Virtual Reality as Support of Cognitive Behavioral Therapy in Social Anxiety Disorder

Kovar, Ivan

doi:10.18517/ijaseit.8.4.5904

Cited by 8 publications

(10 citation statements)

References 6 publications

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“…In the technology of conducting therapy by automated voice-BOT therapeutic applications with a speech recognition system, it is possible to create an algorithm that increases the level of exposure to phobic stimuli depending on the speed of habituation to the VR exposure environment ( Figure 2 ). The evidence that it is possible to provide a full sense of reality in digital reality at least at the level of in vivo exposure are the reports that in VR exposure is more effective than in vivo ( 48 , 53 ). The more virtual reality will imitate reality in terms of graphic resolution, a variety of scenarios and their dynamic adaptation to the patient's behavior, the greater will be its effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Tips for Effective Implementation of Virtual Reality Exposure Therapy in Phobias—A Systematic Review

Krzystanek

Surma

Stokrocka³

et al. 2021

Front. Psychiatry

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Background: The high incidence of phobias and the limited accessibility of psychotherapy are the reasons for the search for alternative treatments that increase the availability of effective treatment. The use of virtual reality (VR) technology is an option with the potential to overcome the barriers in obtaining an effective treatment. VR exposure therapy (VRET) is based on a very similar rationale for in vivo exposure therapy. The study aimed to answer the question of how to perform exposure therapy in a virtual reality environment so that it is effective.Methods: A systematic review of the literature, using PRISMA guidelines, was performed. After analysis of 362 records, 11 research papers on agoraphobia, 28 papers on social phobia and 10 about specific phobias were selected for this review.Results: VRET in agoraphobia and social phobia is effective when performed from 8 to 12 sessions, on average once a week for at least 15 min. In turn, the treatment of specific phobias is effective even in the form of one longer session, lasting 45–180 min. Head mounted displays are an effective technology for VRET. Increasing the frequency of sessions and adding drug therapy may shorten the overall treatment duration. The effectiveness of VRET in phobias is greater without concomitant psychiatric comorbidity and on the condition of inducing and maintaining in the patient an experience of immersion in the VR environment. Long-term studies show a sustained effect of VRET in the treatment of phobias.Conclusion: A large number of studies on in VR exposure therapy in phobias allows for the formulation of some recommendations on how to perform VRET, enabling the effective treatment. The review also indicates the directions of further VRET research in the treatment of phobias.

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Section: Discussionmentioning

confidence: 99%

Tips for Effective Implementation of Virtual Reality Exposure Therapy in Phobias—A Systematic Review

Krzystanek

Surma

Stokrocka³

et al. 2021

Front. Psychiatry

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“…Multimedia Appendix 3 shows most articles published in the year 2019 [ 25 - 36 ], comprising 35% (12/34) of the total articles. Articles published in 2018 [ 37 - 43 ] and 2020 [ 15 , 44 - 49 ] were of equal proportions (7/34, 21%), whereas those published in 2017 [ 14 , 50 - 53 ] were the third highest (5/34, 15%). Recent publications from early 2021 [ 54 - 56 ] were also selected (3/34, 9%).…”

Section: Resultsmentioning

confidence: 99%

“…Overall, most studies centered around one or the other type of anxiety condition (25/34, 74%) compared with depression (4/34, 12%). SAD was the most studied, with 3% (9/34) of studies focusing on using VR therapy solely for patients with SAD [ 29 , 34 , 37 , 41 , 47 , 50 , 52 - 54 ]. Generalized anxiety disorder (6/34, 18%) [ 27 , 28 , 39 , 42 , 46 , 49 ] was next, followed by public speaking anxiety (4/34, 12%) [ 14 , 31 , 51 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

“…Interestingly, 6% (2/34) of studies used behavior therapy in addition to VRET, using commercial simulator software in the treatment of SAD [ 41 ] and public speaking anxiety [ 31 ]. It was followed by CBT inside VR (5/34, 15%) [ 26 , 28 , 37 , 50 , 54 ] and VR application (5/34, 15%) [ 30 , 33 , 35 , 43 , 52 ] interventions. Approximately 6% (2/34) of studies demonstrated a unique use of VR applications using music therapy (where participants had to sing a song in a virtual hall) [ 33 ] and art therapy (where participants performed activities using a tilt-brush VR application) [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

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Virtual Reality for Supporting the Treatment of Depression and Anxiety: Scoping Review

