JMIR Publications

ABSTRACT

Background:

Virtual reality exposure therapy (VRET) is a promising treatment approach for anxiety disorders, providing easy access to the empirically best supported treatment element of exposure. However, while its efficacy has been demonstrated in adults, research on the efficacy of VRET in the treatment of adolescents with anxiety disorders is largely lacking.

Objective:

A pilot study was carried out to test whether exposure to a virtual reality (VR) school environment elicits state anxiety and autonomic arousal in adolescents with school anxiety. In addition, we examined whether repeated VR exposure led to a reduction in this fear response, trait school anxiety and social anxiety disorder (SAD) symptoms. Moreover, the relationship of presence, the subjective sense of ‘being there’, during VR exposure with anxiety measures and treatment response was examined.

Methods:

In a pilot study, n = 10 adolescents with school anxiety related to SAD (age range: 14 to 17 years) participated in five VRET sessions. Self-reported state anxiety, heart rate and presence during exposure, as well as trait school anxiety and social anxiety before and after treatment, were measured.

Results:

The VR scenario induced state anxiety and autonomic arousal. After VRET, a significant reduction in pre- to post-treatment in state anxiety (2 = .74) and social anxiety symptoms (d = 0.82) as well as a trend towards a decrease in trait school anxiety were observed, while autonomic arousal did not change. In addition, presence during VR exposure was associated with state anxiety and treatment response.

Conclusions:

Our findings indicate the feasibility and potential effectiveness of VRET as a treatment method for school anxiety and SAD in adolescents.