Virtual Reality Exposure Therapy for the Treatment of Dental Phobia: A Controlled Feasibility Study.

Abstract:

BACKGROUND:Virtual reality exposure therapy (VRET) has been used to treat a variety of fears and phobias. AIM:To determine the feasibility (i.e. safety and efficacy) of using VRET to treat dental phobia. METHOD:Safety was evaluated by determining any adverse events or symptom exacerbation. Efficacy of VRET was evaluated by comparing the reduction in dental anxiety scores (measured 16 times within a 14-week study period, and at 6-month follow-up), and its behavioural effects with that of an informational pamphlet (IP) on ten randomized patients with dental phobia using a controlled multiple baseline design. Participants' heart rate response during VRET, and their experience post-VRET, were indexed. RESULTS:No personal adverse events or symptom exacerbation occurred. Visual analysis and post-hoc intention-to-treat analysis showed a significantly greater decrease in dental anxiety scores [higher PND (percentage of non-overlap data) scores of 100% and lower POD (percentage of overlap data) of 0%, Modified Dental Anxiety Scale, F (1,8) = 8.61, p = 0.019, and Dental Fear Scale, F (1,8) = 10.53, p = 0.012], and behavioural avoidance in the VRET compared with the IP group [d = 4.2 and -1.4, respectively). There was no increase in average heart rate during VRET. Of the nine treatment completers, six (four from the VRET group and two from the IP group) no longer had dental phobia at 6-month follow-up. Four of the five VRET participants, but none of the IP participants, scheduled a dental treatment appointment following the intervention. CONCLUSION:VRET is a feasible alternative for patients with dental phobia.

journal_name

Behav Cogn Psychother

authors

Gujjar KR,van Wijk A,Sharma R,de Jongh A

doi

10.1017/S1352465817000534

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

367-373

issue

3

eissn

1352-4658

issn

1469-1833

pii

S1352465817000534

journal_volume

46

pub_type

杂志文章
  • Cognitive Behavioural Therapy for Paruresis or "Shy Bladder Syndrome": A Case Study.

    abstract:BACKGROUND:Paruresis, or "shy bladder syndrome", is a relatively common anxiety disorder, yet little is known about the causes of, and effective treatments for this disabling condition. AIM:This report describes a case study in which a man (Peter) presenting with paruresis was treated using formulation-driven CBT, whi...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465816000321

    authors: Hambrook D,Taylor T,Bream V

    更新日期:2017-01-01 00:00:00

  • Physical appearance anxiety impedes the therapeutic effects of video feedback in high socially anxious individuals.

    abstract:BACKGROUND:Video feedback (VF) interventions effectively reduce social anxiety symptoms and negative self-perception, particularly when they are preceded by cognitive preparation (CP) and followed by cognitive review. AIMS:In the current study, we re-examined data from a study on the efficacy of a novel VF interventio...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465812001038

    authors: Orr EM,Moscovitch DA

    更新日期:2014-01-01 00:00:00

  • Getting to the heart of clinical supervision: a theoretical review of the role of emotions in professional development.

    abstract:BACKGROUND:The importance of supervision is increasingly recognized, yet it remains little understood, impairing research and practice. Specifically, the CBT supervision model provides a relatively "heartless" account of professional development, which may undermine its effectiveness. METHOD:A theoretical review of em...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S135246580900513X

    authors: Lombardo C,Milne D,Procter R

    更新日期:2009-03-01 00:00:00

  • Utilization of learned skills in cognitive behavioural therapy for panic disorder.

    abstract:BACKGROUND:Research has long investigated the cognitive processes in the treatment of depression, and more recently in panic disorder (PD). Meanwhile, other studies have examined patients' cognitive therapy skills in depression to gain insight into the link between acquiring such skills and treatment outcome. AIMS:Giv...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S135246581900033X

    authors: Halaj A,Yekutiel N,Strauss AY,Huppert JD

    更新日期:2019-11-01 00:00:00

  • The Negative Effects Questionnaire: psychometric properties of an instrument for assessing negative effects in psychological treatments.

    abstract:BACKGROUND:Psychological treatments provide many benefits for patients with psychiatric disorders, but research also suggests that negative effects might occur from the interventions involved. The Negative Effects Questionnaire (NEQ) has previously been developed as a way of determining the occurrence and characteristi...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465819000018

    authors: Rozental A,Kottorp A,Forsström D,Månsson K,Boettcher J,Andersson G,Furmark T,Carlbring P

