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Virtual Reality for Anxiety and Stress-Related Disorders: A SWOT Analysis

  • Javier Fernández-AlvarezEmail author
  • Desirée Colombo
  • Cristina Botella
  • Azucena García-Palacios
  • Giuseppe Riva
Conference paper
Part of the Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering book series (LNICST, volume 288)

Abstract

Virtual Reality (VR) Therapy has emerged in the 90s as an appealing way of delivering exposure treatment. Throughout these years, ample evidence has been published. Although there is an agreed consensus regarding its efficacy, currently a quick shift in the field is being experienced, especially due to the advent of off-the-shelf technology that is greatly facilitating its dissemination. In this context, theoretical discussions of the field appear as an important action in order to take stock of the mounting evidence that has been produced and the main challenges for the coming future. To stimulate the discussion in a burgeoning field, a SWOT analysis is proposed, which may help to map the field of VR therapy for anxiety and stress-related disorders. Overall, it is undoubted that VR appears as a well-established technology for the treatment of ASRD and the main challenges are in line with the possibility of hurdling the same obstacles that the whole field of clinical psychology and psychotherapy has to deal with: How to bridge the gap between research and clinical practice.

Keywords

Virtual reality therapy Anxiety disorders SWOT analysis 

Notes

Acknowledgement

This work was supported by the Marie Skłodowska-Curie Innovative Training Network AffecTech (project ID: 722022) funded by the European Commission H2020.

