Cognitive behavioral therapy for public-speaking anxiety using virtual reality for exposure

被引:172
作者
Anderson, PL
Zimand, E
Hodges, LE
Rothbaum, BO
机构
[1] Georgia State Univ, Dept Psychiat, Atlanta, GA 30302 USA
[2] Virtually Better, Decatur, GA USA
[3] Univ N Carolina, Charlotte, NC 28223 USA
[4] Emory Univ, Sch Med, Atlanta, GA USA
关键词
public-speaking anxiety; cognitive behavior therapy; virtual reality; treatment;
D O I
10.1002/da.20090
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study used an open clinical trial to test a cognitive-behavioral treatment for public-speaking anxiety that utilized virtual reality as a tool for exposure therapy. Treatment was completed by participants (n = 10) meeting the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV criteria for social phobia, or panic disorder with agoraphobia in which public speaking was the predominantly feared stimulus. Treatment was conducted by a licensed psychologist in an outpatient clinic. Treatment consisted of eight individual therapy sessions, including four sessions of anxiety management training and four sessions of exposure therapy using a virtual audience, according to a standardized treatment manual. Participants completed standardized self-report questionnaires assessing public-speaking anxiety at pre-treatment, posttreatment, and 3-month follow-up. Participants were asked to give a speech to an actual audience at pre- and post-treatment. Results showed decreases on all self-report measures of public-speaking anxiety from pre- to post-treatment, which were maintained at follow-up (n = 8; all P < .05). Participants were no more likely to complete a speech post-treatment than at pre-treatment. This study provides preliminaty evidence that a cognitive-behavioral treatment using virtual reality for exposure to public speaking may reduce public-speaking anxiety and suggests that further research with a controlled design is needed.
引用
收藏
页码:156 / 158
页数:3
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