Exposure to virtual social interactions in the treatment of social anxiety disorder: A randomized controlled trial
Exposure to virtual social interactions in the treatment of social anxiety disorder: A randomized controlled trial
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DOI：
10.1016/j.brat.2015.12.016
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发表时间：
2016-02-01
影响因子：
4.1
通讯作者：
Morina, Nexhmedin
中科院分区：
文献类型：
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作者：
Kampmann, Isabel L.;Emmelkamp, Paul M. G.;Morina, Nexhmedin
这项随机对照试验调查了一种独立的虚拟现实暴露干预的有效性，该干预包括与虚拟人的言语互动，以针对社交焦虑障碍参与者的不同社交恐惧。60名被诊断为社交焦虑障碍的参与者(年龄为36.9岁，63.3%为女性)被随机分配到个体虚拟现实暴露疗法(VRET)、个体活体暴露疗法(IVET)或等待名单中。多水平回归分析显示，与等待名单相比，两组在社交焦虑症状、言语时长、感觉到的压力和与回避型人格障碍相关的信念方面从评估前到评估后都有所改善。与等待名单上的参与者相比，接受IVET而不是VRET的参与者在对负面评估的恐惧、言语表现、普遍焦虑、抑郁和生活质量方面有所改善。在后评估和后续评估中社交焦虑症状的减少，以及后续评估中与回避性人格障碍相关的信念方面，IVET条件进一步优于VRET条件。在随访中，所有的改善对依维特来说都是显著的。对于VRET，只有感知压力的影响是显著的。VRET包含广泛的言语互动，不含任何认知成分，可以有效地减少广泛性社交焦虑障碍的投诉。未来虚拟社会互动的技术和心理改进可能会进一步增强VRET治疗社交焦虑症的疗效。(C)2015爱思唯尔有限公司。保留所有权利。
This randomized controlled trial investigated the efficacy of a stand-alone virtual reality exposure intervention comprising verbal interaction with virtual humans to target heterogeneous social fears in participants with social anxiety disorder. Sixty participants (M-age = 36.9 years; 63.3% women) diagnosed with social anxiety disorder were randomly assigned to individual virtual reality exposure therapy (VRET), individual in vivo exposure therapy (iVET), or waiting-list. Multilevel regression analyses revealed that both treatment groups improved from pre-to postassessment on social anxiety symptoms, speech duration, perceived stress, and avoidant personality disorder related beliefs when compared to the waiting-list. Participants receiving iVET, but not VRET, improved on fear of negative evaluation, speech performance, general anxiety, depression, and quality of life relative to those on waiting-list. The iVET condition was further superior to the VRET condition regarding decreases in social anxiety symptoms at post- and follow-up assessments, and avoidant personality disorder related beliefs at follow-up. At follow-up, all improvements were significant for iVET. For VRET, only the effect for perceived stress was significant. VRET containing extensive verbal interaction without any cognitive components can effectively reduce complaints of generalized social anxiety disorder. Future technological and psychological improvements of virtual social interactions might further enhance the efficacy of VRET for social anxiety disorder. (C) 2015 Elsevier Ltd. All rights reserved.