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Treating children's aggressive behavior problems using cognitive behavior therapy with virtual reality: A multicenter

Sophie C Alsem1,2, Anouk van Dijk2, Esmée E Verhulp1

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

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Interactive virtual reality may improve Cognitive Behavioral Therapy (CBT) for children with aggressive behavior problems. This therapy approach showed greater effectiveness than traditional roleplays or standard care.

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Area of Science:

  • Clinical Psychology
  • Human-Computer Interaction
  • Developmental Psychology

Background:

  • Aggressive behavior problems in children are a significant concern.
  • Cognitive Behavioral Therapy (CBT) is a common treatment approach.
  • Exploring innovative therapeutic tools is crucial for enhancing treatment outcomes.

Purpose of the Study:

  • To investigate if interactive virtual reality (VR) enhances the effectiveness of CBT for reducing aggressive behavior in children.
  • To compare the efficacy of CBT with VR versus CBT with traditional roleplays and care-as-usual.

Main Methods:

  • A multicenter randomized controlled trial involving 115 boys with aggressive behavior problems.
  • Participants were randomized into three groups: CBT with VR, CBT with roleplays, or care-as-usual.
  • Bayesian analyses were used to compare treatment outcomes.

Main Results:

  • CBT with VR demonstrated a higher likelihood of reducing aggressive behavior compared to care-as-usual for most outcomes.
  • CBT with VR also showed greater effectiveness than CBT with roleplays for several outcomes.
  • Virtual reality enhanced children's emotional engagement, practice immersion, and treatment appreciation compared to roleplays.

Conclusions:

  • Interactive virtual reality shows promise as a tool to augment CBT for children's aggressive behavior problems.
  • VR may lead to better treatment engagement and outcomes compared to traditional methods.
  • Further research into VR-enhanced CBT is warranted for pediatric behavioral health.