Slide
Centre Interdisciplinaire
de Recherche et d’Innovation
en Cybersécurité et Société
de Recherche et d’Innovation
en Cybersécurité et Société
1.
Azzi, S.; Daramola, O.; Gagnon, S.
Health information technology acceptance by older people: a systematic review Journal Article
In: Discover public health, vol. 23, no. 1, 2026, ISSN: 30050774 (ISSN).
Abstract | Links | BibTeX | Tags: Acceptance, Adoption, adult, Africa, aged, aging, assistive technology, conceptual framework, Elderly people, female, Healthcare technology, human, Information retrieval, male, Medical informatics, older adults, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, quality control, review, Social Cognitive Theory, systematic review, telehealth, Theory of Planned Behavior, Theory of Reasoned Action, validity, Web of Science
@article{azziHealthInformationTechnology2026,
title = {Health information technology acceptance by older people: a systematic review},
author = {S. Azzi and O. Daramola and S. Gagnon},
url = {https://www.scopus.com/pages/publications/105035521505?origin=resultslist},
doi = {10.1186/s12982-026-01658-y},
issn = {30050774 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Discover public health},
volume = {23},
number = {1},
publisher = {BioMed Central Ltd},
abstract = {Background: The increasing ageing population has led to the development of Health Information Technologies (HIT) for older individuals. However, there is a lack of clarity on which HIT older people are more likely to accept and the factors influencing their intention for acceptance. Methods: A systematic literature review was conducted following PRISMA guidelines. Four academic databases were searched: Scopus, PubMed, the Web of Science, and the Cumulative Index to Nursing and Allied Health Literature, which resulted in the retrieval of 4941 articles. A total of 51 primary studies from 2007 to 2025 that satisfied the inclusion criteria and were subjected to quality assessment and used for the study. This review was registered in PROSPERO (CRD 420251271463). Results: The study revealed that older people have a higher intention to accept assistive technologies over mobile health/eHealth. Older people’s HIT acceptance is influenced by personal, social, and technology design factors. There is a lack of geographical diversity of studies, with few coming from regions like Asia and Africa, hindering a global understanding of HIT acceptance factors. Notably, nearly half of the studies (45.09%) did not employ a theoretical framework, suggesting a lack of grounding in established knowledge and theoretical validity. While theories like the Technology Acceptance Model and the Unified Theory of Acceptance and Use of Technology and their extensions are commonly used, other frameworks, such as the Theory of Reasoned Action, Theory of Planned Behaviour, and Social Cognitive Theory, have been underexplored. Conclusion: The study highlights the need for more rigorous research with diverse geographical representation and the application of broader theoretical perspectives to deepen understanding of HIT acceptance among older people. It also specifies the imperatives for user-centredness in developing HIT products by manufacturers. © The Author(s) 2026.},
keywords = {Acceptance, Adoption, adult, Africa, aged, aging, assistive technology, conceptual framework, Elderly people, female, Healthcare technology, human, Information retrieval, male, Medical informatics, older adults, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, quality control, review, Social Cognitive Theory, systematic review, telehealth, Theory of Planned Behavior, Theory of Reasoned Action, validity, Web of Science},
pubstate = {published},
tppubtype = {article}
}
Background: The increasing ageing population has led to the development of Health Information Technologies (HIT) for older individuals. However, there is a lack of clarity on which HIT older people are more likely to accept and the factors influencing their intention for acceptance. Methods: A systematic literature review was conducted following PRISMA guidelines. Four academic databases were searched: Scopus, PubMed, the Web of Science, and the Cumulative Index to Nursing and Allied Health Literature, which resulted in the retrieval of 4941 articles. A total of 51 primary studies from 2007 to 2025 that satisfied the inclusion criteria and were subjected to quality assessment and used for the study. This review was registered in PROSPERO (CRD 420251271463). Results: The study revealed that older people have a higher intention to accept assistive technologies over mobile health/eHealth. Older people’s HIT acceptance is influenced by personal, social, and technology design factors. There is a lack of geographical diversity of studies, with few coming from regions like Asia and Africa, hindering a global understanding of HIT acceptance factors. Notably, nearly half of the studies (45.09%) did not employ a theoretical framework, suggesting a lack of grounding in established knowledge and theoretical validity. While theories like the Technology Acceptance Model and the Unified Theory of Acceptance and Use of Technology and their extensions are commonly used, other frameworks, such as the Theory of Reasoned Action, Theory of Planned Behaviour, and Social Cognitive Theory, have been underexplored. Conclusion: The study highlights the need for more rigorous research with diverse geographical representation and the application of broader theoretical perspectives to deepen understanding of HIT acceptance among older people. It also specifies the imperatives for user-centredness in developing HIT products by manufacturers. © The Author(s) 2026.
2.
Corno, G.; Zamora, Á.; Bouchard, S.; Baños, R.; Baillot, A.; Monthuy-Blanc, J.
Exploring Virtual Reality for Body Image Assessment and Psychological Interventions in Individuals With Obesity: a Comprehensive Review Journal Article
In: Obesity Reviews, vol. 27, no. 4, 2026, ISSN: 14677881 (ISSN).
