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RECRUITING
NCT07323498
NA

Enhancing Generalization of Virtual Reality Exposure for Public Speaking Anxiety

Sponsor: Philipps University Marburg

View on ClinicalTrials.gov

Summary

This randomized controlled trial examines whether imagery-based extinction memory updating following a standardized virtual reality (VR) exposure session improves the generalization of exposure effects to novel public speaking contexts. Individuals with elevated public speaking anxiety will complete a single-session VR speech exposure. Participants are randomized to (a) standard mental rehearsal of the exposure experience or (b) mental rehearsal plus guided imagery that updates the extinction memory with novel, non-exposed contexts. Generalization is assessed 7-14 days later using a multi-context behavioral approach test (BAT) in vivo and in VR.

Official title: Enhancing Generalization of Virtual Reality Exposure for Public Speaking Anxiety Via Imagery-Based Extinction Memory Updating: A Randomized Controlled Trial

Key Details

Gender

All

Age Range

18 Years - 70 Years

Study Type

INTERVENTIONAL

Enrollment

48

Start Date

2025-11-26

Completion Date

2026-12

Last Updated

2026-01-09

Healthy Volunteers

No

Interventions

BEHAVIORAL

VR Exposure

6 VR speech exposure trials (3 min each; topic: "something you are proud of")

BEHAVIORAL

Standard Mental Rehearsal

Post-exposure guided imagery: vivid mental rehearsal of the same exposure experience in the same VR contexts (brief, ≤30s each)

BEHAVIORAL

Mental Rehearsal With Extinction Memory Updating

Post-exposure guided imagery: vivid rehearsal of the exposure experience while updating the extinction memory with novel, non-exposed contexts (e.g., speaking to three real listeners; speaking in a new VR context with a larger audience). Brief, ≤30s each

Locations (1)

Department of Psychology, Philipps-University of Marburg

Marburg, Hesse, Germany