Slide
Centre Interdisciplinaire
de Recherche et d’Innovation
en Cybersécurité et Société
de Recherche et d’Innovation
en Cybersécurité et Société
1.
Bouchard, S.
Could virtual reality be effective in treating children with phobias? Journal Article
In: Expert Review of Neurotherapeutics, vol. 11, no. 2, pp. 207–213, 2011, ISSN: 17448360 (ISSN).
Abstract | Links | BibTeX | Tags: Adolescent, Anxiety, Anxiety Disorders, arachnophobia, article, audiovisual equipment, Child, child psychiatry, Children, cognitive therapy, Cognitive-behavior therapy, Computer Simulation, Computer-Assisted, controlled clinical trial (topic), environmental factor, Exposure therapy, groups by age, human, Humans, image display, motivation, phobia, Phobic Disorders, social phobia, spider, Therapy, treatment outcome, User-Computer Interface, virtual reality
@article{bouchard_could_2011,
title = {Could virtual reality be effective in treating children with phobias?},
author = {S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-79951655992&doi=10.1586%2fern.10.196&partnerID=40&md5=a941040ff9b2edf8439f26b36edc7163},
doi = {10.1586/ern.10.196},
issn = {17448360 (ISSN)},
year = {2011},
date = {2011-01-01},
journal = {Expert Review of Neurotherapeutics},
volume = {11},
number = {2},
pages = {207–213},
abstract = {The use of virtual reality to treat anxiety disorders in adults is gaining popularity and its efficacy is supported by numerous outcome studies. Similar research for children is lagging behind. The outcome studies on the use of virtual reality to treat anxiety disorders in children currently address only specific phobias, and all of the available trials are reviewed in this article. Despite the limited number of studies, results are very encouraging for the treatment of school and spider phobias. A study with adolescents suggests that, at least for social anxiety, exposure stimuli would be more effective if they were developed specifically for younger populations. Virtual reality may not increase children's motivation towards therapy unless their fearful apprehension is addressed before initiating the treatment. © 2011 Expert Reviews Ltd.},
keywords = {Adolescent, Anxiety, Anxiety Disorders, arachnophobia, article, audiovisual equipment, Child, child psychiatry, Children, cognitive therapy, Cognitive-behavior therapy, Computer Simulation, Computer-Assisted, controlled clinical trial (topic), environmental factor, Exposure therapy, groups by age, human, Humans, image display, motivation, phobia, Phobic Disorders, social phobia, spider, Therapy, treatment outcome, User-Computer Interface, virtual reality},
pubstate = {published},
tppubtype = {article}
}
The use of virtual reality to treat anxiety disorders in adults is gaining popularity and its efficacy is supported by numerous outcome studies. Similar research for children is lagging behind. The outcome studies on the use of virtual reality to treat anxiety disorders in children currently address only specific phobias, and all of the available trials are reviewed in this article. Despite the limited number of studies, results are very encouraging for the treatment of school and spider phobias. A study with adolescents suggests that, at least for social anxiety, exposure stimuli would be more effective if they were developed specifically for younger populations. Virtual reality may not increase children's motivation towards therapy unless their fearful apprehension is addressed before initiating the treatment. © 2011 Expert Reviews Ltd.
2.
Côté, S.; Bouchard, S.
Cognitive mechanisms underlying virtual reality exposure Journal Article
In: Cyberpsychology and Behavior, vol. 12, no. 2, pp. 121–129, 2009, ISSN: 10949313 (ISSN).
