Treatment of Social Anxiety Disorder Using Online Virtual Environments in Second Life

Yuen, Erica K.; Herbert, James D.; Forman, Evan M.; Goetter, Elizabeth M.; Comer, Ronald; Bradley, Jean‐Claude

doi:10.1016/j.beth.2012.06.001

Cited by 76 publications

(46 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although individual and group formats of CBT for SAD appear to be equally effective in randomized controlled trials (Stangier, Heidenreich, Peitz, Lauterbach, & Clark, 2003), no studies have investigated the differential impact of these two forms of CBT for SAD on weekly changes in emotion regulation and social anxiety. Additionally, to understand the specificity of CBT effects on weekly changes in emotion regulation, it will be helpful to construct RCTs that directly compare weekly changes in different types of clinical interventions for SAD, including applied relaxation (Clark et al, 2006), internet-delivered CBT (Andersson, Carlbring, & Furmark, 2012; Titov, Andrews, Choi, Schwencke, & Mahoney, 2008), online virtual acceptance-based behavioral therapy (Yuen et al, 2013), interpersonal psychotherapy (Stangier, Schramm, Heidenreich, Berger, & Clark, 2011), psychodynamic short-term group treatment (Leichsenring et al, 2013), mindfulness-based interventions (Goldin & Gross, 2010; Jazaieri, Goldin, Werner, Ziv, & Gross, 2012; Piet, Hougaard, Hecksher, & Rosenberg, 2010). …”

Section: Discussionmentioning

confidence: 99%

Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder

Goldin

Lee

Ziv

et al. 2014

Behaviour Research and Therapy

View full text Add to dashboard Cite

Cognitive-behavioral therapy (CBT) for social anxiety disorder (SAD) may decrease social anxiety by training emotion regulation skills. This randomized controlled trial of CBT for SAD examined changes in weekly frequency and success of cognitive reappraisal and expressive suppression, as well as weekly intensity of social anxiety among patients receiving 16 weekly sessions of individual CBT. We expected these variables to (1) differ from pre-to-post-CBT vs. Waitlist, (2) have differential trajectories during CBT, and (3) covary during CBT. We also expected that weekly changes in emotion regulation would predict (4) subsequent weekly changes in social anxiety, and (5) changes in social anxiety both during and post-CBT. Compared to Waitlist, CBT increased cognitive reappraisal frequency and success, decreased social anxiety, but had no impact on expressive suppression. During CBT, weekly cognitive reappraisal frequency and success increased, whereas weekly expressive suppression frequency and social anxiety decreased. Weekly decreases in social anxiety were associated with concurrent increases in reappraisal success and decreases in suppression frequency. Granger causality analysis showed that only reappraisal success increases predicted decreases in subsequent social anxiety during CBT. Reappraisal success increases pre-to-post-CBT predicted reductions in social anxiety symptom severity post-CBT. The trajectory of weekly changes in emotion regulation strategies may help clinicians understand whether CBT is effective and predict decreases in social anxiety.

show abstract

Section: Discussionmentioning

confidence: 99%

Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder

Goldin

Lee

Ziv

et al. 2014

Behaviour Research and Therapy

View full text Add to dashboard Cite

show abstract

“…Heeren and colleagues (2012) found that pure attention training toward positive faces (which did not address negative cognitions) resulted in lower FNE scores at post-test and twoweek follow-up than attention training toward threat or attention control training. Finally, online treatment with an acceptance-based behavior therapy for SAD (Dalrymple & Herbert, 2007) that incorporated exposure, social skills training, and refocusing attention presented through Second Life led to significant reductions in BFNE scores at post-treatment and three-month follow-up (Yuen et al, 2013).…”

Section: Fear Of Negative Evaluationmentioning

confidence: 98%

Treatment of Adult Social Anxiety Disorder: A Treatments-by-Dimensions Review

Anderson

Hope

2014

Social Anxiety

View full text Add to dashboard Cite

“…MUVEs have been used to treat social anxiety disorder (Yuen et al 2013) and for support groups (Delmonico et al 2000;Green-Hamann et al 2011). In the Delmonico et al (2000) study, group members reported frustration with others' typing abilities and technological competence, communication delays (lag), and turn-taking.…”

Section: Avatar-based Counselingmentioning

confidence: 98%

Counseling via Avatar: Professional Practice in Virtual Worlds

Witt

Oliver

McNichols

2016

Int J Adv Counselling

View full text Add to dashboard Cite

Professional counselors (n = 5) from the United States (2), Australia, the United Kingdom and the Netherlands were interviewed about the provision of counseling services in the multi-user virtual environment (MUVE) Second Life (SL). Using Strauss and Corbin's (1998) method, qualitative data analysis yielded four themes: (i) encapsulating the immersive experience inherent in virtual worlds, (ii) contributions to successful avatar-based counseling, (iii) the practice of MUVE counseling, and (iv) practitioners' pioneering spirit. This study contributes to distance counseling knowledge and lays the foundation for future avatar-based counseling research and practice.

show abstract

Treatment of Social Anxiety Disorder Using Online Virtual Environments in Second Life

Cited by 76 publications

References 49 publications

Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder

Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder

Treatment of Adult Social Anxiety Disorder: A Treatments-by-Dimensions Review

Counseling via Avatar: Professional Practice in Virtual Worlds

Contact Info

Product

Resources

About