The purpose of this study was to examine the effects of virtual reality exposure therapy on heterosocial anxiety among female university students. Participants were female university students who scored higher than 38 in Korean version of the Social Interaction Self-Statement test (SISST). For this study, 19 participants were assigned to the experimental group and 16 participants were assigned to wait-list control group. The virtual reality exposure therapy comprised four 30-minute sessions scheduled twice weekly. The Korean version of the Social Interaction Self-Statement test (SISST), the Subjective Unit of Discomfort Scale, the Heart rate, and the Timed Behavior Checklist for Performance Anxiety (TBCL) were measurements applied in this study. Results of the study indicate positive automatic thoughts of the experimental group significantly increased compared to the wait-list control group, and negative automatic thoughts, heart rate before conversation, and observer evaluation of performance anxiety score of the experimental group significantly decreased compared to the wait-list control group. Subjective anxiety and heart rate after conversation showed no significant difference between the groups. Implications of this study and proposal for following studies are discussed.
김헌영, 김미리혜, Chad Ebesutani (2017). 가상현실 노출치료가 여대생의 발표불안에 미치는 효과. 한국심리학회지: 건강, 22(4), 833-847.
방은별, 김정호, 김제중. (2019). 점진적 가상현실 노출치료가 여대생의 발표불안 및 자기초점적 주의에미치는 효과. 한국심리학회지: 건강, 24(2), 293-309.
이혜경 (1998). 사회공포증에서 나타나는 인지적 특성이수행불안에 미치는 영향. 고려대학교 일반대학원석사학위 청구논문.
이정윤, 최정훈 (1997). 사회공포증의 인지행동치료와노출치료의 효과연구. 한국심리학회지: 상담 및 심리치료, 9(1), 35-56.
정유선, 권정혜. (2006). 피드백 유형이 사회공포증 집단의 예상불안과 수행에 미치는 영향. Korean Journal of Clinical Psychology, 25(2), 489-504.
조용래, 김은정, 원호택 (1997). 대인불안에 대한 인지적평가(II). 한국심리학회: 임상, 16(2), 233-249.
조용래, 원호택 (1997). 대인불안에 대한 인지적 평가:사회적 상호작용에 대한 자기 효능감 척도의 개발과 타당화에 관한 연구. 심리학의 연구문제, 4, 397-434.
조용래, 원호택, 표경식. (2000). 사회공포증에 대한 집단인지치료의 효과. Korean Journal of Clinical Psychology, 19(2), 181-206.
최연화. (2012). 대학생의 자아분화, 성인애착, 관계중독과 친밀한 관계에 대한 두려움 간의 관계. 상담학연구, 13(2), 689-704.
Alden, L. E., Mellings, T. M., & Laposa, J. M. (2004). Framing social information and generalized social phobia. Behaviour Research and Therapy, 42(5), 585-600.
American Psychiatric Association (2013). The Diagnostic and Statistical Manual of Mental Disorders: DSM 5. Philadelphia: bookpointUS.
Antony, M. M., & Swinson, R. P. (2005). 수줍음과 사회불안의 극복 (최병휘 역). 서울: 시그마프레스.
Argyle, M., & Kendon, A. (1967). The Experimental Analysis of Social Performance in Berkowitz, L.(Eds). Advances in Experimental Social Psychology, 3, 55-98.
Bandura, A. (1969). Principles of behavior modification. New York: Holt, Rinehart and Winston.
Bathke, A. (2004). The ANOVA F test can still be used in some balanced designs with unequal variances and nonnormal data. Journal of Statistical Planning and Inference, 126(2), 413-422.
Blanca, M., Alarcón, R., Arnau, J., Bono, R., & Bendayan, R. (2017). Non-normal data: Is ANOVA still a valid option?. Psicothema, 29(4), 552-557.
Cicchetti, D. V. (1994). Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychological Assessment, 6(4), 284-290.
Curran, J. P. (1975). Social skills training and systematic desensitization in reducing dating anxiety. Behaviour Research and Therapy, 13(1), 65-68.
Curran, J. P. (1977). Skills training as an approach to the treatment of heterosexual-social anxiety: A review. Psychological Bulletin, 84(1), 140-157.
Erikson, E. H. (1993). Childhood and society. New York: Norton & Company.
Feske, U., & Chambless, D. L. (1995). Cognitive behavioral versus exposure only treatment for social phobia: A meta-analysis. Behavior Therapy, 26(4), 695-720.
