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The influences of virtual social feedback on social anxiety disorders

Published online by Cambridge University Press:  20 May 2019

Tomoko Kishimoto
Affiliation:
Department of Social Psychology, Zhou Enlai School of Government, Nankai University, Tianjin, China
Xinfang Ding*
Affiliation:
Department of Medical Psychology, School of Medical Humanities, Capital Medical University, Beijing, China
*
*Corresponding author. Email: [email protected]

Abstract

Background:

Social feedback in the virtual environment is a critical part of successful virtual reality exposure therapy (VRET), and identifying the influences of virtual social feedback on social anxiety patients is necessary.

Aims:

The present study aimed to explore the influences of ambiguous and negative virtual social feedback on social anxiety patients and a health control group (HCG).

Method:

Twenty-six social anxiety patients and 26 healthy participants were recruited. All participants were exposed to a virtual public speaking scenario. The participants were required to make two 3-minute speeches while the virtual audiences gave them either ambiguous feedback or negative feedback. The subjective units of discomfort (SUD) and heart rate were collected during the process.

Results:

The results showed that SAD individuals reported higher levels of subjective anxiety than those in the HCG, and the between-group differences were larger in the mild ambiguous condition than in the intense negative condition.

Conclusions:

This study indicates that social anxiety patients have an interpretation bias towards ambiguous virtual social feedback. Therefore, it is important for VR-based interventions to take into account not only the valence of the feedback but also the ambiguity aspect.

Type
Main
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019 

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Footnotes

§

Tomoko Kishimoto and Xinfang Ding are co-first authors.

