The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Does engagement with exposure yield better outcomes? Components of presence as a predictor of treatment response for virtual reality exposure therapy for social phobia
Open accessAbstract
Virtual reality exposure (VRE) has been shown to be effective for treating a variety of anxiety disorders, including social phobia. Presence, or the level of connection an individual feels with the virtual environment, is widely discussed as a critical construct both for the experience of anxiety within a virtual environment and for a successful response to VRE. Two published studies show that whereas generalized presence relates to fear ratings during VRE, it does not relate to treatment response. However, presence has been conceptualized as multidimensional, with three primary factors (spatial presence, involvement, and realness). These factors can be linked to other research on the facilitation of fear during exposure, inhibitors of treatment response (e.g., distraction), and more recent theoretical discussions of the mechanisms of exposure therapy, such as Bouton's description of expectancy violation. As such, one or more of these components of presence may be more strongly associated with the experience of fear during VRE and treatment response than the overarching construct. The current study (N=41) evaluated relations between three theorized components of presence, fear ratings during VRE, and treatment response for VRE for social phobia. Results suggest that total presence and realness subscale scores were related to in-session peak fear ratings. However, only scores on the involvement subscale significantly predicted treatment response. Implications of these findings are discussed.
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“In terms of treatment efficacy, research has also suggested that, although presence is linked to the anxiety experienced during the exposure, there is no direct relationship between sense of presence and treatment outcomes (Price et al., 2011; Price and Anderson, 2007; Tardif et al., 2019).”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Price et al., 2011
Experimental — accuracy not yet measuredIn the citing paper
“As several trials have demonstrated the potential of VRET for social anxiety disorder [27], [28], [75], one might conclude that the current subjective presence measures do not capture the essential sense of presence that is responsible for activating fear related to social anxiety in individuals.”
From A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders (2014) · cites this paper as [75]
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Citations
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Cited by
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“Correlations between presence and emotional experience in VR have been consistently reported, especially in the literature on VR exposure therapy (Robillard et al., 2003; Price and Anderson, 2007; Riva et al., 2007; Bouchard et al., 2008; Alsina-Jurnet et al., 2011; Price et al., 2011).”
Background
Metadata
- Authors
- Price, M., Mehta, N., Tone, E. B., & Anderson, P. L.
- Affiliations
- Medical University of South Carolina (US)
- Georgia State University (US)
- Corresponding author
- Anderson, Page L.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 25
- Issue
- 6
- Pages
- 763-770
- ISSN
- 0887-6185 (ISSN-L)
- PMC
- PMC3401534
- OpenAlex
- W2006180230
- Cited by
- 187
- References
- 38
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 19 · 2023: 23 · 2022: 13 · 2021: 8 · 2020: 19 · 2019: 19 · 2018: 19 · 2017: 10 · 2016: 7 · 2015: 13 · 2014: 8 · 2013: 9 · 2012: 1
- FWCI
- 10.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Digital Archive @ GSU (submittedVersion)
- Funders
- National Institute of Mental Health (R42MH060506)
- Topics
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- virtual reality exposure therapy, social anxiety disorder, presence, spatial presence, involvement, realness, treatment response, expectancy violation, distraction, anxiety disorders
- MeSH terms
- Adult, Amygdala, Anxiety, Fear, Female, Humans, Implosive Therapy, Male, Phobic Disorders, Surveys and Questionnaires, User-Computer Interface, Treatment Outcome
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