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 2C.
Goldfried, M. R., Padawer, W., & Robins, C. (1984). Social anxiety and the semantic structure of heterosocial interactions. Journal of Abnormal Psychology, 93(1), 87-97.
Glass, C. R., Merluzzi, T. V., Biever, J. L., & Larsen, K. H. (1982). Cognitive assessment of social anxiety: Development and validation of a self-statement questionnaire. Cognitive Therapy and Research, 6(1), 37-55
Hartanto, D., Kampmann, I. L., Morina, N., Emmelkamp, P. G., Neerincx, M. A., & Brinkman, W. P. (2014). Controlling social stress in virtual reality environments. PloS one, 9(3), e92804.
Hope, D. A., Heimberg, R. G., & Turk, C. L. (2014). 사회불안증의 인지행동치료 (2판) (최병휘 역). 서울: 시그마프레스.
Kampmann, I. L., Emmelkamp, P. M. G., Haranto, D., Brinkman, W-P., Zijlstra, B. J. H., & Morina, N. (2016). Exposure to virtual social interactions in the treatment of social anxiety disorder: A randomized controlled trial. Behaviour Research and Therapy, 77, 147-156.
Kraft, T. (1971). Social anxiety model of alcoholism. Perceptual and Motor Skills, 33(3), 797-798.
La Greca, A. M., & Mackey, E. R. (2007). Adolescents' anxiety in dating situations: The potential role of friends and romantic partners. Journal of Clinical Child and Adolescent Psychology, 36(4), 522-533.
Leary, M. R., & Dobbins, S. E. (1983). Social anxiety, sexual behavior, and contraceptive use. Journal of Personality and Social Psychology, 45(6), 1347-1354. MacDonald, M. L., Lindquist, C. U., Kramer, J. A.,
McGrath, R. A., & Rhyne, L. D. (1975). Social skills training: Behavior rehearsal in groups and dating skills. Journal of Counseling Psychology, 22(3), 224.
Mahone, E. M., Bruch, M. A., & Heimberg, R. G. (1993). Focus of attention and social anxiety: The role of negative self-thoughts and perceived positive attributes of the other. Cognitive Therapy and Research, 17(3), 209-224.
Martinson, W. D., & Zerface, J. P. (1970). Comparison of individual counseling and a social program with nondaters. Journal of Counseling Psychology, 17(1), 36-40.
McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatric Research, 45(8), 1027-1035.
Morina, N., Brinkman, W. P., Hartanto, D., Kampmann, I. L., & Emmelkamp, P. M. (2015). Social interactions in virtual reality exposure therapy: A proof-of-concept pilot study. Technology and Health Care, 23(5), 581-589.
Opris, D., Pintea, S., Garcia-Palacios, A., Botella, C., Szamoskozi, S., & David, D. (2011). Virtual reality exposure therapy in anxiety disorders: a quantitative meta-analysis. Depression and Anxiety, 29(2), 85-93.
Parsons, T. D., & Rizzo, A. A. (2006). Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: A meta- analysis. Journal of Behavior Therapy and Experimental Psychiatry, 39(3), 250-261.
Post, M. W. (2016). What to do with “moderate”reliability and validity coefficients?. Archives of Physical Medicine and Rehabilitation, 97(7), 1051-1052.
Rehm, L. P., & Marston, A. R. (1968). Reduction of social anxiety through modification of self-reinforcement: An instigation therapy technique. Journal of Consulting and Clinical Psychology, 32(5, Pt.1), 565-574.
ter Heijden, N., Qu, C., Wiggers, P., & Brinkman, W. P. (2010). Developing a dialogue editor to script interaction between virtual chracters and social phobic patients. In Proc. of the ECCE2010workshop-Cognitive engineering for technology in mental health care and rehabilitation, Mediamatica, Delft University of Technology, Delft, The Netherlands, 111-123.
Wallach, H. S., Safir, M. P., & Bar-Zvi, M. (2009). Virtual reality cognitive behavior therapy for public speaking anxiety: a randomized clinical trial. Behavior Modification, 33(3), 314-338.
Xu, Y., Schneier, F., Heimberg, R. G., Princisvalle, K., Liebowitz, M. R., Wang, S., & Blanco, C. (2012). Gender differences in social anxiety disorder:Results from the national epidemiologic sample on alcohol and related conditions. Journal of Anxiety Disorders, 26(1), 12-19.