References

  1. 1.
    Bandelow, B., Michaelis, S.: Epidemiology of anxiety disorders in the 21st century. Dialogues Clin. Neurosci. 17(3), 327 (2015)Google Scholar
  2. 2.
    Watson, D.: Differentiating the mood and anxiety disorders: a quadripartite model. Ann. Rev. Clin. Psychol. 5, 221–247 (2009).  https://doi.org/10.1146/annurev.clinpsy.032408.153510CrossRefGoogle Scholar
  3. 3.
    Olatunji, B.O., Cisler, J.M., Deacon, B.J.: Efficacy of cognitive behavioral therapy for anxiety disorders: a review of meta-analytic findings (2010).  https://doi.org/10.1016/j.psc.2010.04.002CrossRefGoogle Scholar
  4. 4.
    Alonso, J., et al.: Treatment gap for anxiety disorders is global: results of the world mental health surveys in 21 countries. Depress. Anxiety (2018).  https://doi.org/10.1002/da.22711CrossRefGoogle Scholar
  5. 5.
    WHO: Prevalence, severity, and unmet need for treatment of mental disorders in the world health organization world mental health surveys. J. Am. Med. Assoc. 2581–2590 (2004).  https://doi.org/10.1001/jama.291.21.2581
  6. 6.
    Wagner, R., Silove, D., Marnane, C., Rouen, D.: Delays in referral of patients with social phobia, panic disorder and generalized anxiety disorder attending a specialist anxiety clinic. J. Anxiety Disord. (2006).  https://doi.org/10.1016/j.janxdis.2005.02.003CrossRefGoogle Scholar
  7. 7.
    Kazdin, A.E., Blase, S.L.: Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspect. Psychol. Sci. (2011).  https://doi.org/10.1177/1745691610393527CrossRefGoogle Scholar
  8. 8.
    Hoyer, J., Beesdo, K., Gloster, A.T., Runge, J., Höfler, M., Becker, E.S.: Worry exposure versus applied relaxation in the treatment of generalized anxiety disorder. Psychother. Psychosom. (2009).  https://doi.org/10.1159/000201936CrossRefGoogle Scholar
  9. 9.
    Pittig, A., Kotter, R., Hoyer, J.: The struggle of behavioral therapists with exposure: self-reported practicability, negative beliefs, and therapist distress about exposure-based interventions. Behav. Ther. (2019).  https://doi.org/10.1016/j.beth.2018.07.003CrossRefGoogle Scholar
  10. 10.
    Cook, J.M., Biyanova, T., Elhai, J., Schnurr, P.P., Coyne, J.C.: What do psychotherapists really do in practice? An internet study of over 2,000 practitioners. Psychotherapy (2010).  https://doi.org/10.1037/a0019788CrossRefGoogle Scholar
  11. 11.
    Schumacher, S., Weiss, D., Knaevelsrud, C.: Dissemination of exposure in the treatment of anxiety disorders and post-traumatic stress disorder among German cognitive behavioural therapists. Clin. Psychol. Psychother. (2018).  https://doi.org/10.1002/cpp.2320CrossRefGoogle Scholar
  12. 12.
    Garcia-Palacios, A., Botella, C., Hoffman, H., Fabregat, S.: Comparing acceptance and refusal rates of virtual reality exposure vs. in vivo exposure by patients with specific phobias. CyberPsychol. Behav 10, 722–724 (2007).  https://doi.org/10.1089/cpb.2007.9962CrossRefGoogle Scholar
  13. 13.
    Garcia-Palacios, A., Hoffman, H.G., Kwong See, S., Tsai, A., Botella, C.: Redefining therapeutic success with virtual reality exposure therapy. CyberPsychol. Behav. 4, 341–348 (2002).  https://doi.org/10.1089/109493101300210231CrossRefGoogle Scholar
  14. 14.
    Botella, C., Fernández-Álvarez, J., Guillén, V., García-Palacios, A., Baños, R.: Recent progress in virtual reality exposure therapy for phobias: a systematic review. Curr. Psychiatry Rep. 19 (2017).  https://doi.org/10.1007/s11920-017-0788-4
  15. 15.
    Fernández-Álvarez, J., et al.: Deterioration rates in virtual reality therapy: an individual patient data level meta-analysis. J. Anxiety Disord. 61, 3–17 (2019).  https://doi.org/10.1016/j.janxdis.2018.06.005CrossRefGoogle Scholar
  16. 16.
    Cipresso, P., Giglioli, I.A.C., Raya, M.A., Riva, G.: The past, present, and future of virtual and augmented reality research: a network and cluster analysis of the literature. Front. Psychol. (2018).  https://doi.org/10.3389/fpsyg.2018.02086
  17. 17.
    Rozental, A., et al.: Negative effects in psychotherapy: commentary and recommendations for future research and clinical practice. BJPsych Open (2018).  https://doi.org/10.1192/bjo.2018.42CrossRefGoogle Scholar
  18. 18.
