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A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders
Open accessAbstract
In virtual reality exposure therapy (VRET) for anxiety disorders, sense of presence in the virtual environment is considered the principal mechanism that enables anxiety to be felt. Existing studies on the relation between sense of presence and level of anxiety, however, have yielded mixed results on the correlation between the two. In this meta-analysis, we reviewed publications on VRET for anxiety that included self-reported presence and anxiety. The comprehensive search of the literature identified 33 publications with a total of 1196 participants. The correlation between self-reported sense of presence and anxiety was extracted and meta-analyzed. Potential moderators such as technology characteristics, sample characteristics including age, gender and clinical status, disorder characteristics and study design characteristics such as measurements were also examined. The random effects analysis showed a medium effect size for the correlation between sense of presence and anxiety (r = .28; 95% CI: 0.18-0.38). Moderation analyses revealed that the effect size of the correlation differed across different anxiety disorders, with a large effect size for fear of animals (r = .50; 95% CI: 0.30-0.66) and a no to small effect size for social anxiety disorder (r = .001; 95% CI: -0.19-0.19). Further, the correlation between anxiety and presence was stronger in studies with participants who met criteria for an anxiety disorder than in studies with a non-clinical population. Trackers with six degrees of freedom and displays with a larger field of view resulted in higher effect sizes, compared to trackers with three degrees of freedom and displays with a smaller field of view. In addition, no difference in effect size was found for the type of presence measurement and the type of anxiety measurement. This meta-analysis confirms the positive relation between sense of presence and anxiety and demonstrates that this relation can be affected by various moderating factors.
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TL;DR
This meta-analysis of 33 publications with 52 correlations and 1,196 participants found a medium positive association between self-reported presence and anxiety in virtual reality exposure therapy (r = .28; 95% CI: 0.18–0.38). The relation varied by anxiety disorder, clinical status, tracker degrees of freedom, and display field of view.
Key findings
- The random-effects weighted mean correlation between self-reported presence and anxiety was r = .28, 95% CI [0.18–0.38], p < .001; excluding the OCD study, it was r = .29, 95% CI [0.19–0.39], p < .001.
- Disorder type significantly moderated the correlation (Q₆ = 17.28, p = .008): fear of animals r = .50 [0.30–0.66], fear of flying r = .52 [0.16–0.75], acrophobia r = .39 [0.22–0.54], and social phobia r = .001 [−0.19–0.19].
- Clinical samples showed a higher correlation than non-clinical samples: r = .42 [0.25–0.57] vs. r = .22 [0.10–0.34], with the moderator approaching significance (Q₁ = 3.47, p = .06); excluding OCD, the difference was significant (clinical r = .47 [0.29–0.61] vs. non-clinical r = .22 [0.10–0.34], Q₁ = 5.15, p = .02).
- Technology moderated the relation: 6 DoF trackers r = .46 [0.30–0.60] vs. 3 DoF trackers r = .23 [0.09–0.36] (Q₁ = 4.81, p = .03), and large FOV displays (>94°) r = .51 [0.28–0.68] vs. small FOV displays (<71°) r = .24 [0.13–0.35] (Q₁ = 4.10, p = .04); presence and anxiety measurement types did not significantly moderate the effect.
Methods
- Systematic literature search in PsycINFO, PubMed, Web of Knowledge, and Scopus through March 19, 2013, plus reference and conference screening; inclusion required human participants in VR/AR for anxiety disorder treatment, self-reported presence and anxiety, and peer-reviewed journal or conference publication.
- The analysis included 33 articles, 52 correlations, and 1,196 participants; the correlation between self-reported presence and anxiety served as the effect size, converted to Fisher’s z, with random-effects meta-analysis, subgroup analyses for categorical moderators, and REML meta-regressions for continuous moderators using Comprehensive Meta-analysis Version 3.
- Moderators examined included anxiety disorder type, age, gender, clinical status, technology characteristics (display, stereoscopy, resolution, FOV, audio, tracker DoF/update frequency), measurement type, sample size, and publication year; publication bias was assessed with Fail-safe N, funnel plot, and Egger’s test.
Limitations
- The paper states that presence and anxiety were self-reported and therefore prone to demand characteristics, and that very few studies covered OCD, claustrophobia, and fear of flying, so caution is needed when generalizing to underrepresented disorders.