    更新日期:2019-09-01 00:00:00

  • Assessing Competence in Collaborative Case Conceptualization: Development and Preliminary Psychometric Properties of the Collaborative Case Conceptualization Rating Scale (CCC-RS).

    abstract:BACKGROUND:Case conceptualization is assumed to be an important element in cognitive-behavioural therapy (CBT) because it describes and explains clients' presentations in ways that inform intervention. However, we do not have a good measure of competence in CBT case conceptualization that can be used to guide training ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465814000691

    authors: Kuyken W,Beshai S,Dudley R,Abel A,Görg N,Gower P,McManus F,Padesky CA

    更新日期:2016-03-01 00:00:00

  • Are context-specific measures of positive emotion regulation more predictive of mania risk and mood symptoms than trait measures?

    abstract:BACKGROUND:A number of strategies used to regulate positive affect (i.e. dampening and positive rumination) have been identified as having particular relevance to hypomanic personality (a proxy measure of mania risk). However, previous findings have been mixed and it is suggested that this may be the result of lack of ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000855

    authors: McGrogan CL,Dodd AL,Smith MA

    更新日期:2020-12-09 00:00:00

  • Same, Same But Different? Cognitive Behavioural Treatment Approaches for Paediatric CFS/ME and Depression.

    abstract:BACKGROUND:Approximately one in three children and young people with chronic fatigue syndrome (CFS/ME) also have probable depression. Cognitive behaviour therapy (CBT) has a growing evidence base as an effective treatment approach for CFS/ME and for depression in this population. AIMS:Given the high degree of co-morbi...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000108

    authors: Loades ME,Chalder T

    更新日期:2017-07-01 00:00:00

  • Positive beliefs about rumination are associated with ruminative thinking and affect in daily life: evidence for a metacognitive view on depression.

    abstract:BACKGROUND:Self-regulatory executive function theory (Wells and Matthews, 1994; Wells, 2008) stresses the role of metacognitions in the development of emotional disorders. Within this metacognitive model, positive beliefs about ruminative thinking are thought to be a risk factor for engaging in rumination and subsequen...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000325

    authors: Kubiak T,Zahn D,Siewert K,Jonas C,Weber H

    更新日期:2014-09-01 00:00:00

  • The role of predisposition to hallucinations on non-clinical paranoid vs. socially anxious individuals after hearing negative affective-laden sounds: an experimental investigation.

    abstract:BACKGROUND:Research suggested that negative affective-laden sounds act as environmental stressors that elicit negative affect (Bradley and Lang, 2000a). AIMS:We tried to test for the role of an interaction between predisposition to hallucinatory experiences and exposure to negative affective laden sounds for the prese...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000483

    authors: Lopes B,Pinto-Gouveia J

    更新日期:2013-03-01 00:00:00

  • Cognitive-behavioural bibliotherapy for hypochondriasis: a pilot study.

    abstract:AIMS:The present study aims to determine whether cognitive-behavioural minimal contact bibliotherapy is acceptable to participants suffering from DSM-IV-TR hypochondriasis, and whether this intervention is able to reduce hypochondriacal complaints, as well as comorbid depressive complaints and trait anxiety. METHOD:Pa...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465809005293

    authors: Buwalda FM,Bouman TK

    更新日期:2009-05-01 00:00:00

  • Temporal patterns of change in panic disorder during cognitive behaviour therapy: an Indian study.

    abstract:BACKGROUND:CBT has been proven to be effective in the treatment of panic disorder; however, attempts to study the process of change are limited. AIM:The study evaluated the temporal patterns of change in the panic symptoms, cognitions, behaviours, and anxiety sensitivity in subjects with panic disorder being treated w...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465813000635

    authors: Manjula M,Prasadarao PS,Kumaraiah V,Raguram R

    更新日期:2014-09-01 00:00:00

  • Using a semi-structured interview to explore imagery experienced during social anxiety for clients with a diagnosis of psychosis: an exploratory study conducted within an early intervention for psychosis service.

    abstract:BACKGROUND:Social phobia frequently occurs as a comorbid condition, with high rates reported among people with psychosis. Little is known about the nature of social anxiety in this population or whether current psychological theories apply. AIMS:This paper aims to develop and pilot a suitable measure to explore imager...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465811000439

    authors: Lockett SH,Hatton J,Turner R,Stubbins C,Hodgekins J,Fowler D

    更新日期:2012-01-01 00:00:00

  • Internet-delivered Cognitive Behaviour Therapy for Depressive Symptoms: An Exploratory Examination of Therapist Behaviours and their Relationship to Outcome and Therapeutic Alliance.