    Craske, M.G., Treanor, M., Conway, C.C., Zbozinek, T., Vervliet, B.: Maximizing exposure therapy: an inhibitory learning approach. Behav. Res. Ther. 58, 10–23 (2014).  https://doi.org/10.1016/j.brat.2014.04.006CrossRefGoogle Scholar
  19. 19.
    Botella, C., Serrano, B., Baños, R.M., Garcia-Palacios, A.: Virtual reality exposure-based therapy for the treatment of post-traumatic stress disorder: a review of its efficacy, the adequacy of the treatment protocol, and its acceptability (2015).  https://doi.org/10.2147/NDT.S89542
  20. 20.
    Carl, E., et al.: Virtual reality exposure therapy for anxiety and related disorders: a meta-analysis of randomized controlled trials (2018)Google Scholar
  21. 21.
    Morina, N., Ijntema, H., Meyerbröker, K., Emmelkamp, P.M.G.: Can virtual reality exposure therapy gains be generalized to real-life? A meta-analysis of studies applying behavioral assessments. Behav. Res. Ther. 74, 18–24 (2015).  https://doi.org/10.1016/j.brat.2015.08.010CrossRefGoogle Scholar
  22. 22.
    Loucks, L., et al.: You can do that?!: Feasibility of virtual reality exposure therapy in the treatment of PTSD due to military sexual trauma. J. Anxiety Disord. 61, 55–63 (2019).  https://doi.org/10.1016/j.janxdis.2018.06.004CrossRefGoogle Scholar
  23. 23.
    Côté, S., Bouchard, S.: Documenting the efficacy of virtual reality exposure with psychophysiological and information processing measures. Appl. Psychophysiol. Biofeedback 30, 217–232 (2005).  https://doi.org/10.1007/s10484-005-6379-xCrossRefGoogle Scholar
  24. 24.
    Benbow, A.A., Anderson, P.L.: A meta-analytic examination of attrition in virtual reality exposure therapy for anxiety disorders. J. Anxiety Disord. 61, 18–27 (2019).  https://doi.org/10.1016/j.janxdis.2018.06.006CrossRefGoogle Scholar
  25. 25.
    Birckhead, B., et al.: Recommendations for methodology of virtual reality clinical trials in health care by an international working group: iterative study. JMIR Ment. Health 6, e11973 (2018).  https://doi.org/10.2196/11973CrossRefGoogle Scholar
  26. 26.
    McCann, R.A., et al.: Virtual reality exposure therapy for the treatment of anxiety disorders: an evaluation of research quality. J. Anxiety Disord. 28, 625–631 (2014).  https://doi.org/10.1016/j.janxdis.2014.05.010CrossRefGoogle Scholar
  27. 27.
    Page, S., Coxon, M.: Virtual reality exposure therapy for anxiety disorders: small samples and no controls? Front. Psychol. 7, 1–4 (2016).  https://doi.org/10.3389/fpsyg.2016.00326CrossRefGoogle Scholar
  28. 28.
    Meyerbröker, K., Emmelkamp, P.M.G.: Therapeutic processes in virtual reality exposure therapy: the role of cognitions and the therapeutic alliance. J. CyberTher. Rehabil. 1 (2008)Google Scholar
  29. 29.
    Reger, G.M., et al.: Randomized controlled trial of prolonged exposure using imaginal exposure vs. virtual reality exposure in active stress disorder (PTSD). J. Consult. Clin. Psychol. 84, 946–959 (2016).  https://doi.org/10.1037/ccp0000134CrossRefGoogle Scholar
  30. 30.
    Donker, T., et al.: Effectiveness of self-guided app-based virtual reality cognitive behavior therapy for acrophobia. JAMA Psychiatry (2019).  https://doi.org/10.1001/jamapsychiatry.2019.0219CrossRefGoogle Scholar
  31. 31.
    Freeman, D., et al.: Automated psychological therapy using immersive virtual reality for treatment of fear of heights: a single-blind, parallel-group, randomised controlled trial. Lancet Psychiatry 5, 625–632 (2018).  https://doi.org/10.1016/S2215-0366(18)30226-8CrossRefGoogle Scholar
  32. 32.
    Minns, S., et al.: Immersive 3D exposure-based treatment for spider fear: a randomized controlled trial. J. Anxiety Disord. 61, 37–44 (2019).  https://doi.org/10.1016/j.janxdis.2018.12.003CrossRefGoogle Scholar
  33. 33.
    Lindner, P., et al.: Therapist-led and self-led one-session virtual reality exposure therapy for public speaking anxiety with consumer hardware and software: a randomized controlled trial. J. Anxiety Disord. 61, 45–54 (2019).  https://doi.org/10.1016/j.janxdis.2018.07.003CrossRefGoogle Scholar
  34. 34.
    Miragall, M., Baños, R.M., Cebolla, A., Botella, C.: Working alliance inventory applied to virtual and augmented reality (WAI-VAR): psychometrics and therapeutic outcomes. Front. Psychol. 6, 1–10 (2015).  https://doi.org/10.3389/fpsyg.2015.01531CrossRefGoogle Scholar
