Experiential Cognitive Therapy for the Treatment of Panic Disorder With Agoraphobia: Definition of a Clinical Protocol

Vincelli, Francesco; Choi, Young Hee; Molinari, Enrico; Wiederhold, Brenda K.; Riva, Giuseppe

doi:10.1089/10949310050078823

Cited by 33 publications

(13 citation statements)

References 29 publications

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“…VR may provide an effective solution for both exposures during desensitization to outward stimuli and events, as well as an ideal place in which to safely practice interoceptive exposure. 13 Currently, interoceptive exposure can either be practiced in the safety of a therapist's office, which is not a real world setting; or it must be practiced in the real world setting, which is not seen by many persons who are beginning therapy as a "safe" setting.…”

Section: Discussionmentioning

confidence: 99%

Panic and Agoraphobia in a Virtual World

Moore

Wiederhold

et al. 2002

CyberPsychology & Behavior

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Virtual reality (VR) offers a great new perspective on what it can offer an individual. These new approaches can give an individual the immersion and cognitive guidance that they need to help overcome his or her disorder. VR differs from the traditional displays in computer graphics as these various displays are integrated to give the user a sense of presence or immersion in the virtual world. To more effectively treat panic and agoraphobic patients using VR, it is necessary to determine the physiological responses of nonphobics when placed in the virtual panic and agoraphobia environments. This study exposed nonphobic participants to virtual panic and agoraphobia worlds with a program entitled "Virtual Medicine." Individuals without a diagnosis of panic and agoraphobia, as confirmed by intake and self-report questionnaires, were exposed to four different VR environments (elevator, supermarket, town square, and beach). During these VR experiences, physiology was measured by noninvasive sensors (peripheral skin temperature, heart rate, heart rate variability, respiration, and skin conductance). These measurements were compared to baseline physiology, which was recorded for five min prior to the VR exposure. These levels of physiological arousal will be useful in comparing against the phobic responses during virtual exposure. It will be useful to explore differences between immersion, physiological responses, and self-report responses in nonphobics versus phobics.

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Section: Discussionmentioning

confidence: 99%

Panic and Agoraphobia in a Virtual World

Moore

Wiederhold

et al. 2002

CyberPsychology & Behavior

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“…Cognitive Behaviour Therapy (CBT), developed more than 40 years ago (Beck, 2005) for managing psychological distress, is based on recognising physical responses to thoughts, and changing cognitions, irrational thinking and maladaptive behaviours (Hazlett-Stevens & Craske, 2002;Vincelli, Choi, Molinari, Wiederhold, & Riva, 2000). For example, the thought "my heart is pounding, therefore I must be having a heart attack", may be reframed, and the new thought could be "when my heart pounds it is a signal that I am feeling anxious".…”

Section: Overview Of Contemporary Stress Management and Coping Stratementioning

confidence: 99%

Stress Among Prospective Teachers: a Review of the Literature

Gardner

2010

AJTE

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“…Some studies offer descriptions and non-controlled data on the use of VR in panic and agoraphobic avoidance in non-clinical populations (Moore et al, 2002;North, North, & Coble, 1996;Vincelli, Choi, Molinari, Wiederhold, & Riva, 2000). There are some works about VR and PDA with clinical populations: non-controlled studies Jang, Ku, Shin, Choi, & Kim, 2000;Villa, Botella, Garcia-Palacios, & Osma, in press) and a study that compared the efficacy of a VR CBT programme with a standard CBT programme and a waitinglist (WL) condition (Vincelli et al, 2003).…”

mentioning

confidence: 99%

Virtual reality exposure in the treatment of panic disorder and agoraphobia: A controlled study

Botella

García‐Palacios

Villa

et al. 2007

Clin Psychology and Psychoth

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193

143

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The main goal of this study was to offer data about the efficacy of virtual reality exposure (VRE) in the treatment of panic disorder with or without agoraphobia (PDA). The study was a between-subject design with three experimental conditions (VRE group, in vivo exposure [IVE] group and waiting-list [WL] group) and repeated measures (pre-treatment, post treatment and 12 month follow-up). The treatment programmes lasted 9 weekly sessions. Thirty-seven patients meeting DSM-IV criteria for PDA participated in this study. The improvement achieved using virtual exposure was superior to a WL condition and similar to that achieved using IVE. Our results support the efficacy of VRE in the treatment of PDA at short and long term. The advantages of VRE for the treatment of PDA regarding costbenefit issues are described.

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Experiential Cognitive Therapy for the Treatment of Panic Disorder With Agoraphobia: Definition of a Clinical Protocol

Cited by 33 publications

References 29 publications

Panic and Agoraphobia in a Virtual World

Panic and Agoraphobia in a Virtual World

Stress Among Prospective Teachers: a Review of the Literature

Virtual reality exposure in the treatment of panic disorder and agoraphobia: A controlled study

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