Abstract | Links | BibTeX | Tags: adult, Anxiety disorder, Assertiveness, Bariatric Surgery, body dysmorphic disorder, body image, body image assessment, body image avoidance questionnaire, body image disturbances, body satisfaction scale, bulimia, Clinical research, cognitive behavioral therapy, cognitive therapy, Depression, electroconvulsive therapy, exercise, feeding behavior, female, follow up, gastric banding, geography, group therapy, human, Humans, Italy, low calorie diet, male, obesity, overnutrition, physical activity, procedures, psychology, psychotherapy, quality of life, review, social background, systematic review, Therapy, Three-Factor-Eating-Questionnaire, training, virtual reality
@article{cornoExploringVirtualReality2026,
title = {Exploring Virtual Reality for Body Image Assessment and Psychological Interventions in Individuals With Obesity: a Comprehensive Review},
author = {G. Corno and Á. Zamora and S. Bouchard and R. Baños and A. Baillot and J. Monthuy-Blanc},
url = {https://www.scopus.com/pages/publications/105024457568?origin=resultslist},
doi = {10.1111/obr.70051},
issn = {14677881 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Obesity Reviews},
volume = {27},
number = {4},
publisher = {John Wiley and Sons Inc},
abstract = {Introduction: Individuals living with obesity often experience body image (BI) disturbances, which can negatively affect their quality of life and treatment outcomes. Virtual reality (VR) has emerged as a promising tool for enhancing psychological interventions, but no comprehensive review has specifically focused on VR-based studies addressing BI disturbances in this population. Methods: This comprehensive review examined studies utilizing VR for the assessment and treatment of BI disturbances in individuals with obesity. Twelve studies met the inclusion criteria. Results: Studies were categorized into three groups: (i) VR in psychological interventions for individuals with obesity, (ii) VR interventions following metabolic and bariatric surgery, and (iii) VR-based full-body illusion experiments. The primary clinical application was experiential cognitive therapy, which demonstrated greater efficacy in reducing negative BI compared with standard cognitive behavioral therapy and other treatments. Studies involving post-metabolic and bariatric surgery adults also supported VR's efficacy in reducing BI dissatisfaction, though long-term benefits were inconsistent. Full-body illusion experiments suggested that VR can help modify distorted body perceptions. However, most studies were conducted by the same research group, focused exclusively on women, and were limited to specific geographical regions, primarily Italy. Conclusion: While preliminary results suggest that VR is a promising tool for treating BI disturbances in individuals with obesity, the field remains under-researched. Notably, no studies have explored VR's potential as an assessment tool in this population. Future studies should include more diverse populations, investigate long-term outcomes, and explore potential barriers to clinical implementation. © 2025 The Author(s). Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.},
keywords = {adult, Anxiety disorder, Assertiveness, Bariatric Surgery, body dysmorphic disorder, body image, body image assessment, body image avoidance questionnaire, body image disturbances, body satisfaction scale, bulimia, Clinical research, cognitive behavioral therapy, cognitive therapy, Depression, electroconvulsive therapy, exercise, feeding behavior, female, follow up, gastric banding, geography, group therapy, human, Humans, Italy, low calorie diet, male, obesity, overnutrition, physical activity, procedures, psychology, psychotherapy, quality of life, review, social background, systematic review, Therapy, Three-Factor-Eating-Questionnaire, training, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Introduction: Individuals living with obesity often experience body image (BI) disturbances, which can negatively affect their quality of life and treatment outcomes. Virtual reality (VR) has emerged as a promising tool for enhancing psychological interventions, but no comprehensive review has specifically focused on VR-based studies addressing BI disturbances in this population. Methods: This comprehensive review examined studies utilizing VR for the assessment and treatment of BI disturbances in individuals with obesity. Twelve studies met the inclusion criteria. Results: Studies were categorized into three groups: (i) VR in psychological interventions for individuals with obesity, (ii) VR interventions following metabolic and bariatric surgery, and (iii) VR-based full-body illusion experiments. The primary clinical application was experiential cognitive therapy, which demonstrated greater efficacy in reducing negative BI compared with standard cognitive behavioral therapy and other treatments. Studies involving post-metabolic and bariatric surgery adults also supported VR's efficacy in reducing BI dissatisfaction, though long-term benefits were inconsistent. Full-body illusion experiments suggested that VR can help modify distorted body perceptions. However, most studies were conducted by the same research group, focused exclusively on women, and were limited to specific geographical regions, primarily Italy. Conclusion: While preliminary results suggest that VR is a promising tool for treating BI disturbances in individuals with obesity, the field remains under-researched. Notably, no studies have explored VR's potential as an assessment tool in this population. Future studies should include more diverse populations, investigate long-term outcomes, and explore potential barriers to clinical implementation. © 2025 The Author(s). Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
3.
Chrétien, S.; Giroux, I.; Smith, I.; Jacques, C.; Ferland, F.; Sévigny, S.; Bouchard, S.
Emotional Regulation in Substance-Related and Addictive Disorders Treatment: A Systematic Review Journal Article
In: Journal of Gambling Studies, vol. 41, no. 2, pp. 353–448, 2025, ISSN: 10505350 (ISSN), (Publisher: Springer).
