Subjective experience of paranoid ideation in a virtual reality social environment: A mixed methods cross‐sectional study
Autor: | Narelle Chan, Lucia Valmaggia, Leanne Bird, Mar Rus-Calafell, Simon Riches, Philippa Garety |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male Paranoid Disorders 050103 clinical psychology Culture Interpersonal communication Personality Assessment Social Environment Superordinate goals Delusions Social Skills 03 medical and health sciences 0302 clinical medicine Social skills medicine Humans Cognitive Dysfunction Interpersonal Relations 0501 psychology and cognitive sciences Paranoia Psychological Tests Cognitive Behavioral Therapy Social Identification Virtual Reality Exposure Therapy 05 social sciences Social environment Cognition 030227 psychiatry Clinical Psychology Cross-Sectional Studies Psychological Distance Female Thematic analysis medicine.symptom Psychology Social Adjustment Social psychology Qualitative research |
Zdroj: | Clinical Psychology & Psychotherapy. 27:337-345 |
ISSN: | 1099-0879 1063-3995 |
Popis: | 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. |
Databáze: | OpenAIRE |
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