  35. 35.
    Ngai, I., Tully, E.C., Anderson, P.L.: The course of the working alliance during virtual reality and exposure group therapy for social anxiety disorder. Behav. Cogn. Psychother. 43, 167–181 (2015).  https://doi.org/10.1017/S135246581300088XCrossRefGoogle Scholar
  36. 36.
    Wrzesien, M., Burkhardt, J.M., Botella, C., Alcañiz, M.: Towards a virtual reality- and augmented reality-mediated therapeutic process model: a theoretical revision of clinical issues and HCI issues. 16, 124–153 (2015).  https://doi.org/10.1080/1463922X.2014.903307CrossRefGoogle Scholar
  37. 37.
    Wrzesien, M., et al.: How technology influences the therapeutic process: evaluation of the patient-therapist relationship in augmented reality exposure therapy and in vivo exposure therapy. Behav. Cogn. Psychother. 41, 505–509 (2013).  https://doi.org/10.1017/S1352465813000088CrossRefGoogle Scholar
  38. 38.
    Anderson, P.L., et al.: Virtual reality exposure therapy for social anxiety disorder: a randomized controlled trial. J. Consult. Clin. Psychol. 81, 751–760 (2013).  https://doi.org/10.1037/a0033559CrossRefGoogle Scholar
  39. 39.
    Moldovan, R., David, D.: One session treatment of cognitive and behavioral therapy and virtual reality for social and specific phobias. Preliminary results from a randomized clinical trial. J. Evid.-Based Psychother. 14, 67–83 (2014)Google Scholar
  40. 40.
    Bouchard, S., et al.: Virtual reality compared with in vivo exposure in the treatment of social anxiety disorder: a three-arm randomised controlled trial. Br. J. Psychiatry. 1–9 (2016).  https://doi.org/10.1192/bjp.bp.116.184234CrossRefGoogle Scholar
  41. 41.
    Levy, F., Leboucher, P., Rautureau, G., Komano, O., Millet, B., Jouvent, R.: Fear of falling: efficacy of virtual reality associated with serious games in elderly people. Neuropsychiatr. Dis. Treat. 12, 877–881 (2016).  https://doi.org/10.2147/NDT.S97809CrossRefGoogle Scholar
  42. 42.
    Price, M., Anderson, P., Henrich, C.C., Rothbaum, B.O.: Greater expectations: using hierarchical linear modeling to examine expectancy for treatment outcome as a predictor of treatment response. Behav. Ther. 39, 398–405 (2008).  https://doi.org/10.1016/j.beth.2007.12.002CrossRefGoogle Scholar
  43. 43.
    Price, M., Anderson, P.L.: Outcome expectancy as a predictor of treatment response in cognitive behavioral therapy for public speaking fears within social anxiety disorder. Psychotherapy 49, 173–179 (2012).  https://doi.org/10.1037/a0024734CrossRefGoogle Scholar
  44. 44.
    Price, M., Maples, J.L., Jovanovic, T., Norrholm, S.D., Heekin, M., Rothbaum, B.O.: An investigation of outcome expectancies as a predictor of treatment response for combat veterans with PTSD: comparison of clinician, self-report, and biological measures. Depress. Anxiety 32, 392–399 (2015).  https://doi.org/10.1002/da.22354CrossRefGoogle Scholar
  45. 45.
    Norrholm, S.D., et al.: Fear load: The psychophysiological over-expression of fear as an intermediate phenotype associated with trauma reactions. Int. J. Psychophysiol. 98, 270–275 (2014).  https://doi.org/10.1016/j.ijpsycho.2014.11.005CrossRefGoogle Scholar
  46. 46.
    Price, M., Mehta, N., Tone, E.B., Anderson, P.L.: Does engagement with exposure yield better outcomes? Components of presence as a predictor of treatment response for virtual reality exposure therapy for social phobia. J. Anxiety Disord. 25, 763–770 (2011).  https://doi.org/10.1016/j.janxdis.2011.03.004CrossRefGoogle Scholar
  47. 47.
    Reger, G.M., Smolenski, D., Norr, A., Katz, A., Buck, B., Rothbaum, B.O.: Does virtual reality increase emotional engagement during exposure for PTSD? Subjective distress during prolonged and virtual reality exposure therapy. J. Anxiety Disord. 61, 75–81 (2019).  https://doi.org/10.1016/j.janxdis.2018.06.001CrossRefGoogle Scholar
  48. 48.
    Hofmann, S.G., Hayes, S.C.: The future of intervention science: process-based therapy. Clin. Psychol. Sci. 7, 37–50 (2019).  https://doi.org/10.1177/2167702618772296CrossRefGoogle Scholar
  49. 49.