- The paper notes that the meta-analysis was based on correlations and could not model the shape of the presence–anxiety relationship, which may not be linear.
- Evident from the text: no PTSD studies were included because authors could not provide correlations; although the search included spatial, social, and co-presence, included publications only reported spatial presence; and the publication-year effect may have been confounded with anxiety disorder type.
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In the paper
“As expected, the meta-regression models were all significant in both steps; Q 1 = 4.51, p = .03 and Q 2 = 7.00, p = .03 for step1 and step 2 individually (Table 5).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
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In the paper
“The results showed a significant interaction effect between participants' clinical status and display field of view (Q 1 = 4.19, p = .04) and between participants' clinical status and tracker's degree of freedom (Q 1 = 13.66, p<.001).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Since only tracker's DoF and display field of view significantly moderated the correlation between presence and anxiety, we conducted multiple meta-regression analyses to test whether the combination of these two variables could have a better overall prediction of the weighted mean correlation.”
- Also stated in: § Discussion and Conclusions · hedged
“The meta-analysis also found moderating effects for some technology characteristics such as the degrees of freedom of the tracker and the display's field of view.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Also stated in: § Discussion and Conclusions · hedged
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“However, for social phobia no correlation between self-reported presence and anxiety was found.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Rests on an assumption: The self-reported presence measures used in the included studies validly capture the sense of presence relevant to anxiety in VRET.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The subgroup analyses showed no significant moderating effect for the type of anxiety measurement (Q 2 = 1.35, p = .51; see Table 2), and the type of presence measurement (Q 4 = 6.06, p = .20; see Table 2).”
- Also stated in: § Abstract · plain
“In addition, no difference in effect size was found for the type of presence measurement and the type of anxiety measurement.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.1 Effect size across different measurements
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- The authors state this as an assumption: A common among-study variance component across the subgroups.
- Also stated in: § Abstract · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The results showed a non-significant relation between presence and anxiety with neither spatial resolution (Q 1 = 0.90, p = .34) nor field of view (Q 1 = 2.48, p = .12).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“A subgroup analysis on the correlation between presence and anxiety for the group of large field of view displays (FOV>94°) separated from the group of small field of view displays (FOV<71°) showed a significantly higher correlation (Q 1 = 4.10, p = 04) for studies using a large field of view display r = .51, 95% CI [0.28–0.68], p<.001 compared to studies using a small field of view display r = .”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The summary effect for the group of studies with non-clinical participants was r = .22, 95% CI [0.10–0.34], p<.001, while the summary effect for the group of studies using clinical participants was r = .42, 95% CI [0.25–0.57], p<.001.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.3 Effect size across different participants' characteristics
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- The authors state this as an assumption: A common among-study variance component across the subgroups.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“No significant differences were found for display type (Q 1 = 1.56, p = .21), stereoscopy (Q 1 = 0.014, p = .91), whether a tracker was used or not (Q 1 = 2.65, p = .10), tracker's update frequency (Q 4 = 3.58, p = .47), audio type (Q 2 = 3.90, p = .14) and audio player (Q 2 = 1.66, p = .44) (see again Table 4).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- The authors state this as an assumption: A common among-study variance component across the subgroups.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Correlations between presence and anxiety were significantly different among the various disorders, varying from almost zero for social phobia and claustrophobia to a large effect for fear of animals and fear of flying (see Table 3). Subgroup analyses showed significant differences between different anxiety disorders (Q 6 = 17.28, p = .008).”
- Also stated in: § Abstract · plain
“Moderation analyses revealed that the effect size of the correlation differed across different anxiety disorders, with a large effect size for fear of animals (r = .50; 95% CI: 0.30–0.66) and a no to small effect size for social anxiety disorder (r = .001; 95% CI: −0.19–0.19).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.2 Effect size across different anxiety disorders
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- The authors state this as an assumption: A common among-study variance component across the subgroups.
- Also stated in: § Abstract · plain
- It may state two separate claims as one. 16
- The quote only partly states this claim. 1
- Probably not a substantial claim. 16
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“On the basis of the standardized methodology, we included 33 articles with 52 correlations, with a total sample size of 1196 participants.”
