Slide
Centre Interdisciplinaire
de Recherche et d’Innovation
en Cybersécurité et Société
de Recherche et d’Innovation
en Cybersécurité et Société
1.
Primiano, S.; Marchand, A.; Gosselin, P.; Langlois, F.; Bouchard, S.; Bélanger, C.; Labrecque, J.; Dugas, M.; Dupuis, G.
Dans: Behavior Modification, vol. 38, no 1, p. 3–24, 2014, ISSN: 01454455, (Publisher: SAGE Publications Inc.).
Résumé | Liens | BibTeX | Étiquettes: Adolescent, adult, agoraphobia, Anxiety Disorders, clinical trial, cognitive therapy, comparative study, complication, controlled clinical trial, controlled study, female, human, Humans, male, Middle Aged, multicenter study, Panic Disorder, Psychiatric Status Rating Scales, psychological rating scale, quality of life, Young Adult
@article{primiano_effect_2014,
title = {The Effect of a Combined Versus a Conventional Cognitive-Behavioral Therapy on Quality of Life for Comorbid Panic Disorder With Agoraphobia and Generalized Anxiety Disorder: Preliminary Results},
author = {S. Primiano and A. Marchand and P. Gosselin and F. Langlois and S. Bouchard and C. Bélanger and J. Labrecque and M. Dugas and G. Dupuis},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84899643099&doi=10.1177%2f0145445513504430&partnerID=40&md5=8ea3eebff362c2fb683ba62935b9e2c9},
doi = {10.1177/0145445513504430},
issn = {01454455},
year = {2014},
date = {2014-01-01},
journal = {Behavior Modification},
volume = {38},
number = {1},
pages = {3–24},
abstract = {Concurrent panic disorder with agoraphobia (PDA) and generalized anxiety disorder (GAD) are the most common diagnostic occurrences among anxiety disorders. This particular comorbidity is associated with significant impairments in quality of life (QOL). The current study sought to investigate the efficacy of a combined cognitive-behavioral psychotherapy that addressed both conditions compared with a conventional psychotherapy, which attends solely to the primary disorder. The hypotheses postulated firstly, that both treatment conditions would lead to improvements in participants' QOL and secondly, that the combined therapy would lead to greater QOL ameliorations. Twenty-five participants with comorbid PDA/GAD diagnoses were evaluated with a number of clinical interviews and self-report questionnaires, and were provided with either conventional or combined cognitive-behavioral psychotherapy, which consisted of 14 one-hour weekly sessions. Participants were once again evaluated in the same fashion 2-weeks after the completion of the psychotherapy. The results revealed that both conditions led to significant improvements in participants' QOL, but that the two groups did not significantly differ in terms of the effect on QOL. The results also reveal that the two conditions did not significantly differ in terms of their effect on PDA and GAD symptomatology or psychiatric comorbidity. The results demonstrate that the combined psychotherapy, which addresses both conditions simultaneously, is similar to the conventional psychotherapy employed for the primary disorder in terms of QOL enhancement, symptom severity, and comorbidity reduction. © The Author(s) 2013.},
note = {Publisher: SAGE Publications Inc.},
keywords = {Adolescent, adult, agoraphobia, Anxiety Disorders, clinical trial, cognitive therapy, comparative study, complication, controlled clinical trial, controlled study, female, human, Humans, male, Middle Aged, multicenter study, Panic Disorder, Psychiatric Status Rating Scales, psychological rating scale, quality of life, Young Adult},
pubstate = {published},
tppubtype = {article}
}
Concurrent panic disorder with agoraphobia (PDA) and generalized anxiety disorder (GAD) are the most common diagnostic occurrences among anxiety disorders. This particular comorbidity is associated with significant impairments in quality of life (QOL). The current study sought to investigate the efficacy of a combined cognitive-behavioral psychotherapy that addressed both conditions compared with a conventional psychotherapy, which attends solely to the primary disorder. The hypotheses postulated firstly, that both treatment conditions would lead to improvements in participants' QOL and secondly, that the combined therapy would lead to greater QOL ameliorations. Twenty-five participants with comorbid PDA/GAD diagnoses were evaluated with a number of clinical interviews and self-report questionnaires, and were provided with either conventional or combined cognitive-behavioral psychotherapy, which consisted of 14 one-hour weekly sessions. Participants were once again evaluated in the same fashion 2-weeks after the completion of the psychotherapy. The results revealed that both conditions led to significant improvements in participants' QOL, but that the two groups did not significantly differ in terms of the effect on QOL. The results also reveal that the two conditions did not significantly differ in terms of their effect on PDA and GAD symptomatology or psychiatric comorbidity. The results demonstrate that the combined psychotherapy, which addresses both conditions simultaneously, is similar to the conventional psychotherapy employed for the primary disorder in terms of QOL enhancement, symptom severity, and comorbidity reduction. © The Author(s) 2013.
