Virtual Reality exposure therapy for public speaking anxiety in routine care: a single-subject effectiveness trial [Elektronisk resurs]
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Lindner, Philip (författare)
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Dagoo, Jesper (författare)
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Hamilton, William (författare)
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Miloff, Alexander (författare)
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Andersson, Gerhard, 1966- (författare)
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Schill, Andreas (författare)
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Carlbring, Per (författare)
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Linköpings universitet Institutionen för beteendevetenskap och lärande (utgivare)
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Linköpings universitet Filosofiska fakulteten (utgivare)
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Region Östergötland Sinnescentrum (utgivare)
- Publicerad: Routledge, 2020
- Engelska.
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Ingår i: Cognitive Behaviour Therapy. - 1650-6073.
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- Relaterad länk:
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http://www.liu.se (Värdpublikation)
Sammanfattning
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.
Ämnesord
- Social Sciences (hsv)
- Psychology (hsv)
- Applied Psychology (hsv)
- Samhällsvetenskap (hsv)
- Psykologi (hsv)
- Tillämpad psykologi (hsv)
Genre
- government publication (marcgt)
Indexterm och SAB-rubrik
- Fear of public speaking; Glossophobia; Virtual Reality; exposure therapy; effectiveness
Inställningar
Hjälp
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Cognitive Behaviour Therapy