Abstract
The aim of this research effort is to identify feeling-of-presence and metacognitive amplifiers over existing well-established VRET treatment methods. Patient real time projection in virtual environments during stimuli exposure and electroencephalography (EEG) report sharing are among the techniques, which have been used to achieve the desired result. Initialized from theoretical inferences, is moving towards a proof-of-concept prototype, which has been developed as a realization of the proposed method. The evaluation of the prototype made possible with an expert team of 28 therapists testing the fear of public speaking and fear of flying case studies.
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Alonso, J., Angermeyer, M., Bernert, S., Bruffaerts, R., Brugha, T.S., Bryson, H., de Girolamo, G., de Graaf, R., Demyttenaere, K., Gasquet, I., Haro, J.M., Katz, S., Kessler, R.C., Kovess, V., Lépine, J.P., Ormel, J., Polidori, G., Vilagut, G.: Use of mental health services in Europe: Results from the European Study on Epidemiology of Mental Disorders (ESEMeD) Project. Acta Psychiatrica Scandinavica 109(suppl. 420), 47–54 (2004)
Botella, C., Osma, J., Farcia-Palacios, A., Quero, S., Banos, R.M.: Treatment of Flying Phobia using Virtual Reality: Data from a 1-Year Follow-up using a Multiple Baseline Design. Clinical Psychology and Psychotherapy 11, 311–323 (2004)
Botella, C.M., Juan, M.C., Baños, R.M., Alcañiz, M., Guillén, V., Rey, B.: Mixing realities? An application of augmented reality for the treatment of cockroach phobia. CyberPsychology & Behavior 8(2), 162–171 (2005)
Brinkman, W.P., Vliegher, D.: Virtual reality exposure therapy for social phobia: A pilot study in evoking fear in a virtual world. In: HCI 2008 Proceedings, pp. 85–88 (2008)
Brown, T.A., Campbell, L.A., Lehman, C.L., Grisham, J.R., Mancill, R.B.: Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology 110, 585–599 (2001)
Busscher, B., de Vlieger, D., Ling, Y., Brinkman, W.P.: Analysis of Physiological Response to Neutral Virtual Reality Worlds. In: ECCE 2010 Workshop on Cognitive Engineering for Technology in Mental Health Care and Rehabilitation, pp. 59–71 (2011)
Bouchard, S., Robillard, G., Larouche, S., Loranger, C.: Description of a Treatment Manual for in virtuo Exposure with Specific Phobia. In: Virtual Reality in Psychological, Medical and Pedagogical Applications, pp. 81–108 (2012)
DSM-5 (2013). Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association’s Annual Meeting, http://www.dsm5.org/Pages/Default.asp (retrieved from October 11, 2013)
Delmon-Viaud, I., Znaidi, F., Bonneel, N., Doukhan, D., Suied, C., Warusfel, O., Guyen, K.N.N., Frettakis, G.: Auditory-Visual Virtual Environments to Treat Dog Phobia. In: Proc. of 7th ICDVRAT with ArtAbilitation, Portugal (2008)
Eichenberg, C.: Application of Virtual Realities in Psychotherapy: Possibilities, Limitations and Effectiveness. In: Kim, J.-J, ed. (2011), doi:10.5772/12914
Fowles, D.C.: The three arousal model: Implications of Gray’s two-factor learning theory for heart rate, electrodermal activity, and psychopathy. Psychophysiology 17(2), 87–104 (1980)
Green, R., Flower, R., Fonseca, A.: Virtualy-Free project (2012), http://virtually-free.com
Grillon, H., Riquier, F., Herbelin, B., Thalmann, D.: Use of virtual reality as therapeutic tool for behavioural exposure in the ambit of social anxiety disorder treatment. In: Proccedngs of the 6th International Conference on Disability, Virtual Reality and Associated Technologies, Denmark, pp. 105–112 (2006)
Hood, H.K., Antony, M.M.: Evidence-Based Assessment and Treatment of Specific Phobias in Adults. In: Intensive One-Session Treatment of Specific Phobias, pp. 19–42. Springer, New York (2012)
Kasch, K.L., Rottenberg, J., Arnow, B.A., Gotlib, I.H.: Behavioral Activation and Inhibition Systems and the Severity and Course of Depression. Journal of Abnormal Psychology 111(4), 589–597 (2002)
Kessler, R.C., Chiu, W.T., Demler, O., Walters, E.E.: Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders, in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry 62(6), 617–627 (2005)
