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Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

09-11-2023

Effects of Exposure in Computer-Assisted Virtual Environments on Vocalists’ Performance Anxiety: A Quasi-Experimental Study

Auteurs: Sangki Choi, Junyong Kim, Seonyu Kim

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 3/2024

Abstract

As the use of virtual reality exposure training in treating various anxiety disorders including music performance anxiety increases, it is becoming more important to understand what components of virtual reality programs affect the effectiveness of the training. Thus, this study examines how various attributes of an exposure training program in a computer-assisted virtual environment affect vocalists’ music performance anxiety. This study also explores how different attributes of virtual reality programs affect five experiential dimensions of vocalists’ music performance anxiety. A quasi-experimental (pre- and post-exposure) design study exposes eighteen adult professional vocalists and those training to become professional vocalists with previous public performance experience to virtual performance situations with varying attributes. The results demonstrate that exposure training in the virtual environment significantly reduces the participants’ music performance anxiety. The results also demonstrate that different attributes of the programs affect the sensory, affective, cognitive, behavioral, and relational dimensions of the participants’ music performance anxiety differently. The insights the findings provide for the development of virtual reality exposure training programs and digital therapeutic applications for music performance anxiety and other types of anxiety and disorders are discussed.

vorige artikel Development and Preliminary Analysis of a Scale to Assess Client Characteristics that Influence Clinical Decision-Making

volgende artikel Romanian Version of the Frustration Discomfort Scale (FDS): A Preliminary Validation on a Non-clinical Sample

Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103(3), 411–423.CrossRef

Aufegger, L., Perkins, R., Wasley, D., & Williamon, A. (2017). Musicians’ perceptions and experiences of using simulation training to develop performance skills. Psychology of Music, 45(3), 417–431.CrossRef

Baños, R. M., Botella, C., Alcañiz, M., Liaño, V., Guerrero, B., & Rey, B. (2004). Immersion and emotion: Their impact on the sense of presence. Cyberpsychology & Behavior, 7(6), 734–741. https://doi.org/10.1089/cpb.2004.7.734CrossRef

Bellinger, D., Wehrmann, K., Rohde, A., Schuppert, M., Störk, S., Flohr-Jost, M., Gall, D., Pauli, P., Deckert, J., Herrmann, M. J., & Erhardt-Lehmann, A. (2023). The application of virtual reality exposure versus relaxation training in music performance anxiety: A randomized controlled study. Bmc Psychiatry, 23(1), 1–18.CrossRef

Bissonnette, J., Dubé, F., Provencher, M. D., & Moreno Sala, M. T. (2015). Virtual reality exposure training for musicians: Its effect on performance anxiety and quality. Medical Problems of Performing Artists, 30(3), 169–177. https://doi.org/10.21091/mppa.2015.3032CrossRefPubMed

Bissonnette, J., Dubé, F., Provencher, M. D., & Moreno Sala, M. T. (2016). Evolution of music performance anxiety and quality of performance during virtual reality exposure training. Virtual Reality, 20, 71–81.CrossRef

Caponnetto, P., Triscari, S., Maglia, M., & Quattropani, M. C. (2021). The simulation game—virtual reality therapy for the treatment of social anxiety disorder: A systematic review. International Journal of Environmental Research and Public Health, 18(24), https://doi.org/10.3390/ijerph182413209. Article 13209.

Carl, E., Stein, A. T., Levihn-Coon, A., Pogue, J. R., Rothbaum, B., Emmelkamp, P., Asmundson, G. J. G., Carlbring, P., & Powers, M. B. (2019). Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials. Journal of Anxiety Disorders, 61, 27–36.CrossRefPubMed

Craske, M. G., & Mystkowski, J. L. (2006). Exposure Therapy and Extinction: Clinical Studies. In M. G. Craske, D. Hermans, & D. Vansteenwegen (Eds.), Fear and learning: From basic processes to clinical implications (pp. 217–233). American Psychological Association. https://doi.org/10.1037/11474-011

Crawford, C. R. (2011). Effects of exposure to virtual audience environments on performing musicians (Doctoral dissertation, McGill University Library).

Derryberry, D., & Reed, M. A. (2002). Anxiety-related attentional biases and their regulation by attentional control. Journal of Abnormal Psychology, 111(2), 225–236. https://doi.org/10.1037/0021-843X.111.2.225CrossRefPubMed

Dewey, J. (1934). The supreme intellectual obligation. Science, 79(2046), 240–243.CrossRefPubMed

Diemer, J., Pauli, P., & Mühlberger, A. (2015). Virtual reality in psychotherapy. In J. D. Wright (Ed.), International Encyclopedia of the social and behavioral sciences (2nd ed., pp. 138–146). Elsevier. https://doi.org/10.1016/B978-0-08-097086-8.21070-2

Fanger, Y., Pfeuffer, K., Helmbrecht, U., & Alt, F. (2020). PIANX–A platform for piano players to alleviate music performance anxiety using mixed reality. In Proceedings of the 19th International Conference on Mobile and Ubiquitous Multimedia, 267–276.

