The Influence of the VR Program for the Correction of Nyctophobia on the State of Anxiety in Adolescence

The article presents the results of an experimental study of the level and severity of anxiety under the influence of a VR program for the correction of nyctophobia. The experiment involved two independent groups of respondents in different conditions of working with the VR program. In the first group, the work was carried out in a lighted room, in the second in the dark. Before and after exposure, the level and severity of anxiety were diagnosed in both groups, as well as the severity of states of well-being, activity and mood (WAM) in the second group. Since the groups differed statistically in all studied parameters, comparisons were made only within the groups. The use of the Wilcoxon T-test made it possible to conclude that there was a significant change in the severity of anxiety after working with the VR program in participants with a “low level” of anxiety in both the first and second groups. A significant decrease in anxiety occurred in the group of participants who reported that they were afraid of the dark (n=7). This group was characterized by "low" and "medium" levels of anxiety. There were no statistically significant changes in SAN scores. This result is explained by the fact that a one-time and short-term impact of the used VR program for the correction of nyctophobia is not a factor in changing well-being, activity and mood, but it is a factor in changing the severity of anxiety.

1. Anikina V.G., Pobokin P.A., Ivchenkova Yu.Yu. Primenenie tekhnologii virtual'noi real'nosti v preodolenii sostoyaniya trevozhnosti [Application of virtual reality technologies in overcoming anxiety]. Eksperimental'naya psikhologiya = Experimental psychology, 2021. Vol. 14, no. 1, pp. 40—50. DOI:10.17759/exppsy.2021000004 (In Russ.).
2. Anikina V.G., Khoze E.G., Strizhova I.V. Dinamika psikhicheskikh sostoyanii obuchayushchikhsya, osvaivayushchikh didakticheskie VR-programmy s ispol'zovaniem tekhnologii virtual'noi real'nosti [Dynamics of mental states of students mastering didactic VR programs using virtual reality technologies]. Eksperimental'naya psikhologiya = Experimental psychology, 2021. Vol. 14, no. 4, pp. 123—141. DOI:10.17759/exppsy.2021140407 (In Russ.).
3. Barabanshchikov V.A., Selivanov V.V. Vzaimodeistvie lichnosti i virtual'noi real'nosti: psikhicheskoe razvitie i lichnostnaya determinatsiya [Interaction of personality and virtual reality: mental development and personal determination] / pod red. Barabanshchikova V.A., Selivanova V.V. (monografiya). Moscow: Universum, 2019. 430 p. (In Russ.).
4. Bek A., Emeri G. Trevozhnye rasstroistva i fobii: kognitivnyi podkhod [Anxiety disorders and phobias: a cognitive approach]. SPb.: «Dialekktika», 2002. 432 p. (In Russ.).
5. Berzhers Zh. Psikhoanaliticheskaya patologiya: teoriya i klinika [Psychoanalytic pathology: theory and clinic]. Moscow: MGU im. Lomonosova, 2001. 400 p. (In Russ.).
6. Bistvanger L. Bytie-v-mire [Being-in-the-world]. Moscow: «Yuventa», SPb (pri uchastii psikhologicheskogo tsentra «Lenato», SPb), 1999. 300 p. (In Russ.).
7. Bol'shaya entsiklopediya psikhologicheskikh testov [The Great encyclopedia of psychological tests ] / avt.-sost. A. Karelin. Moscow: EKSMO, 2005. 416 p. (In Russ.).
8. Borovoi E.M. Strakh i sotsial'noe bytie cheloveka [Fear and human social existence]. Diss. ..kand. f. nauk. 2006. 24 p. (In Russ.).
9. Geshtal't-terapiya v klinicheskoi praktike: Ot psikhopatalogii k estetike kontakta [Gestalt therapy in clinical practice: From psychopathology to aesthetics of contact]. Moscow: In-t obshchegumanitarnykh issled.: MIGTiK, 2017. 677 p. (In Russ.).
10. Volodina E.I. VR-tekhnologii v meditsine, psikhoterapii, eksperimental'noi psikhologii [VR technologies in medicine, psychotherapy, experimental psychology]. URL: https://psy.su/feed/9251/. (Accessed 10.08.2022). (In Russ.).
11. Karpov O.E., Daminov V.D., Novak E.V., Mukhametova D.A. Tekhnologii virtual'noi real'nosti v meditsinskoi reabilitatsii [Virtual reality technologies in medical rehabilitation]. Vestnik Natsional'nogo mediko-khirurgicheskogo tsentra im. N.I. Pirogova, 2020. No. 1, pp. 94—95. (In Russ.).
12. Kovpak D.V., Tret'yak L.L. Depressiya. Diagnostika. Lechenie. Tekhniki relaksatsii na DVD [Depression. Diagnostics. Treatment. Relaxation techniques on DVD]. SPb.: Nauka i Tekhnika, 2019. 528 p. (In Russ.).
13. Komer R. Patopsikhologiya povedeniya. Narusheniya i patologii psikhiki [Pathopsychology of behavior. Disorders and pathologies of the psyche]. SPb.: Praim — EVROZNAK, 2007. 640 p. (In Russ.).