- Also stated in: § Abstract · plain
“The comprehensive search of the literature identified 33 publications with a total of 1196 participants.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Also stated in: § Abstract · plain
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In the paper
“This model was approaching significant (Q 1 = 3.78, p = .051) with 9.62% of the variability in the correlation coefficients accounted for by the publication year (see Table 7).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.5 Effect size as a function of sample size and publication year
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Further, the correlation between anxiety and presence was stronger in studies with participants who met criteria for an anxiety disorder than in studies with a non-clinical population.”
- Also stated in: § 3.3 Effect size across different participants' characteristics · plain
“Hence, the correlation between presence and anxiety was higher for the clinical sample of people than for the non-clinical sample, but the effect of this moderator was only approaching significance (Q 1 = 3.47, p = .06).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Abstract
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- The authors state this as an assumption: A common among-study variance component across the subgroups.
- Also stated in: § 3.3 Effect size across different participants' characteristics · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“and a no to small effect size for social anxiety disorder (r = .001; 95% CI: −0.19–0.19).”
- Also stated in: § 3.2 Effect size across different anxiety disorders · plain
“In contrast, 11 correlations were included in the calculation of the summary effect for social phobia, and still the mean correlation did not deviate significantly from zero.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Abstract
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- The authors state this as an assumption: A common among-study variance component across the subgroups.
- Also stated in: § 3.2 Effect size across different anxiety disorders · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For claustrophobia the summary correlation was not found to deviate significantly from zero, but this result was only based on two correlations.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.2 Effect size across different anxiety disorders
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- The authors state this as an assumption: A common among-study variance component across the subgroups.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Additionally, preliminary analyses indicated substantial heterogeneity in the data (fixed effects: Q 51 = 126.17, p<.001 for the entire dataset, and Q 50 = 123.04, p<.001 for the dataset without the study on OCD) suggesting that the data are heterogeneous, which supports the choice for a random-effects model.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results
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In the paper
“The resulting model did not show a significant effect of gender on the correlation (Q 1 = 1.82, p = .18).”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.3 Effect size across different participants' characteristics
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesThe quote only partly states this claim.
- The authors state this as an assumption: A common among-study variance component across the subgroups.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For fear of flying, the summary correlation was found to be significantly above zero, but still as the confidence interval shows, the exact size of the correlation is not precise.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.2 Effect size across different anxiety disorders
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- The authors state this as an assumption: A common among-study variance component across the subgroups.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The subgroup analyses showed a significant moderating effect for the degrees of freedom of the tracker (Q 1 = 4.81, p = .03) with a tracker with 6 DoF resulting in higher correlations than a tracker with 3 DoF (see Table 4).”
- Also stated in: § Abstract · plain
“Trackers with six degrees of freedom and displays with a larger field of view resulted in higher effect sizes, compared to trackers with three degrees of freedom and displays with a smaller field of view.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- The authors state this as an assumption: A common among-study variance component across the subgroups.
- Also stated in: § Abstract · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The shape of the funnel plots in Figure S1 did not reveal any indication of funnel plot asymmetry. This visual impression was also confirmed by Egger's test with p = .67, two-tailed.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The moderating effect was found in the studies with less immersive technology, but not in studies with more immersive technology.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
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In the paper
“In VRET, the sense of presence has been considered the principal mechanism that leads to the experience of anxiety [12].”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Introduction
What the sources say
- Not checked yetcites [12] Wiederhold BK, Wiederhold MD (2005) Virtual reality therapy for anxiety disorders: Advances in evaluation and treatment. Washington, DC: Amrican Psychological Association. 225 p. source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This meta-analysis confirms the positive relation between sense of presence and anxiety and demonstrates that this relation can be affected by various moderating factors.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Abstract
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: There are no published quantitative syntheses on the relationship between presence and anxiety.
