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Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials
- Source :
- Carl, E, Stein, A T, Levihn-Coon, A, Pogue, J R, Rothbaum, B, Emmelkamp, P, Asmundson, G J G, Carlbring, P & Powers, M B 2019, ' Virtual reality exposure therapy for anxiety and related disorders : A meta-analysis of randomized controlled trials ', Journal of Anxiety Disorders, vol. 61, pp. 27-36 . https://doi.org/10.1016/j.janxdis.2018.08.003
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Trials of virtual reality exposure therapy (VRET) for anxiety-related disorders have proliferated in number and diversity since our previous meta-analysis that examined 13 total trials, most of which were for specific phobias (Powers & Emmelkamp, 2008). Since then, new trials have compared VRET to more diverse anxiety and related disorders including social anxiety disorder (SAD), posttraumatic stress disorder (PTSD), and panic disorder (PD) with and without agoraphobia. With the availability of this data, it is imperative to re-examine the efficacy of VRET for anxiety. A literature search for randomized controlled trials of VRET versus control or in vivo exposure yielded 30 studies with 1057 participants. Fourteen studies tested VRET for specific phobias, 8 for SAD or performance anxiety, 5 for PTSD, and 3 for PD. A random effects analysis estimated a large effect size for VRET versus waitlist (g = 0.90) and a medium to large effect size for VRET versus psychological placebo conditions (g = 0.78). A comparison of VRET and in vivo conditions did not show significantly different effect sizes (g = -0.07). These findings were relatively consistent across disorders. A meta-regression analysis revealed that larger sample sizes were associated with lower effect sizes in VRET versus control comparisons (β = -0.007, p
- Subjects :
- VR
050103 clinical psychology
Implosive Therapy
Anxiety
Placebo
Virtual reality
VRET
law.invention
Stress Disorders, Post-Traumatic
Virtual Reality Exposure Therapy
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine
Humans
0501 psychology and cognitive sciences
Agoraphobia
Randomized Controlled Trials as Topic
Panic disorder
05 social sciences
Social anxiety
Phobia, Social
medicine.disease
Anxiety Disorders
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Phobic Disorders
Sample Size
Meta-analysis
Panic Disorder
medicine.symptom
Psychology
Meta-Analysis
Clinical psychology
Subjects
Details
- ISSN :
- 08876185
- Volume :
- 61
- Database :
- OpenAIRE
- Journal :
- Journal of Anxiety Disorders
- Accession number :
- edsair.doi.dedup.....997983fb62a64da34de96a6a53e126ce