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Development of a Virtual Reality Assessment of Everyday Living Skills
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Using virtual reality to treat aggressive behavior problems in children: A feasibility study.

Sophie C Alsem1, Anouk van Dijk1,2, Esmée E Verhulp1

  • 1Department of Developmental Psychology, 8125Utrecht University, The Netherlands.

Clinical Child Psychology and Psychiatry
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Interactive virtual reality shows promise for treating childhood aggression. This feasibility study found the method effective and highly appreciated by children, suggesting potential to enhance cognitive behavioral therapies (CBTs).

Keywords:
Cognitive behavioral therapyaggressionchildrenfeasibilityinterventionvirtual reality

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Area of Science:

  • Child and Adolescent Psychology
  • Clinical Psychology
  • Human-Computer Interaction

Background:

  • Evidence-based cognitive behavioral therapies (CBTs) demonstrate modest effects for children with aggressive behavior problems.
  • Novel methods are required to improve the effectiveness of CBTs for this population.

Purpose of the Study:

  • To assess the feasibility of interactive virtual reality (VR) as a treatment for childhood aggression.
  • To evaluate children's appreciation of VR therapy.
  • To explore changes in children's aggression levels during a ten-session VR treatment program.

Main Methods:

  • A feasibility study involving six boys (8-12 years) at two clinical centers in the Netherlands.
  • Weekly reports collected from therapists (feasibility), children (appreciation), and parents/children (aggression).
  • Utilized newly developed reporting tools to gather data on treatment delivery, engagement, and behavioral outcomes.

Main Results:

  • Therapists successfully delivered 98% of session content and exceeded recommended VR practice time, indicating high feasibility.
  • Children reported high levels of appreciation for the interactive VR treatment.
  • Parents observed a decrease in their children's aggression from week 1 to week 10, though children's self-reports did not reflect this change.

Conclusions:

  • Interactive virtual reality is a feasible and well-appreciated treatment for children with aggressive behavior problems.
  • The findings support the need for further investigation through randomized controlled trials.
  • VR may offer a promising avenue to enhance the effectiveness of cognitive behavioral therapies for childhood aggression.