In the paper
“Rosenthal [54] suggested that findings could be considered as robust if the required number of studies to reduce the overall effect size to a non-significant level exceeded 5 × number of included studies (effect sizes)+10.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Methods > 2.4 publication bias
What the sources say
- Not checked yetcites [54] Rosenthal R (1991) Meta-analytic procedures for social research. London, UK: Sage. 168 p. source
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
In the paper
“Recently, Slater [81] also argued that presence at least has two independent components: place illusion and plausibility.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
What the sources say
- Not checked yetcites [81] M Slater, 2009, Place illusion and plausibility can lead to realistic behaviour in immersive virtual environments, Philosophical Transactions of the Royal Society B-Biological Sciences source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“For the subgroup analyses, effects had to be demonstrated by at least two different research teams in each subgroup.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Methods > 2.3 Effect size calculation
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In the paper
“Both place illusion and plausibility contribute to realistic responses in the virtual environment.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
What the sources say
- Not checked yetcites [81] M Slater, 2009, Place illusion and plausibility can lead to realistic behaviour in immersive virtual environments, Philosophical Transactions of the Royal Society B-Biological Sciences source
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“A potential explanation for this observation is that advancements in immersive technology reduce the moderating effect of other factors, such as personality, clinical status and the surrounding real world.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results > 3.4 Effect size across different technology characteristics
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What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“The summary effect size was calculated using the random effects model due to the heterogeneity of the studies.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Methods > 2.3 Effect size calculation
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In the paper
“Since OCD is not listed as an anxiety disorder in DSM-V [2], the new version published in 2013, we conducted all analyses twice, i.e., first with all 33 publications, and then with the same dataset, but without the study on OCD.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Results
What the sources say
- Not checked yetcites [2] American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders. Washington, DC: Author. 991 p. source
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None of the sources cited for this claim have been checked yet.
In the paper
“Due to habituation to the virtual stimuli in the virtual environment, participants' anxiety would decrease over time [48], [49].”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Methods > 2.2. Procedure
What the sources say
- Not checked yetcites [48] E Malbos, 2013, A controlled study of agoraphobia and the independent effect of virtual reality exposure therapy, Australian and New Zealand Journal of Psychiatry source
- Not checked yetcites [49] Hofmann SG, Otto MW (2008) Cognitive Behavioral Therapy for Social Anxiety Disorder: Evidence-Based and Disorder-Specific Treatment Techniques. New York: Routledge. 232 p. source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
In the paper
“Social anxiety centers on the perception of negative human evaluation, and thus individuals' perception of the appearance of both verbal and non-verbal behavior of virtual characters [80] seems a relevant cue for activating the fear structure.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
What the sources say
- Not checked yetcites [80] C Qu, 2013, Human perception of a conversational virtual human: An empirical study on the effect of emotion and culture, Virtual Reality source
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim.
In the paper
“Publication bias was also assessed with a funnel plot visually, and qualified with Egger's weighted regression method [55].”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Methods > 2.4 publication bias
What the sources say
- Not checked yetcites [55] M Egger, 1997, Bias in meta-analysis detected by a simple, graphical test, British Medical Journal source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“To test whether the overall effect that we found was robust, the classic Fail-safe N value as proposed by Rosenthal [54] was calculated.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Methods > 2.4 publication bias
What the sources say
- Not checked yetcites [54] Rosenthal R (1991) Meta-analytic procedures for social research. London, UK: Sage. 168 p. source
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Our current meta-analysis study, however, was based on correlations between presence and anxiety, where the shape of the relationship between presence and anxiety could not be modeled.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
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A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“These findings put forward the hypothesis that applying more advanced immersive technology leaves less room for other factors to moderate the correlation between presence and anxiety.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
Tests✗ Asserted: fails✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. The authors may not put it forward as true.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Nonetheless, for both clinical and non-clinical individuals, the reported presence can be seen as the degree in which real life cues have been imitated.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds.
In the paper
“This finding is also in line with what Ling et al. [86] suggested, namely that the role of participants' absorption may be larger in less immersive virtual environments.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
What the sources say
- Not checked yetcites [86] Y Ling, 2013, The relationship between individual characteristics and experienced presence, Computers in Human Behavior source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It seems that advanced immersive technology dominates the relationship and reduces the ‘noise’ from other factors such as individuals' characteristics, personality or previous experiences which may affect experienced presence and anxiety in virtual environments.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“As suggested above, place illusion is well covered by most presence questionnaires, but future research should investigate the extent to which presence questionnaires also measure plausibility, i.e., the extent to which one takes what is happening in the virtual environment as real, since the latter might be more relevant than spatial presence for VRET for social phobia.”