2.
Bouchard, S.; Gervais, J.; Gagnier, N.; Loranger, C.
Evaluation of a primary prevention program for anxiety disorders using story books with children aged 9-12 years Article de journal
Dans: Journal of Primary Prevention, vol. 34, no 5, p. 345–358, 2013, ISSN: 0278095X (ISSN).
Résumé | Liens | BibTeX | Étiquettes: Adaptation, adaptive behavior, Anxiety disorder, Anxiety Disorders, Anxiety sensitivity, article, Bibliotherapy, book, Books, Child, Children, cognitive therapy, controlled clinical trial, controlled study, female, human, Humans, male, methodology, Primary Prevention, procedures, Program Evaluation, Psychological, randomized controlled trial, Self Concept, Self Efficacy, Self-efficacy, treatment outcome
@article{bouchard_evaluation_2013,
title = {Evaluation of a primary prevention program for anxiety disorders using story books with children aged 9-12 years},
author = {S. Bouchard and J. Gervais and N. Gagnier and C. Loranger},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884505645&doi=10.1007%2fs10935-013-0317-0&partnerID=40&md5=3e1b6f6ada6ce459480bcf236ae70e5e},
doi = {10.1007/s10935-013-0317-0},
issn = {0278095X (ISSN)},
year = {2013},
date = {2013-01-01},
journal = {Journal of Primary Prevention},
volume = {34},
number = {5},
pages = {345–358},
abstract = {This article reports the results of a study evaluating a book-supported primary prevention program "Dominique's Handy Tricks" for anxiety disorders in children aged 9-12 years. This cognitive-behavioural program is delivered using a combination of storybooks and workshop sessions. The originality of the program comes from the use of storybooks that were not developed specifically for anxiety management. Every session is based on a story describing characters facing common stressors and how they manage to cope with their daily problems. In our randomized control trial with 46 children, participation in the program led to a significant improvement in coping skills, perceived self-efficacy, anxiety sensitivity, as well as in symptoms of anxiety and fear. The theoretical and practical elements underlying the delivery of this primary prevention program are described. Conclusion: It is suggested that such an approach, without any labelling specific to anxiety disorders, can be useful in primary prevention programs. © 2013 Springer Science+Business Media New York.},
keywords = {Adaptation, adaptive behavior, Anxiety disorder, Anxiety Disorders, Anxiety sensitivity, article, Bibliotherapy, book, Books, Child, Children, cognitive therapy, controlled clinical trial, controlled study, female, human, Humans, male, methodology, Primary Prevention, procedures, Program Evaluation, Psychological, randomized controlled trial, Self Concept, Self Efficacy, Self-efficacy, treatment outcome},
pubstate = {published},
tppubtype = {article}
}
This article reports the results of a study evaluating a book-supported primary prevention program "Dominique's Handy Tricks" for anxiety disorders in children aged 9-12 years. This cognitive-behavioural program is delivered using a combination of storybooks and workshop sessions. The originality of the program comes from the use of storybooks that were not developed specifically for anxiety management. Every session is based on a story describing characters facing common stressors and how they manage to cope with their daily problems. In our randomized control trial with 46 children, participation in the program led to a significant improvement in coping skills, perceived self-efficacy, anxiety sensitivity, as well as in symptoms of anxiety and fear. The theoretical and practical elements underlying the delivery of this primary prevention program are described. Conclusion: It is suggested that such an approach, without any labelling specific to anxiety disorders, can be useful in primary prevention programs. © 2013 Springer Science+Business Media New York.
3.
Bouchard, S.; Bernier, F.; Boivin, E.; Morin, B.; Robillard, G.
Using biofeedback while immersed in a stressful videogame increases the effectiveness of stress management skills in soldiers Article de journal
Dans: PLoS ONE, vol. 7, no 4, 2012, ISSN: 19326203.