Abstract | Links | BibTeX | Tags: addiction, Addictive, Addictive disorders, behavior, cognitive behavioral therapy, drug dependence, emotion regulation, Emotional Regulation, Gambling, human, Humans, internet addiction, Internet Addiction Disorder, Intervention, Non-substance-related disorders, procedures, psychology, Substance use disorders, Substance-Related Disorders, systematic review, Therapy
@article{chretien_emotional_2025,
title = {Emotional Regulation in Substance-Related and Addictive Disorders Treatment: A Systematic Review},
author = {S. Chrétien and I. Giroux and I. Smith and C. Jacques and F. Ferland and S. Sévigny and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85217537329&doi=10.1007%2Fs10899-024-10366-8&partnerID=40&md5=983d265abca0e51a5a20d5ce34e1696a},
doi = {10.1007/s10899-024-10366-8},
issn = {10505350 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Gambling Studies},
volume = {41},
number = {2},
pages = {353–448},
abstract = {Emotions play an undeniable role in addictive disorders. Given the high relapse and drop-out rates still prevalent in current treatments, it is crucial to explore curative alternatives that take greater account of emotions. The primary objective of this systematic review is to gather literature related to emotion regulation in psychological addictive disorders treatments. The aim is to describe its use for individuals with behavioral (such as gambling disorder, problematic Internet gaming, and Internet addiction) or substance-related disorders. Following a screening of nearly 12,000 articles from six databases and the grey literature, 38 studies that met the selection criteria were included. The results show that 63.2% of the studies had a psychological treatment predominantly based on emotional regulation, with 81.6% (n = 31) of third-wave cognitive-behavioral interventions. The most frequently utilized intervention techniques for emotional regulation were those that facilitated an individual's awareness of their emotional state or provided psychological education to assist in identifying emotions. It would be valuable for future research to explore the most effective content for emotional regulation in treating substance-related and addictive disorders and to determine the specific client population that would benefit the most from this treatment. © The Author(s) 2025.},
note = {Publisher: Springer},
keywords = {addiction, Addictive, Addictive disorders, behavior, cognitive behavioral therapy, drug dependence, emotion regulation, Emotional Regulation, Gambling, human, Humans, internet addiction, Internet Addiction Disorder, Intervention, Non-substance-related disorders, procedures, psychology, Substance use disorders, Substance-Related Disorders, systematic review, Therapy},
pubstate = {published},
tppubtype = {article}
}
Emotions play an undeniable role in addictive disorders. Given the high relapse and drop-out rates still prevalent in current treatments, it is crucial to explore curative alternatives that take greater account of emotions. The primary objective of this systematic review is to gather literature related to emotion regulation in psychological addictive disorders treatments. The aim is to describe its use for individuals with behavioral (such as gambling disorder, problematic Internet gaming, and Internet addiction) or substance-related disorders. Following a screening of nearly 12,000 articles from six databases and the grey literature, 38 studies that met the selection criteria were included. The results show that 63.2% of the studies had a psychological treatment predominantly based on emotional regulation, with 81.6% (n = 31) of third-wave cognitive-behavioral interventions. The most frequently utilized intervention techniques for emotional regulation were those that facilitated an individual's awareness of their emotional state or provided psychological education to assist in identifying emotions. It would be valuable for future research to explore the most effective content for emotional regulation in treating substance-related and addictive disorders and to determine the specific client population that would benefit the most from this treatment. © The Author(s) 2025.
4.
Chrétien, S.; Giroux, I.; Smith, I.; Jacques, C.; Ferland, F.; Sévigny, S.; Bouchard, S.
Emotional Regulation in Substance-Related and Addictive Disorders Treatment: A Systematic Review Journal Article
In: Journal of Gambling Studies, vol. 41, no. 2, pp. 353–448, 2025, ISSN: 10505350 (ISSN).
Abstract | Links | BibTeX | Tags: addiction, Addictive, Addictive disorders, behavior, cognitive behavioral therapy, drug dependence, emotion regulation, Emotional Regulation, Gambling, human, Humans, internet addiction, Internet Addiction Disorder, Intervention, Non-substance-related disorders, procedures, psychology, Substance use disorders, Substance-Related Disorders, systematic review, Therapy
@article{chretienEmotionalRegulationSubstanceRelated2025,
title = {Emotional Regulation in Substance-Related and Addictive Disorders Treatment: A Systematic Review},
author = {S. Chrétien and I. Giroux and I. Smith and C. Jacques and F. Ferland and S. Sévigny and S. Bouchard},
url = {https://www.scopus.com/pages/publications/85217537329?origin=resultslist},
doi = {10.1007/s10899-024-10366-8},
issn = {10505350 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Gambling Studies},
volume = {41},
number = {2},
pages = {353–448},
publisher = {Springer},
abstract = {Emotions play an undeniable role in addictive disorders. Given the high relapse and drop-out rates still prevalent in current treatments, it is crucial to explore curative alternatives that take greater account of emotions. The primary objective of this systematic review is to gather literature related to emotion regulation in psychological addictive disorders treatments. The aim is to describe its use for individuals with behavioral (such as gambling disorder, problematic Internet gaming, and Internet addiction) or substance-related disorders. Following a screening of nearly 12,000 articles from six databases and the grey literature, 38 studies that met the selection criteria were included. The results show that 63.2% of the studies had a psychological treatment predominantly based on emotional regulation, with 81.6% (n = 31) of third-wave cognitive-behavioral interventions. The most frequently utilized intervention techniques for emotional regulation were those that facilitated an individual's awareness of their emotional state or provided psychological education to assist in identifying emotions. It would be valuable for future research to explore the most effective content for emotional regulation in treating substance-related and addictive disorders and to determine the specific client population that would benefit the most from this treatment. © The Author(s) 2025.},
keywords = {addiction, Addictive, Addictive disorders, behavior, cognitive behavioral therapy, drug dependence, emotion regulation, Emotional Regulation, Gambling, human, Humans, internet addiction, Internet Addiction Disorder, Intervention, Non-substance-related disorders, procedures, psychology, Substance use disorders, Substance-Related Disorders, systematic review, Therapy},
pubstate = {published},
tppubtype = {article}
}
Emotions play an undeniable role in addictive disorders. Given the high relapse and drop-out rates still prevalent in current treatments, it is crucial to explore curative alternatives that take greater account of emotions. The primary objective of this systematic review is to gather literature related to emotion regulation in psychological addictive disorders treatments. The aim is to describe its use for individuals with behavioral (such as gambling disorder, problematic Internet gaming, and Internet addiction) or substance-related disorders. Following a screening of nearly 12,000 articles from six databases and the grey literature, 38 studies that met the selection criteria were included. The results show that 63.2% of the studies had a psychological treatment predominantly based on emotional regulation, with 81.6% (n = 31) of third-wave cognitive-behavioral interventions. The most frequently utilized intervention techniques for emotional regulation were those that facilitated an individual's awareness of their emotional state or provided psychological education to assist in identifying emotions. It would be valuable for future research to explore the most effective content for emotional regulation in treating substance-related and addictive disorders and to determine the specific client population that would benefit the most from this treatment. © The Author(s) 2025.