§ A Meta-Analysis on the Relationship between Self-Reported Presence and Anxiety in Virtual Reality Exposure Therapy for Anxiety Disorders > Discussion and Conclusions
Strength:boosted· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
The paper relies on this without support.
There are no published quantitative syntheses on the relationship between presence and anxiety.
“To our knowledge, there are no published quantitative syntheses on the relationship between presence and anxiety.”
The authors state this as an assumption.
Presence was stable during participants' exposure to the virtual environment.
“As earlier studies [27], [47] found no order effect on presence during one session, we assumed that presence was stable during participants' exposure to the virtual environment.”
The authors state this as an assumption.
A common among-study variance component across the subgroups.
“We pooled within-group estimates of tau-squared, assuming a common among-study variance component across the subgroups [51].”
The authors state this as an assumption.
The effect size of all current or future unpublished studies is equal to zero.
“A conservative method of addressing this problem is to assume that the effect size of all current or future unpublished studies is equal to zero and to compute the number of such studies it would require to reduce the overall effect size to a non-significant level (α = .05, two-tailed).”
The paper relies on this without support.
The relationship between presence and anxiety is linear enough that a correlation coefficient is a meaningful summary of their association.
“Our current meta-analysis study, however, was based on correlations between presence and anxiety, where the shape of the relationship between presence and anxiety could not be modeled.”
The paper relies on this without support.
The self-reported presence measures used in the included studies validly capture the sense of presence relevant to anxiety in VRET.
“First, the measurements of presence and anxiety used in this study were self-reported which is prone to well-known demand characteristics.”
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?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Immersive technology can help to increase the sense of presence, defined as the sense of being in a virtual environment (Steuer, 1992), as well as the emotional response experienced in a virtual scenario (Ling et al., 2014).”
From An internet-based treatment for flying phobia using 360° images: A feasibility pilot study (2022) · cites this paper as Ling et al., 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Immersive technology can reduce the “noise” of other individual or real-world factors in an exposure scenario, and, therefore, it can increase the presence and anxiety experienced in these virtual environments (Ling et al., 2014).”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Ling et al., 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The immersion level of the technology is not the only variable that explains the subjective sense of presence, but it does play a role in this relationship.”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Ling et al., 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The ITC-SOPI has been established as a reliable and valid tool for assessing the sense of presence and shows a significant relationship with anxiety levels during virtual reality exposure therapy (Ling et al., 2014).”
From Speaking face-to-face with a virtual avatar to reduce anxiety in students who stutter: Tool development and pilot study results. (2026) · cites this paper as Ling et al., 2014
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“In the case of VRET, there is a positive correlation between immersive technology and presence and anxiety (Ling et al., 2014)”
From An Internet-based treatment for Flying Phobia using 360° images: Study protocol for a feasibility pilot study (2021) · cites this paper as Ling et al., 2014
In the citing paper
“A 2014 meta-analysis reported an overall significant correlation of r = .28(95% CI: 0.18-0.38)between self-reported distress and presence during exposure”
From Better, Virtually: the Past, Present, and Future of Virtual Reality Cognitive Behavior Therapy (2021) · cites this paper as Ling et al. 2014
In the citing paper
“albeit with significant differences across sample clinical characteristics and type of VR equipment used (Ling et al. 2014).”
From Better, Virtually: the Past, Present, and Future of Virtual Reality Cognitive Behavior Therapy (2021) · cites this paper as Ling et al. 2014
In the citing paper
“Congruently, reported correlation coefficients between presence and pain are typically of stronger magnitude than those reported between presence and distress during VRET [34,38,39].”
From Experiences of gamified and automated virtual reality exposure therapy for spider phobia: qualitative study (2020) · cites this paper as [34]
In the citing paper
“Meta-analytic research has confirmed a robust but relatively weak association between self-rated distress and sense of presence during exposure [34]”
From Experiences of gamified and automated virtual reality exposure therapy for spider phobia: qualitative study (2020) · cites this paper as [34]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Consistentt(50) = 3.5reported p = .001 · recomputed p < .001
“t(50) = 3.50, p = .001”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Publication-year regression has conflicting p-values
MinorThe text reports p = .051 for the publication-year model, whereas Table 7 gives p = .0051 for its regression coefficient. These values imply different conclusions about statistical significance.