Abstract | Links | BibTeX | Tags: Adaptation, adult, aged, Animals, arachnophobia, Arousal, article, avoidance behavior, cardiovascular response, clinical article, cognition, Culture, female, Heart Rate, human, Humans, Implosive Therapy, male, Middle Aged, Personality Assessment, phobia, Phobic Disorders, prediction, Psychological, questionnaire, Questionnaires, regression analysis, scoring system, Self Efficacy, spider, Spiders, structured interview, task performance, treatment outcome, User-Computer Interface, virtual reality, Young Adult
@article{cote_cognitive_2009,
title = {Cognitive mechanisms underlying virtual reality exposure},
author = {S. Côté and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-64749106909&doi=10.1089%2fcpb.2008.0008&partnerID=40&md5=e9bd263ea9e1940b66910d9651bd119e},
doi = {10.1089/cpb.2008.0008},
issn = {10949313 (ISSN)},
year = {2009},
date = {2009-01-01},
journal = {Cyberpsychology and Behavior},
volume = {12},
number = {2},
pages = {121–129},
abstract = {Many studies have assessed virtual reality exposures efficacy, but very few examined its treatment processes. The addition of objective measures of arousal and information processing mechanisms would be a valuable contribution in order to provide a more complete and detailed picture. The goal of this study was to better document the cognitive mechanisms associated with therapeutic change after an in virtuo exposure treatment. Twenty-eight adults suffering from arachnophobia were assessed and received an exposure-based treatment using virtual reality. General outcome and specific processes measures included a battery of standardized questionnaires, a pictorial emotional Stroop task, a Behavioral Avoidance Test, and a measure of participants' cardiac response while they looked at a live tarantula. The analyses showed that changes in perceived self-efficacy and dysfunctional beliefs were the best predictors of change in general outcome and cardiac response; change in dysfunctional beliefs were the best predictor of change in behavioral avoidance. These innovative results provide a very detailed and organized picture of the complex cognitive mechanisms involved in therapeutic change following in virtuo exposure for arachnophobia. © 2009 Mary Ann Liebert, Inc.},
keywords = {Adaptation, adult, aged, Animals, arachnophobia, Arousal, article, avoidance behavior, cardiovascular response, clinical article, cognition, Culture, female, Heart Rate, human, Humans, Implosive Therapy, male, Middle Aged, Personality Assessment, phobia, Phobic Disorders, prediction, Psychological, questionnaire, Questionnaires, regression analysis, scoring system, Self Efficacy, spider, Spiders, structured interview, task performance, treatment outcome, User-Computer Interface, virtual reality, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Many studies have assessed virtual reality exposures efficacy, but very few examined its treatment processes. The addition of objective measures of arousal and information processing mechanisms would be a valuable contribution in order to provide a more complete and detailed picture. The goal of this study was to better document the cognitive mechanisms associated with therapeutic change after an in virtuo exposure treatment. Twenty-eight adults suffering from arachnophobia were assessed and received an exposure-based treatment using virtual reality. General outcome and specific processes measures included a battery of standardized questionnaires, a pictorial emotional Stroop task, a Behavioral Avoidance Test, and a measure of participants' cardiac response while they looked at a live tarantula. The analyses showed that changes in perceived self-efficacy and dysfunctional beliefs were the best predictors of change in general outcome and cardiac response; change in dysfunctional beliefs were the best predictor of change in behavioral avoidance. These innovative results provide a very detailed and organized picture of the complex cognitive mechanisms involved in therapeutic change following in virtuo exposure for arachnophobia. © 2009 Mary Ann Liebert, Inc.
3.
Bouchard, S.; St-Jacques, J.; Robillard, G.; Renaud, P.
In: Journal de Therapie Comportementale et Cognitive, vol. 17, no. 3, pp. 101–108, 2007, ISSN: 11551704 (ISSN), (Publisher: Elsevier Masson SAS).
Abstract | Links | BibTeX | Tags: arachnophobia, Children, Cognitive-behavioural psychotherapy, exposure, virtual reality
@article{bouchard_efficacy_2007,
title = {Efficacy of a virtual reality exposure treatment for arachnophobia in children: A pilot study [Efficacité d'un traitement d'exposition en réalité virtuelle pour le traitement de l'arachnophobie chez l'enfant une étude pilote]},
author = {S. Bouchard and J. St-Jacques and G. Robillard and P. Renaud},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-36249019933&doi=10.1016%2fS1155-1704%2807%2973238-X&partnerID=40&md5=b01012dfb1487d05067cbcca8d5d4e81},
doi = {10.1016/S1155-1704(07)73238-X},
issn = {11551704 (ISSN)},
year = {2007},
date = {2007-01-01},
journal = {Journal de Therapie Comportementale et Cognitive},
volume = {17},
number = {3},
pages = {101–108},
