The feasibility and acceptability of virtual environments in the treatment of childhood social anxiety disorder.

The feasibility and acceptability of virtual environments in the treatment of childhood social anxiety disorder.
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DOI:
10.1080/15374416.2013.843461
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发表时间:
2014
期刊:
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子:
--
通讯作者:
Spitalnick JS
Spitalnick JS
中科院分区:
其他
文献类型:
--
作者:
Sarver NW;Beidel DC;Spitalnick JS

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传播社交技能培训方案的两个重大挑战是需要确保普遍性和提供足够的实践机会。在社交焦虑症的案例中,虚拟环境可能提供了一种解决这些问题的策略。本研究评估互动虚拟学校环境在治疗青春期前儿童社交焦虑障碍方面的效用。11名8至12岁被初步诊断为社交焦虑症的儿童参与了这项初步的可行性试验。所有儿童都接受了儿童社会有效性治疗,这是一种针对社交焦虑症儿童的经验性治疗。然而,在体内的同伴概括会议和标准的家长协助的家庭作业被虚拟环境中的练习所取代。总体而言,虚拟环境方案是可接受的、可行的和可信的治疗组件。儿童和临床医生都对使用虚拟环境技术感到满意,儿童认为总体上是一个高质量的程序。此外,家长对虚拟环境增强治疗感到满意,并表示将向家人和朋友推荐该程序。虚拟环境被潜在的接受者视为可接受和可信的。此外,即使是新手用户也很容易实现它们,并且似乎是治疗儿童社交焦虑障碍的有用的辅助元素。
Two significant challenges for the dissemination of social skills training programs are the need to assure generalizability and provide sufficient practice opportunities. In the case of social anxiety disorder, virtual environments may provide one strategy to address these issues. This study evaluated the utility of an interactive virtual school environment for the treatment of social anxiety disorder in preadolescent children. Eleven children with a primary diagnosis of social anxiety disorder between 8 to 12 years old participated in this initial feasibility trial. All children were treated with Social Effectiveness Therapy for Children, an empirically supported treatment for children with social anxiety disorder. However, the in vivo peer generalization sessions and standard parent-assisted homework assignments were substituted by practice in a virtual environment. Overall, the virtual environment programs were acceptable, feasible, and credible treatment components. Both children and clinicians were satisfied with using the virtual environment technology, and children believed it was a high quality program overall. Additionally, parents were satisfied with the virtual environment augmented treatment and indicated that they would recommend the program to family and friends. Virtual environments are viewed as acceptable and credible by potential recipients. Furthermore, they are easy to implement by even novice users and appear to be useful adjunctive elements for the treatment of childhood social anxiety disorder.
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