References

Amin, N., Foa, E. B. and Coles, M. E. (1998). Negative interpretation bias in social phobia. Behaviour Research and Therapy, 36, 945957. doi: 10.1016/S0005-7967(98)00060-6CrossRefGoogle ScholarPubMed
Amir, N., Beard, C. and Bower, E. (2005). Interpretation bias and social anxiety. Cognitive Therapy and Research, 29, 433443. doi: 10.1007/s10608-005-2834-5CrossRefGoogle Scholar
Anderson, P. L., Price, M., Edwards, S. M., Obasaju, M. A., Schmertz, S. K., Zimand, E. and Calamaras, M. R. (2013). Virtual reality exposure therapy for social anxiety disorder: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 81, 751760. doi: 10.1037/a0033559CrossRefGoogle ScholarPubMed
Beard, C., Weisberg, R. B. and Amir, N. (2011). Combined cognitive bias modification treatment for social anxiety disorder: a pilot trial. Depression and Anxiety, 28, 981988. doi: 10.1002/da.20873CrossRefGoogle ScholarPubMed
Beck, A. T. and Bearnesderfer, A. (1974). Assessment of depression: the depression inventory. Psychological Measurements in Psychopharmacology, 7, 151169.Google ScholarPubMed
Constans, J. I., Penn, D. L., Ihen, G. H. and Hope, D. A. (1999). Interpretive biases for ambiguous stimuli in social anxiety. Behaviour Research and Therapy, 37, 643651. doi: 10.1016/S0005-7967(98)00180-6CrossRefGoogle ScholarPubMed
Clark, D. M. and Wells, A. (1995). A cognitive model of social phobia. Social Phobia: Diagnosis, Assessment, and Treatment, 41, 00022–3.Google Scholar
Eysenck, M. W., Mogg, K., May, J., Richards, A. and Mathews, A. (1991). Bias in interpretation of ambiguous sentences related to threat in anxiety. Journal of Abnormal Psychology, 100, 144150. doi: 10.1037/0021-843X.100.2.144CrossRefGoogle ScholarPubMed
Feske, U. and Chambless, D. L. (1995). Cognitive behavioral versus exposure only treatment for social phobia: a meta-analysis. Behavior Therapy, 26, 695720. doi: 10.1016/S0005-7894(05)80040-1CrossRefGoogle Scholar
Grillon, H., Riquier, F., Herbelin, B. and Thalmann, D. (2006). Use of virtual reality as therapeutic tool for behavioural exposure in the ambit of social anxiety disorder treatment. In Proceedings of the 6th International Conference on Disability, Virtual Reality and Associated Technology (pp. 105112), Esbjerg, Denmark..Google Scholar
Hafner, J. and Marks, I. (1976). Exposure in vivo of agoraphobics: contributions of diazepam, group exposure, and anxiety evocation. Psychological Medicine, 6, 7188. doi: 10.1017/S0033291700007510CrossRefGoogle ScholarPubMed
Hartanto, D., Kampmann, I. L., Morina, N., Emmelkamp, P. G., Neerincx, M. A. and Brinkman, W. P. (2014). Controlling social stress in virtual reality environments. PloS One, 9, e92804. doi: 10.1371/journal.pone.0092804CrossRefGoogle ScholarPubMed
Haug, T. T., Blomhoff, S., Hellstrøm, K., Holme, I., Humble, M., Madsbu, H. P. and Wold, J. E. (2003). Exposure therapy and sertraline in social phobia: 1-year follow-up of a randomised controlled trial. The British Journal of Psychiatry, 182, 312318. doi: 10.1192/bjp.182.4.312CrossRefGoogle Scholar
James, L. K., Lin, C. Y., Steed, A., Swapp, D. and Slater, M. (2003). Social anxiety in virtual environments: results of a pilot study. Cyberpsychology & Behavior, 6, 237243. doi: 10.1089/109493103322011515CrossRefGoogle ScholarPubMed
Kampmann, I. L., Emmelkamp, P. M., Hartanto, D., Brinkman, W. P., Zijlstra, B. J. and Morina, N. (2016a). Exposure to virtual social interactions in the treatment of social anxiety disorder: a randomized controlled trial. Behaviour Research and Therapy, 77, 147156. doi: 10.1016/j.brat.2015.12.016CrossRefGoogle ScholarPubMed
Kampmann, I. L., Emmelkamp, P. M. and Morina, N. (2016b). Meta-analysis of technology-assisted interventions for social anxiety disorder. Journal of Anxiety Disorders, 42, 7184. doi: 10.1016/j.janxdis.2016.06.007CrossRefGoogle ScholarPubMed
Kanai, Y., Sasagawa, S., Chen, J., Shimada, H. and Sakano, Y. (2010). Interpretation bias for ambiguous social behavior among individuals with high and low levels of social anxiety. Cognitive Therapy and Research, 34, 229240. doi: 10.1007/s10608-009-9273-7CrossRefGoogle Scholar
Kennedy, R. S., Lane, N. E., Berbaum, K. S. and Lilienthal, M. G. (1993). Simulator sickness questionnaire: an enhanced method for quantifying simulator sickness. The International Journal of Aviation Psychology, 3, 203220. doi: 10.1207/s15327108ijap0303_3CrossRefGoogle Scholar
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R. and Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593602. doi: 10.1001/archpsyc.62.6.593CrossRefGoogle ScholarPubMed
Kim, H. E., Hong, Y. J., Kim, M. K., Jung, Y. H., Kyeong, S. and Kim, J. J. (2017). Effectiveness of self-training using the mobile-based virtual reality program in patients with social anxiety disorder. Computers in Human Behavior, 73, 614619. doi: 10.1016/j.chb.2017.04.017CrossRefGoogle Scholar
Ling, Y., Nefs, H. T., Morina, N., Heynderickx, I. and Brinkman, W. P. (2014). A meta-analysis on the relationship between self-reported presence and anxiety in virtual reality exposure therapy for anxiety disorders. PLOS One, 9, e96144. doi: 10.1371/journal.pone.0096144CrossRefGoogle ScholarPubMed