Résumé | Liens | BibTeX | Étiquettes: adult, Arousal, article, Biofeedback, clinical trial, controlled clinical trial, controlled study, explosion, feedback system, first aid, Heart Rate, human, human experiment, Humans, Hydrocortisone, male, mental stress, metabolism, methodology, Military Personnel, military phenomena, normal human, pathophysiology, Psychological, psychological aspect, psychology, Psychophysiology, randomized controlled trial, recreation, Saliva, saliva level, simulation, soldier, Stress, Stress management, Video Games
@article{bouchard_using_2012,
title = {Using biofeedback while immersed in a stressful videogame increases the effectiveness of stress management skills in soldiers},
author = {S. Bouchard and F. Bernier and E. Boivin and B. Morin and G. Robillard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84860485827&doi=10.1371%2fjournal.pone.0036169&partnerID=40&md5=4b29a984169d2fe12d54f4c562344723},
doi = {10.1371/journal.pone.0036169},
issn = {19326203},
year = {2012},
date = {2012-01-01},
journal = {PLoS ONE},
volume = {7},
number = {4},
abstract = {This study assessed the efficacy of using visual and auditory biofeedback while immersed in a tridimensional videogame to practice a stress management skill (tactical breathing). All 41 participants were soldiers who had previously received basic stress management training and first aid training in combat. On the first day, they received a 15-minute refresher briefing and were randomly assigned to either: (a) no additional stress management training (SMT) for three days, or (b) 30-minute sessions (one per day for three days) of biofeedback-assisted SMT while immersed in a horror/first-person shooter game. The training was performed in a dark and enclosed environment using a 50-inch television with active stereoscopic display and loudspeakers. On the last day, all participants underwent a live simulated ambush with an improvised explosive device, where they had to provide first aid to a wounded soldier. Stress levels were measured with salivary cortisol collected when waking-up, before and after the live simulation. Stress was also measured with heart rate at baseline, during an apprehension phase, and during the live simulation. Repeated-measure ANOVAs and ANCOVAs confirmed that practicing SMT was effective in reducing stress. Results are discussed in terms of the advantages of the proposed program for military personnel and the need to practice SMT. © 2012 Bouchard et al.},
keywords = {adult, Arousal, article, Biofeedback, clinical trial, controlled clinical trial, controlled study, explosion, feedback system, first aid, Heart Rate, human, human experiment, Humans, Hydrocortisone, male, mental stress, metabolism, methodology, Military Personnel, military phenomena, normal human, pathophysiology, Psychological, psychological aspect, psychology, Psychophysiology, randomized controlled trial, recreation, Saliva, saliva level, simulation, soldier, Stress, Stress management, Video Games},
pubstate = {published},
tppubtype = {article}
}
This study assessed the efficacy of using visual and auditory biofeedback while immersed in a tridimensional videogame to practice a stress management skill (tactical breathing). All 41 participants were soldiers who had previously received basic stress management training and first aid training in combat. On the first day, they received a 15-minute refresher briefing and were randomly assigned to either: (a) no additional stress management training (SMT) for three days, or (b) 30-minute sessions (one per day for three days) of biofeedback-assisted SMT while immersed in a horror/first-person shooter game. The training was performed in a dark and enclosed environment using a 50-inch television with active stereoscopic display and loudspeakers. On the last day, all participants underwent a live simulated ambush with an improvised explosive device, where they had to provide first aid to a wounded soldier. Stress levels were measured with salivary cortisol collected when waking-up, before and after the live simulation. Stress was also measured with heart rate at baseline, during an apprehension phase, and during the live simulation. Repeated-measure ANOVAs and ANCOVAs confirmed that practicing SMT was effective in reducing stress. Results are discussed in terms of the advantages of the proposed program for military personnel and the need to practice SMT. © 2012 Bouchard et al.
4.
Stetz, M. C.; Kaloi-Chen, J. Y.; Turner, D. D.; Bouchard, S.; Riva, G.; Wiederhold, B. K.
The effectiveness of Technology-Enhanced relaxation techniques for military medical warriors Article de journal
Dans: Military Medicine, vol. 176, no 9, p. 1065–1070, 2011, ISSN: 00264075, (Publisher: Association of Military Surgeons of the US).
Résumé | Liens | BibTeX | Étiquettes: adult, Anxiety, article, clinical trial, computer interface, controlled clinical trial, controlled study, female, human, Humans, male, mental stress, methodology, Military Personnel, Psychological, psychological aspect, questionnaire, Questionnaires, randomized controlled trial, Relaxation Therapy, relaxation training, soldier, Stress, User-Computer Interface, Video recording, videorecording
@article{stetz_effectiveness_2011,
title = {The effectiveness of Technology-Enhanced relaxation techniques for military medical warriors},
author = {M. C. Stetz and J. Y. Kaloi-Chen and D. D. Turner and S. Bouchard and G. Riva and B. K. Wiederhold},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-80052455147&doi=10.7205%2fMILMED-D-10-00393&partnerID=40&md5=dce993c0b65bb351edd74816a0d65450},
doi = {10.7205/MILMED-D-10-00393},
issn = {00264075},
year = {2011},
date = {2011-01-01},
journal = {Military Medicine},
volume = {176},
number = {9},
pages = {1065–1070},
abstract = {Combat zones can be very stressful for those in the area. Even in the battlefi eld, military medical personnel are expected to save others, while also staying alive. In this study, half of a sample of deployed military medical warriors (total n = 60) participated in technology-assisted relaxation training. Learning relaxation skills with a video clip of virtual reality relaxing scenes showed a statistically signifi cant impact on the anxiety levels of the Experimental Group. © Association of Military Surgeons of the U.S. All rights reserved.},
note = {Publisher: Association of Military Surgeons of the US},
keywords = {adult, Anxiety, article, clinical trial, computer interface, controlled clinical trial, controlled study, female, human, Humans, male, mental stress, methodology, Military Personnel, Psychological, psychological aspect, questionnaire, Questionnaires, randomized controlled trial, Relaxation Therapy, relaxation training, soldier, Stress, User-Computer Interface, Video recording, videorecording},
pubstate = {published},
tppubtype = {article}
}
Combat zones can be very stressful for those in the area. Even in the battlefi eld, military medical personnel are expected to save others, while also staying alive. In this study, half of a sample of deployed military medical warriors (total n = 60) participated in technology-assisted relaxation training. Learning relaxation skills with a video clip of virtual reality relaxing scenes showed a statistically signifi cant impact on the anxiety levels of the Experimental Group. © Association of Military Surgeons of the U.S. All rights reserved.