Fernholz, I., Mumm, J. L., Plag, J., Noeres, K., Rotter, G., Willich, S. N., Ströhle, A., Berghöfer, A., & Schmidt, A. (2019). Performance anxiety in professional musicians: A systematic review on prevalence, risk factors, and clinical treatment effects. Psychological Medicine, 49(14), 2287–2306.CrossRefPubMed

Freitas, J. R. S., Velosa, V. H. S., Abreu, L. T. N., Jardim, R. L., Santos, J. A. V., Peres, B., & Campos, P. F. (2021). Virtual reality exposure treatment in phobias: A systematic review. Psychiatric Quarterly, 92(4), 1685–1710. https://doi.org/10.1007/s11126-021-09935-6CrossRefPubMed

Gorini, A., & Riva, G. (2008). Virtual reality in anxiety disorders: The past and the future. Expert Review of Neurotherapeutics, 8(2), 215–233. https://doi.org/10.1586/14737175.8.2.215CrossRefPubMed

Horigome, T., Kurokawa, S., Sawada, K., Kudo, S., Shiga, K., Mimura, M., & Kishimoto, T. (2020). Virtual reality exposure therapy for social anxiety disorder: A systematic review and meta-analysis. Psychological Medicine, 50(15), 2487–2497.CrossRefPubMed

Jung, S. Y., & Lee, H. N. (2019). Experiential marketing case analysis of online shopping mall using VR, AR. Journal of the Korean Society Design Culture, 25(3), 393–402.CrossRef

Kampmann, I. L., Emmelkamp, P. M., Hartanto, D., Brinkman, W. P., Zijlstra, B. J., & Morina, N. (2016). Exposure to virtual social interactions in the treatment of social anxiety disorder: A randomized controlled trial. Behaviour Research and Therapy, 77, 147–156.CrossRefPubMed

Kenny, D. T. (2009). The factor structure of the revised Kenny Music Performance Anxiety Inventory. In International Symposium on Performance Science (pp. 37–41). Utrecht, The Netherlands: Association Européenne des Conservatoires.

Klinger, E., Bouchard, S., Légeron, P., Roy, S., Lauer, F., Chemin, I., & Nugues, P. (2005). Virtual reality therapy versus cognitive behavior therapy for social phobia: A preliminary controlled study. Cyberpsychology & Behavior, 8(1), 76–88.CrossRef

Korea Ministry of Food and Drug Safety (2022). Digital treatment device license and evaluation guidelines. https://www.mfds.go.kr/brd/m_210/view.do?seq=14596

Krijn, M., Emmelkamp, P. M., Olafsson, R. P., & Biemond, R. (2004). Virtual reality exposure therapy of anxiety disorders: A review. Clinical Psychology Review, 24(3), 259–281. https://doi.org/10.1016/j.cpr.2004.04.001CrossRefPubMed

Lindner, P., Dagöö, J., Hamilton, W., Miloff, A., Andersson, G., Schill, A., & Carlbring, P. (2021). Virtual reality exposure therapy for public speaking anxiety in routine care: A single-subject effectiveness trial. Cognitive Behaviour Therapy, 50(1), 67–87. https://doi.org/10.1080/16506073.2020.1795240CrossRefPubMed

Maples-Keller, J. L., Bunnell, B. E., Kim, S. J., & Rothbaum, B. O. (2017). The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders. Harvard Review of Psychiatry, 25(3), 103–113.CrossRefPubMedPubMedCentral

McGinnis, A. M., & Milling, L. S. (2005). Psychological treatment of musical performance anxiety: Current status and future directions. Psychotherapy: Theory Research Practice Training, 42(3), 357–373. https://doi.org/10.1037/0033-3204.42.3.357CrossRef

Mumm, J., Fernholz, I., Ströhle, A., Plag, J., & Schmidt, A. (2020). Performance anxiety among musicians - current state of research on causes, treatment options, and prevention. Z für Neuropsychologie, 31(2), 76–80.CrossRef

Nagel, J. J., Himle, D. P., & Papsdorf, J. D. (1989). Cognitive-behavioural treatment of musical performance anxiety. Psychology of Music, 17(1), 12–21.CrossRef

Olatunji, B. O., Cisler, J. M., & Deacon, B. J. (2010). Efficacy of cognitive behavioral therapy for anxiety disorders: A review of meta-analytic findings. Psychiatric Clinics, 33(3), 557–577. https://doi.org/10.1016/j.psc.2010.04.002CrossRefPubMed

Orman, E. K. (2004). Effect of virtual reality graded exposure on anxiety levels of performing musicians: A case study. Journal of Music Therapy, 41(1), 70–78.CrossRefPubMed

Osborne, M. S., & Kenny, D. T. (2008). The role of sensitizing experiences in music performance anxiety in adolescent musicians. Psychology of Music, 36(4), 447–462. https://doi.org/10.1177/0305735607086051CrossRef