5.
Chrétien, S.; Giroux, I.; Smith, I.; Jacques, C.; Ferland, F.; Sévigny, S.; Bouchard, S.
Emotional Regulation in Substance-Related and Addictive Disorders Treatment: A Systematic Review Journal Article
In: Journal of Gambling Studies, vol. 41, no. 2, pp. 353–448, 2025, ISSN: 10505350 (ISSN).
Abstract | Links | BibTeX | Tags: addiction, Addictive, Addictive disorders, behavior, cognitive behavioral therapy, drug dependence, emotion regulation, Emotional Regulation, Gambling, human, Humans, internet addiction, Internet Addiction Disorder, Intervention, Non-substance-related disorders, procedures, psychology, Substance use disorders, Substance-Related Disorders, systematic review, Therapy
@article{chretienEmotionalRegulationSubstanceRelated2025a,
title = {Emotional Regulation in Substance-Related and Addictive Disorders Treatment: A Systematic Review},
author = {S. Chrétien and I. Giroux and I. Smith and C. Jacques and F. Ferland and S. Sévigny and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85217537329&doi=10.1007%2Fs10899-024-10366-8&partnerID=40&md5=983d265abca0e51a5a20d5ce34e1696a},
doi = {10.1007/s10899-024-10366-8},
issn = {10505350 (ISSN)},
year = {2025},
date = {2025-01-01},
journal = {Journal of Gambling Studies},
volume = {41},
number = {2},
pages = {353–448},
abstract = {Emotions play an undeniable role in addictive disorders. Given the high relapse and drop-out rates still prevalent in current treatments, it is crucial to explore curative alternatives that take greater account of emotions. The primary objective of this systematic review is to gather literature related to emotion regulation in psychological addictive disorders treatments. The aim is to describe its use for individuals with behavioral (such as gambling disorder, problematic Internet gaming, and Internet addiction) or substance-related disorders. Following a screening of nearly 12,000 articles from six databases and the grey literature, 38 studies that met the selection criteria were included. The results show that 63.2% of the studies had a psychological treatment predominantly based on emotional regulation, with 81.6% (n = 31) of third-wave cognitive-behavioral interventions. The most frequently utilized intervention techniques for emotional regulation were those that facilitated an individual's awareness of their emotional state or provided psychological education to assist in identifying emotions. It would be valuable for future research to explore the most effective content for emotional regulation in treating substance-related and addictive disorders and to determine the specific client population that would benefit the most from this treatment. © The Author(s) 2025.},
keywords = {addiction, Addictive, Addictive disorders, behavior, cognitive behavioral therapy, drug dependence, emotion regulation, Emotional Regulation, Gambling, human, Humans, internet addiction, Internet Addiction Disorder, Intervention, Non-substance-related disorders, procedures, psychology, Substance use disorders, Substance-Related Disorders, systematic review, Therapy},
pubstate = {published},
tppubtype = {article}
}
Emotions play an undeniable role in addictive disorders. Given the high relapse and drop-out rates still prevalent in current treatments, it is crucial to explore curative alternatives that take greater account of emotions. The primary objective of this systematic review is to gather literature related to emotion regulation in psychological addictive disorders treatments. The aim is to describe its use for individuals with behavioral (such as gambling disorder, problematic Internet gaming, and Internet addiction) or substance-related disorders. Following a screening of nearly 12,000 articles from six databases and the grey literature, 38 studies that met the selection criteria were included. The results show that 63.2% of the studies had a psychological treatment predominantly based on emotional regulation, with 81.6% (n = 31) of third-wave cognitive-behavioral interventions. The most frequently utilized intervention techniques for emotional regulation were those that facilitated an individual's awareness of their emotional state or provided psychological education to assist in identifying emotions. It would be valuable for future research to explore the most effective content for emotional regulation in treating substance-related and addictive disorders and to determine the specific client population that would benefit the most from this treatment. © The Author(s) 2025.
6.
Ernst, M. T.; Nielsen, J. Hyldig; Runge, E.; Bouchard, S.; Clemmensen, L.
Biomarkers in exposure-based treatment of anxiety in virtual reality: a systematic review Journal Article
In: Frontiers in Virtual Reality, vol. 5, 2024, ISSN: 26734192 (ISSN), (Publisher: Frontiers Media SA).