14. Kompton A. Psikhoanaliticheskii vzglyad na fobii [Psychoanalytic view of phobias]. Moscow: Institut obshchegumanitarnykh issledovanii, 2018. 108 p. (In Russ.).
15. Kratkii slovar' fobii [A short dictionary of phobias]. Moscow.: Izdatel'stvo Moskovskogo psikhologo-sotsial'nogo instituta. Voronezh.: Izdatel'stvo NPO «MODEK», 2009. 104 p. (In Russ.).
16. Kuz'mina A.S. Virtual'naya real'nost' kak sredstvo bezopasnogo kontakta s travmiruyushchei real'nost'yu v psikhoterapii [Virtual reality as a means of safe contact with traumatic reality in psychotherapy]. Vestnik Rossiiskogo universiteta druzhby narodov. Seriya: Ekologiya i bezopasnost' zhiznedeyatel'nosti, 2014. No. 3, pp. 78—82. (In Russ.).
17. Maitner L., Selivanov V.V. Kriticheskii analiz ispol'zovaniya virtual'nykh tekhnologii v klinicheskoi psikhologii v Evrope (po soderzhaniyu zhurnala «Cyberpsychology, Behavior, and Social Networking» [Critical analysis of the use of virtual technologies in clinical psychology in Europe (according to the content of the journal "Cyberpsychology, Behavior, and Social Networking"] [Elektronnyi resurs]. Sovremennaya zarubezhnaya psikhologiya, 2021. Vol. 10, no. 2, pp. 36—43. DOI:10.17759/jmfp.2021000001 (In Russ.).
18. Marinova M.M. Vliyanie sredy virtual'noi real'nosti na uroven' situativnoi trevozhnosti [Influence of virtual reality environment on the level of situational anxiety]. Psikhologiya kognitivnykh protsessov, 2021. No. 10, pp. 65—74. (In Russ.).
19. Mei R. Smysl trevogi [The meaning of anxiety]. Moscow: Nezavisimaya firma “Klass”, 2001. 384 p. (In Russ.).
20. Rachin A.P., Mikhailova E.V. Depressivnye i trevozhnye rasstroistva [Depressive and anxiety disorders]. Moscow: GEOTAR-Media, 2010. 104 p. (In Russ.).
21. Selivanov V.V. Vliyanie virtual'noi real'nosti na lichnostnye osobennosti i psikhicheskie sostoyaniya. Eksperimental'naya psikhologiya v sotsial'nykh praktikakh: materialy konferentsii [The influence of virtual reality on personal characteristics and mental states. Experimental psychology in social practices: materials of the conference]. Moscow: Izdatel'stvo Universum, 2020. 284 p. (In Russ.).
22. Selivanov V.V., Maitner L., Griber Yu.A. Osobennosti ispol'zovaniya tekhnologii virtual'noi real'nosti pri korrektsii i lechenii depressii v klinicheskoi psikhologii [Features of the use of virtual reality technologies in the correction and treatment of depression in clinical psychology] [Elektronnyi resurs]. Klinicheskaya i spetsial'naya psikhologiya, 2021. Vol. 10, no. 3, pp. 231—255. DOI:10.17759/cpse.2021100312 (In Russ.).
23. Serebrennikova M.L. Sovremennye dostizheniya i perspektivy primeneniya tekhnologii virtual'noi real'nosti v meditsine [Modern achievements and prospects for the use of virtual reality technologies in medicine]. Advances in Science and Technology: Sbornik statei XXXIII mezhdunarodnoi nauchno-prakticheskoi konferentsii, Moskva, 15 dekabrya 2020 goda. Moscow: Obshchestvo s ogranichennoi otvetstvennost'yu "Aktual'nost'.RF", 2020. Pp. 126—128. (In Russ.).
24. Springer K.S., Tolin D.F. Bol'shaya kniga ekspozitsii: innovatsionnaya i effektivnaya metodika lecheniya trevozhnykh rasstroistv na osnove kognitivno-povedencheskoi terapii [The Big Book of expositions: an innovative and effective method of treating anxiety disorders based on cognitive behavioral therapy]. SPb.: OOO «Dialektika», 2020. (In Russ.).
25. Syslyatin A.A. Strakh v kontekste ponimaniya prirody cheloveka: klassicheskie, neklassicheskie i postneklassicheskie interpretacii [Fear in the context of understanding human nature: classical, non-classical and post-non-classical interpretations]. Diss… kand. filosofskikh nauk. Omsk, 2016. 24 p. (In Russ.).
26. Tabachnikov S.I., Pervyi V.S. Fobii: klinika, diagnostika, lechenie, profilaktika: Monografiya [Phobias: clinic, diagnosis, treatment, prevention: Monograph]. Dnepropetrovsk: ART-PRESS, 2005. (In Russ.).
27. Tegza V.Yu., D'yakonov I.F., Ovchinnikov B.V., Shpilenya L.S., Palekhova O.V. Sovremennye i perspektivnye tekhnologii mediko-psikhologicheskoi reabilitatsii voennosluzhashchikh [Modern and promising technologies of medical and psychological rehabilitation of servicemen]. Psikhoterapiya, 2015. No. 9, pp. 659—668. (In Russ.).