Baghaei¹,

Chitale²,

Hlasnik³

et al. 2021

JMIR Ment Health

105

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Background Mental health conditions pose a major challenge to health care providers and society at large. The World Health Organization predicts that by 2030, mental health conditions will be the leading cause of disease burden worldwide. The current need for mental health care is overwhelming. In New Zealand, 1 in 6 adults has been diagnosed with common mental disorders, such as depression and anxiety disorders, according to a national survey. Cognitive behavioral therapy (CBT) has been shown to effectively help patients overcome a wide variety of mental health conditions. Virtual reality exposure therapy (VRET) might be one of the most exciting technologies emerging in the clinical setting for the treatment of anxiety and depression. Objective This study aims to investigate the virtual reality (VR) technologies currently being used to help support the treatment of depression and anxiety. We also aim to investigate whether and how CBT is included as part of VRET and look at the VR technologies and interventions that have been used in recent studies on depression and anxiety. Methods We performed a scoping review. To identify significant studies, we decided to use already aggregated sources from the Google Scholar database. Overall, the goal of our search strategy was to limit the number of initial results related to VR in mental health to only a relevant minimum. Results Using our defined keywords, Google Scholar identified >17,300 articles. After applying all the inclusion and exclusion criteria, we identified a total of 369 articles for further processing. After manual evaluation, 34 articles were shortlisted; of the 34 articles, 9 (26%) reported the use of CBT with VR. All of the articles were published between 2017 and 2021. Out of the 9 studies, CBT was conducted within a VR environment in 5 (56%) studies, whereas in the remaining 4 (44%) studies, CBT was used as an addition to VRET. All 9 studies reported the use of CBT either in vivo or in a virtual environment to be effective in supporting the treatment of anxiety or depression. Conclusions Most studies demonstrated the use of VR to be effective for supporting the treatment of anxiety or depression in a range of settings and recommended its potential as a tool for use in a clinical environment. Even though standalone headsets are much easier to work with and more suitable for home use, the shift from tethered VR headsets to standalone headsets in the mental health environment was not observed. All studies that looked at the use of CBT either in vivo or in a virtual environment found it to be effective in supporting the treatment of anxiety or depression.

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“…VR typically refers to a simulated environment creator with the help of high-performance computer technology in which its virtual environment simulation is getting indistinguishable from the real world [20]- [22]. Over the past decade, many researchers have widely studied it in various aspects [23]- [26]. "VR is the biggest brain tool that we have," says Kevin Kelly, founding editor of Wired magazine [27].…”

Section: Introductionmentioning

confidence: 99%

Immersive Visualization of Python Coding Using Virtual Reality

Saleh¹,

Chin²,

Othman³

et al. 2023

Int. J. Adv. Sci. Eng. Inf. Technol.

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The main goal of this study is to develop a mobile Virtual Reality (VR) application to conduct basic Python coding skills for university students who are struggling to learn to code. This study employs a quasi-experimental method to examine the difference in the efficiency of VR and traditional learning methods by evaluating the students' performance. Thirty students between 18 to 22 years old participated. The participants were divided into two control groups, in which one group used the conventional python learning method while another implemented the VR application in python learning. Unity 3D was used as the application development tool with Mobile Application Development Lifecycle (MADLC). The developed VR application was employed using Google cardboard to create an immersive VR experience. Usability tests, hypothesis tests, Presence Questionnaires (PQ) and system usability scale (SUS) are used as evaluation tools. Findings illustrated how learning through VR has yielded better performance than the conventional learning method. In hypothesis testing, the VR learning method suggested more effective learning with t_statistic value of 4.992, a more considerable value than t_critical=2.76. 73% of the participants rated above 68 out of 100, which indicated high levels of satisfaction with the use of the mobile VR application to learn Python. In short, the VR method is perceived to be useful and convenient to help students learn at any place and time.

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Virtual Reality as Support of Cognitive Behavioral Therapy in Social Anxiety Disorder

Cited by 8 publications

References 6 publications

Tips for Effective Implementation of Virtual Reality Exposure Therapy in Phobias—A Systematic Review

Tips for Effective Implementation of Virtual Reality Exposure Therapy in Phobias—A Systematic Review

Virtual Reality for Supporting the Treatment of Depression and Anxiety: Scoping Review

Immersive Visualization of Python Coding Using Virtual Reality

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