The DOI matches its Crossref record; 39 of the 40 references it cites were found in a registry or an index.
Development and early evaluation of the Virtual Iraq/Afghanistan exposure therapy system for combat‐related PTSD
Abstract
Numerous reports indicate that the growing incidence of posttraumatic stress disorder (PTSD) in returning Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) military personnel is creating a significant health care and economic challenge. These findings have served to motivate research on how to better develop and disseminate evidence‐based treatments for PTSD. Virtual reality‐delivered exposure therapy for PTSD has been previously used with reports of positive outcomes. The current paper will detail the development and early results from use of the Virtual Iraq/Afghanistan exposure therapy system. The system consists of a series of customizable virtual scenarios designed to represent relevant Middle Eastern contexts for exposure therapy, including a city and desert road convoy environment. The process for gathering user‐centered design feedback from returning OEF/OIF military personnel and from a system deployed in Iraq (as was needed to iteratively evolve the system) will be discussed, along with a brief summary of results from an open clinical trial using Virtual Iraq with 20 treatment completers, which indicated that 16 no longer met PTSD checklist‐military criteria for PTSD after treatment.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Many previously studied VR paradigms have included features that allowed the user to customize the environment to fit their therapeutic needs, including the “Virtual Iraq/Afghanistan” paradigm developed for PTSD treatment that allowed users to recreate specific traumatic scenarios (Rizzo et al. 2010).”
From Better, Virtually: the Past, Present, and Future of Virtual Reality Cognitive Behavior Therapy (2021) · cites this paper as Rizzo et al. 2010
In the citing paper
“Rizzo et al. (39), for example, recreated a virtual war scenario in the Virtual Iraq environment for veterans suffering from PTSD to expose them to their traumatic experiences thus helping the patient to modify and emotionally process pathological and dysfunctional structures.”
From Computer-assisted avatar-based treatment for dysfunctional beliefs in depressive inpatients: A pilot study (2021) · cites this paper as [39]
Citations
Cites
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407
The PHQ-9: A New Depression Diagnostic and Severity Measure
Kroenke, K., & Spitzer, R. L. (2002) · Psychiatric Annals · doi:10.3928/0048-5713-20020901-06 · Cited by 5,898
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040603 · Cited by 4,778
Psychometric properties of the PTSD checklist (PCL)
Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996) · Behaviour Research and Therapy · doi:10.1016/0005-7967(96)00033-2 · Cited by 3,997
Virtual Environments for Motor Rehabilitation: Review
Holden, M. K. (2005) · CyberPsychology & Behavior · doi:10.1089/cpb.2005.8.187 · Cited by 1,154
Ressler, K. J., Rothbaum, B. O., Tannenbaum, L., Anderson, P., Graap, K., Zimand, E., Hodges, L., & Davis, M. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.11.1136 · Cited by 1,063
Self-citationParsons, T. D., & Rizzo, A. A. (2008) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2007.07.007 · Cited by 994
Self-citationAlbeck, J. H. (2001) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2001.55.2.295 · Cited by 973
Seal (2007) · doi:10.1001/archinte.167.5.476 · Cited by 936
Virtual reality exposure therapy for anxiety disorders: A meta-analysis
Powers, M. B., & Emmelkamp, P. M. G. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.04.006 · Cited by 904
