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Believing Is Seeing: A Proof-of-Concept Semiexperimental Study on Using Mobile Virtual Reality to Boost the Effects of Interpretation Bias Modification for Anxiety.


ABSTRACT:

Background

Cognitive Bias Modification of Interpretations (CBM-I) is a computerized intervention designed to change negatively biased interpretations of ambiguous information, which underlie and reinforce anxiety. The repetitive and monotonous features of CBM-I can negatively impact training adherence and learning processes.

Objective

This proof-of-concept study aimed to examine whether performing a CBM-I training using mobile virtual reality technology (virtual reality Cognitive Bias Modification of Interpretations [VR-CBM-I]) improves training experience and effectiveness.

Methods

A total of 42 students high in trait anxiety completed 1 session of either VR-CBM-I or standard CBM-I training for performance anxiety. Participants' feelings of immersion and presence, emotional reactivity to a stressor, and changes in interpretation bias and state anxiety, were assessed.

Results

The VR-CBM-I resulted in greater feelings of presence (P<.001, d=1.47) and immersion (P<.001, ?p2=0.74) in the training scenarios and outperformed the standard training in effects on state anxiety (P<.001, ?p2=0.3) and emotional reactivity to a stressor (P=.03, ?p2=0.12). Both training varieties successfully increased the endorsement of positive interpretations (P<.001, drepeated measures [drm]=0.79) and decreased negative ones. (P<.001, drm=0.72). In addition, changes in the emotional outcomes were correlated with greater feelings of immersion and presence.

Conclusions

This study provided first evidence that (1) the putative working principles underlying CBM-I trainings can be translated into a virtual environment and (2) virtual reality holds promise as a tool to boost the effects of CMB-I training for highly anxious individuals while increasing users' experience with the training application.

SUBMITTER: Otkhmezuri B 

PROVIDER: S-EPMC6403526 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Publications

Believing Is Seeing: A Proof-of-Concept Semiexperimental Study on Using Mobile Virtual Reality to Boost the Effects of Interpretation Bias Modification for Anxiety.

Otkhmezuri Boris B   Boffo Marilisa M   Siriaraya Panote P   Matsangidou Maria M   Wiers Reinout W RW   Mackintosh Bundy B   Ang Chee Siang CS   Salemink Elske E  

JMIR mental health 20190221 2


<h4>Background</h4>Cognitive Bias Modification of Interpretations (CBM-I) is a computerized intervention designed to change negatively biased interpretations of ambiguous information, which underlie and reinforce anxiety. The repetitive and monotonous features of CBM-I can negatively impact training adherence and learning processes.<h4>Objective</h4>This proof-of-concept study aimed to examine whether performing a CBM-I training using mobile virtual reality technology (virtual reality Cognitive  ...[more]

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