Prevention and Correction of Anxiety and Phobic Disorders in Adolescence Using Virtual Reality Programs

209

Abstract

This article presents the results of a study aimed at measuring the level of anxiety, both situational and personal, before and after a short-term exposure procedure with the use of virtual reality technology (VR). The study, subdivided into threestages with independent samples, involved 107 students of higher education, mostly in the humanities (relevant for the first two stages). The first two stages of the experiment included a series of immersions of respondents in virtual space with specialized equipment (vive helmets) and two measures, primary (before exposure) and secondary (15 or 3 minutes after leaving the virtual space). Within the study, the respondents of the experimental group were immersed in one of two virtual reality programs: 'Anxiety: no1', with an anthropomorphous female avatar (in third person), and 'Anxiety: no2' (in first person).Respondents in the control group were offered to watch a relaxation TV video similar in content to the virtual reality training programs. The psychodiagnostic research complex included methods aimed at measuring the level of anxiety, including situational and personal anxiety, as well as the current state, mood and activity of the respondents. According to the results of the study and statistical analysis using the Kolmogorov-Smirnov test and Wilcoxon T-test, significant differences were found between the indicators of the level of anxiety before and after the exposure procedure using virtual reality technologies for respondents with initially low and medium levels of anxiety. Similarly, significant differences were found on the scales of situational and personal anxiety for the initial "medium" and "high" anxiety groups, respectively. In the third part of the study conducted in the Chinese clinic on 43 respondents with severe depression, significant differences between the indicators of the level of anxiety, information processing speed, attentiveness, working memory and visual learning before and after the application of VR technologies of medium immersiveness (without VR helmets), with a relaxation program with an anthropomorphic female avatar (in third person), were obtained.

General Information

Keywords: educational activity, anxiety, phobic disorders, stress, virtual reality, immersiveness, correctional VR-programs

Journal rubric: Psychology of Digital Reality

Article type: scientific article

DOI: https://doi.org/10.17759/exppsy.2023160204

Funding. Part of the work was performed within the framework of the state task of the Ministry of Education of the Russian Federation (2020-22) №73-00041-21-02 «The impact of high-level virtual reality technologies on mental development in adolescence».

Acknowledgements. The authors are grateful to programmers E.M. Agafonov, A.A. Shamshev.

Received: 17.04.2023

Accepted:

For citation: Selivanov V.V., Saunin K.A., Zhang C. Prevention and Correction of Anxiety and Phobic Disorders in Adolescence Using Virtual Reality Programs. Eksperimental'naâ psihologiâ = Experimental Psychology (Russia), 2023. Vol. 16, no. 2, pp. 49–67. DOI: 10.17759/exppsy.2023160204. (In Russ., аbstr. in Engl.)