A SWOT Analysis of the Field of Virtual Reality Rehabilitation and Therapy
Rizzo, A. “., & Kim, G. J. (2005) · Presence: Teleoperators and Virtual Environments · doi:10.1162/1054746053967094 · Cited by 877
Self-citationVirtual Reality in Psychotherapy: Review
Riva, G. (2005) · CyberPsychology & Behavior · doi:10.1089/cpb.2005.8.220 · Cited by 532
Virtual Reality Exposure Therapy for Vietnam Veterans With Posttraumatic Stress Disorder
Rothbaum, B. O., Hodges, L. F., Ready, D. J., Graap, K. M., & Alarcón, R. D. (2001) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v62n0808 · Cited by 531
Self-citationAnalysis of assets for virtual reality applications in neuropsychology
Rizzo, A., Schultheis, M. T., Kerns, K. A., & Mateer, C. A. (2004) · Neuropsychological Rehabilitation · doi:10.1080/09602010343000183 · Cited by 518
Self-citationDavis, M. S. (2002) · Sage eBooks · doi:10.4135/9781452229300.n390 · Cited by 507
Virtual Reality in Brain Damage Rehabilitation: Review
Rose, F. D., Brooks, B., & Rizzo, A. (2005) · CyberPsychology & Behavior · doi:10.1089/cpb.2005.8.241 · Cited by 466
Self-citationDifede, J., & Cukor, J. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v68n1102 · Cited by 357
Self-citationThe expert consensus guideline series : treatment of posttraumatic stress disorder
Foa, E. B., Davidson, J. R. T., FRANCES, A. J., Culpepper, L., ROSS, R. W., & Ross, D. F. (1999) · The Journal of Clinical Psychiatry · Cited by 338
Virtual reality exposure therapy for PTSD Vietnam veterans: A case study
Rothbaum, B. O., Hodges, L., Alarcon, R., Ready, D., Shahar, F., Graap, K., Pair, J., Hebert, P., Gotz, D., Wills, B., et al. (1999) · Journal of Traumatic Stress · doi:10.1023/a:1024772308758 · Cited by 328
Self-citationDifede, J., & Hoffman, H. G. (2002) · CyberPsychology & Behavior · doi:10.1089/109493102321018169 · Cited by 320
Self-citationVirtual reality in neurorehabilitation
Weiss, P. L., Kizony, R., Feintuch, U., & Katz, N. (2006) · Textbook of Neural Repair and Rehabilitation · doi:10.1017/cbo9780511545078.015 · Cited by 265
Tanielian, T., Jaycox, L. H., Schell, T. L., Marshall, G. N., Burnam, M. A., Eibner, C., Karney, B. R., Meredith, L. S., Ringel, J., & Vaiana, M. E. (2008) · RAND Corporation eBooks · doi:10.7249/mg720.1 · Cited by 256
Virtual Reality as a Distraction Intervention for Women Receiving Chemotherapy
Schneider, S. M., Prince-Paul, M., JoAllen, M., Silverman, P., & Talaba, D. (2004) · Oncology Nursing Forum · doi:10.1188/04.onf.81-88 · Cited by 204
Twelve-month follow-up of virtual reality and standard exposure therapies for the fear of flying.
ROTHBAUM, B. O., Hodges, L. F., Anderson, P. L., Price, L. R., & Smith, S. G. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.2.428 · Cited by 197
Self-citationReger, G. M., Holloway, K. M., Candy, C., Rothbaum, B. O., Difede, J., Rizzo, A. A., & Gahm, G. A. (2011) · Journal of Traumatic Stress · doi:10.1002/jts.20574 · Cited by 188
Self-citationVirtual reality exposure therapy using a virtual Iraq: Case report
Gerardi, M., Rothbaum, B. O., Ressler, K., Heekin, M., & Rizzo, A. (2008) · Journal of Traumatic Stress · doi:10.1002/jts.20331 · Cited by 187
Self-citationParsons, T. D., & Rizzo, A. (2008) · CyberPsychology & Behavior · doi:10.1089/cpb.2007.9934 · Cited by 181
Self-citationWater‐friendly virtual reality pain control during wound care
Hoffman, H. G., Patterson, D. R., Magula, J., Carrougher, G. J., Zeltzer, K., Dagadakis, S., & Sharar, S. R. (2003) · Journal of Clinical Psychology · doi:10.1002/jclp.10244 · Cited by 174
Virtual reality for psychotherapy: Current reality and future possibilities.
