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Creating state of the art, next-generation Virtual Reality exposure therapies for anxiety disorders using consumer hardware platforms: design considerations and future directions
Stockholm University, Sweden; Karolinska Institute, Sweden.
Stockholm University, Sweden.
Stockholm University, Sweden; Mimerse, Sweden.
Stockholm University, Sweden.
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2017 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 46, no 5, p. 404-420Article, review/survey (Refereed) Published
Abstract [en]

Decades of research and more than 20 randomized controlled trials show that Virtual Reality exposure therapy (VRET) is effective in reducing fear and anxiety. Unfortunately, few providers or patients have had access to the costly and technical equipment previously required. Recent technological advances in the form of consumer Virtual Reality (VR) systems (e.g. Oculus Rift and Samsung Gear), however, now make widespread use of VRET in clinical settings and as self-help applications possible. In this literature review, we detail the current state of VR technology and discuss important therapeutic considerations in designing self-help and clinician-led VRETs, such as platform choice, exposure progression design, inhibitory learning strategies, stimuli tailoring, gamification, virtual social learning and more. We illustrate how these therapeutic components can be incorporated and utilized in VRET applications, taking full advantage of the unique capabilities of virtual environments, and showcase some of these features by describing the development of a consumer-ready, gamified self-help VRET application for low-cost commercially available VR hardware. We also raise and discuss challenges in the planning, development, evaluation, and dissemination of VRET applications, including the need for more high-quality research. We conclude by discussing how new technology (e.g. eye-tracking) can be incorporated into future VRETs and how widespread use of VRET self-help applications will enable collection of naturalistic Big Data that promises to inform learning theory and behavioral therapy in general.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2017. Vol. 46, no 5, p. 404-420
Keywords [en]
Virtual Reality; anxiety; fear; exposure therapy; self-help
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-139652DOI: 10.1080/16506073.2017.1280843ISI: 000405851200004PubMedID: 28270059OAI: oai:DiVA.org:liu-139652DiVA, id: diva2:1133678
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2017-08-16

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
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  • Other style
More styles
Language
  • de-DE
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  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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