28. Khollis Dzh. Prizraki vokrug nas: V poiskakh izbavleniya [Ghosts around us: In search of deliverance]. Moscow: Kogito-Tsentr, 2015. 192 p. (In Russ.).
29. Shal'nova S.A., Evstifeeva S.E., Deev A.D., et al. Rasprostranennost' trevogi i depressii v razlic]hnykh regionakh Rossiiskoi federatsii i ee assotsiatsii s sotsial'no-demograficheskimi faktorami (po dannym issledovaniya ESSE-RF) [Prevalence of anxiety and depression in various regions of the Russian Federation and its association with socio-demographic factors (according to the ESSAY-RF study)]. Terapevticheskii arkhiv, 2014. No. 12, pp. 53—60. (In Russ.).
30. Craske M.G., Kircanski K., Zelikowsky M., Mystkowski J., Chowdhury N., Baker A. Optimizing inhibitory learning during exposure therapy. Res. Ther., 2008. Vol. 46, pp. 5—27. DOI:10.1016/j.brat.2007.10.003.
31. Geraets C.N.W., Veling W., Witlox M., Staring A.B.P., Matthijssen S.J.M.A., & Cath D. Virtual reality-based cognitive behavioural therapy for patients with generalized social anxiety disorder: a pilot study. Behavioural and Cognitive Psychotherapy, 2019. Vol. 47, pp. 745—750. DOI:10.1017/S1352465819000225
32. COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 2021. Vol. 398, Iss. 10312, pp. 1700—1712. DOI:1016/S0140-6736(21)02143-7
33. Eshuis L.V., Gelderen M.J., Zuiden M., Nijdam M.J., Vermetten E., Olff M., Bakker A. Efficacy of immersive PTSD treatments: A systematic review of virtual and augmented reality exposure therapy and a metaanalysis of virtual reality exposure therapy. Journal of Psychiatric Research, 2021. Vol. 143, pp. 516—527. DOI:10.1016/j.jpsychires.2020.11.030
34. Foa E.B., Gillihan S.J., Bryant R.A. Challenges and successes in dissemination of evidence—based treatments for posttraumatic stress: Lessons learned from prolonged exposure therapy for PTSD. Psychological Science in the Public Interest, Supplement, 2013. No. 14, pp. 65—111.
35. Fornells-Ambrojo M., Barker C., Swapp D. Virtual reality and persecutory delusions: Safety and feasibility. Schizophrenia Research, 2008. No. 104, pp. 228—236.
36. Houtkamp J.M., Toet A. Who’s Afraid of Virtual Darkness — Affective Appraisal of Night-time Virtual Environments. URL: https://www.researchgate.net/publication/224883221. (Accessed 15.08.2022).
37. Morina N., Kampmann I., Emmelkamp P., Barbui C., Hoppen T. Meta-analysis of virtual reality exposure therapy for social anxiety disorder. Psychological Medicine, 2021. Pp. 1—3. DOI:10.1017/S0033291721001690
38. Reeves R., Elliott A., Curran D., Dyer K., Hanna D. 360° Video virtual reality exposure therapy for public speaking anxiety: A randomized controlled trial. Journal of Anxiety Disorders, 2021. Vol. 83, p. 102451. DOI:10.1016/j.janxdis.2021.102451
39. Rowa K., Milosevic I., Antony M.M. Cognitive-behavioral therapy for social anxiety disorder: applying the approach. In: Weeks J.W., ed. The Wiley Blackwell Handbook of Social Anxiety Disorder. Chichester, UK: John Wiley and Sons Ltd, 2014. Pp. 498—520. DOI:10.1002/9781118653920
40. Pot-Kolder R.M.C.A., Geraets C.N.W., Veling W., van Beilen M., Staring A.B.P., Gijsman H.J., Delespaul P.A.E.G., & van der Gaag M. Virtual-reality-based cognitive behavioural therapy versus waiting list control for paranoid ideation and social avoidance in patients with psychotic disorders: a single-blind randomised controlled trial. Lancet Psychiatry, 2018 Vol. 5(3), pp. 217—226. DOI:10.1016/S2215-0366(18)30053-1
41. Toet А., van Welie M., Houtkamp J.M. Is a Dark Virtual Environment Scary? Cyberpsychology & Behavior, 2009. Vol. 12, no. 4, pp. 363—371.
42. Toet A., Houtkamp J. M. Paul E. Vreugdenhil P.E. Effects of personal relevance and simulated darkness on the affective appraisal of a virtual environment. PeerJ, 2016. Article 4:e1743, pp. 1—24. DOI:10.7717/peerj.1743
43. Tsamitros N., Beck A., Sebold M., Schouler-Ocak M., Bermpohl F., Gutwinski S. The application of virtual reality in the treatment of mental disorders. Nervenarzt, 2022. Sep 2. DOI:10.1007/s00115-022-01378-z
44. Wiederhold B.K., Wiederhold M.D. Virtual reality therapy for anxiety disorders: Advances in evaluation and treatment. Washington, DC: American Psychological Association, 2005. 225 p. DOI:10.1037/10858-000