5.
Bouchard, S.; Dumoulin, S.; Michaud, M.; Gougeon, V.
Telepresence experienced in videoconference varies according to emotions involved in videoconference sessions Article de journal
Dans: Annual Review of CyberTherapy and Telemedicine, vol. 9, no 1, p. 104–107, 2011, ISSN: 15548716.
Résumé | Liens | BibTeX | Étiquettes: adult, age, Age Factors, article, clinical trial, controlled clinical trial, controlled study, emotion, Emotions, female, human, human experiment, Humans, male, mental task, Middle Aged, randomized controlled trial, sex difference, Sex Factors, task performance, Telemedicine, telepresence, Verbal Behavior, videoconferencing
@article{bouchard_telepresence_2011,
title = {Telepresence experienced in videoconference varies according to emotions involved in videoconference sessions},
author = {S. Bouchard and S. Dumoulin and M. Michaud and V. Gougeon},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-83455200034&partnerID=40&md5=46d035fda13fc7d2b32c6b08341505a6},
issn = {15548716},
year = {2011},
date = {2011-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {9},
number = {1},
pages = {104–107},
abstract = {Previous studies have linked telepresence to the strength of the therapeutic relationship experienced during telepsychotherapy. This finding comes as a surprise for many people who have been involved in a teleconference meeting, where telepresence is often considered weak. The aim of this study is to (re)evaluate the impact of emotional engagement on telepresence. Participants were randomly assigned to one of the two conditions: (a) emotionally charged verbal exchange first (followed by a more neutral verbal exchange), or (b) emotionally neutral verbal exchange first (followed by an emotionally charged verbal exchange). A distraction task was performed between the two verbal exchanges in videofoncerence. Results showed that verbal exchanges involving stronger emotions increase telepresence. These results may explain why telepresence is so high in telepsychotherapy.},
keywords = {adult, age, Age Factors, article, clinical trial, controlled clinical trial, controlled study, emotion, Emotions, female, human, human experiment, Humans, male, mental task, Middle Aged, randomized controlled trial, sex difference, Sex Factors, task performance, Telemedicine, telepresence, Verbal Behavior, videoconferencing},
pubstate = {published},
tppubtype = {article}
}
Previous studies have linked telepresence to the strength of the therapeutic relationship experienced during telepsychotherapy. This finding comes as a surprise for many people who have been involved in a teleconference meeting, where telepresence is often considered weak. The aim of this study is to (re)evaluate the impact of emotional engagement on telepresence. Participants were randomly assigned to one of the two conditions: (a) emotionally charged verbal exchange first (followed by a more neutral verbal exchange), or (b) emotionally neutral verbal exchange first (followed by an emotionally charged verbal exchange). A distraction task was performed between the two verbal exchanges in videofoncerence. Results showed that verbal exchanges involving stronger emotions increase telepresence. These results may explain why telepresence is so high in telepsychotherapy.
6.
Robillard, G.; Bouchard, S.; Dumoulin, S.; Guitard, T.; Klinger, E.
Using virtual humans to alleviate social anxiety: Preliminary report from a comparative outcome study Article de journal
Dans: Annual Review of CyberTherapy and Telemedicine, vol. 8, no 1, p. 46–48, 2010, ISSN: 15548716.
