Virtual reality exposure therapy for social anxiety disorders: a meta-analysis and meta-regression of randomized controlled trials.

IF 2.3 3区心理学 Q2 PSYCHIATRY

Anxiety Stress and Coping Pub Date : 2024-08-20 DOI:10.1080/10615806.2024.2392195

Yi Ling Tan, Vina Yang Xiu Chang, Wei How Darryl Ang, Wen Wei Ang, Ying Lau

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引用次数: 0

Abstract

Background and objectives: Virtual reality exposure therapy offers a unique opportunity to treat social anxiety disorder. This meta-analysis aims to evaluate the effectiveness of virtual reality exposure therapy compared to waitlist comparators or other interventions for individuals with social anxiety disorder in alleviating anxiety symptoms.

Methods: A three-step comprehensive search for the randomized controlled trials of virtual reality exposure therapy was conducted from inception to 7 December 2023. The overall effect was measured using Hedges' g and determined using t-statistics at a significance level of p < 0.05. Sensitivity, subgroup, and meta-regression analyses were carried out.

Results: A total of 17 randomized control trials were retrieved from nine electronic databases. Virtual reality exposure therapy has greater efficacy than waitlist comparators in reducing anxiety symptoms at post-intervention and follow-up assessment. Virtual reality exposure therapy demonstrates a similar effect to other interventions at post-intervention and follow-up assessment. We observed a greater effect for participants with symptomatic social anxiety when we combined the intervention with cognitive behavioral therapy compared to its counterpart. Meta-regression analyses found no significant covariate.

Conclusions: Overall, virtual reality exposure therapy can provide supplementary therapy for improving anxiety symptoms. Additional high-quality and large-scale trials with long-term follow-up are needed.

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虚拟现实暴露疗法治疗社交焦虑症：随机对照试验的元分析和元回归。

背景和目的：虚拟现实暴露疗法为治疗社交焦虑症提供了一个独特的机会。本荟萃分析旨在评估虚拟现实暴露疗法与候补比较者或其他干预措施相比，在缓解社交焦虑症患者焦虑症状方面的有效性：从开始到2023年12月7日，对虚拟现实暴露疗法的随机对照试验进行了三步综合检索。结果：共有 17 项随机对照试验：从九个电子数据库中共检索到 17 项随机对照试验。在干预后和随访评估中，虚拟现实暴露疗法在减少焦虑症状方面的疗效优于等待者。在干预后和随访评估中，虚拟现实暴露疗法的效果与其他干预措施相似。我们观察到，与认知行为疗法相比，将虚拟现实暴露疗法与认知行为疗法相结合，对有社交焦虑症状的参与者有更大的疗效。元回归分析没有发现显著的协变量：总的来说，虚拟现实暴露疗法可以作为改善焦虑症状的辅助疗法。需要进行更多高质量、大规模的长期随访试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anxiety Stress and Coping Multiple-

CiteScore

7.20

自引率

0.00%

发文量

期刊介绍： This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.