References

  1. Andreeva E.A., Solov'eva S.A. Osobennosti proyavleniya stressa u studentov vo vremya sdachi ekzamenacionnoj sessii. ANI: pedagogika i psihologiya, 2016. Vol. 5, no. 1(14), pp. 140−143.
  2. Anikina V.G., Pobokin P.A., Ivchenkova Yu.Yu. Primenenie tekhnologij virtual'noj real'nosti v preodolenii sostoyaniya trevozhnosti. Eksperimental'naya psihologiya, Vol. 14, no. 1, pp. 40—50. DOI:10.17759/exppsy.2021000004.
  3. Anikina V.G., Hoze E.G. Vliyanie VR-programmy po korrekcii niktofobii na sostoyanie trevogi v yunosheskom vozraste. Eksperimental'naya psihologiya, 2023. (In print).
  4. Anikina V.G., Hoze E.G., Strizhova I.V. Dinamika psihicheskih sostoyanij obuchayushchihsya, osvaivayushchih didakticheskieVR-programmy s ispol'zovaniem tekhnologij virtual'noj real'nosti. Eksperimental'naya psihologiya, 2021. Vol. 14, no. 4, pp. 123—141. DOI:10.17759/exppsy.2021140407
  5. Apchel V.Ya. Stress i stressoustojchivost' cheloveka / V.Ya. Apchel, V.N. Cygan. SPb, 1999. 86 p.
  6. Arendachuk I.V. Koping-strategii studentov kak faktory preodoleniya riskov obrazovatel'noj sredy vuza. Nacional'naya associaciya uchenyh, 2015. Vol. 5-5(10), pp. 87—90.
  7. Astahova I.V. Strahi i fobii v strukture yavlenij «trevozhnogo ryada» lichnosti. Mir: Razvitie, 2015. Pp. 115—117.
  8. Bodrov V.A. Psihologicheskij stress: razvitie i preodolenie / V.A. Bodrov. M.: PER-SE, 2006. 528 p.
  9. Buslovskaya L.K., Ryzhkova Yu.P. Adaptacionnye reakcii u studentov pri ekzamenacionnom stress. Nauchnye vedomosti BGU, 2011. Pp. 123—125.
  10. Velichkovskaya S.B. Osobennosti razvitiya uchebnogo stressa u studentov raznyh special'nostej. Vestnik Moskovskogo gosudarstvennogo lingvisticheskogo universiteta. Obrazovanie i pedagogicheskie nauki, 2014. 16(702). URL: https://cyberleninka.ru/article/n/osobennosti-razvitiya-uchebnogo-stressa-u-studentov-raznyh-spetsialnostey (Accessed 12.12.2022).
  11. Gabdreeva G.Sh. Psihologicheskaya zashchita lichnosti v hronicheskih stressovyh situaciyah. Uchenye zapiski Kazanskogo gosudarstvennogo universiteta, 2007. Vol. 149, Iss. 1, pp. 84—94.
  12. Zaharchuk L.A. Social'no-psihologicheskaya ustojchivost' studentov k osnovnym stress-faktoram uchebnoj deyatel'nosti. Vestnik Associacii vuzov turizma i servisa, 2013. No. 2, pp. 51—55.
  13. Kirshbaum E.I., Eremeeva A.I. Psihologicheskaya zashchita. M.: Smysl; SPb.: Piter, 2005. 176 p.
  14. Kitaev-Smyk L.A. Psihologiya stressa. M.: Nauka, 1983. 356 p.
  15. Kulikov L.V. Lichnostnyj faktor v preodolenii stressa. Aktual'nye problemy psihologicheskoj teorii i praktiki. Eksperimenty i primery teorii i praktiki / Pod red. A.A. Krylova. SPb, 1995. Iss. 14, pp. 92—99.
  16. Kurygin A.G., Uryvaev V.A. Psihicheskij distress v debyute i razvitii somaticheskogo zabolevaniya. Ekologiya cheloveka, 2006. 7, pp. 42—46.
  17. Lazarus R. Teoriya stressa i psihofiziologicheskie issledovaniya. Emocional'nyj stress / Pod red. L. Levi: Medicina, 1970. 178—208.
  18. Saunin K.A. Prediktory formirovaniya specificheskih fobicheskih rasstrojstv v napryazhennyh usloviyah uchebnoj deyatel'nosti. Eksperimental'naya psihologiya v social'nyh praktikah: materialy konferencii / Pod red. V.A. Barabanshchikova, V.V. Selivanova. M.: Izdatel'stvo Universum, 2021. 284 p.
  19. Selivanov V.V., Kapustina V.Yu. Specifika vliyaniya VR-programm na psihicheskie sostoyaniya v zavisimosti ot ih immersivnosti. Psihologiya kognitivnyh processov: sbornikstatej / Podred. V.V. Selivanova. Smolensk: Izdatel'stvo SmolGU, 2021. 121—127.
  20. Selivanov V.V., Selivanova L.N. Poznanie i lichnost' v virtual'noj real'nosti. Psihologiya kognitivnyh processov / Otv. red. V. V. Selivanov. Smolensk: SmolGU, 2015. 107—121.
  21. Selivanov V.V., Selivanova L.N. Vliyanie sredstv virtual'noj real'nosti na formirovanie lichnosti [Elektronnyj resurs]. Nepreryvnoe obrazovanie: ХХI vek, 2016. No. 2(14). DOI:10.15393/jart.2016.3128
  22. Selivanov V.V., Selivanova L.N. Vzaimodejstvie lichnosti I virtual'noj real'nosti pri rabote s kratkosrochnymi programmami. Psihologiya kognitivnyh processov / Pod red. Selivanova V.V. (sbornik statej). Smolensk: Izdatel'stvo SmolGU, 2018. Pp. 156—169.
  23. Selivanov V.V., Majtner L., Griber Yu.A. Osobennosti ispol'zovaniya tekhnologij virtual'noj real'nosti pri korrekcii I lechenii depressii v klinicheskoj psihologii [Elektronnyj resurs]. Klinicheskaya I special'naya psihologiya, 2021. 10, no. 3, pp. 231—255. DOI:10.17759/cpse.2021100312
