Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)

Introduction The virtual environment with realistically rendered fear-inducing stimuli is enough to conduct VR exposure therapy (VRE), although the total control over the virtual environment also enables presentation of stimuli, contexts, and tasks not possible in in vivo exposure therapy (i.e. fl...

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Main Authors: A. D’Ambrosio, C. Tonelli, V. Martini, C. Ambrosio
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821003175/type/journal_article
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author A. D’Ambrosio
C. Tonelli
V. Martini
C. Ambrosio
author_facet A. D’Ambrosio
C. Tonelli
V. Martini
C. Ambrosio
author_sort A. D’Ambrosio
collection DOAJ
description Introduction The virtual environment with realistically rendered fear-inducing stimuli is enough to conduct VR exposure therapy (VRE), although the total control over the virtual environment also enables presentation of stimuli, contexts, and tasks not possible in in vivo exposure therapy (i.e. flight etc.)30 randomized controlled trials revealing high efficacy and effect sizes comparable of VRE-CBT to in vivo exposure therapy. Aerophobia is a very frequent limitation and affect 25% of the population and 30% of the subjects who fly make habitual use of anxiolytics. Objectives The aims of this study is to show that conducting VR exposure in CBT for simple phobia (flight phobia) is effective and is an efficacious treatment for fear and anxiety,Vs other treatments. Methods Participants (n = 39; age between 19 and 60 years) in the active arms received individual CBT VR exposure for six sessions and outcome was assessed with questionnaires: MSPS;Rathus Assertiveness Scale (RAS); HAM-A; QMAV; QSAV – (Flying fear); QoL INDEX and a behaviour avoidance test (really take the plane). Wilcoxon tests was using for the statistical analysis. Results 36 subjects managed to take the plane at the end of treatment and the results obtained showed a significant difference between “before treatment (T0) and after (T1)” with the exception of the Rathus test. All the SF-36 scales show a significant difference between “before-after”. 3 subjects was dropped out Conclusions Using VR can be advantageous over standard CBT as a potential solution for treatment avoidance and as an efficient, cost-effective and practical medium of exposure. Disclosure No significant relationships.
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spelling doaj.art-fd97044c14c147ac90167232a368eef22023-11-17T05:05:45ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S110S11010.1192/j.eurpsy.2021.317Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)A. D’Ambrosio0C. Tonelli1V. Martini2C. Ambrosio3Vre-cbt Psychotherapy, CBT CLINIC CENTER srl, Napoli, ItalyVre-cbt Psychotherapy, CBT CLINIC CENTER srl, Napoli, ItalyVre-cbt Psychotherapy, CBT CLINIC CENTER srl, Napoli, ItalyVre-cbt Psychotherapy, CBT CLINIC CENTER srl, Napoli, Italy Introduction The virtual environment with realistically rendered fear-inducing stimuli is enough to conduct VR exposure therapy (VRE), although the total control over the virtual environment also enables presentation of stimuli, contexts, and tasks not possible in in vivo exposure therapy (i.e. flight etc.)30 randomized controlled trials revealing high efficacy and effect sizes comparable of VRE-CBT to in vivo exposure therapy. Aerophobia is a very frequent limitation and affect 25% of the population and 30% of the subjects who fly make habitual use of anxiolytics. Objectives The aims of this study is to show that conducting VR exposure in CBT for simple phobia (flight phobia) is effective and is an efficacious treatment for fear and anxiety,Vs other treatments. Methods Participants (n = 39; age between 19 and 60 years) in the active arms received individual CBT VR exposure for six sessions and outcome was assessed with questionnaires: MSPS;Rathus Assertiveness Scale (RAS); HAM-A; QMAV; QSAV – (Flying fear); QoL INDEX and a behaviour avoidance test (really take the plane). Wilcoxon tests was using for the statistical analysis. Results 36 subjects managed to take the plane at the end of treatment and the results obtained showed a significant difference between “before treatment (T0) and after (T1)” with the exception of the Rathus test. All the SF-36 scales show a significant difference between “before-after”. 3 subjects was dropped out Conclusions Using VR can be advantageous over standard CBT as a potential solution for treatment avoidance and as an efficient, cost-effective and practical medium of exposure. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821003175/type/journal_articlephobiaflight phobiavirtual realityVRE-CBT
spellingShingle A. D’Ambrosio
C. Tonelli
V. Martini
C. Ambrosio
Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)
European Psychiatry
phobia
flight phobia
virtual reality
VRE-CBT
title Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)
title_full Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)
title_fullStr Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)
title_full_unstemmed Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)
title_short Vr exposure in cbt is effective and efficacious treatment for simple phobia (flight phobia)
title_sort vr exposure in cbt is effective and efficacious treatment for simple phobia flight phobia
topic phobia
flight phobia
virtual reality
VRE-CBT
url https://www.cambridge.org/core/product/identifier/S0924933821003175/type/journal_article
work_keys_str_mv AT adambrosio vrexposureincbtiseffectiveandefficacioustreatmentforsimplephobiaflightphobia
AT ctonelli vrexposureincbtiseffectiveandefficacioustreatmentforsimplephobiaflightphobia
AT vmartini vrexposureincbtiseffectiveandefficacioustreatmentforsimplephobiaflightphobia
AT cambrosio vrexposureincbtiseffectiveandefficacioustreatmentforsimplephobiaflightphobia