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This randomized controlled trial tested Impact VR, a brief, immersive socioemotional intervention, with the aim of building protective factors and improving socioemotional functioning among youth with CD. A total of 110 adolescents with CD (\n                    <jats:italic>M<\/jats:italic>\n                    <jats:sub>\n                      <jats:italic>age<\/jats:italic>\n                    <\/jats:sub>\n                    \u2009=\u200913.79; 58% male) were randomized to either the Impact VR intervention or an active control. Outcomes were assessed at baseline, post-intervention, and 3-month follow-up, including emotion recognition accuracy (ER40 total and subscales: fear, sadness, anger, happy, neutral), self-reported peer relationships, parent relationships, and social stress. Mixed-effects models controlled for baseline scores. Impact VR produced significant improvements in ER40 total accuracy (\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.74,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001), with specific gains for fear (\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.54,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001), sadness (\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.75, p\u2009&lt;\u2009.001), and anger (\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.50,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.014). No group differences emerged for happy (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.126) or neutral (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.050). Impact VR participants also reported stronger peer relationships (\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.58,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.002) and parental relationships (\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.54,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001), and reductions in social stress at the 3-month follow-up (\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.53,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001). Findings demonstrate that even brief, scalable interventions delivered through immersive virtual experiences can yield meaningful improvements in socioemotional functioning for adolescents with CD. Impact VR represents a promising, engaging, and developmentally sensitive addition to the prevention science toolbox.\n                  <\/jats:p>","DOI":"10.1007\/s11121-025-01876-x","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:09:46Z","timestamp":1768435786000},"page":"250-265","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact VR: Building Socioemotional Resilience in Youth with Conduct Disorder"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5127-8174","authenticated-orcid":false,"given":"Nicholas D.","family":"Thomson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica J.","family":"James","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Blondell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Perera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Hazlett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Vrana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"issue":"5","key":"1876_CR1","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1111\/j.1467-8721.2006.00440.x","volume":"15","author":"R Adolphs","year":"2006","unstructured":"Adolphs, R. 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