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Different \u2018grasping-conditions\u2019 were tested and contrasted in VR concerning (Ia) feasibility (performance): (1) <jats:italic>never grasp<\/jats:italic>, (2) <jats:italic>always grasp<\/jats:italic>, (3) <jats:italic>grasp<\/jats:italic> when <jats:italic>PULLing<\/jats:italic> stimuli towards oneself. (Ib) Differences in the bias scores between patients with alcohol use disorder (AUD) and healthy controls (HC) were examined for each grasping-condition. (II) PC-based bias scores were computed and contrasted for AUD versus HC. (III) Correlations of the different VR- versus PC-based bias scores with AUD symptom severity and impulsivity were checked to evaluate validity. (Ia) Grasping-condition 1, followed by 3, showed acceptable (&gt;\u200950%) and good (&gt;\u200980%) rates of correct performances allowing for robust median estimation. (Ib) Significant differences in the resulting bias scores emerged between AUD and HC only for grasping-condition 1 (<jats:italic>p<\/jats:italic>\u2009=\u20090.034) and 3 at trend-level (<jats:italic>p<\/jats:italic>\u2009=\u20090.093). For grasping-condition 1 the Apb Median for AUD was different from zero at a non-significant trend-level (<jats:italic>p<\/jats:italic>\u2009=\u20090.064). (II) The PC-based bias scores did not discriminate between AUD versus HC groups. (III) Grasping-condition 1 and 3 VR-based bias scores correlated significantly with impulsivity. In sum, transferring the AAT into VR is feasible, valid, and best implemented without an additional grasping-component when using the VR-controller. This way of Apb assessment represents a viable, perhaps even superior, alternative to PC-based assessments.<\/jats:p><jats:p><jats:italic>Trial registration<\/jats:italic> The trial was pre-registered at AsPredicted #76854: \u2018Transferring the approach avoidance task into virtual reality\u2019, 10\/13\/2021; prior to any analyses being undertaken.<\/jats:p>","DOI":"10.1007\/s10055-023-00835-7","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T14:01:40Z","timestamp":1691071300000},"page":"2711-2722","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Transferring the approach avoidance task into virtual reality: a study in patients with alcohol use disorder versus healthy controls"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9059-9277","authenticated-orcid":false,"given":"Leonie","family":"Ascone","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janina","family":"Wirtz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelina Isabella","family":"Mellentin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrij","family":"Kugler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Bremer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich","family":"Schadow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stine","family":"Hoppe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Jebens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"K\u00fchn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,8,3]]},"reference":[{"key":"835_CR1","volume-title":"AUDIT. 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J.W. has no conflict of interest to declare. A.I.M. has no conflict of interest to declare. D.K. has no conflict of interest to declare. T.B. received a research grant from the European Union (Interreg: Baltic Game Industry). F.S. has no conflict of interest to declare. S. H. has no conflict of interest to declare. C. J. has no conflict of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by a local ethics consortium prior to study onset. The study adhered to the declaration of Helsinki. All participants consented to participate in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}