
@article{ref1,
title="Treating children's aggressive behavior problems using cognitive behavior therapy with virtual reality: a multicenter randomized controlled trial",
journal="Child development",
year="2023",
author="Alsem, Sophie C. and van Dijk, Anouk and Verhulp, Esmée E. and Dekkers, Tycho J. and de Castro, Bram O.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="This multicenter randomized controlled trial investigated whether interactive virtual reality enhanced effectiveness of Cognitive Behavioral Therapy (CBT) to reduce children's aggressive behavior problems. Boys with aggressive behavior problems (N = 115; M(age)  = 10.58, SD = 1.48; 95.7% born in Netherlands) were randomized into three groups: CBT with virtual reality, CBT with roleplays, or care-as-usual. Bayesian analyses showed that CBT with virtual reality more likely reduced aggressive behavior compared to care-as-usual for six of seven outcomes (ds 0.19-0.95), and compared to CBT with roleplays for four outcomes (ds 0.14-0.68). Moreover, compared to roleplays, virtual reality more likely enhanced children's emotional engagement, practice immersion, and treatment appreciation. Thus, virtual reality may be a promising tool to enhance CBT effectiveness for children with aggressive behavior problems.<p /> <p>Language: en</p>",
language="en",
issn="0009-3920",
doi="10.1111/cdev.13966",
url="http://dx.doi.org/10.1111/cdev.13966"
}