Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure
Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure
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DOI：
10.1002/da.20090
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发表时间：
2005-01-01
影响因子：
7.4
通讯作者：
Rothbaum, BO
中科院分区：
文献类型：
--
作者：
Anderson, PL;Zimand, E;Rothbaum, BO
这项研究使用了一项开放式临床试验来测试一种认知行为治疗方法，该方法利用虚拟现实作为暴露疗法的工具来治疗公众演讲焦虑症。完成治疗的参与者（n = 10）符合精神疾病诊断和统计手册（DSM）-IV标准的社交恐惧症，或恐慌症与广场恐惧症，其中公众演讲是主要害怕的刺激。治疗由一名有执照的心理学家在门诊进行。根据标准化治疗手册，治疗包括八个单独的治疗疗程，包括四个焦虑管理训练疗程和四个使用虚拟观众的暴露治疗疗程。参与者在治疗前、治疗后和3个月随访时完成了标准化的自我报告问卷，评估公众演讲焦虑。参与者被要求在治疗前和治疗后向实际观众发表演讲。结果显示，从治疗前到治疗后，所有自我报告的公开演讲焦虑指标都有所下降，并在随访时保持不变（n = 8;所有P <0.05）。参与者在治疗后完成演讲的可能性并不比治疗前高。这项研究提供了确凿的证据，证明使用虚拟现实进行公开演讲的认知行为治疗可能会减少公开演讲的焦虑，并建议需要进一步研究控制设计。
This study used an open clinical trial to test a cognitive-behavioral treatment for public-speaking anxiety that utilized virtual reality as a tool for exposure therapy. Treatment was completed by participants (n = 10) meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria for social phobia, or panic disorder with agoraphobia in which public speaking was the predominantly feared stimulus. Treatment was conducted by a licensed psychologist in an outpatient clinic. Treatment consisted of eight individual therapy sessions, including four sessions of anxiety management training and four sessions of exposure therapy using a virtual audience, according to a standardized treatment manual. Participants completed standardized self-report questionnaires assessing public-speaking anxiety at pre-treatment, posttreatment, and 3-month follow-up. Participants were asked to give a speech to an actual audience at pre- and post-treatment. Results showed decreases on all self-report measures of public-speaking anxiety from pre- to post-treatment, which were maintained at follow-up (n = 8; all P < .05). Participants were no more likely to complete a speech post-treatment than at pre-treatment. This study provides preliminaty evidence that a cognitive-behavioral treatment using virtual reality for exposure to public speaking may reduce public-speaking anxiety and suggests that further research with a controlled design is needed.