Résumé | Liens | BibTeX | Étiquettes: adult, article, clinical article, clinical trial, cognitive therapy, comparative study, controlled clinical trial, controlled study, Diagnostic and Statistical Manual of Mental Disorders, female, human, male, randomized controlled trial, rating scale, social phobia, structured questionnaire, virtual reality
@article{robillard_using_2010-1,
title = {Using virtual humans to alleviate social anxiety: Preliminary report from a comparative outcome study},
author = {G. Robillard and S. Bouchard and S. Dumoulin and T. Guitard and E. Klinger},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952941239&partnerID=40&md5=87efe655c7ce6cdf965fa0c7b7742500},
issn = {15548716},
year = {2010},
date = {2010-01-01},
journal = {Annual Review of CyberTherapy and Telemedicine},
volume = {8},
number = {1},
pages = {46–48},
abstract = {Empirical studies have consistently shown the effectiveness of a multicomponent CBT treatment of social anxiety disorder (SAD). Previous outcome studies on virtual reality and SAD have focused on people suffering from fear of public speaking and not full blown SAD. In this study, 45 adults receiving a DSM-IV-TR diagnostic of social anxiety were randomly assigned to traditional CBT treatment (with in vivo exposure), CBT-VR combined treatment, or a waiting list. Results show significant reduction of anxiety on all questionnaires as well as statistically significant interactions between both treatment groups and the waiting list.},
keywords = {adult, article, clinical article, clinical trial, cognitive therapy, comparative study, controlled clinical trial, controlled study, Diagnostic and Statistical Manual of Mental Disorders, female, human, male, randomized controlled trial, rating scale, social phobia, structured questionnaire, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Empirical studies have consistently shown the effectiveness of a multicomponent CBT treatment of social anxiety disorder (SAD). Previous outcome studies on virtual reality and SAD have focused on people suffering from fear of public speaking and not full blown SAD. In this study, 45 adults receiving a DSM-IV-TR diagnostic of social anxiety were randomly assigned to traditional CBT treatment (with in vivo exposure), CBT-VR combined treatment, or a waiting list. Results show significant reduction of anxiety on all questionnaires as well as statistically significant interactions between both treatment groups and the waiting list.
7.
St-Jacques, J.; Bouchard, S.; Bélanger, C.
Dans: Journal of Clinical Psychiatry, vol. 71, no 7, p. 924–931, 2010, ISSN: 01606689.
Résumé | Liens | BibTeX | Étiquettes: Adolescent, Animals, article, Child, clinical article, clinical trial, cognitive therapy, Combined Modality Therapy, Computer-Assisted, controlled clinical trial, controlled study, exposure, female, follow up, human, Humans, Implosive Therapy, Internal-External Control, male, motivation, outcome assessment, phobia, Phobic Disorders, predictor variable, priority journal, psychotherapy, randomized controlled trial, school child, Spiders, Therapy, treatment outcome, User-Computer Interface, virtual reality
@article{st-jacques_is_2010,
title = {Is virtual reality effective to motivate and raise interest in phobic children toward therapy? A clinical trial study of in vivo with in virtuo versus in vivo only treatment exposure},
author = {J. St-Jacques and S. Bouchard and C. Bélanger},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955295979&doi=10.4088%2fJCP.08m04822blu&partnerID=40&md5=d542122407b00dcaecc8c51dcaf40610},
doi = {10.4088/JCP.08m04822blu},
issn = {01606689},
year = {2010},
date = {2010-01-01},
journal = {Journal of Clinical Psychiatry},
volume = {71},
number = {7},
pages = {924–931},
abstract = {Objective: The first objective of this study was to assess if a combined treatment with mostly virtual reality-based (in virtuo) exposure increases phobic children's motivation toward therapy compared to children who only receive in vivo exposure. Another objective was the assessment of motivation as a predictor of treatment outcome. Method: Thirty-one DSM-IV-diagnosed arachnophobic participants aged from 8 to 15 years were randomly assigned to 1 of 2 treatment conditions: in vivo exposure alone or in virtuo plus in vivo exposure. Measures of motivation were taken at pretest and at the end of each part of the treatment; some other measures were taken at each session. The "Why Are You in Therapy?" questionnaire for children was the target measure of motivation and the main variable in the study. Outcome measures were taken at pretest, at the end of each part of the treatment, and at the 6-month follow-up. This study was conducted between September 2006 and March 2007. Results: The results showed that children who received in virtuo exposure did not show a higher level of motivation toward their treatment than those who received in vivo exposure, but statistically significant interactions were found for both parts of the treatment. Multiple regression analysis confirmed that motivation was a significant predictor of outcome (P < .01), especially extrinsic integrated motivation. Participants in the combined treatment were significantly more phobic before beginning treatment, but both treatments appeared successful (P < .001). Conclusions: In this study, the use of virtual reality did not increase motivation toward psychotherapy. At the end of the second part of therapy, all participants were comparably efficient in facing a live tarantula. These results bear important clinical implications concerning how to use virtual reality with children and concerning motivation of children toward therapy in general. They are discussed in the light of how to present in virtuo therapy to children. Trial Registration: controlled-trials.com Identifier: ISRCTN87716831. © Copyright 2010 Physicians Postgraduate Press, Inc.},
