The Course of the Working Alliance during Virtual Reality and Exposure Group Therapy for Social Anxiety Disorder

被引:24
|
作者
Ngai, Irene [1 ]
Tully, Erin C. [1 ]
Anderson, Page L. [1 ]
机构
[1] Georgia State Univ, Atlanta, GA 30302 USA
关键词
Social anxiety disorder; working alliance; virtual reality exposure therapy; exposure group therapy; cognitive behavioral therapy; COGNITIVE-BEHAVIOR THERAPY; PUBLIC-SPEAKING ANXIETY; PHOBIA; PSYCHOTHERAPY; VALIDATION; PATTERNS; CLIENTS; RUPTURE;
D O I
10.1017/S135246581300088X
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Psychoanalytic theory and some empirical research suggest the working alliance follows a rupture and repair pattern over the course of therapy, but given its emphasis on collaboration, cognitive behavioral therapy may yield a different trajectory. Aims: The current study compares the trajectory of the working alliance during two types of cognitive behavioral therapy for social anxiety disorder - virtual reality exposure therapy (VRE) and exposure group therapy (EGT), one of which (VRE) has been proposed to show lower levels of working alliance due to the physical barriers posed by the technology (e.g. no eye contact with therapist during exposure). Method: Following randomization, participants (N = 63) diagnosed with social anxiety disorder received eight sessions of manualized EGT or individual VRE and completed a standardized self-report measure of working alliance after each session. Results: Hierarchical linear modeling showed overall high levels of working alliance that changed in rates of growth over time; that is, increases in working alliance scores were steeper at the beginning of therapy and slowed towards the end of therapy. There were no differences in working alliance between the two treatment groups. Conclusion: Results neither support a rupture/repair pattern nor the idea that the working alliance is lower for VRE participants. Findings are consistent with the idea that different therapeutic approaches may yield different working alliance trajectories.
引用
收藏
页码:167 / 181
页数:15
相关论文
共 50 条
  • [1] Exposure therapy in virtual reality for social anxiety disorder
    Clemmensen, L.
    Lichtenstein, M. B.
    Bouchard, S.
    EUROPEAN PSYCHIATRY, 2020, 63 : S130 - S131
  • [2] Working alliance in individual and group cognitive therapy for social anxiety disorder
    Mortberg, Ewa
    PSYCHIATRY RESEARCH, 2014, 220 (1-2) : 716 - 718
  • [3] Using virtual reality exposure therapy treatment with social anxiety disorder
    Kai, Rong
    Guang, Wang
    INTERNATIONAL JOURNAL OF PSYCHOLOGY, 2012, 47 : 86 - 86
  • [4] Virtual Reality Therapy in Social Anxiety Disorder
    Emmelkamp, Paul M. G.
    Meyerbroker, Katharina
    Morina, Nexhmedin
    CURRENT PSYCHIATRY REPORTS, 2020, 22 (07)
  • [5] Virtual Reality Therapy in Social Anxiety Disorder
    Paul M. G. Emmelkamp
    Katharina Meyerbröker
    Nexhmedin Morina
    Current Psychiatry Reports, 2020, 22
  • [6] Virtual Reality Exposure Therapy and Internet in Social Anxiety Disorder: A Review.
    Garcia-Garcia, Emilio S.
    Rosa-Alcazar, Ana I.
    Olivares-Olivares, Pablo J.
    TERAPIA PSICOLOGICA, 2011, 29 (02): : 233 - 243
  • [7] Virtual Reality Exposure Therapy for Social Anxiety Disorder: A Randomized Controlled Trial
    Anderson, Page L.
    Price, Matthew
    Edwards, Shannan M.
    Obasaju, Mayowa A.
    Schmertz, Stefan K.
    Zimand, Elana
    Calamaras, Martha R.
    JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2013, 81 (05) : 751 - 760
  • [8] Meta-analysis of virtual reality exposure therapy for social anxiety disorder
    Morina, Nexhmedin
    Kampmann, Isabel
    Emmelkamp, Paul
    Barbui, Corrado
    Hoppen, Thole H.
    PSYCHOLOGICAL MEDICINE, 2023, 53 (05) : 2176 - 2178
  • [9] Salivary CRP predicts treatment response to virtual reality exposure therapy for social anxiety disorder
    Antici, Elizabeth E.
    Kuhlman, Kate R.
    Treanor, Michael
    Craske, Michelle G.
    BRAIN BEHAVIOR AND IMMUNITY, 2024, 118 : 300 - 309
  • [10] A Literature Review Examining Virtual Reality Exposure Therapy for Individuals Diagnosed With Social Anxiety Disorder
    Arif, Rimsha
    Ashraf, Sahar
    Bhatt, Kesha
    Shah, Kaushal
    JOURNAL OF NERVOUS AND MENTAL DISEASE, 2023, 211 (10) : 729 - 734