abstract = {Aim: to assess the effectiveness of conducting exposure in virtual reality (VR) for children suffering from arachnophobia. Method: This study uses an uncontrolled group design, supported by a single-case design with multiple baselines across individuals. The sample includes nine children and young adolescents suffering from arachnophobia. Participants are randomly assigned to baselines of three different durations (three, four or five weeks) during which they only self-monitor their fear. The treatment consists of six 75-minute therapy sessions delivered according to a standardized manual. Questionnaires and brief self-reports relevant to the phobia are administered before, during and after treatment as well as at a 6-month follow-up. Results: Symptoms are significantly reduced on measures of fear and avoidance, generalization and process (dysfunctional beliefs). All gains are maintained at the 6-mo follow-up, with further improvement in children's beliefs about their own behaviour when facing spiders. All findings are backed-up by the daily self-monitoring data. Conclusion: Conducting exposure in VR represents a promising technique to treat phobias in children. Implication: The attractiveness of this new treatment tool may foster children's motivation to engage and stay in therapy. © 2007. AFTCC. Édité par Elsevier Masson SAS.},
note = {Publisher: Elsevier Masson SAS},
keywords = {arachnophobia, Children, Cognitive-behavioural psychotherapy, exposure, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Aim: to assess the effectiveness of conducting exposure in virtual reality (VR) for children suffering from arachnophobia. Method: This study uses an uncontrolled group design, supported by a single-case design with multiple baselines across individuals. The sample includes nine children and young adolescents suffering from arachnophobia. Participants are randomly assigned to baselines of three different durations (three, four or five weeks) during which they only self-monitor their fear. The treatment consists of six 75-minute therapy sessions delivered according to a standardized manual. Questionnaires and brief self-reports relevant to the phobia are administered before, during and after treatment as well as at a 6-month follow-up. Results: Symptoms are significantly reduced on measures of fear and avoidance, generalization and process (dysfunctional beliefs). All gains are maintained at the 6-mo follow-up, with further improvement in children's beliefs about their own behaviour when facing spiders. All findings are backed-up by the daily self-monitoring data. Conclusion: Conducting exposure in VR represents a promising technique to treat phobias in children. Implication: The attractiveness of this new treatment tool may foster children's motivation to engage and stay in therapy. © 2007. AFTCC. Édité par Elsevier Masson SAS.
4.
Bouchard, S.; Côté, S.; St-Jacques, J.; Robillard, G.; Renaud, P.
Effectiveness of virtual reality exposure in the treatment of arachnophobia using 3D games Journal Article
In: Technology and Health Care, vol. 14, no. 1, pp. 19–27, 2006, ISSN: 09287329 (ISSN), (Publisher: IOS Press).
Abstract | Links | BibTeX | Tags: arachnophobia, Araneae, article, avoidance behavior, clinical article, computer program, exposure, female, game, Games, human, male, phobia, priority journal, Self Concept, Specific phobia, treatment outcome, virtual reality
@article{bouchard_effectiveness_2006,
title = {Effectiveness of virtual reality exposure in the treatment of arachnophobia using 3D games},
author = {S. Bouchard and S. Côté and J. St-Jacques and G. Robillard and P. Renaud},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-33644903496&doi=10.3233%2fthc-2006-14103&partnerID=40&md5=3ba6883c3fa7fed039b0cc3bff10879e},
doi = {10.3233/thc-2006-14103},
issn = {09287329 (ISSN)},
year = {2006},
date = {2006-01-01},
journal = {Technology and Health Care},
volume = {14},
number = {1},
pages = {19–27},
abstract = {Buying or creating a virtual reality (VR) software is very costly. A less expensive alternative could be to modify already existing 3D computer games. The goal of this study is to assess the effectiveness of in virtuo exposure in the treatment of arachnophobia using modified 3D games. Participants were 10 women and 1 man. Virtual worlds were created using the game editor of a 3D computer game (Half-Life™), modified to offer graduals hierarchies of fearful stimuli (spiders). Analyses revealed significant improvement between pre and post results on the behavioral avoidance test, the Spider Beliefs Questionnaire, and perceived self-efficacy. These promising results suggest that therapy using virtual reality exposure via a modified computer game is useful in the treatment of arachnophobia. © 2006 - IOS Press and the authors. All rights reserved.},
note = {Publisher: IOS Press},
keywords = {arachnophobia, Araneae, article, avoidance behavior, clinical article, computer program, exposure, female, game, Games, human, male, phobia, priority journal, Self Concept, Specific phobia, treatment outcome, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Buying or creating a virtual reality (VR) software is very costly. A less expensive alternative could be to modify already existing 3D computer games. The goal of this study is to assess the effectiveness of in virtuo exposure in the treatment of arachnophobia using modified 3D games. Participants were 10 women and 1 man. Virtual worlds were created using the game editor of a 3D computer game (Half-Life™), modified to offer graduals hierarchies of fearful stimuli (spiders). Analyses revealed significant improvement between pre and post results on the behavioral avoidance test, the Spider Beliefs Questionnaire, and perceived self-efficacy. These promising results suggest that therapy using virtual reality exposure via a modified computer game is useful in the treatment of arachnophobia. © 2006 - IOS Press and the authors. All rights reserved.
