The DOI matches its Crossref record; 55 of the 56 references it cites were found in a registry or an index.
Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: A meta-analysis
Abstract
Virtual reality exposure therapy (VRET) is an increasingly common treatment for anxiety and specific phobias. Lacking is a quantitative meta-analysis that enhances understanding of the variability and clinical significance of anxiety reduction outcomes after VRET. Searches of electronic databases yielded 52 studies, and of these, 21 studies (300 subjects) met inclusion criteria. Although meta-analysis revealed large declines in anxiety symptoms following VRET, moderator analyses were limited due to inconsistent reporting in the VRET literature. This highlights the need for future research studies that report uniform and detailed information regarding presence, immersion, anxiety and/or phobia duration, and demographics.
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“The heterogenicity of designs leads to inconsistent quantitative data gathering, making it impossible to achieve higher hierarchical evidence-based conclusions through systematic reviews and meta-analysis [135].”
From SAFEvR MentalVeRse.app: Development of a Free Immersive Virtual Reality Exposure Therapy for Acrophobia and Claustrophobia (2024) · cites this paper as [135]
In the citing paper
“it has shown its efficacy for treating specific phobias (including FP) in several studies (Botella et al., 2017; Parsons and Rizzo, 2008)”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Parsons and Rizzo, 2008
In the citing paper
“The aim of in vivo exposure treatment is to promote emotional regulation using systematic and controlled therapeutic exposure to traumatic stimuli [191].”
From Impact of Media-Induced Uncertainty on Mental Health: Narrative-Based Perspective. (2025) · cites this paper as [191]
In the citing paper
“This is especially impressive given that both groups received an active psychotherapy with documented efficacy for the treatment of terrorist-related chronic PTSD (Difede et al, 2007; Parsons and Rizzo, 2008).”
From D-cycloserine augmentation of exposure therapy for post-traumatic stress disorder: a pilot randomized clinical trial (2014) · cites this paper as Parsons and Rizzo, 2008
In the citing paper
“As in previous meta-analyses [9,10], the results further confirm VRET's potential in treating these problems.”
From Recent Progress in Virtual Reality Exposure Therapy for Phobias: A Systematic Review (2017) · cites this paper as [9]
Citations
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,603
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,417
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,421
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
The file drawer problem and tolerance for null results.
Rosenthal, R. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.3.638 · Cited by 9,068
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771
Measuring Presence in Virtual Environments: A Presence Questionnaire
Witmer, B. G., & Singer, M. J. (1998) · Presence: Teleoperators and Virtual Environments · doi:10.1162/105474698565686 · Cited by 6,371
Emotional processing of fear: Exposure to corrective information.
Foa, E. B., & Kozak, M. J. (1986) · Psychological Bulletin · doi:10.1037/0033-2909.99.1.20 · Cited by 5,396
The combination of estimates from different experiments
Cochran, W. G. (1954) · Biometrics · doi:10.2307/3001666 · Cited by 5,380
Statistical Methods for Meta-Analysis.
Freeman, P. R., Hedges, L. V., & Olkin, I. (1986) · Biometrics · doi:10.2307/2531069 · Cited by 4,840
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Cited by
Sorted by citations
Items 901–994 of 994
García-Batista, Z. E., Guerra-Peña, K., Alsina-Jurnet, I., Vindel, A. C., Álvarez-Hernández, A., Cantisano-Guzmán, L. M., & Medrano, L. A. (2020) · doi:10.2196/preprints.18800
Role of Virtual Reality in Medical Diagnosis
(2018) · International Journal of Computing Communications and Networking · doi:10.30534/ijccn/2018/02722018
Research and Data Collection Strategies for Simulation Educators