keywords = {Adolescent, Animals, article, Child, clinical article, clinical trial, cognitive therapy, Combined Modality Therapy, Computer-Assisted, controlled clinical trial, controlled study, exposure, female, follow up, human, Humans, Implosive Therapy, Internal-External Control, male, motivation, outcome assessment, phobia, Phobic Disorders, predictor variable, priority journal, psychotherapy, randomized controlled trial, school child, Spiders, Therapy, treatment outcome, User-Computer Interface, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Objective: The first objective of this study was to assess if a combined treatment with mostly virtual reality-based (in virtuo) exposure increases phobic children's motivation toward therapy compared to children who only receive in vivo exposure. Another objective was the assessment of motivation as a predictor of treatment outcome. Method: Thirty-one DSM-IV-diagnosed arachnophobic participants aged from 8 to 15 years were randomly assigned to 1 of 2 treatment conditions: in vivo exposure alone or in virtuo plus in vivo exposure. Measures of motivation were taken at pretest and at the end of each part of the treatment; some other measures were taken at each session. The "Why Are You in Therapy?" questionnaire for children was the target measure of motivation and the main variable in the study. Outcome measures were taken at pretest, at the end of each part of the treatment, and at the 6-month follow-up. This study was conducted between September 2006 and March 2007. Results: The results showed that children who received in virtuo exposure did not show a higher level of motivation toward their treatment than those who received in vivo exposure, but statistically significant interactions were found for both parts of the treatment. Multiple regression analysis confirmed that motivation was a significant predictor of outcome (P < .01), especially extrinsic integrated motivation. Participants in the combined treatment were significantly more phobic before beginning treatment, but both treatments appeared successful (P < .001). Conclusions: In this study, the use of virtual reality did not increase motivation toward psychotherapy. At the end of the second part of therapy, all participants were comparably efficient in facing a live tarantula. These results bear important clinical implications concerning how to use virtual reality with children and concerning motivation of children toward therapy in general. They are discussed in the light of how to present in virtuo therapy to children. Trial Registration: controlled-trials.com Identifier: ISRCTN87716831. © Copyright 2010 Physicians Postgraduate Press, Inc.
8.
Michaliszyn, D.; Marchand, A.; Bouchard, S.; Martel, M. -O.; Poirier-Bisson, J.
A randomized, controlled clinical trial of in virtuo and in vivo exposure for spider phobia Article de journal
Dans: Cyberpsychology, Behavior, and Social Networking, vol. 13, no 6, p. 689–695, 2010, ISSN: 21522723 (ISSN).
Résumé | Liens | BibTeX | Étiquettes: Adolescent, adult, analysis of variance, animal, Animals, article, behavior therapy, clinical trial, computer interface, Computer Simulation, controlled clinical trial, controlled study, Diagnostic and Statistical Manual of Mental Disorders, female, follow up, Follow-Up Studies, hospitalization, human, Humans, Implosive Therapy, Intention to Treat Analysis, interview, male, methodology, Middle Aged, phobia, Phobic Disorders, psychologic test, Psychological, questionnaire, Questionnaires, randomized controlled trial, Severity of Illness Index, spider, Spiders, treatment outcome, User-Computer Interface
@article{michaliszyn_randomized_2010,
title = {A randomized, controlled clinical trial of in virtuo and in vivo exposure for spider phobia},
author = {D. Michaliszyn and A. Marchand and S. Bouchard and M. -O. Martel and J. Poirier-Bisson},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650262716&doi=10.1089%2fcyber.2009.0277&partnerID=40&md5=8efc6b65de8b3477ca3cd0fa8fcab93a},
doi = {10.1089/cyber.2009.0277},
issn = {21522723 (ISSN)},
year = {2010},
date = {2010-01-01},
journal = {Cyberpsychology, Behavior, and Social Networking},
volume = {13},
number = {6},
pages = {689–695},
abstract = {The present study compared the efficacy of virtual reality (VR) in virtuo exposure and in vivo exposure in the treatment of spider phobia. Two treatment conditions were compared to a waiting-list condition. A 3-month follow-up evaluation was conducted in order to assess the durability of the treatment effects. Participants were randomly assigned to the treatment groups. A total of 16 participants received the in virtuo treatment, and 16 received the in vivo treatment. The waiting-list condition included 11 participants. Participants received eight 1.5-hour treatment sessions. Efficacy was measured with the Fear of Spiders Questionnaire, the Spider Beliefs Questionnaire (SBQ-F), and a Behavioral Avoidance Test (BAT). In addition, a clinician administered the Structured Interview for DSM-IV to assess DSM-IV's criteria for specific phobia and severity. Clinical and statistically significant improvements were found for both groups. Differences in treatment groups were found on one of five measures of fear: greater improvement on the SBQ-F beliefs subscale was associated with in vivo exposure. Copyright 2010, Mary Ann Liebert, Inc.},
keywords = {Adolescent, adult, analysis of variance, animal, Animals, article, behavior therapy, clinical trial, computer interface, Computer Simulation, controlled clinical trial, controlled study, Diagnostic and Statistical Manual of Mental Disorders, female, follow up, Follow-Up Studies, hospitalization, human, Humans, Implosive Therapy, Intention to Treat Analysis, interview, male, methodology, Middle Aged, phobia, Phobic Disorders, psychologic test, Psychological, questionnaire, Questionnaires, randomized controlled trial, Severity of Illness Index, spider, Spiders, treatment outcome, User-Computer Interface},