Glanz, K., Rizzo, A., & Graap, K. M. (2003) · Psychotherapy · doi:10.1037/0033-3204.40.1-2.55 · Cited by 142
Self-citationVirtual Reality Exposure Therapy for Combat-Related PTSD
Rizzo, A., Reger, G., Gahm, G., Difede, J., & ROTHBAUM, B. O. (2009) · Humana Press eBooks · doi:10.1007/978-1-60327-329-9_18 · Cited by 137
Self-citationVirtual reality exposure therapy for active duty soldiers
Reger, G. M., & Gahm, G. A. (2008) · Journal of Clinical Psychology · doi:10.1002/jclp.20512 · Cited by 124
Self-citationVirtual reality exposure therapy for combat‐related posttraumatic stress disorder
ROTHBAUM, B. O., Rizzo, A., & Difede, J. (2010) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2010.05691.x · Cited by 117
Self-citationSoldier Attitudes about Technology-Based Approaches to Mental Health Care
Wilson, J. A. B., Onorati, K., Mishkind, M., Reger, M. A., & Gahm, G. A. (2008) · CyberPsychology & Behavior · doi:10.1089/cpb.2008.0071 · Cited by 114
United States Military Casualty Statistics: Operation Iraqi Freedom and Operation Enduring Freedom
Fischer, H. (2009) · University of North Texas Digital Library (University of North Texas) · Cited by 84
Post-Traumatic Stress Disorder
LeDoux, J. E., Shiromani, P., & Keane, T. M. (2009) · Humana Press eBooks · doi:10.1007/978-1-60327-329-9 · Cited by 66
McLay, R. N., Graap, K. M., Spira, J. L., Perlman, K., Johnston, S. L., ROTHBAUM, B. O., Difede, J., Deal, W. P., Oliver, D., Baird, A., et al. (2012) · Military Medicine · doi:10.7205/milmed-d-11-00221 · Cited by 65
Self-citationFraser, D. S., Foreman, N. K., & Wilson, P. N. (1998) · PubMed · Cited by 55
Soldier Evaluation of the Virtual Reality Iraq
Reger, G. M., Gahm, G. A., Rizzo, A., Swanson, R. D., & Duma, S. J. (2009) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2008.0050 · Cited by 54
Self-citationVirtual Reality Cognitive Performance Assessment Test
Parsons, T. D., & Rizzo, A. (2008) · PsycTESTS Dataset · doi:10.1037/t78218-000 · Cited by 21
Self-citation
Research works printed but not linked: 2
- Zimand E., 2003, Virtual reality therapy: innovative treatment for anxiety disorders, Prim. Psychiatry, 97, 51
- Stanton D., 1998, Virtual Reality in Clinical Psychology and Neuroscience, 219
Cited by
Sorted by citations
Enhancing Our Lives with Immersive Virtual Reality
Slater, M., & Sanchez-Vives, M. V. (2016) · Frontiers in Robotics and AI · doi:10.3389/frobt.2016.00074 · Cited by 1,993
The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders
Maples-Keller, J. L., Bunnell, B. E., Kim, S.-J., & Rothbaum, B. O. (2017) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000138 · Cited by 862
Self-citationDesign Thinking in Health Care
Altman, M., Huang, T. T. K., & Breland, J. Y. (2018) · Preventing Chronic Disease · doi:10.5888/pcd15.180128 · Cited by 548
Novel Models for Delivering Mental Health Services and Reducing the Burdens of Mental Illness
Kazdin, A. E., & Rabbitt, S. M. (2013) · Clinical Psychological Science · doi:10.1177/2167702612463566 · Cited by 465
Immersive VR and Education: Embodied Design Principles That Include Gesture and Hand Controls
Johnson‐Glenberg, M. C. (2018) · Frontiers in Robotics and AI · doi:10.3389/frobt.2018.00081 · Cited by 522
Metadata
- Authors
- Rizzo, A. “., Difede, J., Rothbaum, B. O., Reger, G., Spitalnick, J., Cukor, J., & Mclay, R.
- Affiliations
- University of Southern California (US)
- Weill Cornell Medicine (US)
- Emory University (US)
- Madigan Army Medical Center (US)
- Naval Medical Center San Diego (US)
- Corresponding author
- Rizzo, Albert “Skip”
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 2010-10
- Volume
- 1208
- Issue
- 1
- Pages
- 114-125
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W2170151134
- Cited by
- 185
- References
- 40
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 9 · 2023: 10 · 2022: 13 · 2021: 15 · 2020: 17 · 2019: 15 · 2018: 15 · 2017: 18 · 2016: 11 · 2015: 12 · 2014: 13 · 2013: 9 · 2012: 9
- FWCI
- 8.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Physical Sciences › Engineering › Control and Systems Engineering › Simulation and Modeling Applications
- Keywords
- post-traumatic stress disorder, combat-related PTSD, virtual reality exposure therapy, military personnel, Operation Enduring Freedom, Iraq War, user-centered design, virtual scenarios
- MeSH terms
- Adult, Computers, Female, Humans, Implosive Therapy, Male, Middle Aged, Military Personnel, Patient Acceptance of Health Care, Software, Stress Disorders, Post-Traumatic, United States, User-Computer Interface, Veterans, Iraq War, 2003-2011, Young Adult, Afghan Campaign 2001-
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review