Klinger, E., Légeron, P., Roy, S., Chemin, I., Lauer, F., Nugues, P.: Virtual reality exposure in the treatment of social phobia, Cybertherapy: Internet and Virtual Reality as Assessment and Rehabilitation Tools for Clinical Psychology and Neuroscience. Stud. Health Technol. Inform. 99, 91–119 (2004)
Krijn, M., Emmelkamp, P.M., Olafsson, R.P., Biemond, R.: Virtual reality exposure therapy of anxiety disorders: A review. Clinical Psychology Rev. 24(3), 259–281 (2004)
Krijn, M., Emmelkamp, P., Ólafsson, R., Bouwman, M., van Gerwen, M.L., Spinhoven, P., Schuemie, M.J., van der Mast, C.A.: Fear of flying treatment methods: Virtual reality exposure vs. cognitive behavioral therapy. Aviation, Space and Environmental Medicine 78(2), 121–128 (2007)
Matu, S.A., David, O., David, D.: Virtual Reality Technology Applications in Clinical Field. Journal for Neurology and Psychiatry of Child and Adolescent in Romania, RJCANP 15(1), 23–30 (2012)
Merikangas, K.R., He, J., Burstein, M., Swanson, S.A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K., Swendsen, J.: Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). J. Am. Acad. Child Adolesc Psychiatry 49(10), 980–989 (2010)
Moussaoui, A., Pruski, A., Cherki, B.: Emotion regulation for social phobia treatment using virtual reality. In: HuMaN 2007 Proceedings, Timimoun (2007), http://dspace.univ-tlemcen.dz/handle/112/891 (retrieved from December 11, 2013)
Parson, T.D., Rizzo, A.A.: Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: A meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry 39, 250–261 (2008)
Sadowski, W., Stanney, K.M.: Presence in Virtual Environments. In: Stanney, K.M. (ed.) Handbook of Virtual Environments: Design, Implementation and Applications, pp. 791–806. IEA, Mahwah (2002)
Skapinakis, P., Mavreas, V.: Prevalence and sociodemographic associations of common mental disorders in a nationally representative sample of the general population of Greece. BMC Psychiatry 13, 163 (2013), doi:10.1186/1471-244X-13-163
Slater, M.: A note on presence terminology (2003), http://www0.cs.ucl.ac.uk/research/vr/Projects/Presencia/ConsortiumPublications/ucl_cs_papers/presence-terminology.htm (retrieved from November 14, 2013)
Slater, M., Pertaub, D.P., Barker, C., Clark, D.: An Experimental Study on Fear of Public Speaking Using a Virtual Environment. CyberPsychology & Behavior 9(5), 627–633 (2006)
Stein, M.B., Stein, D.J.: Social anxiety disorder. The Lancet 371, 1115–1125 (2008)
Wilhelm, F.H., Roth, W.T.: Taking the laboratory to the skies: Ambulatory assessment of self- report, autonomic, and respiratory responses in flying phobia. Psychophysiology 35(5), 596–606 (1998)
Wilhelm, F.H., Pfaltz, M.C., Gross, J.J., Mauss, I.B., Kim, S.I., Wiederhold, B.K.: Mechanisms of Virtual Reality Exposure Therapy: The Role of the Behavioral Activation and Behavioral Inhibition Systems. Applied Psychophysiology and Biofeedback 30(3), 271–284 (2005)
Wittchen, H.U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jonsson, B., Olesen, J., Allgulander, C., Alonso, J., Faravelli, C., Fratiglioni, L., Jennum, P., Lieb, R., Maercker, A., van Os, J., Preisig, M., Salvador-Carulla, L., Simon, R., Steinhausen, H.C.: The size and burden of mental disorders and other disorders of the brain in Europe 2010. European Neuropsychopharmacology 21, 655–679 (2011)
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Paliokas, I., Tsakiris, A., Vidalis, A., Tzovaras, D. (2014). Sense of Presence and Metacognition Enhancement in Virtual Reality Exposure Therapy in the Treatment of Social Phobias and the Fear of Flying. In: Shumaker, R., Lackey, S. (eds) Virtual, Augmented and Mixed Reality. Applications of Virtual and Augmented Reality. VAMR 2014. Lecture Notes in Computer Science, vol 8526. Springer, Cham. https://doi.org/10.1007/978-3-319-07464-1_30
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DOI: https://doi.org/10.1007/978-3-319-07464-1_30
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