    abstract:BACKGROUND:A previous study of therapist-assisted Internet-delivered cognitive behaviour therapy (ICBT) for generalized anxiety (Paxling et al., 2013) identified eight distinct therapist behaviours in ICBT (task reinforcement, self-efficacy shaping, task prompting, alliance bolstering, psychoeducation, empathetic utter...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465816000254

    authors: Schneider LH,Hadjistavropoulos HD,Faller YN

    更新日期:2016-11-01 00:00:00

  • A Preliminary Investigation of Pathways to Inflated Responsibility Beliefs in Children with Obsessive Compulsive Disorder.

    abstract:BACKGROUND:Cognitive theorists posit that inflated responsibility beliefs contribute to the development of obsessive compulsive disorder (OCD). Salkovskis et al. (1999) proposed that experiencing heightened responsibility, overprotective parents and rigid rules, and thinking one influenced or caused a negative life eve...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000844

    authors: Collins LM,Coles ME

    更新日期:2018-05-01 00:00:00

  • What are Clients Asking Their Therapist During Therapist-Assisted Internet-Delivered Cognitive Behaviour Therapy? A Content Analysis of Client Questions.

    abstract:BACKGROUND:Although internet-delivered cognitive behaviour therapy (ICBT) yields large clinical outcomes when accompanied by therapeutic support, a portion of clients do not benefit from treatment. In ICBT, clients review treatment materials online typically on a weekly basis. A key component of therapist-assistance in...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465818000668

    authors: Soucy JN,Hadjistavropoulos HD,Pugh NE,Dear BF,Titov N

    更新日期:2019-07-01 00:00:00

  • Do symptom interpretations mediate the relationship between panic attack symptoms and agoraphobic avoidance?

    abstract:BACKGROUND:There is little consensus as to whether agoraphobic avoidance in panic disorder is characterized by a prominence of particular symptoms and interpretations of those symptoms. AIMS:We sought to clarify the relationship between symptoms and agoraphobic avoidance and to establish whether catastrophic interpret...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S135246581000007X

    authors: Berle D,Starcevic V,Milicevic D,Hannan A,Moses K

    更新日期:2010-05-01 00:00:00

  • Investigating cultural differences in the effects of expressive suppression when processing traumatic distressing material.

    abstract:BACKGROUND:While suppression is associated with detrimental post-traumatic psychological adjustment, research has not considered the effect of culture on this relationship. AIMS:This study investigated cultural differences in the effects of expressive suppression, whilst watching a traumatic film, on subjective distre...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1352465820000508

    authors: Nagulendran A,Norton PJ,Jobson L

    更新日期:2020-11-01 00:00:00

  • The influences of virtual social feedback on social anxiety disorders.

    abstract:BACKGROUND:Social feedback in the virtual environment is a critical part of successful virtual reality exposure therapy (VRET), and identifying the influences of virtual social feedback on social anxiety patients is necessary. AIMS:The present study aimed to explore the influences of ambiguous and negative virtual soc...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 临床试验,杂志文章

    doi:10.1017/S1352465819000377

    authors: Kishimoto T,Ding X

    更新日期:2019-11-01 00:00:00

  • Cognitive Behaviour Therapy for Bulimia Nervosa and Eating Disorders Not Otherwise Specified: Translation from Randomized Controlled Trial to a Clinical Setting.

    abstract:BACKGROUND:Enhanced Cognitive Behaviour Therapy (CBT-E) (Fairburn, Cooper and Shafran, 2003) was developed as a treatment approach for eating disorders focusing on both core psychopathology and additional maintenance mechanisms. AIMS:To evaluate treatment outcomes associated with CBT-E in a NHS Eating Disorders Servic...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465814000393

    authors: Knott S,Woodward D,Hoefkens A,Limbert C

    更新日期:2015-11-01 00:00:00

  • Cognitive behaviour therapy for adolescents with body dysmorphic disorder: a case series.

    abstract:BACKGROUND:Body dysmorphic disorder (BDD) is relatively common in adolescents and can have serious negative consequences. However, the treatment of BDD in young people has received virtually no empirical attention to date, and the evidence-base for cognitive behaviour therapy (CBT) in this population is limited to a sm...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000100

    authors: Krebs G,Turner C,Heyman I,Mataix-Cols D

    更新日期:2012-07-01 00:00:00

  • The Impact of Obsessive Compulsive Personality Disorder on Cognitive Behaviour Therapy for Obsessive Compulsive Disorder.

