The Feasibility and Acceptability of Virtual Environments in the Treatment of Childhood Social Anxiety Disorder
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Two significant challenges for the dissemination of social skills training programs are the need to assure generalizability and provide sufficient practice opportunities. In the case of social anxiety disorder, virtual environments may provide one strategy to address these issues. This study evaluated the utility of an interactive virtual school environment for the treatment of social anxiety disorder in preadolescent children. Eleven children with a primary diagnosis of social anxiety disorder between 8 to 12 years old participated in this initial feasibility trial. All children were treated with Social Effectiveness Therapy for Children, an empirically supported treatment for children with social anxiety disorder. However, the in vivo peer generalization sessions and standard parent-assisted homework assignments were substituted by practice in a virtual environment. Overall, the virtual environment programs were acceptable, feasible, and credible treatment components. Both children and clinicians were satisfied with using the virtual environment technology, and children believed it was a high-quality program overall. In addition, parents were satisfied with the virtual environment augmented treatment and indicated that they would recommend the program to family and friends. Findings indicate that the virtual environments are viewed as acceptable and credible by potential recipients. Furthermore, they are easy to implement by even novice users and appear to be useful adjunctive elements for the treatment of childhood social anxiety disorder.
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Virtual Reality exposure is well accepted for the treatment of specific phobias, including in children.
“VR is also well accepted [24,36,37], even in children [38].”
From In Vivo versus augmented reality exposure in the treatment of small animal phobia: A randomized controlled trial (2016) · cites this paper as [38]
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- Authors
- Wong Sarver, N., Beidel, D. C., & Spitalnick, J. S.
- Affiliations
- Virtually Better (US)
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2013-10-21
- Volume
- 43
- Issue
- 1
- Pages
- 63-73
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC3947271
- OpenAlex
- W2049668395
- Cited by
- 59
- References
- 60
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 3 · 2015: 5 · 2014: 3
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Journal of International Crisis and Risk Communication Research (submittedVersion)
- Funders
- National Institutes of Health (5r41mh094019-02)
- National Institute of Mental Health (R41 MH094019, 5R41MH094019)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Keywords
- virtual worlds, social skills training, preadolescents, treatment feasibility, acceptability, adjunctive therapy
- MeSH terms
- Child, Child Behavior Disorders, Feasibility Studies, Female, Humans, Male, Parents, Phobic Disorders, Program Evaluation, Treatment Outcome, Patient Satisfaction, Virtual Reality Exposure Therapy
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