Virtual reality cognitive behavior therapy for public speaking anxiety: a randomized clinical trial
- PMID:19321811
- DOI: 10.1177/0145445509331926
Virtual reality cognitive behavior therapy for public speaking anxiety: a randomized clinical trial
Abstract
Public speaking anxiety (PSA) is a common phobia. Although cognitive behavior therapy (CBT) is preferred, difficulties arise with the exposure component (lack of therapist control, patient's inability to imagine, self-flooding, loss of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist control, thus overcoming these difficulties. This study examined whether VRCBT is an alternative to CBT. Participants with PSA were randomly assigned to VRCBT (28 participants), CBT (30 participants), and wait list control (WLC; 30 participants). VRCBT and CBT were significantly more effective than WLC in anxiety reduction on four of five anxiety measures, and on subject's self-rating of anxiety during a behavioral task. No significant differences were found on observer ratings of the behavioral task. However, twice as many participants dropped out from CBT than from VRCBT. Our results demonstrated that VRCBT is an effective and brief treatment regimen, equal to CBT.
Similar articles
- Virtual reality cognitive-behavior therapy for public speaking anxiety: one-year follow-up.Safir MP, Wallach HS, Bar-Zvi M.Safir MP, et al.Behav Modif. 2012 Mar;36(2):235-46. doi: 10.1177/0145445511429999. Epub 2011 Dec 15.Behav Modif. 2012.PMID:22180390Clinical Trial.
- Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure.Anderson PL, Zimand E, Hodges LF, Rothbaum BO.Anderson PL, et al.Depress Anxiety. 2005;22(3):156-8. doi: 10.1002/da.20090.Depress Anxiety. 2005.PMID:16231290Clinical Trial.
- Shyness 3: randomized controlled trial of guided versus unguided Internet-based CBT for social phobia.Titov N, Andrews G, Choi I, Schwencke G, Mahoney A.Titov N, et al.Aust N Z J Psychiatry. 2008 Dec;42(12):1030-40. doi: 10.1080/00048670802512107.Aust N Z J Psychiatry. 2008.PMID:19016091Clinical Trial.
- Virtual reality exposure therapy of anxiety disorders: a review.Krijn M, Emmelkamp PM, Olafsson RP, Biemond R.Krijn M, et al.Clin Psychol Rev. 2004 Jul;24(3):259-81. doi: 10.1016/j.cpr.2004.04.001.Clin Psychol Rev. 2004.PMID:15245832Review.
- Computers and psychosocial treatment for child anxiety: recent advances and ongoing efforts.Kendall PC, Khanna MS, Edson A, Cummings C, Harris MS.Kendall PC, et al.Depress Anxiety. 2011 Jan;28(1):58-66. doi: 10.1002/da.20757.Depress Anxiety. 2011.PMID:21049529Review.
Cited by
- Evaluating the Benefits of Aphasia Intervention Delivered in Virtual Reality: Results of a Quasi-Randomised Study.Marshall J, Booth T, Devane N, Galliers J, Greenwood H, Hilari K, Talbot R, Wilson S, Woolf C.Marshall J, et al.PLoS One. 2016 Aug 12;11(8):e0160381. doi: 10.1371/journal.pone.0160381. eCollection 2016.PLoS One. 2016.PMID:27518188Free PMC article.Clinical Trial.
- Psychological Interventions for the Fear of Public Speaking: A Meta-Analysis.Ebrahimi OV, Pallesen S, Kenter RMF, Nordgreen T.Ebrahimi OV, et al.Front Psychol. 2019 Mar 15;10:488. doi: 10.3389/fpsyg.2019.00488. eCollection 2019.Front Psychol. 2019.PMID:30930813Free PMC article.
- Exposure Therapy With Personalized Real-Time Arousal Detection and Feedback to Alleviate Social Anxiety Symptoms in an Analogue Adult Sample: Pilot Proof-of-Concept Randomized Controlled Trial.Lin XB, Lee TS, Cheung YB, Ling J, Poon SH, Lim L, Zhang HH, Chin ZY, Wang CC, Krishnan R, Guan C.Lin XB, et al.JMIR Ment Health. 2019 Jun 14;6(6):e13869. doi: 10.2196/13869.JMIR Ment Health. 2019.PMID:31199347Free PMC article.
- Occupational therapists' views on using a virtual reality interior design application within the pre-discharge home visit process.Atwal A, Money A, Harvey M.Atwal A, et al.J Med Internet Res. 2014 Dec 18;16(12):e283. doi: 10.2196/jmir.3723.J Med Internet Res. 2014.PMID:25526615Free PMC article.
- Emotional Mental Imagery as Simulation of Reality: Fear and Beyond-A Tribute to Peter Lang.Ji JL, Heyes SB, MacLeod C, Holmes EA.Ji JL, et al.Behav Ther. 2016 Sep;47(5):702-719. doi: 10.1016/j.beth.2015.11.004. Epub 2015 Dec 4.Behav Ther. 2016.PMID:27816082Free PMC article.Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous