عنوان مقاله [English]
Introduction: The purpose of this study was to compare the effectiveness of the virtual reality exposure therapy and the mindfulness-acceptance therapy on social self-efficacy and social anxiety symptoms among social anxiety patients.
Method: The research method was semi-experimental with pretest-posttest design and statistical population included reffered social anxiety patients to a counseling center in Tehran.The sample consisted of 30 social anxiety patients of a counseling center in Tehran during the summer and Fall 2018 with social anxiety disorder diagnosis based on clinical interview and social phobia inventory (SPIN) cut point which selected through available sampling and then randomly divided to two experimental groups (n=15). Instruments included Gaudiano and Herbert self-efficacy for social situations scale (SESS) and Connor et al. social phobia inventory (SPIN) and data were analyzed by SPSS software.
Results: Results showed that the effectiveness of virtual reality exposure therapy and mindfulness-acceptance therapy on social self-efficacy were significantly different and Mindfulness-acceptance therapy was more effective. In social anxiety symptoms two therapies were not different.
Conclusion: Virtual reality exposure therapy and mindfulness-acceptance therapy could be useful for social self-efficacy and social anxiety disorder symptoms, but mindfulness-acceptance therapy is more efficient for social self-efficacy.
1- Khayyer M, Ostovar S, Latifian M, Taghavi MR. Theoretical, research and therapeutic bases of social anxiety disorder. Shiraz: Eram Press. 2013.
2- Sosic Z, Gieler U. Screening for social phobia in medical in-and outpatients with the German version of the Social Phobia Inventory (SPIN). Journal of Anxiety Disorders. 2008; 22(5): 849-59.
3- Association AP. Diagnostic and statistical manual of mental disorders: American Psychiatric Association. 2013.
4- McAleavey AA, Castonguay LG, Goldfried MR. Clinical experiences in conducting cognitive-behavioral therapy for social phobia. Behavior Therapy. 2014; 45(1): 21-35.
5- Grant D, Beck JG. Attentional biases in social anxiety and dysphoria: Does comorbidity make a difference? Journal of anxiety disorders. 2006; 20(4): 520-9.
6- Den Boer JA. Social anxiety disorder/social phobia: epidemiology, diagnosis, neurobiology, and treatment. Comprehensive Psychiatry. 2000.
7- Khayyer M, Ostovar S, Latifian M, Taghavi MR. The study of mediating effects of self-focused attention and social self-efficacy on links between social anxiety and judgment biases. Iranian Journal of Psychiatry and Clinical Psychology. 2008; 14(1): 24-32.
8- HashemiNosratabad T, Mahmoud-Alilou M. The Effectiveness of Cognitive Behavioral Therapy based on Hofmann’s Model on Fear of Negative Evaluation and Self- Focused Attention in Social Anxiety Disorder. JCP. 2017; 9(1): 101-10.
9- ghayourkazemi F, sepehri shamloo Z, mashhadi A, ghanaei A. A Comparative Study of the
Effectiveness of Metacognitive Therapy with Neurofeedback Training on Metacognitive Beliefs and Anxiety Symptoms in Female Students with Social Anxiety Disorder (single subject). JCP. 2016; 4(1): 19-30.
10- Babaei Kafaki H, Hassanzadeh R. The comparison of the effectiveness of Applied Behavior Analysis and Pivotal Response Training on life orientation, unconditional acceptance and social anxiety in mothers of autistic children. JCP. 2018; 10(1): 57-69.
11- Taylor S. Meta-analysis of cognitive-behavioral treatments for social phobia. Journal of behavior therapy and experimental psychiatry. 1996; 27(1): 1-9.
12- Hofmann SG, Sawyer AT, Fang A, Asnaani A. Emotion dysregulation model of mood and anxiety disorders. Depression and anxiety. 2012; 29(5): 409-16.
13- Emmelkamp PM, Krijn M, Hulsbosch A, De Vries S, Schuemie MJ, van der Mast CA. Virtual reality treatment versus exposure in vivo: a comparative evaluation in acrophobia. Behaviour research and therapy. 2002; 40(5): 509-16.
14- Burdea G, editor Virtual reality systems and applications. Electro’93 Intemational Conference. 1993.
15- Soleimani M. The Basics and Practice of Virtual Reality Therapy. Tehran: Sina Press. 2016.
16- Eslami P, Rasti J, Monshei Gh. Effectiveness of virtual reality on reduction fear of flying among individual with fear of flying. Clinical Psychology Quarterly. 2014; 13(4): 44-62.
17- Öst LG. Efficacy of the third wave of behavioral therapies: A systematic review and meta-analysis. Behaviour research and therapy. 2008; 46(3): 296-321.
18- Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy. 2006; 44(1): 1-25.
19- Nazemi H, Najafi M, Makvand Hosseini Sh, Maleki A. Effectiveness of virtual reality exposure therapy on reduction avoidance and social distress symptoms among individuals with social anxiety disorder. Journal of Behavioral Sciences Research. 2018; 11.