“This model was approaching significant (Q 1 = 3.78, p = .051)”
“| Interval | −0.026 | .0051 |”
Tracker categories exceed the number reported as using trackers
MinorTable 4 reports 27 correlations for 3-DoF trackers and 16 for 6-DoF trackers, totaling 43, but reports only 42 correlations as using a tracker.
Reported 42 · recomputed 43
“| Yes | 42 | .32 | <.001 | .21 | .42 | | Tracker's DoF | | | | | | | 3 DoF | 27 | .23 | .001 | .09 | .36 | | 6 DoF | 16 | .46 | <.001 | .30 | .60 |”
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“This yielded the following categorization (in order of number of occurrences): Igroup Presence Questionnaires [16] (N = 27), Presence Questionnaire [19,20] (N = 10), Slater-Usoh-Steed Questionnaire [17,18] (N = 9), one-item presence questionnaire [23,41] (N = 3) and others [42,43].”
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“…in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessive-compulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78].”
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“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
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“Some studies even found negative correlations between presence and anxiety [27,28].”
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“This hypothesis would encourage the use of more advanced immersive technology for VRET to reduce the effect of less controllable factors on presence, such as individuals’ visual acuity and immersive tendency [86].”
Self-citationControlling social stress in virtual reality environments
Hartanto, D., Kampmann, I. L., Morina, N., Emmelkamp, P. G. M., Neerincx, M. A., & Brinkman, W.-P. (2014) · PLoS ONE · doi:10.1371/journal.pone.0092804 · Cited by 115 · cited 1×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
Self-citationCognitive Behavioral Therapy for Social Anxiety Disorder
Hofmann, S. G., & Otto, M. W. (2017) · Routledge eBooks · doi:10.4324/9781315617039 · Cited by 111
Comparison of the Levels of Presence and Anxiety in an Acrophobic Environment Viewed via HMD or CAVE
Juan, M. ‐., & Pérez, D. (2009) · PRESENCE Virtual and Augmented Reality · doi:10.1162/pres.18.3.232 · Cited by 110 · cited 1×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessive-compulsive disorder [26], Social phobia [27,28,71–75], and…”
Cognitive Behavioral Therapy for Social Anxiety Disorder
Hofmann, S. G., & Otto, M. W. (2008) · doi:10.4324/9780203927526 · Cited by 110
Emmelkamp, P. M. G. (1986) · UvA-DARE (University of Amsterdam) · Cited by 106
Virtual Reality in Psychological, Medical and Pedagogical Applications
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PTSD Elderly War Veterans: A Clinical Controlled Pilot Study
Gamito, P., Oliveira, J., Rosa, P., Morais, D., Duarte, N., Oliveira, S., & Saraiva, T. (2010) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2009.0237 · Cited by 101 · cited 4×
“No studies on treating PTSD [40,57] were included because the authors of these papers could not provide the correlation between presence and anxiety experienced in the virtual environment.”
InfluentialFear of flying treatment methods: virtual reality exposure vs. cognitive behavioral therapy.
Krijn, M., Emmelkamp, P. M. G., Ólafsson, R. P., Bouwman, M., Gerwen, L. J. V., Spinhoven, P., Schuemie, M. J., & van der Mast, C. P. A. G. (2007) · PubMed · Cited by 98
Socially Anxious and Confident Men Interact with a Forward Virtual Woman: An Experimental Study
Pan, X., Gillies, M. F. P., Barker, C., Clark, D. M., & Slater, M. (2012) · PLoS ONE · doi:10.1371/journal.pone.0032931 · Cited by 96 · cited 1×
“As two studies [39,40] only recruited male participants, we used the proportion of male participants as a continuous variable to evaluate the effect of gender on the correlation between presence and anxiety.”
A controlled study of agoraphobia and the independent effect of virtual reality exposure therapy
Malbos, E., Rapee, R. M., & Kavakli, M. (2013) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867412453626 · Cited by 91 · cited 3×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
Pallavicini, F., Cipresso, P., Raspelli, S., Grassi, A., Serino, S., Vigna, C., Triberti, S., Villamira, M. A., Gaggioli, A., & Riva, G. (2013) · BMC Psychiatry · doi:10.1186/1471-244x-13-52 · Cited by 81 · cited 1×
“…in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessive-compulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78].”