pubstate = {published},
tppubtype = {article}
}
The present study compared the efficacy of virtual reality (VR) in virtuo exposure and in vivo exposure in the treatment of spider phobia. Two treatment conditions were compared to a waiting-list condition. A 3-month follow-up evaluation was conducted in order to assess the durability of the treatment effects. Participants were randomly assigned to the treatment groups. A total of 16 participants received the in virtuo treatment, and 16 received the in vivo treatment. The waiting-list condition included 11 participants. Participants received eight 1.5-hour treatment sessions. Efficacy was measured with the Fear of Spiders Questionnaire, the Spider Beliefs Questionnaire (SBQ-F), and a Behavioral Avoidance Test (BAT). In addition, a clinician administered the Structured Interview for DSM-IV to assess DSM-IV's criteria for specific phobia and severity. Clinical and statistically significant improvements were found for both groups. Differences in treatment groups were found on one of five measures of fear: greater improvement on the SBQ-F beliefs subscale was associated with in vivo exposure. Copyright 2010, Mary Ann Liebert, Inc.
9.
Dugas, M. J.; Francis, K.; Bouchard, S.
Cognitive behavioural therapy and applied relaxation for generalized anxiety disorder: A time series analysis of change in worry and somatic anxiety Article de journal
Dans: Cognitive Behaviour Therapy, vol. 38, no 1, p. 29–41, 2009, ISSN: 16512316 (ISSN).
Résumé | Liens | BibTeX | Étiquettes: adult, Anxiety Disorders, article, clinical article, clinical trial, cognitive therapy, controlled clinical trial, controlled study, disease association, female, generalized anxiety disorder, human, Humans, male, mental stress, Middle Aged, Personality Assessment, Personality Inventory, psychoanalysis, Psychometrics, randomized controlled trial, Relaxation Therapy, relaxation training, Single-case designs, somatoform disorder, Somatoform Disorders, Symptom change profiles, symptomatology, time series analysis, Treatment mechanisms, treatment outcome, treatment response
@article{dugas_cognitive_2009,
title = {Cognitive behavioural therapy and applied relaxation for generalized anxiety disorder: A time series analysis of change in worry and somatic anxiety},
author = {M. J. Dugas and K. Francis and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-61549090786&doi=10.1080%2f16506070802473221&partnerID=40&md5=78e775f09aa9806132cd1335ffef92b6},
doi = {10.1080/16506070802473221},
issn = {16512316 (ISSN)},
year = {2009},
date = {2009-01-01},
journal = {Cognitive Behaviour Therapy},
volume = {38},
number = {1},
pages = {29–41},
abstract = {The present study examined symptom change profiles in patients with generalized anxiety disorder (GAD) receiving either cognitive behavioural therapy (CBT) or applied relaxation (AR). It was hypothesized that (a) changes in worry would uniquely predict changes in somatic anxiety for most participants receiving CBT and (b) changes in somatic anxiety would uniquely predict changes in worry for most participants in the AR condition. Twenty participants (CBT n = 10; AR n = 10) completed daily ratings of worry and somatic anxiety during therapy, and multivariate time series analysis was used to assess the causal impact of each variable on the other. The hypotheses were not supported because we found no evidence of a match between individual symptom change profiles and treatment condition. Rather, a bidirectional relationship between worry and somatic anxiety was observed in 80% of participants receiving CBT and 70% of participants receiving AR. When only treatment responders were considered, 83% of participants receiving CBT and 86% of those receiving AR had such a bidirectional effect. The findings are discussed in terms of models of psychopathology that posit dynamic interactions between symptom clusters and in terms of the value of examining treatment mechanisms at the individual level.},
keywords = {adult, Anxiety Disorders, article, clinical article, clinical trial, cognitive therapy, controlled clinical trial, controlled study, disease association, female, generalized anxiety disorder, human, Humans, male, mental stress, Middle Aged, Personality Assessment, Personality Inventory, psychoanalysis, Psychometrics, randomized controlled trial, Relaxation Therapy, relaxation training, Single-case designs, somatoform disorder, Somatoform Disorders, Symptom change profiles, symptomatology, time series analysis, Treatment mechanisms, treatment outcome, treatment response},
pubstate = {published},
tppubtype = {article}
}
The present study examined symptom change profiles in patients with generalized anxiety disorder (GAD) receiving either cognitive behavioural therapy (CBT) or applied relaxation (AR). It was hypothesized that (a) changes in worry would uniquely predict changes in somatic anxiety for most participants receiving CBT and (b) changes in somatic anxiety would uniquely predict changes in worry for most participants in the AR condition. Twenty participants (CBT n = 10; AR n = 10) completed daily ratings of worry and somatic anxiety during therapy, and multivariate time series analysis was used to assess the causal impact of each variable on the other. The hypotheses were not supported because we found no evidence of a match between individual symptom change profiles and treatment condition. Rather, a bidirectional relationship between worry and somatic anxiety was observed in 80% of participants receiving CBT and 70% of participants receiving AR. When only treatment responders were considered, 83% of participants receiving CBT and 86% of those receiving AR had such a bidirectional effect. The findings are discussed in terms of models of psychopathology that posit dynamic interactions between symptom clusters and in terms of the value of examining treatment mechanisms at the individual level.