    Norr, A.M., et al.: Virtual reality exposure versus prolonged exposure for PTSD: which treatment for whom? Depress. Anxiety (2018).  https://doi.org/10.1002/da.22751CrossRefGoogle Scholar
  50. 50.
    Peskin, M., et al.: The relationship between posttraumatic and depressive symptoms during virtual reality exposure therapy with a cognitive enhancer. J. Anxiety Disord. (2019).  https://doi.org/10.1016/j.janxdis.2018.03.001CrossRefGoogle Scholar
  51. 51.
    Côté, S., Bouchard, S.: Cognitive mechanisms underlying virtual reality exposure. CyberPsychol. Behav. 12, 121–129 (2009).  https://doi.org/10.1089/cpb.2008.0008CrossRefGoogle Scholar
  52. 52.
    Tardif, N., Therrie, C., Bouchard, S.: Re-examining psychological mechanisms underlying virtual reality-based exposure for spider phobia. Cyberpsychol. Behav. Soc. Netw. 22, 39–45 (2019).  https://doi.org/10.1089/cyber.2017.0711CrossRefGoogle Scholar
  53. 53.
    Pizzoli, S.F.M., Mazzocco, K., Triberti, S., Monzani, D., Alcañiz Raya, M.L., Pravettoni, G.: User-centered virtual reality for promoting relaxation: an innovative approach. Front. Psychol. 10, 1–8 (2019).  https://doi.org/10.3389/fpsyg.2019.00479CrossRefGoogle Scholar
  54. 54.
    Lindner, P., et al.: Creating state of the art, next-generation virtual reality exposure therapies for anxiety disorders using consumer hardware platforms: design considerations and future direction. Cogn. Behav. Ther. (in press).  https://doi.org/10.1080/16506073.2017.1280843CrossRefGoogle Scholar
  55. 55.
    Jerdan, S.W., Grindle, M., Van Woerden, H.C., Kamel Boulos, M.N.: Head-mounted virtual reality and mental health: critical review of current research. J. Med. Internet Res. 20, 1–16 (2018).  https://doi.org/10.2196/games.9226CrossRefGoogle Scholar
  56. 56.
    Carlbring, P., et al.: Therapist-led and self-led one-session virtual reality exposure therapy for public speaking anxiety with consumer hardware and software: a randomized controlled trial. J. Anxiety Disord. 61, 45–54 (2018).  https://doi.org/10.1016/j.janxdis.2018.07.003CrossRefGoogle Scholar
  57. 57.
    Fernández-Álvarez, J., Fernández-Álvarez, H., Castonguay, L.G.: Resumiendo los nuevos esfuerzos para integrar la práctica y la investigación desde la perspectiva de la investigación orientada por la práctica. Rev. Argent. Clin. Psicol. (2018).  https://doi.org/10.24205/03276716.2018.1070
  58. 58.
    Maples-Keller, J.L., et al.: When translational neuroscience fails in the clinic: dexamethasone prior to virtual reality exposure therapy increases drop-out rates. J. Anxiety Disord. 61, 89–97 (2019).  https://doi.org/10.1016/j.janxdis.2018.10.006CrossRefGoogle Scholar
  59. 59.
    Repetto, C., Riva, G.: From virtual reality to interreality in the treatment of anxiety disorders. Neuropsychiatry (London) (2011).  https://doi.org/10.2217/npy.11.5CrossRefGoogle Scholar
  60. 60.
    Aderka, I.M., Gutner, C.A., Lazarov, A., Hermesh, H., Hofmann, S.G., Marom, S.: Body image in social anxiety disorder, obsessive-compulsive disorder, and panic disorder. Body Image (2014).  https://doi.org/10.1016/j.bodyim.2013.09.002CrossRefGoogle Scholar
  61. 61.
    Aymerich-Franch, L., Kizilcec, R.F., Bailenson, J.N.: The relationship between virtual self similarity and social anxiety. Front. Hum. Neurosci. 8, 944 (2014).  https://doi.org/10.3389/fnhum.2014.00944CrossRefGoogle Scholar
  62. 62.
    Chalmers, J.A., Quintana, D.S., Abbott, M.J.A., Kemp, A.H.: Anxiety disorders are associated with reduced heart rate variability: a meta-analysis. Front. Psychiatry. 5 (2014).  https://doi.org/10.3389/fpsyt.2014.00080
  63. 63.
    Goessl, V.C., Curtiss, J.E., Hofmann, S.G.: The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis. Psychol. Med. 47, 2578–2586 (2017).  https://doi.org/10.1017/S0033291717001003CrossRefGoogle Scholar
  64. 64.
    Repetto, C., Gaggioli, A., Pallavicini, F., Cipresso, P., Raspelli, S., Riva, G.: Virtual reality and mobile phones in the treatment of generalized anxiety disorders: a phase-2 clinical trial. Pers. Ubiquitous Comput. (2013).  https://doi.org/10.1007/s00779-011-0467-0CrossRefGoogle Scholar
  65. 65.