The role of presence in the level of anxiety experienced in clinical virtual environments
Alsina-Jurnet, I., Gutiérrez‐Maldonado, J., & Rangel-Gómez, M.-V. (2010) · Computers in Human Behavior · doi:10.1016/j.chb.2010.09.018 · Cited by 80
Ling, Y., Brinkman, W.-P., Nefs, H. T., Qu, C., & Heynderickx, I. (2012) · Presence: Teleoperators and Virtual Environments · doi:10.1162/pres_a_00111 · Cited by 74 · cited 3×
“Some studies even found negative correlations between presence and anxiety [27,28].”
Self-citationKim, K., Kim, C.-H., Cha, K. R., Park, J., Han, K., Kim, Y. K., Kim, J.-J., Kim, I. Y., & Kim, S. I. (2008) · CyberPsychology & Behavior · doi:10.1089/cpb.2008.0003 · Cited by 72 · cited 4×
“While some studies have found significant positive correlations between self-reported presence and anxiety in VRET [23,24], some have not [25,26].”
InfluentialIJsselsteijn, W. A. (2004) · TU/e Research Portal · doi:10.6100/ir581425 · Cited by 72
von der Pütten, A. M., Klatt, J., Ten Broeke, S., McCall, R., Krämer, N. C., Wetzel, R., Blum, L., Oppermann, L., & Klatt, J. (2012) · Interacting with Computers · doi:10.1016/j.intcom.2012.03.004 · Cited by 69
Current status of virtual reality exposure therapy in anxiety disorders: editorial review.
Pull, C. B. (2005) · PubMed · Cited by 66
The assessment and treatment of specific phobias: a review
Grös, D. F., & Antony, M. M. (2006) · Current Psychiatry Reports · doi:10.1007/s11920-006-0066-3 · Cited by 55 · cited 1×
“The references from recent metaanalyses, and systematic reviews on virtual reality exposure therapy [7–10,29–36] were further screened for potentially relevant publications.”
A virtual reality claustrophobia therapy system - implementation and test
Bruce, M., & Regenbrecht, H. T. (2009) · IEEE Conference on Virtual Reality and 3D User Interfaces (VR) · doi:10.1109/vr.2009.4811020 · Cited by 55 · cited 2×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
Malbos, É., Mestre, D., Note, I.-D., & Gellato, C. (2008) · CyberPsychology & Behavior · doi:10.1089/cpb.2007.0246 · Cited by 51 · cited 2×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
Juan, M. ‐., & Pérez, D. (2010) · Computers & Graphics · doi:10.1016/j.cag.2010.08.001 · Cited by 49
Could virtual reality be effective in treating children with phobias?
Bouchard, S. (2011) · Expert Review of Neurotherapeutics · doi:10.1586/ern.10.196 · Cited by 42 · cited 1×
“The references from recent metaanalyses, and systematic reviews on virtual reality exposure therapy [7–10,29–36] were further screened for potentially relevant publications.”
Description of a Treatment Manual for in virtuo Exposure with Specific Phobia
Bouchard, S., Robillard, G., Larouche, S., & Loranger, C. (2012) · InTech eBooks · doi:10.5772/46417 · Cited by 35 · cited 1×
“[82] argued that there might exist an unknown trigger point where the level of presence is”
THE EFFECT OF LOCOMOTION TECHNIQUE ON PRESENCE, FEAR AND USABILITY IN A VIRTUAL ENVIRONMENT
Abel, B. (2005) · Cited by 35
Physiological measures and self-report to evaluate neutral virtual reality worlds
Busscher, B., Vliegher, D. D., Ling, Y., & Brinkman, W. (2011) · Research Repository (Delft University of Technology) · Cited by 32
Self-citationAuditory-Visual Virtual Reality as a Diagnostic and Therapeutic Tool for Cynophobia
Suied, C., George Drettakis, B., Warusfel, O., & Viaud‐Delmon, I. (2013) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2012.1568 · Cited by 31
Auditory–Visual Aversive Stimuli Modulate the Conscious Experience of Fear
Taffou, M., Guerchouche, R., George Drettakis, B., & Viaud‐Delmon, I. (2013) · Multisensory Research · doi:10.1163/22134808-00002424 · Cited by 28
Anxiogenic properties of a computer simulation for panic disorder with agoraphobia
Freire, R. C. R., de Carvalho, M. R., Joffily, M., Zin, W. A., & Nardi, A. E. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.12.031 · Cited by 25 · cited 2×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
Presence, immersion and cybersickness assessment through a test anxiety virtual environment. (
Gamito, P. S., Oliveira, J. S., dos Santos, P. L., Morais, D., Saraiva, T., & Mota, B. C. D. S. (2008) · COPELABS Scientific commons (Universidade Lusófona) · Cited by 23
The Effect of Perspective on Presence and Space Perception
Ling, Y., Nefs, H. T., Brinkman, W., Qu, C., & Heynderickx, I. E. J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0078513 · Cited by 19 · cited 1×
“As earlier studies [27,47] found no order effect on presence during one session, we assumed that presence was stable during participants’ exposure to the virtual environment.”
