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How Avatar Customization Affects Fear in a Game-based Digital Exposure Task for Social Anxiety

Published: 06 October 2021 Publication History

Abstract

The treatment of social anxiety through digital exposure therapy is challenging due to the cognitive properties of social anxiety-individuals need to be fully engaged in the task and feel themselves represented in the social situation; however, avatar customization has been shown to increase both engagement and social presence. In this paper, we harness techniques used in commercial games, and investigate how customizing self-representation in a novel digital exposure task for social anxiety influences the experience of social threat. In an online experiment with 200 participants, participants either customized their avatar or were assigned a predefined avatar. Participants then controlled the avatar through a virtual shop, where they had to solve a math problem, while a simulated audience within the virtual world observed them and negatively judged their performance. Our findings show that we can stimulate the fear of evaluation by others in our task, that fear is driven primarily by trait social anxiety, and that this relationship is strengthened for people higher in trait social anxiety. We provide new insights into the effects of customization in a novel therapeutic context, and embed the discussion of avatar customization into related work in social anxiety and human-computer interaction. ?

References

[1]
Idan M. Aderka, Stefan G. Hofmann, Angela Nickerson, Haggai Hermesh, Eva Gilboa-Schechtman, and Sofi Marom. 2012. Functional impairment in social anxiety disorder. Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2012.01.003
[2]
Ali M. Al-Asadi, Britt Klein, and Denny Meyer. 2014. Posttreatment attrition and its predictors, attrition bias, and treatment efficacy of the anxiety online programs. Journal of Medical Internet Research 16, 10: e232. https://doi.org/10.2196/jmir.3513
[3]
Yunus Alkis, Zafer Kadirhan, and Mustafa Sat. 2017. Development and Validation of Social Anxiety Scale for Social Media Users. In Computers in Human Behavior. https://doi.org/10.1016/j.chb.2017.03.011
[4]
Andrew P Allen, Paul J Kennedy, Samantha Dockray, John F Cryan, Timothy G Dinan, and Gerard Clarke. 2016. The Trier Social Stress Test: Principles and practice. Neurobiology of stress 6: 113--126. https://doi.org/10.1016/j.ynstr.2016.11.001
[5]
Felwah Alqahtani and Rita Orji. 2020. Insights from user reviews to improve mental health apps. Health Informatics Journal 26, 3: 2042--2066. https://doi.org/10.1177/1460458219896492
[6]
American Psychiatric Association. 2013. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Diagnostic and Statistical Manual of Mental Disorders 4th edition TR.: 280. https://doi.org/10.1176/appi.books.9780890425596.744053
[7]
Julio Arboleda-Flórez and Heather Stuart. 2012. From Sin to Science: Fighting the Stigmatization of Mental Illnesses. The Canadian Journal of Psychiatry 57, 8: 457--463. https://doi.org/10.1177/070674371205700803
[8]
Joanna J. Arch and Michelle G. Craske. 2009. First-line Treatment: A Critical Appraisal of Cognitive Behavioral Therapy Developments and Alternatives. Psychiatric Clinics of North America. https://doi.org/10.1016/j.psc.2009.05.001
[9]
Laura Aymerich-Franch and J Bailenson. 2014. The use of doppelgangers in virtual reality to treat public speaking anxiety: a gender comparison. In Proceedings of the International Society for Presence Research Annual Conference, 173--186.
[10]
Laura Aymerich-Franch, René F. Kizilcec, and Jeremy N. Bailenson. 2014. The Relationship between Virtual Self Similarity and Social Anxiety. Frontiers in Human Neuroscience. https://doi.org/10.3389/fnhum.2014.00944
[11]
Christine Bailey and Michael Katchabaw. 2008. An emergent framework for realistic psychosocial behaviour in non player characters. In Proceedings of the 2008 Conference on Future Play: Research, Play, Share, 17--24.
[12]
Sandra L. Baker, Nina Heinrichs, Hyo Jin Kim, and Stefan G. Hofmann. 2002. The Liebowitz social anxiety scale as a self-report instrument: A preliminary psychometric analysis. Behaviour Research and Therapy. https://doi.org/10.1016/S0005--7967(01)00060--2
[13]
Borwin Bandelow, Markus Reitt, Christian Röver, Sophie Michaelis, Yvonne Görlich, and Dirk Wedekind. 2015. Efficacy of treatments for anxiety disorders: A meta-analysis. International Clinical Psychopharmacology 30, 4: 183--192. https://doi.org/10.1097/YIC.0000000000000078
[14]
Tyson V. Barker, Sonya Troller-Renfree, Daniel S. Pine, and Nathan A. Fox. 2015. Individual differences in social anxiety affect the salience of errors in social contexts. Cognitive, Affective and Behavioral Neuroscience 15, 4: 723--735. https://doi.org/10.3758/s13415-015-0360--9