5.
Côté, S.; Bouchard, S.
Documenting the efficacy of virtual realityexposure with psychophysiological and information processing measures Journal Article
In: Applied Psychophysiology Biofeedback, vol. 30, no. 3, pp. 217–232, 2005, ISSN: 10900586 (ISSN).
Abstract | Links | BibTeX | Tags: adult, analysis of variance, Animals, arachnophobia, Arousal, article, avoidance behavior, cardiovascular response, clinical article, emotion, Emotions, exposure, Fear, female, Heart Rate, human, Humans, information processing, male, medical documentation, Mental Processes, Middle Aged, outcomes research, phobia, phobias, Phobic Disorders, Psychophysiology, questionnaire, Reproducibility of Results, self report, spider, Spiders, standardization, stimulus response, task performance, threat, treatment outcome, User-Computer Interface, virtual reality, Visual Perception, visual stimulation
@article{cote_documenting_2005,
title = {Documenting the efficacy of virtual realityexposure with psychophysiological and information processing measures},
author = {S. Côté and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-25144467954&doi=10.1007%2fs10484-005-6379-x&partnerID=40&md5=12308d48c2d79eff9c6446385244c27c},
doi = {10.1007/s10484-005-6379-x},
issn = {10900586 (ISSN)},
year = {2005},
date = {2005-01-01},
journal = {Applied Psychophysiology Biofeedback},
volume = {30},
number = {3},
pages = {217–232},
abstract = {Many outcome studies have been conducted to assess the efficacy of virtual reality in the treatment of specific phobias. However, most studies used self-report data. The addition of objective measures of arousal and information processing mechanisms would be a valuable contribution in order to validate the usefulness of virtual reality in the treatment of anxiety disorders. The goal of this study was to document the impact of virtual reality exposure (VRE) on cardiac response and automatic processing of threatening stimuli. Twenty-eight adults suffering from arachnophobia were assessed and received an exposure-based treatment using virtual reality. General outcome and specific processes measures included a battery of standardized questionnaires, a pictorial emotional Stroop task, a behavioral avoidance test and a measure of participants' inter-beat intervals (IBI) while they were looking at a live tarantula. Assessment was conducted before and after treatment. Repeated measures ANOVAs revealed that therapy had a positive impact on questionnaire data, as well as on the behavioral avoidance test. Analyses made on the pictorial Stroop task showed that information processing of spider-related stimuli changed after treatment, which also indicates therapeutic success. Psychophysiological data also showed a positive change after treatment, suggesting a decrease in anxiety. In sum, VRE led to significant therapeutic improvements on objective measures as well as on self-report instruments. © 2005 Springer Science+Business Media, Inc.},
keywords = {adult, analysis of variance, Animals, arachnophobia, Arousal, article, avoidance behavior, cardiovascular response, clinical article, emotion, Emotions, exposure, Fear, female, Heart Rate, human, Humans, information processing, male, medical documentation, Mental Processes, Middle Aged, outcomes research, phobia, phobias, Phobic Disorders, Psychophysiology, questionnaire, Reproducibility of Results, self report, spider, Spiders, standardization, stimulus response, task performance, threat, treatment outcome, User-Computer Interface, virtual reality, Visual Perception, visual stimulation},
pubstate = {published},
tppubtype = {article}
}
Many outcome studies have been conducted to assess the efficacy of virtual reality in the treatment of specific phobias. However, most studies used self-report data. The addition of objective measures of arousal and information processing mechanisms would be a valuable contribution in order to validate the usefulness of virtual reality in the treatment of anxiety disorders. The goal of this study was to document the impact of virtual reality exposure (VRE) on cardiac response and automatic processing of threatening stimuli. Twenty-eight adults suffering from arachnophobia were assessed and received an exposure-based treatment using virtual reality. General outcome and specific processes measures included a battery of standardized questionnaires, a pictorial emotional Stroop task, a behavioral avoidance test and a measure of participants' inter-beat intervals (IBI) while they were looking at a live tarantula. Assessment was conducted before and after treatment. Repeated measures ANOVAs revealed that therapy had a positive impact on questionnaire data, as well as on the behavioral avoidance test. Analyses made on the pictorial Stroop task showed that information processing of spider-related stimuli changed after treatment, which also indicates therapeutic success. Psychophysiological data also showed a positive change after treatment, suggesting a decrease in anxiety. In sum, VRE led to significant therapeutic improvements on objective measures as well as on self-report instruments. © 2005 Springer Science+Business Media, Inc.