游戏化虚拟现实暴露疗法治疗青少年公共演讲焦虑症:一项四臂随机对照试验

IF 3.2 Q2 COMPUTER SCIENCE, SOFTWARE ENGINEERING Frontiers in virtual reality Pub Date : 2023-08-29 DOI:10.3389/frvir.2023.1240778
Smiti Kahlon, P. Lindner, T. Nordgreen
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引用次数: 1

摘要

目的:公众演讲焦虑在青少年中非常普遍。然而,很少有专门针对这一群体的干预措施。这项四组随机试验针对以下关于青少年公共演讲焦虑(PSA)干预的研究问题:1)虚拟现实暴露疗法(VRET)是否比在线心理教育或候补名单更有效;2)虚拟现实暴露疗法后的在线暴露疗法是否比单独的VRET或在线心理教育后的在线暴露疗法更有效?方法:将13-16岁的PSA青少年随机分为四组:1)VRET +无额外干预(n = 20);2) VRET +在线曝光计划(n = 20);3)在线心理教育项目+暴露项目(n = 40);4)等待名单(n = 20)。自评PSA症状作为主要结局指标,次要结局包括其他社交焦虑症状。结果:线性混合模型显示,接受VRET的青少年与等候名单相比,PSA症状的减少有显著差异(p = 0.015),但与在线心理教育计划相比无显著差异(p = 0.056)。然而,与VRET相比,在线心理教育项目产生的组内效应较小,d = 0.33 vs d = 0.83。VRET +在线暴露方案显著降低PSA症状(p = 0.013),但与VRET +无额外干预或在线心理教育+在线暴露方案无显著差异。在3个月的随访中,症状减轻保持稳定。结论:该研究显示了提供游戏化VRET以及在线心理教育和暴露计划作为PSA青少年自我指导干预的潜力。临床试验注册:clinicaltrials.gov,识别码:NCT04396392
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Gamified virtual reality exposure therapy for adolescents with public speaking anxiety: a four-armed randomized controlled trial
Objective: Public Speaking Anxiety is highly prevalent among adolescents. However, few interventions have been developed specifically for this group. This four-armed randomized trial addressed the following research questions regarding interventions for adolescents with public speaking anxiety (PSA): 1) is Virtual Reality exposure therapy (VRET) more efficacious than online psychoeducation or waitlist, and 2) is VRET followed by online exposure therapy more efficacious than VRET alone or online psychoeducation followed by online exposure therapy?Methods: Adolescents, aged 13–16 with PSA were randomized to four groups: 1) VRET + no additional intervention (n = 20); 2) VRET + online exposure program (n = 20); 3) online psychoeducation program + exposure program (n = 40); or 4) waitlist (n = 20). Self-rated PSA symptoms served as primary outcome measure, with secondary outcomes covering other social anxiety symptoms.Results: Linear mixed models revealed that there was a significant difference in the decrease in PSA symptoms among adolescents receiving VRET compared with waiting list (p = 0.015), but no significant difference to the online psychoeducation program (p = 0.056). However, online psychoeducation program yielded smaller within-group effect sizes compared to VRET, d = 0.33 vs. d = 0.83 respectively. VRET + online exposure program had a significant decrease in PSA symptoms (p = 0.013), but no significant difference from VRET + no additional intervention or online psychoeducation + online exposure program. Symptom reduction remained stable at 3-month follow-up.Conclusion: The study shows the potential of delivering both gamified VRET as well as online psychoeducation and exposure programs as self-guided interventions for adolescents with PSA.Clinical trial registration:clinicaltrials.gov, identifier: NCT04396392
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CiteScore
5.80
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0.00%
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审稿时长
13 weeks
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