure Therapy ; Young Adult</subject><ispartof>Behavioural and cognitive psychotherapy, 2019-11, Vol.47 (6), p.745-750</ispartof><rights>British Association for Behavioural and Cognitive Psychotherapies 2019</rights><rights>2019 This article is published under (https://creativecommons.org/licenses/by/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-9c7b3fdfac99a929f38965ace249400d4db012e1e3262243a92c2c29b45207593</citedby><cites>FETCH-LOGICAL-c464t-9c7b3fdfac99a929f38965ace249400d4db012e1e3262243a92c2c29b45207593</cites><orcidid>0000-0002-6401-2073</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1352465819000225/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30915939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geraets, Chris N.W.</creatorcontrib><creatorcontrib>Veling, Wim</creatorcontrib><creatorcontrib>Witlox, Maartje</creatorcontrib><creatorcontrib>Staring, Anton B.P.</creatorcontrib><creatorcontrib>Matthijssen, Suzy J.M.A.</creatorcontrib><creatorcontrib>Cath, Danielle</creatorcontrib><title>Virtual reality-based cognitive behavioural therapy for patients with generalized social anxiety disorder: a pilot study</title><title>Behavioural and cognitive psychotherapy</title><addtitle>Behav. Cogn. Psychother</addtitle><description>Patients with generalized social anxiety disorder (SAD) avoid various social situations and can be reluctant to engage in in vivo exposure therapy. Highly personalized practising can be required before patients are ready to perform in vivo exposure. Virtual reality-based therapy could be beneficial for this group.
To assess the feasibility and potential effect of virtual reality-based cognitive behavioural therapy (VR-CBT) for patients with severe generalized SAD.
Fifteen patients with generalized SAD attended up to 16 VR-CBT sessions. Questionnaires on clinical and functional outcomes, and diary assessments on social activity, social anxiety and paranoia were completed at baseline, post-treatment and at 6-months follow-up.
Two patients dropped out of treatment. Improvements in social anxiety and quality of life were found at post-treatment. At follow-up, depressive symptoms had decreased, and the effect on social anxiety was maintained. With respect to diary assessments, social anxiety in company and paranoia were significantly reduced by post-treatment. These improvements were maintained at follow-up. No increase was observed in social activity.
This uncontrolled pilot study demonstrates the feasibility and treatment potential of VR-CBT in a difficult-to-treat group of patients with generalized SAD. Results suggest that VR-CBT may be effective in reducing anxiety as well as depression, and can increase quality of life.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety - psychology</subject><subject>Anxiety - therapy</subject><subject>Anxiety disorders</subject><subject>Behavior modification</subject><subject>Brief Clinical Report</subject><subject>Cognitive ability</subject><subject>Cognitive Behavioral Therapy</subject><subject>Computer applications</subject><subject>Depression - therapy</subject><subject>Fear & phobias</subject><subject>Feasibility studies</subject><subject>Feedback</subject><subject>Female</subject><subject>Generalized anxiety disorder</subject><subject>Homework</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Paranoid Disorders - therapy</subject><subject>Patients</subject><subject>Phobia, Social - psychology</subject><subject>Phobia, Social - therapy</subject><subject>Pilot Projects</subject><subject>Quality of Life</subject><subject>Social anxiety</subject><subject>Social Behavior</subject><subject>Social interaction</subject><subject>Social research</subject><subject>Software</subject><subject>Surveys and Questionnaires</subject><subject>Therapists</subject><subject>Therapy</subject><subject>Virtual reality</subject><subject>Virtual Reality Exposure Therapy</subject><subject>Young Adult</subject><issn>1352-4658</issn><issn>1469-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>IKXGN</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1O3DAUhS3UCqbAA7CpLHXDJtS_ScyuQkArjdRFW7aRY9_MGCVxajuU9OkxYgCJqvLCls53zvXVQeiEkjNKaPX5B-WSiVLWVBFCGJN7aEVFqQpac_4uv7NcPOoH6EOMt4RQTkq1jw44UVQqrlbo_saFNOseB9C9S0vR6ggWG78ZXXJ3gFvY6jvn55CZtIWgpwV3PuBJJwdjiviPS1u8gTFLvfubvdEbl2E93jtIC7Yu-mAhnGONJ9f7hGOa7XKE3ne6j3C8uw_Rr6vLnxdfi_X3628XX9aFEaVIhTJVyzvbaaOUVkx1vFal1AaYUIIQK2xLKAMKnJWMCZ4Zk49qhWSkyjseotOn3Cn43zPE1AwuGuh7PYKfY8OoqmVJmZAZ_fQGvc17j_l3DeOk4lRIxTJFnygTfIwBumYKbtBhaShpHmtp_qklez7ukud2APvieO4hA3wXqoc2OLuB19n_j30AKnaYEA</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Geraets, Chris N.W.</creator><creator>Veling, Wim</creator><creator>Witlox, Maartje</creator><creator>Staring, Anton B.P.</creator><creator>Matthijssen, Suzy J.M.A.</creator><creator>Cath, Danielle</creator><general>Cambridge University Press</general><scope>IKXGN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6401-2073</orcidid></search><sort><creationdate>201911</creationdate><title>Virtual reality-based cognitive behavioural therapy for patients with generalized social anxiety disorder: a pilot study</title><author>Geraets, Chris N.W. ; 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Cogn. Psychother</addtitle><date>2019-11</date><risdate>2019</risdate><volume>47</volume><issue>6</issue><spage>745</spage><epage>750</epage><pages>745-750</pages><issn>1352-4658</issn><eissn>1469-1833</eissn><abstract>Patients with generalized social anxiety disorder (SAD) avoid various social situations and can be reluctant to engage in in vivo exposure therapy. Highly personalized practising can be required before patients are ready to perform in vivo exposure. Virtual reality-based therapy could be beneficial for this group.
To assess the feasibility and potential effect of virtual reality-based cognitive behavioural therapy (VR-CBT) for patients with severe generalized SAD.
Fifteen patients with generalized SAD attended up to 16 VR-CBT sessions. Questionnaires on clinical and functional outcomes, and diary assessments on social activity, social anxiety and paranoia were completed at baseline, post-treatment and at 6-months follow-up.
Two patients dropped out of treatment. Improvements in social anxiety and quality of life were found at post-treatment. At follow-up, depressive symptoms had decreased, and the effect on social anxiety was maintained. With respect to diary assessments, social anxiety in company and paranoia were significantly reduced by post-treatment. These improvements were maintained at follow-up. No increase was observed in social activity.
This uncontrolled pilot study demonstrates the feasibility and treatment potential of VR-CBT in a difficult-to-treat group of patients with generalized SAD. Results suggest that VR-CBT may be effective in reducing anxiety as well as depression, and can increase quality of life.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>30915939</pmid><doi>10.1017/S1352465819000225</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6401-2073</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Anxiety - psychology Anxiety - therapy Anxiety disorders Behavior modification Brief Clinical Report Cognitive ability Cognitive Behavioral Therapy Computer applications Depression - therapy Fear & phobias Feasibility studies Feedback Female Generalized anxiety disorder Homework Humans Male Middle Aged Paranoid Disorders - therapy Patients Phobia, Social - psychology Phobia, Social - therapy Pilot Projects Quality of Life Social anxiety Social Behavior Social interaction Social research Software Surveys and Questionnaires Therapists Therapy Virtual reality Virtual Reality Exposure Therapy Young Adult |
| title | Virtual reality-based cognitive behavioural therapy for patients with generalized social anxiety disorder: a pilot study |
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