{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T13:47:21Z","timestamp":1776692841965,"version":"3.51.2"},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2019,3,27]],"date-time":"2019-03-27T00:00:00Z","timestamp":1553644800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1352465819000225_as1\"><jats:title>Background:<\/jats:title><jats:p>Patients with generalized social anxiety disorder (SAD) avoid various social situations and can be reluctant to engage in <jats:italic>in vivo<\/jats:italic> exposure therapy. Highly personalized practising can be required before patients are ready to perform <jats:italic>in vivo<\/jats:italic> exposure. Virtual reality-based therapy could be beneficial for this group.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465819000225_as2\"><jats:title>Aims:<\/jats:title><jats:p>To assess the feasibility and potential effect of virtual reality-based cognitive behavioural therapy (VR-CBT) for patients with severe generalized SAD.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465819000225_as3\"><jats:title>Methods:<\/jats:title><jats:p>Fifteen patients with generalized SAD attended up to 16 VR-CBT sessions. Questionnaires on clinical and functional outcomes, and diary assessments on social activity, social anxiety and paranoia were completed at baseline, post-treatment and at 6-months follow-up.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465819000225_as4\"><jats:title>Results:<\/jats:title><jats:p>Two patients dropped out of treatment. Improvements in social anxiety and quality of life were found at post-treatment. At follow-up, depressive symptoms had decreased, and the effect on social anxiety was maintained. With respect to diary assessments, social anxiety in company and paranoia were significantly reduced by post-treatment. These improvements were maintained at follow-up. No increase was observed in social activity.<\/jats:p><\/jats:sec><jats:sec id=\"S1352465819000225_as5\"><jats:title>Conclusions:<\/jats:title><jats:p>This uncontrolled pilot study demonstrates the feasibility and treatment potential of VR-CBT in a difficult-to-treat group of patients with generalized SAD. Results suggest that VR-CBT may be effective in reducing anxiety as well as depression, and can increase quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1352465819000225","type":"journal-article","created":{"date-parts":[[2019,3,27]],"date-time":"2019-03-27T17:17:30Z","timestamp":1553707050000},"page":"745-750","source":"Crossref","is-referenced-by-count":74,"title":["Virtual reality-based cognitive behavioural therapy for patients with generalized social anxiety disorder: a pilot study"],"prefix":"10.1017","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6401-2073","authenticated-orcid":false,"given":"Chris N.W.","family":"Geraets","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wim","family":"Veling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maartje","family":"Witlox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton B.P.","family":"Staring","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzy J.M.A.","family":"Matthijssen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Cath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,3,27]]},"reference":[{"key":"S1352465819000225_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2015.12.016"},{"key":"S1352465819000225_ref1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.184234"},{"key":"S1352465819000225_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171700040X"},{"key":"S1352465819000225_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(18)30053-1"},{"key":"S1352465819000225_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)70329-3"},{"key":"S1352465819000225_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.01.015"}],"container-title":["Behavioural and Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1352465819000225","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T07:15:54Z","timestamp":1570605354000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1352465819000225\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,27]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["S1352465819000225"],"URL":"https:\/\/doi.org\/10.1017\/s1352465819000225","relation":{},"ISSN":["1352-4658","1469-1833"],"issn-type":[{"value":"1352-4658","type":"print"},{"value":"1469-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,27]]}}}