Lombardo, T. W. (1988). Personal report of confidence as a speaker. In Hersen, M. and Bellack, A. S. (eds), Dictionary of Behavioral Assessment Techniques, pp. 347348. New York, USA: Pergamon Press.Google Scholar
Mattick, R. P. and Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behavior Research and Therapy, 36, 455471. doi: 10.1016/S0005-7967(97)10031-6CrossRefGoogle ScholarPubMed
Mayo-Wilson, E., Dias, S., Mavranezouli, I., Kew, K., Clark, D. M., Ades, A. E. and Pilling, S. (2014). Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis. The Lancet Psychiatry, 1, 368376. doi: 10.1016/S2215-0366(14)70329-3CrossRefGoogle ScholarPubMed
Opriş, D., Pintea, S., Garcí-Palacios, A., Botella, C., Szamosközi, Ş. and David, D. (2012). Virtual reality exposure therapy in anxiety disorders: a quantitative meta-analysis. Depression and Anxiety, 29, 8593. doi: 10.1002/da.20910CrossRefGoogle ScholarPubMed
Owens, M. E. and Beidel, D. C. (2015). Can virtual reality effectively elicit distress associated with social anxiety disorder? Journal of Psychopathology and Behavioral Assessment, 37, 296305. doi: 10.1007/s10862-014-9454-xCrossRefGoogle Scholar
Pan, X., Gillies, M., Barker, C., Clark, D. M. and Slater, M. (2012). Socially anxious and confident men interact with a forward virtual woman: an experimental study. PloS One, 7, e32931. doi: 10.1371/journal.pone.0032931CrossRefGoogle Scholar
Parrish, D. E., Oxhandler, H. K., Duron, J. F., Swank, P. and Bordnick, P. (2016). Feasibility of virtual reality environments for adolescent social anxiety disorder. Research on Social Work Practice, 26, 825835. doi: 10.1177/1049731514568897CrossRefGoogle Scholar
Parsons, T. D. and Rizzo, A. A. (2008). Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: a meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 39, 250261. doi: 10.1016/j.jbtep.2007.07.007CrossRefGoogle ScholarPubMed
Pertaub, D. P., Slater, M. and Barker, C. (2002). An experiment on public speaking anxiety in response to three different types of virtual audience. Presence: Teleoperators and Virtual Environments, 11, 6878. doi: 10.1162/105474602317343668CrossRefGoogle Scholar
Powers, M. B. and Emmelkamp, P. M. (2008). Virtual reality exposure therapy for anxiety disorders: a meta-analysis. Journal of Anxiety Disorders, 22, 561569. doi: 10.1016/j.janxdis.2007.04.006CrossRefGoogle ScholarPubMed
Robillard, G., Bouchard, S., Dumoulin, S., Guitard, T. and Klinger, E. (2010). Using virtual humans to alleviate social anxiety: preliminary report from a comparative outcome study. Studies in Health Technology and Informatics, 154, 5760. doi: 10.3233/978-1-60750-561-7-57Google ScholarPubMed
Schilbach, L., Wohlschlaeger, A. M., Kraemer, N. C., Newen, A., Shah, N. J., Fink, G. R. and Vogeley, K. (2006). Being with virtual others: neural correlates of social interaction. Neuropsychologia, 44, 718730. doi: 10.1016/j.neuropsychologia.2005.07.017CrossRefGoogle ScholarPubMed
Schneier, F. R., Johnson, J., Hornig, C. D., Liebowitz, M. R., & Weissman, M. M. (1992). Social phobia: comorbidity and morbidity in an epidemiologic sample. Archives of General Psychiatry, 49, 282288. doi: 10.1001/archpsyc.1992.01820040034004CrossRefGoogle Scholar
Si, T. M., Shu, L., Dang, W. M., Su, Y. A., Chen, J. X., Dong, W. T., … Zhang, W. H. (2009). Evaluation of the reliability and validity of Chinese version of the Mini-International Neuropsychiatric Interview in patients with mental disorders. Chinese Mental Health Journal, 23, 493497 (in Chinese).Google Scholar
Wang, X., Wang, X. and Ma, H. (2009a). Mental health rating scale (revised and enlarged edition). China Mental Health Journal, 8, 202203 (in Chinese).Google Scholar
Wang, X., Wang, X. and Ma, H. (2009b). Mental health rating scale (revised and enlarged edition). China Mental Health Journal, 8, 249251 (in Chinese).Google Scholar
Watson, D. and Friend, R. (1969). Measurement of social evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448457.CrossRefGoogle ScholarPubMed
Witmer, B. G. and Singer, M. J. (1998). Measuring presence in virtual environments: a presence questionnaire. Presence: Teleoperators and Virtual Environments, 7, 225240. doi: 10.1162/105474698565686CrossRefGoogle Scholar
Wittchen, H. U. and Beloch, E. (1996). The impact of social phobia on quality of life. International Clinical Psychopharmacology, 11, 1523. doi: 10.1097/00004850-199606003-00004CrossRefGoogle ScholarPubMed
Ye, D. M., Qian, M. Y., Liu, X. H. and Chen, X. (2007). Revision of social interaction anxiety scale and social phobia scale. Chinese Journal of Clinical Psychology, 15, 115117 (in Chinese).Google Scholar
Zhang, Y., Wang, Y. and Qian, M. Y. (1990). Reliability and validity of Beck Depression Inventory (BDI) examined in Chinese samples. Chinese Mental Health Journal, 4, 164168 (in Chinese).Google Scholar
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