Efficacy of virtual reality exposure therapy to treat driving phobia: a case report

作者: Jaye Wald , Steven Taylor

DOI: 10.1016/S0005-7916(01)00009-X

关键词: Desensitization (psychology)Clinical psychologyAnxietyVirtual Reality Exposure TherapyDriving phobiaPsychologyExposure therapyClinical trialPoison controlPhysical therapyAnxiety disorder

摘要: An AB case design was used to examine the efficacy of virtual reality exposure therapy (VRET) in treating driving phobia. After a one week baseline, patient received three treatment sessions over ten day period. Treatment included practice four VR scenarios. Peak anxiety decreased within and across sessions. Ratings avoidance declined from pre-treatment post-treatment, with gains maintained at seven month followup. Phobia-related interference daily functioning similarly decreased. The results suggest that it would be useful further evaluate VRET for phobia controlled clinical trials.

参考文章(14)
Max M. North, Sarah M. North, Joseph R. Coble, Effectiveness of virtual environment desensitization in the treatment of agoraphobia Presence: Teleoperators & Virtual Environments. ,vol. 5, pp. 346- 352 ,(1996) , 10.1162/PRES.1996.5.3.346
Barbara Olasov Rothbaum, Virtual reality exposure therapy The journal of psychotherapy practice and research. ,vol. 6, pp. 219- 226 ,(2010) , 10.1002/9780470479216.CORPSY1024
Barbara O Rothbaum, Larry F Hodges, Rob Kooper, Dan Opdyke, James S Williford, Max North, Effectiveness of Computer-Generated (Virtual Reality) Graded Exposure in the Treatment of Acrophobia American Journal of Psychiatry. ,vol. 152, pp. 626- 628 ,(1995) , 10.1176/AJP.152.4.626
Klaus Kuch, Richard P. Swinson, Marlene Kirby, Post-Traumatic Stress Disorder after Car Accidents The Canadian Journal of Psychiatry. ,vol. 30, pp. 426- 427 ,(1985) , 10.1177/070674378503000610
Judith A. Lyons, Joseph R. Scotti, Behavioral treatment of a motor vehicle accident survivor: An illustrative case of direct therapeutic exposure Cognitive and Behavioral Practice. ,vol. 2, pp. 343- 364 ,(1995) , 10.1016/S1077-7229(95)80017-4
Joanne E Taylor, Frank P Deane, Acquisition and severity of driving-related fears. Behaviour Research and Therapy. ,vol. 37, pp. 435- 449 ,(1999) , 10.1016/S0005-7967(98)00065-5
Steven C. Hayes, Richard A. Hussian, Arlinza E. Turner, Norman B. Anderson, Terry D. Grubb, The effect of coping statements on progress through a desensitization hierarchy Journal of Behavior Therapy and Experimental Psychiatry. ,vol. 14, pp. 117- 129 ,(1983) , 10.1016/0005-7916(83)90029-0
Richard Mayou, Sally Tyndel, Bridget Bryant, Long-term outcome of motor vehicle accident injury. Psychosomatic Medicine. ,vol. 59, pp. 578- 584 ,(1997) , 10.1097/00006842-199711000-00004
John P. Kline, Martin E. Franklin, Cognitive behavioral treatment of posttraumatic stress disorder subsequent to a motor vehicle accident: A case example Cognitive and Behavioral Practice. ,vol. 6, pp. 120- 125 ,(1999) , 10.1016/S1077-7229(99)80020-0
Jack G. Modell, Joseph Himle, Randolph M. Nesse, James M. Mountz, Stephen Schmaltz, Sequential trials of fluoxetine, phenelzine, and tranylcypromine in the treatment of obsessive—compulsive disorder Journal of Anxiety Disorders. ,vol. 3, pp. 287- 293 ,(1989) , 10.1016/0887-6185(89)90019-4