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Virtual reality exposure in cognitive behavioral group therapy for social anxiety disorder: A qualitative evaluation based on patients’ and therapists’ experiences.
Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Denmark; Institute for Clinical Medicine, Faculty of Health and Medical Science, University of Copenhagen, Denmark.ORCID iD: 0000-0002-3064-8460
Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Denmark; Institute for Clinical Medicine, Faculty of Health and Medical Science, University of Copenhagen, Denmark.
Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Denmark.ORCID iD: 0000-0003-0193-9370
Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Copenhagen University Hospital, Denmark; Faculty of Health and Medical Sciences, Department of Public Health, Section of Epidemiology, University of Copenhagen, Denmark.
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2021 (English)In: Translational Issues in Psychological Science, ISSN 2332-2136, Vol. 7, no 3, p. 229-247Article in journal (Refereed) Published
Abstract [en]

Social anxiety disorder (SAD) is a highly prevalent and impairing disorder. Current bestpractice is cognitive behavioral therapy (CBT), but there are several challenges associatedwith performing exposure therapy. Virtual reality exposure (VRE) may improvetreatment efficacy of SAD in a group therapy context, because it allows for greatercontrol, flexibility, and individualization of the exposure stimuli. However, to date nostudy has investigated the use of VRE for SAD in a group context. In the present study,nine patients who had undergone group CBT with VRE for SAD and three therapistsresponsible for the treatment were interviewed about their experiences. The objective ofthe study was to investigate the practical and therapeutic challenges of using VRE in agroup therapy context. Thematic analysis was used to analyze the data. The resultsshowed that it was difficult for the patients to engage with the VRE in a group therapycontext and that there were several practical challenges. However, all participants foundthe VRE exercises to be meaningful, because it gave them a medium to practice andunderstand typically avoided social situations. The latter has not previously beendescribed as a treatment mechanism for anxiety through virtual reality. However, theappropriateness of VRE in group therapy remains unclear. Implications are discussed.

Place, publisher, year, edition, pages
American Psychological Association (APA), 2021. Vol. 7, no 3, p. 229-247
Keywords [en]
virtual reality exposure therapy, social anxiety disorder, cognitive behavioral therapy, group therapy, thematic analysis
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-183353DOI: 10.1037/tps0000291OAI: oai:DiVA.org:liu-183353DiVA, id: diva2:1642005
Available from: 2022-03-03 Created: 2022-03-03 Last updated: 2022-03-28

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Arnfred, Benjamin ThorupBang, PeterWinther Davy, JosefineChristensen, Anne Bryde
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