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The study aims at comparing virtual reality therapy (VRT) with a usual cognitive behavior therapy (CBT) program for agoraphobia. A waiting list represents the control condition. The investigators' purpose is to test a pure VRT compared with a pure CBT, as previous works suggest that the combination of the two methods are clinically effective. Patients receive a two-page information leaflet about the trial and sign an informed consent. After the first evaluation, they are randomized, in three centers (Lyon, Paris, Luxemburg), either to VRT (12 sessions) or CBT (12 sessions), or a waiting-list control condition for three months. After three months the waiting list is randomized to VRT or CBT. The follow-up is one year from entry into the active part of the trial.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual Reality Therapy | Behavioral | |||
| Cognitive Behavior Therapy | Behavioral |
| Measure | Description | Time Frame |
|---|---|---|
| The response criterion is a decrease of 50% of the agoraphobia subscore on the Fear Questionnaire |
| Measure | Description | Time Frame |
|---|---|---|
| Pre-test, post-test, 6 months and one year | ||
| Panic Disorder Severity Scale | ||
| Agoraphobic cognitions |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean COTTRAUX, MD | Hospices Civils de Lyon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Pierre Wertheimer | Bron | 69677 | France |
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| ID | Term |
|---|---|
| D016584 | Panic Disorder |
| D000379 | Agoraphobia |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
| D010698 | Phobic Disorders |
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| ID | Term |
|---|---|
| D063367 | Virtual Reality Exposure Therapy |
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D003887 | Desensitization, Psychologic |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Panic, phobia, generalized anxiety |
| Trait State Anxiety Inventory (STAI) |
| Hamilton Anxiety Scale |
| Dissociative experiences |
| Beck Depression Inventory |
| Quality of Life, handicap |
| Spatial cognition: Rey's Figure and Rod and Frame test |
| Therapeutic expectations (pre-test) |
| Therapeutic relationship (post-test) |