Physiological measures and self-report to evaluate neutral virtual reality worlds

Using virtual reality technology for exposure therapy to treat patients with anxiety disorders is attracting considerable research attention. The ability to monitor patient anxiety level helps therapists to set appropriate anxiety arousing situations. Physiological measures have been put forward as objective indicators of anxiety levels. Because of individual variation, they need a baseline recording which is often conducted in neutral virtual worlds which do not include phobic stressors. Still because of the novelty of the virtual worlds, reports in the literature suggest that individuals already show some level of arousal when placed in these worlds. This paper presents two studies which look at the effect two different neutral virtual worlds can have on individuals. Findings suggest that a neutral world does not have to result in an increased level of arousal.

[1]  Joseph Wolpe,et al.  The practice of behavior therapy , 1969 .

[2]  D. F. Marks,et al.  Visual imagery differences in the recall of pictures. , 1973, British journal of psychology.

[3]  J. Fahrenberg,et al.  Methodological guidelines for impedance cardiography. , 1990, Psychophysiology.

[4]  C. Wientjes,et al.  A comparison of three quantification methods for estimation of respiratory sinus arrhythmia. , 1990, Psychophysiology.

[5]  Robert S. Kennedy,et al.  Simulator Sickness Questionnaire: An enhanced method for quantifying simulator sickness. , 1993 .

[6]  Bert N. Uchino,et al.  Autonomic cardiac control. III. Psychological stress and cardiac response in autonomic space as revealed by pharmacological blockades. , 1994, Psychophysiology.

[7]  G. Willemsen,et al.  Ambulatory monitoring of the impedance cardiogram. , 1996, Psychophysiology.

[8]  Ronald R. Mourant,et al.  Human Factors Issues in Virtual Environments: A Review of the Literature , 1998, Presence.

[9]  B K Wiederhold,et al.  The effects of immersiveness on physiology. , 1998, Studies in health technology and informatics.

[10]  Holger Regenbrecht,et al.  Measuring the Sense of Presence and its Relations to Fear of Heights in Virtual Environments , 1998, Int. J. Hum. Comput. Interact..

[11]  Richard van Dyck,et al.  Construction and psychometric characteristics of two self-report questionnaires for the assessment of fear of flying. , 1999 .

[12]  Milton P. Huang,et al.  Vivid Visualization in the Experience of Phobia in Virtual Environments: Preliminary Results , 2000, Cyberpsychology Behav. Soc. Netw..

[13]  Wijnand A. IJsselsteijn,et al.  Presence: concept, determinants, and measurement , 2000, Electronic Imaging.

[14]  E. D. de Geus,et al.  Differential effects of active versus passive coping on secretory immunity. , 2001, Psychophysiology.

[15]  Holger Regenbrecht,et al.  The Experience of Presence: Factor Analytic Insights , 2001, Presence: Teleoperators & Virtual Environments.

[16]  Dong Pyo Jang,et al.  Analysis of Physiological Response to Two Virtual Environments: Driving and Flying Simulation , 2002, Cyberpsychology Behav. Soc. Netw..

[17]  Neerincx,et al.  Human-computer interaction and presence in virtual reality exposure therapy , 2003 .

[18]  G. Willemsen,et al.  Large-scale ensemble averaging of ambulatory impedance cardiograms , 2003, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[19]  Yoon-Ki Min,et al.  Psychophysiological evaluation of simulator sickness evoked by a graphic simulator. , 2004, Applied ergonomics.

[20]  M. Krijn,et al.  Virtual reality exposure therapy of anxiety disorders: a review. , 2004, Clinical psychology review.

[21]  M. Krijn,et al.  Treatment of acrophobia in virtual reality: the role of immersion and presence. , 2004, Behaviour research and therapy.

[22]  David M Johnson,et al.  Introduction to and Review of Simulator Sickness Research , 2005 .

[23]  Brenda K. Wiederhold,et al.  Virtual reality therapy for anxiety disorders: Advances in evaluation and treatment. , 2005 .

[24]  Michael J. Singer,et al.  The Factor Structure of the Presence Questionnaire , 2005, Presence: Teleoperators & Virtual Environments.

[25]  J. Houtveen,et al.  Validation of the thoracic impedance derived respiratory signal using multilevel analysis. , 2006, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[26]  Dorret I. Boomsma,et al.  Temporal stability of ambulatory stroke volume and cardiac output measured by impedance cardiography , 2006, Biological Psychology.

[27]  Nicholas Tarrier,et al.  Virtual reality in mental health : a review of the literature. , 2007, Social psychiatry and psychiatric epidemiology.

[28]  Sophie van der Sluis,et al.  Comparison of time and frequency domain measures of RSA in ambulatory recordings. , 2007, Psychophysiology.

[29]  Mark B. Powers,et al.  Virtual reality exposure therapy for anxiety disorders: A meta-analysis. , 2008, Journal of anxiety disorders.

[30]  A. Rizzo,et al.  Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: a meta-analysis. , 2008, Journal of behavior therapy and experimental psychiatry.

[31]  Alfredo Campos,et al.  Psychometric Quality of a Revised Version Vividness of Visual Imagery Questionnaire , 2009, Perceptual and motor skills.

[32]  Thomas W. Schubert.  A New Conception of Spatial Presence: Once Again, with Feeling , 2009 .

[33]  Helene S. Wallach,et al.  Personality variables and presence , 2010, Virtual Reality.

[34]  Willem-Paul Brinkman,et al.  An Explorative Study into a Tele-delivered Multi Patient Virtual Reality Exposure Therapy System , 2010 .

[35]  E. D. de Geus,et al.  Physiological reactivity to phobic stimuli in people with fear of flying. , 2010, Journal of psychosomatic research.

[36]  Willem-Paul Brinkman,et al.  The therapist user interface of a virtual reality exposure therapy system in the treatment of fear of flying , 2010, Interact. Comput..

[37]  Yun Ling,et al.  The role of display technology and individual differences on presence , 2010, ECCE.