Evidence map›Paper›PMID 40251576›Full record

ArticleBMC psychiatry2025

VIRTUS: virtual reality exposure training for adolescents with social anxiety - a randomized controlled trial.

Elizabeth S Uduwa Vidanalage, Jella De Lee, Dirk Hermans, Iris M Engelhard, Sara Scheveneels, Katharina Meyerbröker

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06379633 (Virtual Reality Exposure for Socially Anxious Adolescents), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06379633 naunknown statusnot on this map

Virtual Reality Exposure for Socially Anxious Adolescents: A Randomized Controlled Trial (RCT)

TypeinterventionalSponsorKU LeuvenRan2024 to 2026Enrolled120ConditionsSocial AnxietyArmsIn vivo exposure, (Virtual reality) exposure
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
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

6 authors.

Elizabeth S Uduwa Vidanalage *Utrecht University, Utrecht, The Netherlands. s.e.uduwavidanalage@uu.nl.
Jella De Lee *KU Leuven, Leuven, Belgium.
Dirk HermansKU Leuven, Leuven, Belgium.
Iris M EngelhardUtrecht University, Utrecht, The Netherlands.
Sara Scheveneels *Maastricht University, Maastricht, The Netherlands.
Katharina Meyerbröker *Utrecht University, Utrecht, The Netherlands.

Funding

Fonds Wetenschappelijk Onderzoek G0D6322N
6 · The paper itself

Abstract

While virtual reality exposure (VRE) has shown effectiveness in treating social anxiety in adults, research on its efficacy for adolescents remains limited. Given that adolescence is a critical period for early intervention, this study aims to address this gap by evaluating the efficacy and acceptability of VRE compared to in vivo exposure (IVE) in a non-referred sample of socially anxious adolescents. Additionally, we seek to identify mechanisms of change-such as expectancy violation, habituation, and self-efficacy-as well as predictors of treatment response, including clinical, personality, and VR-related factors. Using a randomized controlled trial (RCT), 120 adolescents (ages 12-16) with subclinical to moderate social anxiety will be assigned to one of three conditions: VRE, IVE, or a waitlist control (WL). Participants in the active conditions will undergo a seven-session exposure-based intervention (either in VR or in vivo). Primary (SPAI-18, LSAS-avoidance) and secondary (SPWSS) measures of social anxiety, along with general well-being indicators (e.g., resilience, depression, psychosocial functioning), will be assessed at baseline, post-treatment, and 3- and 6-month follow-ups. A series of linear mixed model (LMM) analyses will be used to examine and compare the effects of the interventions. We hypothesize that both VRE and IVE will significantly reduce social anxiety symptoms compared to WL at post-assessment, with comparable long-term efficacy between the two exposure methods. Additionally, thematic analyses will be conducted to explore participants' experiences and acceptance of VRE and IVE through qualitative interviews. The findings of this study aim to advance digital mental health research by evaluating the potential of VRE as an early intervention and identifying mechanisms and predictors to inform personalized treatments for socially anxious youth.Trial registrationClinicaltrials.gov: NCT06379633, registered on April, 23, 2024.

Indexed as

AnxietyImplosive TherapyPhobia, SocialVirtual RealityVirtual Reality Exposure TherapyAdolescentChildFemaleHumansMaleRandomized Controlled Trials as TopicSelf EfficacyAdolescencePredictorsRandomized controlled trialSocial anxietyTreatment mechanismsVirtual reality exposure

Identifiers

PMID40251576
PMCPMC12008921

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Registered trials

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.