Designing virtual environments for the treatment of social phobia

Klinger, Evelyn; Chemin, Isabelle; Légeron, Patrick; Roy, Shelly R.; Lauer, Françoise; Nugues, Pierre

doi:10.1037/e705482011-034

Cited by 19 publications

(24 citation statements)

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“…All elements of the core fear must be addressed in the exposure scenario in order to maximize the efficacy of exposure. As such, existing audience-based virtual environments are a promising alternative to in vivo exposure because therapists can control the behavior of virtual audience members in a way that allow maximum control over elements of the exposure scenario (Klinger et al, 2003; Klinger et al, 2005; Roy et al, 2003),…”

mentioning

confidence: 99%

The Feasibility and Acceptability of Virtual Environments in the Treatment of Childhood Social Anxiety Disorder

Sarver

Beidel

Spitalnick

2013

Journal of Clinical Child & Adolescent Psychology

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Objective 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. Method 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. Results 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. Conclusion 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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mentioning

confidence: 99%

The Feasibility and Acceptability of Virtual Environments in the Treatment of Childhood Social Anxiety Disorder

Sarver

Beidel

Spitalnick

2013

Journal of Clinical Child & Adolescent Psychology

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“…37 Four situations have been selected and four virtual storyboards have been designed. Each one corresponds to a specific case of social anxiety: assertiveness anxiety (protecting one's interests, viewpoints, being respected), performance anxiety (speaking in public); intimacy anxiety (establishing contacts, next-door neighbor, friends, and small talk), and observation anxiety (acting while being observed, being under scrutiny).…”

Section: Treatment Virtual Reality Therapymentioning

confidence: 99%

“…Five virtual environments (VE) were designed by GREYC laboratory, Caen, France, 36 in close collaboration with the clinical team of Sainte-Anne Hospital in Paris. 37 Four situations have been selected and four virtual storyboards have been designed.…”

Section: Treatment Virtual Reality Therapymentioning

confidence: 99%

Virtual Reality Therapy Versus Cognitive Behavior Therapy for Social Phobia: A Preliminary Controlled Study

Klinger

Bouchard

Légeron

et al. 2005

CyberPsychology & Behavior

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246

150

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Social phobia is one of the most frequent mental disorders and is accessible to two forms of scientifically validated treatments: anti-depressant drugs and cognitive behavior therapies (CBT). In this last case, graded exposure to feared social situations is one of the fundamental therapeutic ingredients. Virtual reality technologies are an interesting alternative to the standard exposure in social phobia, especially since studies have shown its usefulness for the fear of public speaking. This paper reports a preliminary study in which a virtual reality therapy (VRT), based on exposure to virtual environments, was used to treat social phobia. The sample consisted of 36 participants diagnosed with social phobia assigned to either VRT or a group-CBT (control condition). The virtual environments used in the treatment recreate four situations dealing with social anxiety: performance, intimacy, scrutiny, and assertiveness. With the help of the therapist, the patient learns adapted cognitions and behaviors in order to reduce anxiety in the corresponding real situations. Both treatments lasted 12 weeks, and sessions were delivered according to a treatment manual. Results showed statistically and clinically significant improvement in both conditions. The effect-sizes comparing the efficacy of VRT to the control traditional group-CBT revealed that the differences between the two treatments are trivial. 76

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“…This project matches behaviours of virtual human problems and knowledge engineering in virtual environment [11] (Fig. 6).…”

Section: Implementation and First Resultsmentioning

confidence: 92%

“…By simulating the application context of rules or creating new contexts [11], virtual environments can allow actors of risk management to share a common representation of the constraints that are linked to the rules application context [5]. This common representation is the base of any discussion concerning the improvement of these rules [3].…”

Section: Industrial Safety Challengesmentioning

confidence: 99%

Designing virtual environments for risk prevention: the MELISSA approach

Camus

Lenné

Plot

2012

Int J Interact Des Manuf

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Industrial safety management systems are composed of a set of formal and informal rules. These rules are subject to constant negotiations among industrial staff concerned by these rules. The negotiation process needs to take into account the safety rules and the relevant elements of their application contexts. We propose to use a virtual environment to stimulate this process. The success of such negotiations (in virtual environments) depends on the identification of required knowledge for representing safety rules application contexts. In this paper we present our model and methodology MELISSA that aim at identifying this knowledge, and to share it within the virtual environment design team. We first describe the knowledge needed to represent a working situation. Then, we present elements required for the conception of such virtual environments. Finally, we discuss the interest of our approach.

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Designing virtual environments for the treatment of social phobia

Cited by 19 publications

References 0 publications

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

Virtual Reality Therapy Versus Cognitive Behavior Therapy for Social Phobia: A Preliminary Controlled Study

Designing virtual environments for risk prevention: the MELISSA approach

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