    Lorenzetti, V., et al.: Emotion regulation using virtual environments and real-time fMRI neurofeedback. Front. Neurol. 9, 390 (2018).  https://doi.org/10.3389/FNEUR.2018.00390CrossRefGoogle Scholar
  66. 66.
    Urech, A., Krieger, T., Chesham, A., Mast, F.W., Berger, T.: Virtual reality-based attention bias modification training for social anxiety: a feasibility and proof of concept study. Front. Psychiatry 6, 1–5 (2015).  https://doi.org/10.3389/fpsyt.2015.00154CrossRefGoogle Scholar
  67. 67.
    Baños, R.M., Guillen, V., Quero, S., García-Palacios, A., Alcaniz, M., Botella, C.: A virtual reality system for the treatment of stress-related disorders: a preliminary analysis of efficacy compared to a standard cognitive behavioral program. Int. J. Hum Comput Stud. 69, 602–613 (2011).  https://doi.org/10.1016/j.ijhcs.2011.06.002CrossRefGoogle Scholar
  68. 68.
    Cipresso, P., Riva, G.: Personality assessment in ecological settings by means of virtual reality. In: The Wiley Handbook of Personality Assessment, pp. 240–248 (2016)CrossRefGoogle Scholar
  69. 69.
    Fleming, T.M., et al.: Maximizing the impact of e-therapy and serious gaming: time for a paradigm shift. Front. Psychiatry 7, 65 (2016)CrossRefGoogle Scholar
  70. 70.
    Kazdin, A.E.: Single-case experimental designs. Evaluating interventions in research and clinical practice (2018).  https://doi.org/10.1016/j.brat.2018.11.015CrossRefGoogle Scholar
  71. 71.
    Provoost, S., Lau, H.M., Ruwaard, J., Riper, H.: Embodied conversational agents in clinical psychology: a scoping review (2017).  https://doi.org/10.2196/jmir.6553CrossRefGoogle Scholar
  72. 72.
    Schueller, S.M., Tomasino, K.N., Mohr, D.C.: Integrating human support into behavioral intervention technologies: the efficiency model of support (2017).  https://doi.org/10.1111/cpsp.12173Google Scholar
  73. 73.
    Bailenson, J.: Protecting nonverbal data tracked in virtual reality. JAMA Pediatr. (2018).  https://doi.org/10.1001/jamapediatrics.2018.1909CrossRefGoogle Scholar
  74. 74.
    Schwartzman, D., Segal, R., Drapeau, M.: Perceptions of virtual reality among therapists who do not apply this technology in clinical practice. Psychol. Serv. 9, 310–315 (2012).  https://doi.org/10.1037/a0026801CrossRefGoogle Scholar
  75. 75.
    Segal, R., Bhatia, M., Drapeau, M.: Therapists’ perception of benefits and costs of using virtual reality treatments. Cyberpsychol. Behav. Soc. Netw. 14, 29–34 (2010).  https://doi.org/10.1089/cyber.2009.0398CrossRefGoogle Scholar
  76. 76.
    Kramer, T.L., Pyne, J.M., Kimbrell, T.A., Savary, P.E., Smith, J.L., Jegley, S.M.: Clinician perceptions of virtual reality to assess and treat returning veterans. Psychiatr. Serv. 61, 1153–1156 (2014).  https://doi.org/10.1176/ps.2010.61.11.1153CrossRefGoogle Scholar
  77. 77.
    Lindner, P., Miloff, A., Zetterlund, E., Reuterskiöld, L., Andersson, G., Carlbring, P.: Attitudes toward and familiarity with virtual reality therapy among practicing cognitive behavior therapists: a cross-sectional survey study in the era of consumer VR platforms. Front. Psychol. 10, 1–10 (2019).  https://doi.org/10.3389/fpsyg.2019.00176CrossRefGoogle Scholar
  78. 78.
    Norcross, J.C., Hedges, M., Prochaska, J.O.: The face of 2010: a delphi poll on the future of psychotherapy. Prof. Psychol. Res. Pract. (2002).  https://doi.org/10.1037/0735-7028.33.3.316CrossRefGoogle Scholar
  79. 79.
    Norcross, J.C., Pfund, R.A., Prochaska, J.O.: Psychotherapy in 2022 : a delphi poll on its future. 44, 363–370 (2013).  https://doi.org/10.1037/a0034633CrossRefGoogle Scholar

Copyright information

© ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering 2019

Authors and Affiliations

  • Javier Fernández-Alvarez
    • 1
    Email author
  • Desirée Colombo
    • 2
  • Cristina Botella
    • 2
    • 3
  • Azucena García-Palacios
    • 2
    • 3
  • Giuseppe Riva
    • 1
    • 4
  1. 1.Department of Psychology of the Catholic UniversityMilanItaly
  2. 2.Department of Basic Psychology, Clinic and PsychobiologyUniversitat Jaume ICastellónSpain
  3. 3.CIBER Fisiopatología Obesidad y Nutrición, Instituto Salud Carlos IIIMadridSpain
  4. 4.Applied Technology for Neuro-Psychology Lab at IRCCS Istituto Auxologico ItalianoMilanItaly

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