20- Ostadian Khani Z. Effect of Acceptance and Commitment Group Therapy on Social Adjustment and Social Phobia Among Physically-Disabled Persons. Archives of Rehabilitation. 2017; 18(1): 63-72.
21- Soleimani M, Ahmadi KH. Virtual reality exposure therapy in anxiety disorders and PTSD: A systematic review of litrarture. Bebavioral Science Research. 2016; 14(1): 14.
22- Shabani J, Masdari M. The Effectiveness of Training Mindfulness-based Cognitive Therapy on Social Anxiety Disorder among First High School Female Students. Shenakht Journal of Psychology and Psychiatry. 2016; 3(3): 12-27.
23- Sheykhan R, Mohammadkhani Sh. The Effect of the Group Training of the Attention Training Technique on Anxiety, Self-Focused Attention and Metaworries in Socially Anxious Adolescents. JCP. 2013; 1(1): 33-45.
24- Mahjuob N. The Effectiveness of Mindfulness-based Cognitive Therapy on Reducing Anxiety Sensitivity and Meta-worry in Students with Social Anxiety. JCP. 2015; 7(2): 39-48.
25- Ghamarigivi H. Comparison the effectiveness of computerized cognitive behavioral therapy versus clinical intervention in social phobia disorder. Counselling and Psychotherapy Culture. 2011; 1(4): 91-110.
26- Goldin PR, Morrison AS, Jazaieri H, Heimberg RG, Gross JJ. Trajectories of social anxiety, cognitive reappraisal, and mindfulness during an RCT of CBGT versus MBSR for social anxiety disorder. Behaviour research and therapy. 2017; 97: 1-13.
27- Kim HE, Hong YJ, Kim MK, Jung YH, Kyeong S, Kim JJ. Effectiveness of self-training using the mobile-based virtual reality program in patients with social anxiety disorder. Computers in Human Behavior. 2017; 73: 614-9.
28- Yuen EK, Herbert JD, Forman EM, Goetter EM, Comer R, Bradley JC. Treatment of social anxiety disorder using online virtual environments in second life. Behavior Therapy. 2013; 44(1): 51-61.
29- Heuett B. Virtual reality therapy: A means of reducing public speaking anxiety. International Journal of Humanities and Social Science. 2011; 1(16): 1-6.
30- Safir MP, Wallach HS, BarZvi M. Virtual reality cognitive-behavior therapy for public speaking anxiety: one-year follow-up. Behavior modification. 2012; 36(2): 235-46.
31- Dalrymple KL, Herbert JD. Acceptance and commitment therapy for generalized social anxiety disorder: A pilot study. Behavior modification. 2007; 31(5): 543-68.
32- Heuett BL. Virtual reality therapy: A means of reducing public speaking anxiety. International Journal of Humanities and Social Science. 2011; 1(16): 1-6.
33- Hassanvand Amouzadeh M, Hassanvand Amouzadeh A, Ghadampour M. The Prediction of social anxiety symptoms (fear, avoidance, physiological arousal) on the basis of early maladaptive dchemas. New Psychological Research. 2014; 8(14).
34- North MM, North SM, Coble JR. Virtual reality therapy: an effective treatment for the fear of public speaking. International Journal of Virtual Reality (IJVR). 2015; 3(3): 1-6.
35- MeyerbrökerK & Emmelkamp PM. Virtual reality exposure therapy in anxiety disorders: a systematic review of process‐and‐outcome studies. Depression and anxiety. 2010; 27(10): 933-44.
36- Kocovski NL, Fleming JE, Rector NA. Mindfulness and acceptance-based group therapy for social anxiety disorder: An open trial. Cognitive and Behavioral Practice. 2009; 16(3): 276-89.
37- Chesham R, Malouff JN. Meta-analysis of the efficacy of virtual reality exposure therapy for social anxiety. Behaviour Change. 2018; 35(3): 152-66.
38- Block J. Acceptance or change of private experiences: A comparative analysis in college students with public speaking anxiety: University at Albany, State University of New York. 2002.
39- Ferrer-García M, Gutiérrez-Maldonado J. The use of virtual reality in the study, assessment, and treatment of body image in eating disorders and nonclinical samples: a review of the literature. Body image. 2012; 9(1): 1-11.
40- Reid DT. Benefits of a virtual play rehabilitation environment for children with cerebral palsy on perceptions of self-efficacy: a pilot study. Pediatric rehabilitation. 2002; 5(3): 141-8.
41- Clark DM, Wells A. A cognitive model of social phobia. Social phobia: Diagnosis, assessment, and treatment. 1995; 41(68): 00022-3.
42- Hayes SC, Strosahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D, et al. Measuring experiential avoidance: A preliminary test of a working model. The psychological record. 2004; 54(4): 553-78.
43- Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: American Psychological Association. 2009.
44- Linehan MM, Armstrong HE, Suarez A, Allmon D, Heard HL. Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of general psychiatry. 1991; 48(12): 1060-4.