Abstract | Links | BibTeX | Tags: Anxiety, Biomarkers, Exposure therapy, systematic review, virtual reality
@article{ernst_biomarkers_2024,
title = {Biomarkers in exposure-based treatment of anxiety in virtual reality: a systematic review},
author = {M. T. Ernst and J. Hyldig Nielsen and E. Runge and S. Bouchard and L. Clemmensen},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85197316386&doi=10.3389%2ffrvir.2024.1355082&partnerID=40&md5=500a06f8e6489e75933d79342b606762},
doi = {10.3389/frvir.2024.1355082},
issn = {26734192 (ISSN)},
year = {2024},
date = {2024-01-01},
journal = {Frontiers in Virtual Reality},
volume = {5},
publisher = {Frontiers Media SA},
abstract = {Background: A large proportion of individuals with anxiety-related disorders refrain from seeking treatment. This may be because traditional exposure treatments induce anxiety. However, advances in exposure using virtual reality technology may encourage more individuals to seek treatment. Furthermore, using biomarkers with VR-based exposure may enable clinicians to assess anxiety levels objectively and collect data in a naturalistic setting. Methods: Here, we conduct a systematic review of the literature on the use of biomarkers in VR-based exposure treatment for anxiety. Twenty-seven studies were included, with a total of 1046 participants. Results: We found that heart rate was the only biomarker that tentatively could identify changes within (75% of instances) and between sessions (60% of instances). The levels of synchrony between the findings for overall biomarkers and the results from questionnaires showed inconclusive results. Regarding the levels of synchrony between the findings for particular biomarkers and the results from questionnaires, only skin conductance level was highly synchronous for differences between groups (87% of instances). Conclusion: Based on the present review, biomarkers cannot yet be used reliably to distinguish differences in self-reported symptoms of anxiety in VR-based exposure treatments. Copyright © 2024 Ernst, Hyldig Nielsen, Runge, Bouchard and Clemmensen.},
note = {Publisher: Frontiers Media SA},
keywords = {Anxiety, Biomarkers, Exposure therapy, systematic review, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Background: A large proportion of individuals with anxiety-related disorders refrain from seeking treatment. This may be because traditional exposure treatments induce anxiety. However, advances in exposure using virtual reality technology may encourage more individuals to seek treatment. Furthermore, using biomarkers with VR-based exposure may enable clinicians to assess anxiety levels objectively and collect data in a naturalistic setting. Methods: Here, we conduct a systematic review of the literature on the use of biomarkers in VR-based exposure treatment for anxiety. Twenty-seven studies were included, with a total of 1046 participants. Results: We found that heart rate was the only biomarker that tentatively could identify changes within (75% of instances) and between sessions (60% of instances). The levels of synchrony between the findings for overall biomarkers and the results from questionnaires showed inconclusive results. Regarding the levels of synchrony between the findings for particular biomarkers and the results from questionnaires, only skin conductance level was highly synchronous for differences between groups (87% of instances). Conclusion: Based on the present review, biomarkers cannot yet be used reliably to distinguish differences in self-reported symptoms of anxiety in VR-based exposure treatments. Copyright © 2024 Ernst, Hyldig Nielsen, Runge, Bouchard and Clemmensen.
7.
Ernst, M. T.; Nielsen, J. Hyldig; Runge, E.; Bouchard, S.; Clemmensen, L.
Biomarkers in exposure-based treatment of anxiety in virtual reality: a systematic review Journal Article
In: Frontiers in Virtual Reality, vol. 5, 2024, ISSN: 26734192 (ISSN).
Abstract | Links | BibTeX | Tags: Anxiety, Biomarkers, Exposure therapy, systematic review, virtual reality
@article{ernstBiomarkersExposurebasedTreatment2024,
title = {Biomarkers in exposure-based treatment of anxiety in virtual reality: a systematic review},
author = {M. T. Ernst and J. Hyldig Nielsen and E. Runge and S. Bouchard and L. Clemmensen},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85197316386&doi=10.3389%2ffrvir.2024.1355082&partnerID=40&md5=500a06f8e6489e75933d79342b606762},
doi = {10.3389/frvir.2024.1355082},
issn = {26734192 (ISSN)},
year = {2024},
date = {2024-01-01},
journal = {Frontiers in Virtual Reality},
volume = {5},
publisher = {Frontiers Media SA},
abstract = {Background: A large proportion of individuals with anxiety-related disorders refrain from seeking treatment. This may be because traditional exposure treatments induce anxiety. However, advances in exposure using virtual reality technology may encourage more individuals to seek treatment. Furthermore, using biomarkers with VR-based exposure may enable clinicians to assess anxiety levels objectively and collect data in a naturalistic setting. Methods: Here, we conduct a systematic review of the literature on the use of biomarkers in VR-based exposure treatment for anxiety. Twenty-seven studies were included, with a total of 1046 participants. Results: We found that heart rate was the only biomarker that tentatively could identify changes within (75% of instances) and between sessions (60% of instances). The levels of synchrony between the findings for overall biomarkers and the results from questionnaires showed inconclusive results. Regarding the levels of synchrony between the findings for particular biomarkers and the results from questionnaires, only skin conductance level was highly synchronous for differences between groups (87% of instances). Conclusion: Based on the present review, biomarkers cannot yet be used reliably to distinguish differences in self-reported symptoms of anxiety in VR-based exposure treatments. Copyright © 2024 Ernst, Hyldig Nielsen, Runge, Bouchard and Clemmensen.},
keywords = {Anxiety, Biomarkers, Exposure therapy, systematic review, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Background: A large proportion of individuals with anxiety-related disorders refrain from seeking treatment. This may be because traditional exposure treatments induce anxiety. However, advances in exposure using virtual reality technology may encourage more individuals to seek treatment. Furthermore, using biomarkers with VR-based exposure may enable clinicians to assess anxiety levels objectively and collect data in a naturalistic setting. Methods: Here, we conduct a systematic review of the literature on the use of biomarkers in VR-based exposure treatment for anxiety. Twenty-seven studies were included, with a total of 1046 participants. Results: We found that heart rate was the only biomarker that tentatively could identify changes within (75% of instances) and between sessions (60% of instances). The levels of synchrony between the findings for overall biomarkers and the results from questionnaires showed inconclusive results. Regarding the levels of synchrony between the findings for particular biomarkers and the results from questionnaires, only skin conductance level was highly synchronous for differences between groups (87% of instances). Conclusion: Based on the present review, biomarkers cannot yet be used reliably to distinguish differences in self-reported symptoms of anxiety in VR-based exposure treatments. Copyright © 2024 Ernst, Hyldig Nielsen, Runge, Bouchard and Clemmensen.
