{"id":5556,"date":"2019-06-03T12:16:37","date_gmt":"2019-06-03T17:16:37","guid":{"rendered":"https:\/\/last-drum.flywheelsites.com\/?p=5556"},"modified":"2024-04-28T18:03:40","modified_gmt":"2024-04-28T23:03:40","slug":"virtual-reality-overcoming-phobias","status":"publish","type":"post","link":"https:\/\/autism.org\/virtual-reality-overcoming-phobias\/","title":{"rendered":"Treating the Phobias of Individuals with Autism with VR"},"content":{"rendered":"

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Immersive virtual reality therapy can help some children and adults with autism spectrum disorder (ASD) overcome their phobias, according to researchers in Britain.<\/h4>\n<\/div>
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Morag Maskey and colleagues note that anxiety is one of the most common problems for individuals with ASD, and that many individuals with ASD have specific phobias\u2014such as a fear of dogs, elevators, airports, or balloons\u2014that interfere significantly with daily life. The researchers also note that cognitive behavioral therapy (CBT), the most commonly used therapy for phobias, can be difficult for individuals with ASD to benefit from because it requires abstract thinking.<\/p>\n

Conquering Fears with VR<\/h3>\n

In the virtual reality approach, participants enter a \u201cBlue Room\u201d where they navigate through a 360-degree video projection of a scene (accompanied by audio) that replicates the feared object or experience.<\/p>\n

They do not need to wear goggles because a therapist manipulates the scene using iPad controls.<\/p>\n

The therapist also uses CBT techniques to help participants become less anxious during exposure to their phobias.<\/p>\n

Participants move through a hierarchy of exposure (for instance, seeing a small dog first and later a larger one), proceeding to the next level only when they feel secure. This allows them to gain confidence through repeated practice at one level of challenge.<\/p>\n

Recently Maskey and colleagues reported the results of two studies of the Blue Room\u2019s effects on phobias in ASD. One involved children, while the other involved adults.<\/p>\n

Study #1: Children<\/h3>\n

Maskey and colleagues randomized 32 children with ASD to a treatment group or a waitlist. Children in the active treatment group underwent one 45-minute introductory session and four 20-minute virtual reality sessions conducted over two weeks. Children initially on the wait list later participated in the active treatment.<\/p>\n

The researchers report, \u201cOne-third of children from the treatment group showed improvements in their real-life targeted phobia, with children able to manage everyday activities and situations that were not possible previously.<\/p>\n

By contrast, no children in the control group showed improvement in their specific phobia during their wait phase of the trial period. Furthermore, five control group children showed a clear deterioration in target behavior rating from baseline, compared with one treatment group child. When the control group later received treatment, a similar proportion was classified as responders as to the immediate treatment group.\u201d<\/p>\n

Study #2: Adults<\/h3>\n

In the second study, the researchers found that Blue Room treatment was also effective for many adults with ASD.<\/p>\n

In this study, eight adults ranging in age from 18 to 57 participated in virtual reality sessions.<\/p>\n

The researchers report, \u201cFor all participants, the phobia was having a major impact on their lives (e.g., preventing attendance at university, preventing travel, and\/or involving extensive safety rituals that limited their participation in everyday activities).<\/p>\n

Five of the eight adults improved in their ability to tackle their real-life phobia, and four adults were able to function in everyday life without any impact from their phobia.\u201d<\/p>\n

The Results<\/h3>\n

Maskey comments that the Blue Room is effective because \u201cwe are providing the feared situation in a controlled way through virtual reality and we are sitting alongside them to help them learn how to manage their fears.\u201d She adds, \u201cIt is incredibly rewarding to see the effect it can have for some, overcoming a situation which just a week previously would have been so distressing.\u201d<\/p>\n

Citations:<\/h3>\n

\u201cA randomised controlled feasibility trial of immersive virtual reality treatment with cognitive behaviour therapy for specific phobias in young people with autism spectrum disorder,\u201d Morag Maskey, Jacqui Rodgers, Victoria Grahame, Magdalena Glod, Emma Honey, Julia Kinnear, Marie Labus, Jenny Milne, Dimitrios Minos, Helen McConachie, and Jeremy R. Parr, Journal of Autism and Developmental Disorders<\/em>, February 15, 2019 (free online). Address: Jeremy R. Parr, Institute of Neuroscience, Sir James Spence Institute Level 3, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne NE1 4LP, UK, jeremy.parr@ncl.ac.uk.<\/a><\/p>\n

\u2014and\u2014<\/p>\n

\u201cUsing virtual reality environments to augment cognitive behavioral therapy for fears and phobias in autistic adults,\u201d Morag Maskey, Jacqui Rodgers, Barry Ingham, Mark Freeston, Gemma Evans, Marie Labus, and Jeremy R. Parr, Autism in Adulthood<\/em>, Vol. 1, No. 2, 2019 (free online). See address above.<\/p>\n

\u2014and\u2014<\/p>\n

\u201cVirtual reality therapy treats autism phobias,\u201d news release, Newcastle University, February 15, 201<\/p>\n

This article also appears in Vol. 33, No. 1, 2019, of\u00a0Autism Research Review International<\/em><\/a><\/strong><\/p>\n<\/div>

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