    abstract:BACKGROUND:It is often suggested that, in general, co-morbid personality disorders are likely to interfere with CBT based treatment of Axis I disorders, given that personality disorders are regarded as dispositional and are therefore considered less amenable to change than axis I psychiatric disorders. AIMS:The presen...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465815000582

    authors: Gordon OM,Salkovskis PM,Bream V

    更新日期:2016-07-01 00:00:00

  • What do we mean by "socialization to the model"? A Delphi study.

    abstract:BACKGROUND:The term "socialization to the model" is frequently used in the Cognitive Behavioural Therapy (CBT) literature, but it is unclear exactly what constitutes socialization to the model and there is a paucity of research in this area. AIMS:This study aimed to develop a working definition of "socialization to th...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465809005281

    authors: Roos J,Wearden A

    更新日期:2009-05-01 00:00:00

  • Beliefs about voices in voice-hearers: the role of schema functioning.

    abstract:BACKGROUND:Evidence is emerging that beliefs about voices are influenced by broader schematic beliefs about the self and others. Similarly, studies indicate that the relationship an individual has with their voice may mirror wider patterns of relating observed in social relationships, which may be influenced by schemat...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465820000399

    authors: Davenport B,Jackson M,Grange JA,Rydon-Grange M

    更新日期:2020-09-01 00:00:00

  • The mediating role of early maladaptive schemas in the relation between quality of attachment relationships and symptoms of depression in adolescents.

    abstract:BACKGROUND:Quality of attachment relations between adolescents and their parents and peers may be related to early maladaptive schemas as well as to symptoms of depression. AIMS:The aim of the current study was to assess whether schema domains and maladaptive schemas mediate the relation between indices of quality of ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465811000117

    authors: Roelofs J,Lee C,Ruijten T,Lobbestael J

    更新日期:2011-07-01 00:00:00

  • Training frontline mental health staff to deliver "low intensity" psychological therapy for psychosis: a qualitative analysis of therapist and service user views on the therapy and its future implementation.

    abstract:BACKGROUND:Increasing access to evidence-based talking therapies for people with psychosis is a national health priority. We have piloted a new, "low intensity" (LI) CBT intervention specifically designed to be delivered by frontline mental health staff, following brief training, and with ongoing supervision and suppor...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000908

    authors: Waller H,Garety P,Jolley S,Fornells-Ambrojo M,Kuipers E,Onwumere J,Woodall A,Craig T

    更新日期:2015-05-01 00:00:00

  • A Complex Interplay: Cognitive Behavioural Therapy for Severe Health Anxiety in Addison's Disease to Reduce Emergency Department Admissions.

    abstract:BACKGROUND:Addison's disease (AD) is a rare chronic illness caused by adrenocortical insufficiency. Due to the pivotal role of the regulating hormone cortisol in AD, there is a common symptom overlap between the presentation of anxiety and adrenal crisis. Previous literature has identified the prevalence of anxiety in ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465817000182

    authors: Daniels J,Sheils E

    更新日期:2017-07-01 00:00:00

  • An empirical study of defensive avoidance in paranoia.

    abstract:BACKGROUND:There is controversy as to whether psychological defensive avoidance is associated with paranoia. AIMS:To elucidate whether "Poor-me" paranoid patients, who believe that the persecution they perceive is undeserved, show more prominent avoidance of negative thoughts about themselves than healthy and clinical...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465813000805

    authors: Moutoussis M,El-Deredy W,Bentall RP

    更新日期:2015-03-01 00:00:00

  • An N = 1 evaluation of enhanced CBT supervision.

    abstract:BACKGROUND:Clinical supervision plays an essential role in the development of mental health professionals and is increasingly viewed as a discrete professional specialization. However, research has rarely addressed core issues such as the measurement and manipulation of clinical supervision, so there are very few direc...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465812000434

    authors: Milne DL,Reiser RP,Cliffe T

    更新日期:2013-03-01 00:00:00

  • Therapist characteristics and their effect on training outcomes: what counts?

    abstract:BACKGROUND:Evidence exists for a relationship between individual characteristics and both job and training performance; however relationships may not be generalizable. Little is known about the impact of therapist characteristics on performance in postgraduate therapist training programmes. AIMS:The aim of this study ...

    journal_title:Behavioural and cognitive psychotherapy

    pub_type: 杂志文章

    doi:10.1017/S1352465814000642

    authors: Branson A,Shafran R

    更新日期:2015-05-01 00:00:00