8.
Bérubé, A.; Turgeon, J.; Blais, C.; Fiset, D.
Emotion Recognition in Adults With a History of Childhood Maltreatment: A Systematic Review Journal Article
In: Trauma, Violence, and Abuse, vol. 24, no. 1, pp. 278–294, 2023, ISSN: 15248380 (ISSN), (Publisher: SAGE Publications Ltd).
Abstract | Links | BibTeX | Tags: adult, anger, Child, Child Abuse, childhood maltreatment, cycle of maltreatment, emotion, Emotion Recognition, Emotions, Facial Expression, Fear, human, Humans, perception, physiology, psychology, systematic review
@article{berube_emotion_2023,
title = {Emotion Recognition in Adults With a History of Childhood Maltreatment: A Systematic Review},
author = {A. Bérubé and J. Turgeon and C. Blais and D. Fiset},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109658115&doi=10.1177%2f15248380211029403&partnerID=40&md5=5654c858d5c0c84bfdd832a4c04dd1d5},
doi = {10.1177/15248380211029403},
issn = {15248380 (ISSN)},
year = {2023},
date = {2023-01-01},
journal = {Trauma, Violence, and Abuse},
volume = {24},
number = {1},
pages = {278–294},
publisher = {SAGE Publications Ltd},
abstract = {Child maltreatment has many well-documented lasting effects on children. Among its consequences, it affects children’s recognition of emotions. More and more studies are recognizing the lasting effect that a history of maltreatment can have on emotion recognition. A systematic literature review was conducted to better understand this relationship. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was used and four databases were searched, MEDLINE/PubMed, PsycINFO, EMBASE, and FRANCIS, using three cross-referenced key words: child abuse, emotion recognition, and adults. The search process identified 23 studies that met the inclusion criteria. The review highlights the wide variety of measures used to assess child maltreatment as well as the different protocols used to measure emotion recognition. The results indicate that adults with a history of childhood maltreatment show a differentiated reaction to happiness, anger, and fear. Happiness is less detected, whereas negative emotions are recognized more rapidly and at a lower intensity compared to adults not exposed to such traumatic events. Emotion recognition is also related to greater brain activation for the maltreated group. However, the results are less consistent for adults who also have a diagnosis of mental health problems. The systematic review found that maltreatment affects the perception of emotions expressed on both adult and child faces. However, more research is needed to better understand how a history of maltreatment is related to adults’ perception of children’s emotions. © The Author(s) 2021.},
note = {Publisher: SAGE Publications Ltd},
keywords = {adult, anger, Child, Child Abuse, childhood maltreatment, cycle of maltreatment, emotion, Emotion Recognition, Emotions, Facial Expression, Fear, human, Humans, perception, physiology, psychology, systematic review},
pubstate = {published},
tppubtype = {article}
}
Child maltreatment has many well-documented lasting effects on children. Among its consequences, it affects children’s recognition of emotions. More and more studies are recognizing the lasting effect that a history of maltreatment can have on emotion recognition. A systematic literature review was conducted to better understand this relationship. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was used and four databases were searched, MEDLINE/PubMed, PsycINFO, EMBASE, and FRANCIS, using three cross-referenced key words: child abuse, emotion recognition, and adults. The search process identified 23 studies that met the inclusion criteria. The review highlights the wide variety of measures used to assess child maltreatment as well as the different protocols used to measure emotion recognition. The results indicate that adults with a history of childhood maltreatment show a differentiated reaction to happiness, anger, and fear. Happiness is less detected, whereas negative emotions are recognized more rapidly and at a lower intensity compared to adults not exposed to such traumatic events. Emotion recognition is also related to greater brain activation for the maltreated group. However, the results are less consistent for adults who also have a diagnosis of mental health problems. The systematic review found that maltreatment affects the perception of emotions expressed on both adult and child faces. However, more research is needed to better understand how a history of maltreatment is related to adults’ perception of children’s emotions. © The Author(s) 2021.
9.
Scholten, W.; Seldenrijk, A.; Hoogendoorn, A.; Bosman, R.; Muntingh, A.; Karyotaki, E.; Andersson, G.; Berger, T.; Carlbring, P.; Furmark, T.; Bouchard, S.; Goldin, P.; Kampmann, I.; Morina, N.; Kocovski, N.; Leibing, E.; Leichsenring, F.; Stolz, T.; Balkom, A. Van; Batelaan, N.
In: JAMA Psychiatry, vol. 80, no. 8, pp. 822–831, 2023, ISSN: 2168622X (ISSN), (Publisher: American Medical Association).