(2022) · Advances in medical education, research, and ethics (AMERE) book series · doi:10.4018/978-1-7998-4378-8.ch009
A Virtual Reality Contents for Users Emotional Awareness
Lim, H., & Yu, S. (2022) · The Journal of Korean Institute of Information Technology · doi:10.14801/jkiit.2022.20.9.137
مسعد, ص. ا. ك. (2022) · مجلة قطاع الدراسات الإنسانیة · doi:10.21608/jsh.2022.276755
Gerstner, D., & van Sintemaartensdijk, I. (2023) · Springer eBooks · doi:10.1007/978-3-658-35450-3_17-1
Offering Out-World Experiences to Dementia In-patients through Virtual Reality. (Preprint)Preprint
Matsangidou, M., Solomou, T., Frangoudes, F., Papayianni, E., & Pattichis, C. S. (2023) · doi:10.2196/preprints.45799
Literature review: Virtual reality anatomy learning using selective visual attention method
Primanda, D., Permanasari, A. E., Nugroho, L. E., & Yunus, J. (2023) · AIP conference proceedings · doi:10.1063/5.0114807
Gerstner, D., & van Sintemaartensdijk, I. (2023) · Cyberkriminologie - Theorien, Methoden, Erscheinungsformen · doi:10.1007/978-3-658-35439-8_17
Mammini, C., & Manzoni, N. (2023) · IPNOSI · doi:10.3280/ipn2023-001002
Lo, H. H. M., Ng, M. S. N., Fong, H. P.-Y., Lai, H. H. K., Wang, B., Wong, S. Y. S., & Sit, R. W. S. (2023) · doi:10.2196/preprints.52563
van Gelder, J., & Cornet, L. J. M. (2023) · CrimRxiv · doi:10.21428/cb6ab371.e9edd646
How Enhanced Reality Technology Reduces Human Errors Through Increased Operator Competency
Alaa, A. (2023) · SPE Annual Technical Conference and Exhibition · doi:10.2118/214816-ms
(2016) · Wiley eBooks · doi:10.1002/9781394259472.refs
Clinical Implementation of VR Exposure Therapy: Initiatives and Prospects in Psychiatric Clinics
Inada, Y., & Kusunoki, M. (2023) · Anxiety Disorder Research · doi:10.14389/jsad.15.1_2
Lee, S. (2024) · Journal of Digital Contents Society · doi:10.9728/dcs.2024.25.3.667
Social Anxiety Disorder, Public Speaking Anxiety and Virtual Reality Exposure Therapy
Konstantinou, T., & Panayiotou, G. (2024) · Springer eBooks · doi:10.1007/978-3-031-56798-8_6
Gutiérrez, P., Silva, M. O., Hidalgo, M. G., Gutiérrez, J. A., & Gutiérrez, F. J. (2024) · Lecture notes in computer science · doi:10.1007/978-3-031-60695-3_13
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Cecil, J., Tetnowski, J. A., & Tentu, S. K. (2024) · Lecture notes in computer science · doi:10.1007/978-3-031-61047-9_12
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Sharma, B. K. O. P. (2024) · International Journal of Research Publication and Reviews · doi:10.55248/gengpi.5.0524.1306
Liu, S. (2024) · Lecture notes in computer science · doi:10.1007/978-3-031-61359-3_6
Magrini, M., Curzio, O., Dolciotti, C., Donzelli, G., Imiotti, M. C., Minichilli, F., Moroni, D., & Bongioanni, P. (2024) · doi:10.2196/preprints.63487
González-Quiñones, J. J., Serrano‐Ramos, A., Reinoso-Gordo, J. F., & Arenas, J. M. J. (2024) · STAR Science & Technology of Archaeological Research · doi:10.1080/20548923.2024.2375896
Bédard, P. (2024) · AN-ICON Studies in Environmental Images · doi:10.54103/ai/22528
Marchioro, D. M., Fonseca, A. A., Benatti, F., & Zuin, M. (2024) · Palgrave Studies in Cyberpsychology. · doi:10.1007/978-3-031-68196-7_1
Slaymaker, J. (2024) · Springer eBooks · doi:10.1007/978-3-031-74042-8_6
Technologies in Cyber Behavior
Yukang, X., & Zhu, L. (2023) · Cambridge University Press eBooks · doi:10.1017/9781107165250.010
Frumento, S., Callara, A. L., Menicucci, D., Scilingo, E. P., Greco, A., & Gemignani, A. (2024) · IEEE International Conference on Metrology for eXtended Reality, Artificial Intelligence and Neural Engineering (MetroXRAINE) · doi:10.1109/metroxraine62247.2024.10796345
Febrianti, F. N., Yuniarni, D., & Handini, M. (2025) · Jurnal Kesehatan Andalas · doi:10.25077/jka.v13i2.2391
Mahiques, A. G., Martínez-Soler, M., Blanco-Gímenez, P., & Mampel, J. V. (2025) · Fisioterapia · doi:10.1016/j.ft.2024.11.003
The Use of Virtual Reality in the Treatment of Eating Disorders
Marta, F.-G. I. A., & Gutiérrez‐Maldonado, J. (2012) · Studies in health technology and informatics · doi:10.3233/978-1-61499-121-2-17
Revolutionizing Phobia Treatment: The Role of Augmented Reality in Exposure Therapy