10.
Renaud, P.; Bouchard, S.; Proulx, R.
Behavioral avoidance dynamics in the presence of a virtual spider Article de journal
Dans: IEEE Transactions on Information Technology in Biomedicine, vol. 6, no 3 SPEC., p. 235–243, 2002, ISSN: 10897771 (ISSN).
Résumé | Liens | BibTeX | Étiquettes: adult, Affordance, animal, Animals, Anxiety, Anxiety disorder, article, Behavioral avoidance, Biomedical engineering, Chronic Disease, clinical trial, Computer Graphics, computer interface, Computer Simulation, controlled clinical trial, controlled study, Environment, Fear, female, Fractal dynamics, Fractals, head movement, Head movements, hospitalization, human, Human computer interaction, Humans, Interactive computer graphics, male, Motion Perception, movement perception, pathophysiology, Patient treatment, phobia, Phobic Disorders, Presence, psychological aspect, Psychomotor Performance, Psychophysiology, reproducibility, Reproducibility of Results, Self Assessment (Psychology), self evaluation, Sensitivity and Specificity, Severity of Illness Index, spider, Spiders, Tracking, treatment outcome, User-Computer Interface, virtual reality
@article{renaud_behavioral_2002,
title = {Behavioral avoidance dynamics in the presence of a virtual spider},
author = {P. Renaud and S. Bouchard and R. Proulx},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036708418&doi=10.1109%2fTITB.2002.802381&partnerID=40&md5=4dd582cb233d8396f7795cf93cb1b984},
doi = {10.1109/TITB.2002.802381},
issn = {10897771 (ISSN)},
year = {2002},
date = {2002-01-01},
journal = {IEEE Transactions on Information Technology in Biomedicine},
volume = {6},
number = {3 SPEC.},
pages = {235–243},
abstract = {Tracking behavior with a virtual spider and a neutral target is compared in fearful and nonfearful subjects. Head-tracking in virtual environments appears to be a scale-free behavior with long-range fractal-like patterns. Moreover, these fractal patterns change according to what the target affords the tracker and the level of behavioral avoidance manifested by the subjects. Results are interpreted in terms of ecological psychology and nonlinear dynamics, and implications for virtual reality (VR) psychology are outlined.},
keywords = {adult, Affordance, animal, Animals, Anxiety, Anxiety disorder, article, Behavioral avoidance, Biomedical engineering, Chronic Disease, clinical trial, Computer Graphics, computer interface, Computer Simulation, controlled clinical trial, controlled study, Environment, Fear, female, Fractal dynamics, Fractals, head movement, Head movements, hospitalization, human, Human computer interaction, Humans, Interactive computer graphics, male, Motion Perception, movement perception, pathophysiology, Patient treatment, phobia, Phobic Disorders, Presence, psychological aspect, Psychomotor Performance, Psychophysiology, reproducibility, Reproducibility of Results, Self Assessment (Psychology), self evaluation, Sensitivity and Specificity, Severity of Illness Index, spider, Spiders, Tracking, treatment outcome, User-Computer Interface, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Tracking behavior with a virtual spider and a neutral target is compared in fearful and nonfearful subjects. Head-tracking in virtual environments appears to be a scale-free behavior with long-range fractal-like patterns. Moreover, these fractal patterns change according to what the target affords the tracker and the level of behavioral avoidance manifested by the subjects. Results are interpreted in terms of ecological psychology and nonlinear dynamics, and implications for virtual reality (VR) psychology are outlined.