Abstract | Links | BibTeX | Tags: adult, antidepressant agent, Anxiety disorder, article, avoidant personality disorder, clinical outcome, cognitive behavioral therapy, comorbidity, cycloserine, Depression, disease severity, female, hospital admission, human, Humans, Liebowitz Social Anxiety Scale, male, meta analysis, paroxetine, phobia, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, procedures, psychotropic agent, randomized controlled trial (topic), Randomized Controlled Trials as Topic, semi structured interview, Social, social anxiety, social phobia, Structured Clinical Interview for DSM Disorders, symptom, systematic review, treatment response, Waiting Lists
@article{scholten_baseline_2023,
title = {Baseline Severity as a Moderator of the Waiting List-Controlled Association of Cognitive Behavioral Therapy with Symptom Change in Social Anxiety Disorder: A Systematic Review and Individual Patient Data Meta-analysis},
author = {W. Scholten and A. Seldenrijk and A. Hoogendoorn and R. Bosman and A. Muntingh and E. Karyotaki and G. Andersson and T. Berger and P. Carlbring and T. Furmark and S. Bouchard and P. Goldin and I. Kampmann and N. Morina and N. Kocovski and E. Leibing and F. Leichsenring and T. Stolz and A. Van Balkom and N. Batelaan},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85166386036&doi=10.1001%2fjamapsychiatry.2023.1291&partnerID=40&md5=c279c8b0ff2d3b4558c6f8803cdda0af},
doi = {10.1001/jamapsychiatry.2023.1291},
issn = {2168622X (ISSN)},
year = {2023},
date = {2023-01-01},
journal = {JAMA Psychiatry},
volume = {80},
number = {8},
pages = {822–831},
publisher = {American Medical Association},
abstract = {Importance: Social anxiety disorder (SAD) can be adequately treated with cognitive behavioral therapy (CBT). However, there is a large gap in knowledge on factors associated with prognosis, and it is unclear whether symptom severity predicts response to CBT for SAD. Objective: To examine baseline SAD symptom severity as a moderator of the association between CBT and symptom change in patients with SAD. Data Sources: For this systematic review and individual patient data meta-analysis (IPDMA), PubMed, PsycInfo, Embase, and the Cochrane Library were searched from January 1, 1990, to January 13, 2023. Primary search topics were social anxiety disorder, cognitive behavior therapy, and randomized controlled trial. Study Selection: Inclusion criteria were randomized clinical trials comparing CBT with being on a waiting list and using the Liebowitz Social Anxiety Scale (LSAS) in adults with a primary clinical diagnosis of SAD. Data Extraction and Synthesis: Authors of included studies were approached to provide individual-level data. Data were extracted by pairs of authors following the Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline, and risk of bias was assessed using the Cochrane tool. An IPDMA was conducted using a 2-stage approach for the association of CBT with change in LSAS scores from baseline to posttreatment and for the interaction effect of baseline LSAS score by condition using random-effects models. Main Outcomes and Measures: The main outcome was the baseline to posttreatment change in symptom severity measured by the LSAS. Results: A total of 12 studies including 1246 patients with SAD (mean [SD] age, 35.3 [10.9] years; 738 [59.2%] female) were included in the meta-analysis. A waiting list-controlled association between CBT and pretreatment to posttreatment LSAS change was found (b = -20.3; 95% CI, -24.9 to -15.6; P <.001; Cohen d = -0.95; 95% CI, -1.16 to -0.73). Baseline LSAS scores moderated the differences between CBT and waiting list with respect to pretreatment to posttreatment symptom reductions (b = -0.22; 95% CI, -0.39 to -0.06; P =.009), indicating that individuals with severe symptoms had larger waiting list-controlled symptom reductions after CBT (Cohen d = -1.13 [95% CI, -1.39 to -0.88] for patients with very severe SAD; Cohen d = -0.54 [95% CI, -0.80 to -0.29] for patients with mild SAD). Conclusions and Relevance: In this systematic review and IPDMA, higher baseline SAD symptom severity was associated with greater (absolute but not relative) symptom reductions after CBT in patients with SAD. The findings contribute to personalized care by suggesting that clinicians can confidently offer CBT to individuals with severe SAD symptoms.. © 2023 American Medical Association. All rights reserved.},
note = {Publisher: American Medical Association},
keywords = {adult, antidepressant agent, Anxiety disorder, article, avoidant personality disorder, clinical outcome, cognitive behavioral therapy, comorbidity, cycloserine, Depression, disease severity, female, hospital admission, human, Humans, Liebowitz Social Anxiety Scale, male, meta analysis, paroxetine, phobia, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, procedures, psychotropic agent, randomized controlled trial (topic), Randomized Controlled Trials as Topic, semi structured interview, Social, social anxiety, social phobia, Structured Clinical Interview for DSM Disorders, symptom, systematic review, treatment response, Waiting Lists},
pubstate = {published},
tppubtype = {article}
}
Importance: Social anxiety disorder (SAD) can be adequately treated with cognitive behavioral therapy (CBT). However, there is a large gap in knowledge on factors associated with prognosis, and it is unclear whether symptom severity predicts response to CBT for SAD. Objective: To examine baseline SAD symptom severity as a moderator of the association between CBT and symptom change in patients with SAD. Data Sources: For this systematic review and individual patient data meta-analysis (IPDMA), PubMed, PsycInfo, Embase, and the Cochrane Library were searched from January 1, 1990, to January 13, 2023. Primary search topics were social anxiety disorder, cognitive behavior therapy, and randomized controlled trial. Study Selection: Inclusion criteria were randomized clinical trials comparing CBT with being on a waiting list and using the Liebowitz Social Anxiety Scale (LSAS) in adults with a primary clinical diagnosis of SAD. Data Extraction and Synthesis: Authors of included studies were approached to provide individual-level data. Data were extracted by