Dalal, V., Doshi, Y., Rane, A., Poddar, B., Correia, S., & Katre, N. (2024) · International Conference on Artificial Intelligence Trends and Pattern Recognition (ICAITPR) · doi:10.1109/icaitpr63242.2024.10960229
Davies, S., Owen, T., & Walton, S. P. (2025) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/3706599.3719732
Neurophysiological and subjective responses to a virtual downhill cycling exercise
Behava, M., Charlot, J., Boisson, N., Groslambert, A., Grappe, F., & Grosprêtre, S. (2025) · Virtual Reality · doi:10.1007/s10055-025-01168-3
Bostan, C. M., Măgurianu, L.-A., Axinte, M., Găină, A. M., & Găină, M.-A. (2025) · JMIR Research Protocols · doi:10.2196/66112 · Cited by 2
Park, H., Hwang, H., Kim, M., Park, H., Jeon, I. H., Shon, Y., Hong, S. J., & Lee, D. (2025) · Journal of Korean Medical Science · doi:10.3346/jkms.2025.40.e185
Rafiei, S., Santa, K., Honey, N., Tully, D., & Mezes, B. (2025) · doi:10.2196/preprints.79734
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Fabian, R.-A., Miró-Amarante, L., & Gómez-Rodríguez, F. (2025) · IEEE Access · doi:10.1109/access.2025.3591396
Aunjitsakul, W., Anantapong, K., Wiwattanaworaset, P., Jiraphan, A., Teetharatkul, T., Sathaporn, K., Jongbovonwiwat, K., & Chaichulee, S. (2025) · Technology and Health Care · doi:10.1177/09287329251360523
Measuring Acrophobia in Military Personnel: Design and Assessment of a Novel Device
Shamsoddini, A., & Sadeghiyan, E. (2025) · Journal of Archives in Military Medicine · doi:10.5812/jamm-163346
Waterworth, J. A. (2025) · Palgrave Studies in Cyberpsychology. · doi:10.1007/978-3-031-99832-4_4
Artificial Intelligence and Human Psychology
Karahan, F. Ş. (2025) · Advances in computational intelligence and robotics book series · doi:10.4018/979-8-3373-1479-2.ch003
Artificial intelligence in vascular and mixed dementia: a comprehensive review
Dixit, A. (2025) · The Egyptian Journal of Internal Medicine · doi:10.1186/s43162-025-00534-6
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Figuerola-Escoto, R. P., Cotero, A. G. G., Alva, R., Bernal, L. S., Coronel, G. E. O., Avalos, J.-G., & Sánchez, G. (2025) · Applied Sciences · doi:10.3390/app152111740
Lee, M., Shin, H. K., Kim, E. Y., Ko, S. K. K., Shin, M. K., Khishigbayar, U., Jang, S., & Seok, J. (2025) · 신경정신의학 · doi:10.4306/jknpa.2025.64.4.266
Luck‐Sikorski, C., Hochrein, R., Döllinger, N., Wienrich, C., Gemesi, K., Holzmann, S. L., Holzapfel, C., & Weinberger, N.-A. (2024) · Figshare · doi:10.6084/m9.figshare.26591660
Majewska, K. (2025) · Education and Information Technologies · doi:10.1007/s10639-025-13788-y
Álvarez‐Marín, A., Muñoz, C. F., Castillo‐Vergara, M., & Velázquez‐Iturbide, J. Á. (2026) · Interactive Learning Environments · doi:10.1080/10494820.2026.2616417
Luca, G. D., Baeyens, D., Meixner, G., Khau, T., Benvenuti, M., & Mazzoni, E. (2026) · European Journal of Psychology of Education · doi:10.1007/s10212-025-01059-w
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Zhang, S., & Pai, Y. S. (2026) · CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA) · doi:10.1145/3772363.3799264
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Metadata
- Authors
- Parsons, T. D., & Rizzo, A. A.
- Affiliations
- University of Southern California (US)
- Corresponding author
- Parsons, Thomas D.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-09
- Volume
- 39
- Issue
- 3
- Pages
- 250-261
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2080509533
- Cited by
- 994
- References
- 56
- Citations by year
- 2026: 38 · 2025: 56 · 2024: 63 · 2023: 51 · 2022: 59 · 2021: 69 · 2020: 83 · 2019: 101 · 2018: 84 · 2017: 53 · 2016: 50 · 2015: 47 · 2014: 43 · 2013: 42 · 2012: 34
- FWCI
- 3.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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, anxiety disorders, specific phobia, anxiety reduction, treatment outcomes, presence, immersion
- MeSH terms
- Anxiety Disorders, Forecasting, Humans, Implosive Therapy, Phobic Disorders, Research Design, Stress Disorders, Post-Traumatic, User-Computer Interface, Treatment Outcome, Sample Size
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