Subjective experience of paranoid ideation in a virtual reality social environment: A mixed methods cross-sectional study.
Adult
Cognitive Behavioral Therapy
/ methods
Cognitive Dysfunction
/ diagnosis
Cross-Sectional Studies
Culture
Delusions
/ diagnosis
Female
Humans
Interpersonal Relations
Male
Paranoid Disorders
/ diagnosis
Personality Assessment
Psychological Distance
Psychological Tests
Social Adjustment
Social Environment
Social Identification
Social Skills
Virtual Reality Exposure Therapy
/ methods
paranoia
paranoid ideation
psychosis
qualitative research
social performance
virtual reality
Journal
Clinical psychology & psychotherapy
ISSN: 1099-0879
Titre abrégé: Clin Psychol Psychother
Pays: England
ID NLM: 9416196
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
14
11
2019
revised:
14
01
2020
accepted:
20
01
2020
pubmed:
30
1
2020
medline:
10
4
2021
entrez:
30
1
2020
Statut:
ppublish
Résumé
Virtual reality-assisted cognitive-behavioural therapy (VR-CBT) has potential to support people who experience paranoid ideation in social settings. However, virtual reality (VR) research using overt social environments is limited, and lack of qualitative studies on paranoid ideation in VR restricts understanding. This study aimed to use predominantly qualitative methods to investigate subjective experience of paranoia in VR and identify target domains for VR-CBT. Participants (N = 36) were non-clinical adults with high trait paranoia, who entered an interactive VR bar-room environment. After VR, they participated in brief audiotaped semi-structured interviews designed for measuring persecutory ideation in virtual environments. Researchers scored transcripts on the Comprehensive Assessment of At-Risk Mental States Non-Bizarre Ideas Global Rating Scale to rate the state paranoia represented by interview content. Thematic analysis of interviews employed superordinate themes of Social Evaluative Concerns, Ideas of Reference, and Ideas of Persecution to investigate participants' experience of paranoia. Mean score on the Non-Bizarre Ideas scale was 3.06 (standard deviation 1.24, range 1-6), indicating "moderate" attenuated-paranoid experiences. Nearly all participants reported Social Evaluative Concerns (N = 35) and Ideas of Reference (N = 32); half reported Ideas of Persecution (N = 19). Twelve subthemes were identified. Notably, participants believed they did not belong in the environment (N = 31), that they were the object of discussion (N = 20), and that they felt avatars were unfriendly (N = 27) and intentionally rejected them (N = 13). Subthemes reflect interpersonal and social processes that may constitute target areas for VR-CBT, for example, cognitive appraisals and social skills. Identification of these domains indicates how personalized VR-CBT may be operationalized.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
337-345Subventions
Organisme : Maudsley NHS Foundation Trust and King's College London
Organisme : National Institute for Health Research
ID : N/A
Informations de copyright
© 2020 John Wiley & Sons, Ltd.
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