Owens, M. E., & Beidel, D. C. (2015). Can virtual reality effectively elicit distress associated with social anxiety disorder? Journal of Psychopathology and Behavioral Assessment, 37, 296–305. https://doi.org/10.1007/s10862-014-9454-xCrossRef

Park, M. C., Jung, H. C., & Hur, H. L. (2020). Analysis and suggestions of the regulatory environment for Digital Therapeutics (DTx) from the perspective of addiction treatment. Korean Association of Addiction Crime Review, 10(2), 33–47.CrossRef

Powers, M. B., & Emmelkamp, P. M. (2008). Virtual reality exposure therapy for anxiety disorders: A meta-analysis. Journal of Anxiety Disorders, 22(3), 561–569. https://doi.org/10.1016/j.janxdis.2007.04.006CrossRefPubMed

Rahim, M. A., & Magner, N. R. (1995). Confirmatory factor analysis of the styles of handling interpersonal conflict: First-order factor model and its invariance across groups. Journal of Applied Psychology, 80(1), 122–132. https://doi.org/10.1037/0021-9010.80.1.122CrossRefPubMed

Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8. https://doi.org/10.1016/0005-7967(86)90143-9CrossRefPubMed

Riva, G., Bacchetta, M., Cesa, G., Conti, S., & Molinari, E. (2001). Virtual reality and telemedicine based experiential cognitive therapy: Rationale and clinical protocol. In G. Riva, & C. Galimberti (Eds.), Towards CyberPsychology: Mind, cognition, and Society in the internet age Amsterdam (pp. 273–309). IOS Press.

Salmon, P. G. (1990). A psychological perspective on musical performance anxiety: A review of the literature. Medical Problems of Performing Artists, 5(1), 2–11.

Schmitt, B. (1999). Experiential marketing. Journal of Marketing Management, 15(1–3), 53–67. https://doi.org/10.1362/026725799784870496CrossRef

Shiban, Y., Schelhorn, I., Pauli, P., & Mühlberger, A. (2015). Effect of combined multiple contexts and multiple stimuli exposure in spider phobia: A randomized clinical trial in virtual reality. Behaviour Research and Therapy, 71, 45–53. https://doi.org/10.1016/j.brat.2015.05.014CrossRefPubMed

Spahn, C., Krampe, F., & Nusseck, M. (2021). Classifying different types of music performance anxiety. Frontiers in Psychology, 12, Article 538535. https://doi.org/10.3389/fpsyg.2021.538535

Taborsky, C. (2007). Musical performance anxiety: A review of literature. Update: Applications of Research in Music Education, 26(1), 15–25.

Van Kemenade, J. F., Van Son, M. J., & Van Heesch, N. C. (1995). Performance anxiety among professional musicians in symphonic orchestras: A self-report study. Psychological Reports, 77(2), 555–562. https://doi.org/10.2466/pr0.1995.77.2.555CrossRefPubMed

Van Zyl, M. (2020). The effects of virtual reality on music performance anxiety among university-level music majors. Visions of Research in Music Education, 35(1), Article 15. https://opencommons.uconn.edu/vrme/vol35/iss1/15

Watson, D. & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33(4), 448–457.

Wechsler, T. F., Kümpers, F., & Mühlberger, A. (2019). Inferiority or even superiority of virtual reality exposure therapy in phobias? - a systematic review and quantitative meta-analysis on randomized controlled trials specifically comparing the efficacy of virtual reality exposure to gold standard in vivo exposure in agoraphobia, specific phobia, and social phobia. Frontiers in Psychology, 10, 1758.CrossRefPubMedPubMedCentral

Wiederhold, B. K., & Wiederhold, M. D. (2005). Virtual reality therapy for anxiety disorders: Advances in evaluation and treatment. American Psychological Association. https://doi.org/10.1037/10858-000

Williamon, A., Aufegger, L., & Eiholzer, H. (2014). Simulating and stimulating performance: Introducing distributed simulation to enhance musical learning and performance. Frontiers in Psychology, 5, 25. https://doi.org/10.3389/fpsyg.2014.00025CrossRefPubMedPubMedCentral

Williams, J. M. G., Mathews, A., & MacLeod, C. (1996). The emotional Stroop task and psychopathology. Psychological Bulletin, 120(1), 3–24. https://doi.org/10.1037/0033-2909.120.1.3CrossRefPubMed

Witmer, B. G., & Singer, M. J. (1998). Measuring presence in virtual environments: A presence questionnaire. Presence Teleoperators and Virtual Environments, 7(3), 225–240. https://doi.org/10.1162/105474698565686CrossRef

Woo, K., Baik, S., & Kim, S. T. (2020). Application of digital software as a medical device in dental clinics. Journal of Dental Rehabilitation and Applied Science, 36(4), 203–210. https://doi.org/10.14368/jdras.2020.36.4.203CrossRef

Titel: Effects of Exposure in Computer-Assisted Virtual Environments on Vocalists’ Performance Anxiety: A Quasi-Experimental Study
Auteurs: Sangki Choi
Junyong Kim
Seonyu Kim
Publicatiedatum: 09-11-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 3/2024
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-023-00533-y

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