Self-citationQu, C., Brinkman, W.-P., Ling, Y., Wiggers, P., & Heynderickx, I. (2013) · Virtual Reality · doi:10.1007/s10055-013-0231-z · Cited by 16 · cited 1×
“Social anxiety centers on the perception of negative human evaluation, and thus individuals’ perception of the appearance of both verbal and non-verbal behavior of virtual characters [80] seems a relevant cue for activating the fear structure.”
Self-citationAuditory-Visual Integration of Emotional Signals in a Virtual Environment for Cynophobia
Taffou, M., Chapoulie, E., David, A., Guerchouche, R., George Drettakis, B., & Viaud‐Delmon, I. (2012) · Studies in health technology and informatics · doi:10.3233/978-1-61499-121-2-238 · Cited by 16 · cited 1×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
Automatic Mechanisms for Measuring Subjective Unit of Discomfort
Hartanto, D., Kang, N., Brinkman, W., Kampmann, I. L., Nexhmedin Morina, B., Emmelkamp, P. M. G., & Neerincx, M. A. (2012) · Studies in health technology and informatics · doi:10.3233/978-1-61499-121-2-192 · Cited by 14 · cited 1×
“The anxiety disorders addressed in these articles (with their references between brackets) were: Acrophobia [23,25,42,46,58– 60], Agoraphobia [48,61], Claustrophobia [62,63], Fear of animals [43,64–70], Fear of flying [24,41], Obsessivecompulsive disorder [26], Social phobia [27,28,71–75], and Exam/test anxiety [76–78…”
Self-citationCybersickness and anxiety in virtual environments
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Self-citation3D Audio for Virtual Reality Exposure Therapy
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Virtual Reality in the Assessment, Understanding, and Treatment of Mental Health Disorders
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“For example, as demonstrated by a recent meta-analysis, presence and anxiety are associated with each other during VRE therapy for the treatment of anxiety.(91) This allows a level of self-reflectiveness that is both more predictable and controllable than the one offered by reality, but higher than the one provided by…”
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Metadata
- Authors
- Ling, Y., Nefs, H. T., Morina, N., Heynderickx, I., & Brinkman, W.-P.
- Affiliations
- Delft University of Technology (NL)
- Philips (Netherlands) (NL)
- Corresponding author
- Ling, Yun
- Nefs, Harold T.
- Heynderickx, Ingrid
- Brinkman, Willem-Paul
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-05-06
- Volume
- 9
- Issue
- 5
- Pages
- e96144
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4011738
- OpenAlex
- W2164854045
- Semantic Scholar
- add99bb7a404accb3de776f6554901e83db8cbf3
- Cited by
- 215
- References
- 88
- Citations by year
- 2026: 22 · 2025: 24 · 2024: 15 · 2023: 16 · 2022: 20 · 2021: 24 · 2020: 27 · 2019: 19 · 2018: 14 · 2017: 13 · 2016: 8 · 2015: 10 · 2014: 3
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (acceptedVersion, other-oa)
- TU/e Research Portal (submittedVersion, other-oa)
- TU/e Research Portal (submittedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Research Repository (Delft University of Technology) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (655.010.207)
- 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, presence, anxiety, anxiety disorders, social anxiety disorder, animal phobia, field of view
- MeSH terms
- Anxiety Disorders, Humans, Self Report, Virtual Reality Exposure Therapy
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