  24. Sidorov K.R., Krohina I.G. Issledovanie prichin trevozhnosti uchashchihsya. Novoe obrazovanie, 2013. No. 1, pp. 3—5.
  25. Tashlykov V.A. Lichnostnye mekhanizmy sovladaniya (koping-povedenie) zashchity u bol'nyh nevrozami v processe psihoterapii. Mediko-psihologicheskie aspekty ohrany psihicheskogo zdorov'ya. Tomsk, 1990. Pp. 60—61.
  26. Yarullina L.R., Korchagin E.A., Nigmatulina D.S. Uchebnye stress-faktory studentov vuza i puti ih preduprezhdeniya i preodoleniya. Izvestiya KGASU, 2013. No. 2(24), pp. 355—359.
  27. Anitei M., Cojocaru F., Burtaverde V., Mihaila T. Differences in Academic Specialization regarding Stressor Perception, Coping and Stress Effects Perception in Young Students. Social and Behavioral Sciences, 2015. Iss. 203, pp. 433—437.
  28. Chalmers D.J. The virtual and the real. Disputatio, 2017. Vol. 9, pp. 309—352. DOI:10.1515/disp-2017-0009
  29. Emmelkamp P.M.G., Meyerbröker K. Virtual reality therapy in mental health. Annual Review of Clinical Psychology, 2021. Vol. 17, pp. 495—519. DOI:10.1146/annurev-clinpsy-081219-115923
  30. Griffith J., Steptoe A., Cropley M. An investigation of coping strategies associated with job stress in teachers. British Journal of Educational Psychology, 1999. Vol. 69(4), pp. 517—531.
  31. Kepalaite A. Stress coping strategies of first year students of social pedagogy. Specialusis Ugdymas, 2013. Iss. 29(2), pp. 101—108.
  32. Mahmoud, Yassin H., Hurkxkens T.J. Does Immersive VR Increase Learning Gain When Compared to a Non-immersive VR Learning Experience? Learning and Collaboration Technologies. Human and Technology Ecosystems, July 2020. Pp. 480—498. DOI:10.1007/978-3-030-50506-633. URL: https://link.springer.com/book/10.1007/978-3-030-50506-6?page=2#toc
  33. Menshikova G.Ya., Saveleva O.A., Zinchenko Yu.P. The study of ethnic attitudes during interactions with avatars in virtual environments. Psychology in Russia: State of the Art, 2018. Vol. 11, Iss. 1, pp. 20—31. DOI:10.11621/pir.2018.0102
  34. Metzinger T.K. Why is Virtual Reality interesting for Philosophers? Frontiers in Psychology. Front. Robot. AI, 13 September, 2018. DOI:3389/frobt.2018.00101
  35. Meyerbröker K., Morina N. The use of virtual reality in assessment and treatment of anxiety and related disorders. Psychol. Psychother., 2021. Vol. 28, pp. 466—476. DOI:10.1002/cpp.2623
  36. Powers M.B., Briceno N.F., Gresham R., Jouriles E.N., Emmelkamp P.M.G., Smits J.A.J. Do conversations with virtual avatars increase feelings of social anxiety? Journal of Anxiety Disorders, Vol. 27, no. 4, pp. 398—403. DOI:10.1016/j.janxdis.2013.03.003
  37. Reed V., Nelson С.В., Wittchen H.-U. Panic attacks, panic disorder and agoraphobia in adolescence: Prevalence, onset and comorbidity. Psychiatr. Res., 2002. Vol. 17, pp. 39—62.
  38. Reger G.M., Koenen‐Woods P., Zetocha K., Smolenski D.J., Holloway K.M., Rothbaum B.O., Difede J.A., Rizzo A.A., Edwards‐Stewart A., Skopp N.A., Mishkind M., Reger M.A., Gahm G.A. Randomized controlled trial of prolonged exposure using imaginal exposure vs. virtual reality exposure in active duty soldiers with deployment‐related posttraumatic stress disorder (PTSD). Journal of Consulting and Clinical Psychology, 2016. Vol. 84(11), pp. 946—959. DOI:10.1037/ccp0000134
  39. Wallach H.S., Bar-Zvi M., Safir M. Virtual Reality-Assisted Treatment of Public Speaking Anxiety. CyberPsychology & Behavior, 2006. Vol. 9(6), pp. 725−726.

Information About the Authors

Vladimir V. Selivanov, Doctor of Psychology, Professor, Head of the Department of General Psychology, Moscow State University of Psychology and Education, Head of the Chair of General Psychology, Smolensk State University, Smolensk, Russia, ORCID: https://orcid.org/0000-0002-8386-591X, e-mail: vvsel@list.ru

Kira A. Saunin, Lecturer, Department of General Psychology, Moscow State University of Psychology and Education, Moscow, Russia, ORCID: https://orcid.org/0009-0007-5462-1004, e-mail: kira.saunin@bk.ru

Chao Zhang, Leading Psychiatrist of the Middle Category, Dunin People’s County Hospital, PhD student, Smolensk State University, China, ORCID: https://orcid.org/0000-0002-8313-3022, e-mail: 445876212@qq.com

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