Evidence map›Paper›PMID 31817140›Full record

ArticleJournal of clinical medicine2019

The Equivalence between Virtual and Real Feared Stimuli in a Phobic Adult Sample: A Neuroimaging Study.

Wenceslao Peñate, Francisco Rivero, Conrado Viña, Manuel Herrero, Moisés Betancort, Juan De la Fuente, Yolanda Álvarez-Pérez, Ascensión Fumero

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Wenceslao PeñateUniversidad de La Laguna, 38200 La Laguna, Spain.
Francisco RiveroUniversidad de La Laguna, 38200 La Laguna, Spain.
Conrado ViñaUniversidad de La Laguna, 38200 La Laguna, Spain.
Manuel HerreroUniversidad de La Laguna, 38200 La Laguna, Spain.
Moisés BetancortUniversidad de La Laguna, 38200 La Laguna, Spain.ORCID 0000-0002-7790-8557
Juan De la FuenteServicio Canario de la Salud, 38004 S.C. Tenerife, Spain.
Yolanda Álvarez-PérezServicio Canario de la Salud, 38004 S.C. Tenerife, Spain.
Ascensión FumeroUniversidad de La Laguna, 38200 La Laguna, Spain.ORCID 0000-0001-7057-6644

Funding

Ministry of Science, Innovation and Universities of Spain PSI2013-42912-R and PSI2017-83222-R
6 · The paper itself

Abstract

The clinical use of virtual reality (VR) has proven its efficacy, especially when used as an exposure technique. A prominent property of VR's utility is its equivalence with the reality it represents. In this study, we explored this equivalence in a clinical context using neuroimaging. A sample of 32 adults with specific phobias (i.e., to cockroaches, spiders, or lizards) was divided into two groups: One was exposed to phobic stimuli using VR and the other was exposed to real phobic images (RI). We used brain activations as a dependent measure, focusing specifically on brain areas usually associated with fear processing. Whole-brain analysis detected higher activations for RI in the hippocampus, occipital, and calcarine areas. A specific analysis of the amygdala and insula also detected higher activations and extensions in response to RI, but VR stimuli also activated those areas in a significant manner. These results suggest that even in those cases where RI stimuli activate all of the brain's fear-processing circuits, VR stimuli do so as well. This implies that VR can be useful as an exposure technique similar to RI and applied as more than a mere training mechanism.

Indexed as

anxiety disordersfMRIneuroimagingreal phobic imagesspecific phobiavirtual reality

Identifiers

PMID31817140
PMCPMC6947488

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.