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Efficacy of Virtual Reality Exposure Therapy for the Treatment of Dental Phobia in Adults: A Randomized Controlled Trial

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Gujjar, K.R., van Wijk, A., Kumar, R. and de Jongh, Ad (2019) Efficacy of Virtual Reality Exposure Therapy for the Treatment of Dental Phobia in Adults: A Randomized Controlled Trial. Journal of Anxiety Disorders, 62. pp. 100-108. ISSN 0887-6185

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Official URL: https://www.sciencedirect.com/science/article/pii/...

Abstract

Background: Although Virtual Reality Exposure Therapy (VRET) has proven to be effective in the treatment of various subtypes of specific phobia, there is limited evidence of its role in the treatment of dental phobia. Method: A single-blind RCT was conducted among 30 randomized patients with dental phobia to either VRET or informational pamphlet (IP) condition. Primary outcome anxiety measures (VAS-A, MDAS and DFS) were evaluated at baseline, pre- and post-intervention, 1-week, 3-months and 6-months follow-up. Secondary outcome measures assessed were pre-post behavioral avoidance, temporal variations of heart rate and VR-experience during and post-VRET, and dental treatment acceptance in both conditions at 6-month follow-up. Results: Intention to treat analysis, using a repeated measures MANOVA, revealed a multivariate interaction effect between time and condition (p = 0.015) for all primary outcome measures (all ps < 0.001). Only patients of the VRET condition showed a significant reduction in anxiety scores (mean reduction s.d.: VAS-A 44.4 36.1; MDAS 7.1 5.4; DFS 21.2 13.1) whereas the patients in the IP group did not (mean reduction s.d.: VAS-A −0.33 7.7; MDAS −0.33 1.3; DFS −1.9 3.8), F (15, 14) = 3.3, p = 0.015. Conclusions: VRET was found to be efficacious in the treatment of dental phobia. © 2018 Elsevier Ltd

Item Type:	Article
Additional Information:	Staff and students at the University of Worcester have access to the full-text of the published version via the UW online Library Search. External users should check availability with their local library or Interlibrary Requests Service.
Uncontrolled Discrete Keywords:	dental anxiety, state anxiety, dental phobia, virtual reality exposure therapy
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RK Dentistry R Medicine > RZ Other systems of medicine
Divisions:	College of Business, Psychology and Sport > School of Psychology
Related URLs:	https://www.journals.elsevier.com/journa... https://library.worc.ac.uk/
Depositing User:	Tanya Buchanan
Date Deposited:	01 Mar 2019 10:22
Last Modified:	17 Jun 2020 17:27
URI:	https://eprints.worc.ac.uk/id/eprint/7624

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