Low-Cost, Virtual Reality System to Increase Access to Exposure Therapy for Anxiety and Obsessive Compulsive Disorders
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anxiety
- Sponsor
- Mayo Clinic
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Mean change from baseline in Subjective Units of Distress Scale (SUDS) at end of session
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Cognitive Behavioral Therapy with fear provoking exposures is the most effective therapy for anxiety disorders. Investigators aim to enhance this therapy with the use of virtual reality exposures and to make therapy more available and accessible for patients with anxiety disorders. The societal benefit of increased access to therapy is that, if successful, it will increase the number of patients who receive appropriate treatment for an anxiety disorder.
Detailed Description
Twenty children with CADs or OCD who have received less than 3 treatment sessions and a parent will be recruited to pilot the VR system. Participants will be identified through the Mayo Clinic Pediatric Anxiety Disorders Clinic. Each patient will participate in a single (up to) 2-hour visit. During the first 30 minutes the patient and parent will be introduced to the VR system and the rationale for this feasibility study. Next, a therapist will lead the patient through exposure exercises using the VR system for up to 30 minutes. During the next period, up to 30 minutes, the therapist will go to a different room and the patient, with support from their parent, will complete exposure exercises using the VR system that the therapist directed them to complete. During the exposures the interviewer will observe, code and record the patient's interaction with the VR system. For the remaining time (up to 30 minutes) the interviewer will interview the patient about his or her experience with the VR system and then will ask for observations and opinions from the parent.
Investigators
Stephen Whiteside
Associate Professor of Psychology
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- •Age 7 to 12
- •Primary diagnosis of anxiety, generalized anxiety disorder, social phobia, separation anxiety and/or OCD
Exclusion Criteria
- •History of and/or current diagnosis of: psychosis, autism, bipolar disorder, mental retardation, oppositional defiant disorder, PTSD, selective mutism or major depressive disorder.
- •Current suicidality or recent suicidal behavior
- •Parent to be involved in study who is unable to adequately participate due to intellectual or psychiatric difficulties
- •Starting or changing the dosage of a psychiatric medication in the last 2 months
Outcomes
Primary Outcomes
Mean change from baseline in Subjective Units of Distress Scale (SUDS) at end of session
Time Frame: approximately 2 hours
The SUDS - 0 to 10 ratings, where 0 indicates that they feel no anxiety at all and 10 indicates that they are experiencing maximum distress
Secondary Outcomes
- Percent of children to describe the virtual reality system as engaging and easy to use based on qualitative interviews(approximately 2 hours)