pairs of authors following the Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting guideline, and risk of bias was assessed using the Cochrane tool. An IPDMA was conducted using a 2-stage approach for the association of CBT with change in LSAS scores from baseline to posttreatment and for the interaction effect of baseline LSAS score by condition using random-effects models. Main Outcomes and Measures: The main outcome was the baseline to posttreatment change in symptom severity measured by the LSAS. Results: A total of 12 studies including 1246 patients with SAD (mean [SD] age, 35.3 [10.9] years; 738 [59.2%] female) were included in the meta-analysis. A waiting list-controlled association between CBT and pretreatment to posttreatment LSAS change was found (b = -20.3; 95% CI, -24.9 to -15.6; P <.001; Cohen d = -0.95; 95% CI, -1.16 to -0.73). Baseline LSAS scores moderated the differences between CBT and waiting list with respect to pretreatment to posttreatment symptom reductions (b = -0.22; 95% CI, -0.39 to -0.06; P =.009), indicating that individuals with severe symptoms had larger waiting list-controlled symptom reductions after CBT (Cohen d = -1.13 [95% CI, -1.39 to -0.88] for patients with very severe SAD; Cohen d = -0.54 [95% CI, -0.80 to -0.29] for patients with mild SAD). Conclusions and Relevance: In this systematic review and IPDMA, higher baseline SAD symptom severity was associated with greater (absolute but not relative) symptom reductions after CBT in patients with SAD. The findings contribute to personalized care by suggesting that clinicians can confidently offer CBT to individuals with severe SAD symptoms.. © 2023 American Medical Association. All rights reserved.
10.
Bérubé, A.; Turgeon, J.; Blais, C.; Fiset, D.
Emotion Recognition in Adults With a History of Childhood Maltreatment: A Systematic Review Journal Article
In: Trauma, Violence, and Abuse, vol. 24, no. 1, pp. 278–294, 2023, ISSN: 15248380 (ISSN).
Abstract | Links | BibTeX | Tags: adult, anger, Child, Child Abuse, childhood maltreatment, cycle of maltreatment, emotion, Emotion Recognition, Emotions, Facial Expression, Fear, human, Humans, perception, physiology, psychology, systematic review
@article{berubeEmotionRecognitionAdults2023,
title = {Emotion Recognition in Adults With a History of Childhood Maltreatment: A Systematic Review},
author = {A. Bérubé and J. Turgeon and C. Blais and D. Fiset},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85109658115&doi=10.1177%2f15248380211029403&partnerID=40&md5=5654c858d5c0c84bfdd832a4c04dd1d5},
doi = {10.1177/15248380211029403},
issn = {15248380 (ISSN)},
year = {2023},
date = {2023-01-01},
journal = {Trauma, Violence, and Abuse},
volume = {24},
number = {1},
pages = {278–294},
publisher = {SAGE Publications Ltd},
abstract = {Child maltreatment has many well-documented lasting effects on children. Among its consequences, it affects children’s recognition of emotions. More and more studies are recognizing the lasting effect that a history of maltreatment can have on emotion recognition. A systematic literature review was conducted to better understand this relationship. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was used and four databases were searched, MEDLINE/PubMed, PsycINFO, EMBASE, and FRANCIS, using three cross-referenced key words: child abuse, emotion recognition, and adults. The search process identified 23 studies that met the inclusion criteria. The review highlights the wide variety of measures used to assess child maltreatment as well as the different protocols used to measure emotion recognition. The results indicate that adults with a history of childhood maltreatment show a differentiated reaction to happiness, anger, and fear. Happiness is less detected, whereas negative emotions are recognized more rapidly and at a lower intensity compared to adults not exposed to such traumatic events. Emotion recognition is also related to greater brain activation for the maltreated group. However, the results are less consistent for adults who also have a diagnosis of mental health problems. The systematic review found that maltreatment affects the perception of emotions expressed on both adult and child faces. However, more research is needed to better understand how a history of maltreatment is related to adults’ perception of children’s emotions. © The Author(s) 2021.},
keywords = {adult, anger, Child, Child Abuse, childhood maltreatment, cycle of maltreatment, emotion, Emotion Recognition, Emotions, Facial Expression, Fear, human, Humans, perception, physiology, psychology, systematic review},
pubstate = {published},
tppubtype = {article}
}
Child maltreatment has many well-documented lasting effects on children. Among its consequences, it affects children’s recognition of emotions. More and more studies are recognizing the lasting effect that a history of maltreatment can have on emotion recognition. A systematic literature review was conducted to better understand this relationship. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was used and four databases were searched, MEDLINE/PubMed, PsycINFO, EMBASE, and FRANCIS, using three cross-referenced key words: child abuse, emotion recognition, and adults. The search process identified 23 studies that met the inclusion criteria. The review highlights the wide variety of measures used to assess child maltreatment as well as the different protocols used to measure emotion recognition. The results indicate that adults with a history of childhood maltreatment show a differentiated reaction to happiness, anger, and fear. Happiness is less detected, whereas negative emotions are recognized more rapidly and at a lower intensity compared to adults not exposed to such traumatic events. Emotion recognition is also related to greater brain activation for the maltreated group. However, the results are less consistent for adults who also have a diagnosis of mental health problems. The systematic review found that maltreatment affects the perception of emotions expressed on both adult and child faces. However, more research is needed to better understand how a history of maltreatment is related to adults’ perception of children’s emotions. © The Author(s) 2021.