[15]
H. Baumeister, L. Nowoczin, J. Lin, H. Seifferth, J. Seufert, K. Laubner, and D. D. Ebert. 2014. Impact of an acceptance facilitating intervention on diabetes patients' acceptance of Internet-based interventions for depression: A randomized controlled trial. Diabetes Research and Clinical Practice 105, 1: 30--39. https://doi.org/10.1016/j.diabres.2014.04.031
[16]
Gary Bente, Sabine Rüggenberg, Nicole C Krämer, and Felix Eschenburg. 2008. Avatar-mediated networking: Increasing social presence and interpersonal trust in net-based collaborations. Human communication research 34, 2: 287--318.
[17]
Anke Berns, Antonio Gonzalez-Pardo, and David Camacho. 2013. Game-like language learning in 3-D virtual environments. Computers & Education 60, 1: 210--220.
[18]
Katherine Bessière, A. Fleming Seay, and Sara Kiesler. 2007. The ideal elf: Identity exploration in world of warcraft. Cyberpsychology and Behavior. https://doi.org/10.1089/cpb.2007.9994
[19]
Yulong Bian, Chao Zhou, Yu Tian, Peng Wang, and Fengqiang Gao. 2015. The Proteus Effect: Influence of Avatar Appearance on Social Interaction in Virtual Environments BT - HCI International 2015 - Posters' Extended Abstracts. 78--83.
[20]
Max V. Birk, Cheralyn Atkins, Jason T. Bowey, and Regan L. Mandryk. 2016. Fostering intrinsic motivation through avatar identification in digital games. In Conference on Human Factors in Computing Systems - Proceedings. https://doi.org/10.1145/2858036.2858062
[21]
Max V. Birk and Regan L. Mandryk. 2018. Combating attrition in digital self-improvement programs using avatar customization. In Conference on Human Factors in Computing Systems - Proceedings. https://doi.org/10.1145/3173574.3174234
[22]
Max Valentin Birk and Regan Lee Mandryk. 2019. Improving the efficacy of cognitive training for digital mental health interventions through avatar customization: Crowdsourced quasi-experimental study. Journal of Medical Internet Research. https://doi.org/10.2196/10133
[23]
Anke W. Blöte, Anne C. Miers, David A. Heyne, David M. Clark, and P. Michiel Westenberg. 2014. The relation between social anxiety and audience perception: Examining clark and wells' (1995) model among adolescents. Behavioural and Cognitive Psychotherapy. https://doi.org/10.1017/S1352465813000271
[24]
C. Botella, J. Breton-López, S. Quero, R. M. Baños, A. García-Palacios, I. Zaragoza, and M. Alcaniz. 2011. Treating cockroach phobia using a serious game on a mobile phone and augmented reality exposure: A single case study. Computers in Human Behavior 27, 1: 217--227. https://doi.org/10.1016/j.chb.2010.07.043
[25]
Cristina Botella, A. Gracía-Palacios, H. Villa, R. M. Baños, S. Quero, M. Alcañiz, and G. Riva. 2007. Virtual reality exposure in the treatment of panic disorder and agoraphobia: A controlled study. Clinical Psychology and Psychotherapy. https://doi.org/10.1002/cpp.524
[26]
Stéphane Bouchard, Sophie Côté, Julie St-Jacques, Geneviève Robillard, and Patrice Renaud. 2006. Effectiveness of virtual reality exposure in the treatment of arachnophobia using 3D games. Technology and health care?: official journal of the European Society for Engineering and Medicine 14, 1: 19--27.
[27]
N D Bowman, J Wasserman, and J Banks. 2018. Development of the video game demand scale. Video games: A medium that demands our attention: 208--233.
[28]
Willem-paul Brinkman. 2008. Virtual Reality Exposure Therapy for Social Phobia: A Pilot Study in Evoking Fear in a Virtual World. HCI for Technology Enhanced Learning. Liverpool, UK.: 83--95.
[29]
Faith Brozovich and Richard G Heimberg. 2011. The Relationship of Post-Event Processing to Self-Evaluation of Performance in Social Anxiety. Behavior Therapy 42, 2: 224--235. https://doi.org/https://doi.org/10.1016/j.beth.2010.08.005
[30]
Lia Bryant, Bridget Garnham, Deirdre Tedmanson, and Sophie Diamandi. 2015. Tele-social work and mental health in rural and remote communities in Australia. International Social Work 61, 1: 143--155. https://doi.org/10.1177/0020872815606794
[31]
Dennis Buede, Bradley DeBlois, Doug Maxwell, and Beverly McCarter. 2013. Filling the need for intelligent, adaptive non-player characters. In Proceedings of the Interservice/Industry Training, Simulation, and Education Conference (I/ITSEC).
[32]
Grigore C Burdea. 2003. Virtual rehabilitation--benefits and challenges. Methods of information in medicine 42, 05: 519--523.
[33]
Vicente E Caballo, Isabel C Salazar, Víctor Arias, Stefan G Hofmann, and Joshua Curtiss. 2019. Psychometric properties of the Liebowitz Social Anxiety Scale in a large cross-cultural Spanish and Portuguese speaking sample. Revista brasileira de psiquiatria (Sao Paulo, Brazil?: 1999) 41, 2: 122--130. https://doi.org/10.1590/1516--4446--2018-0006
[34]
Emily Carl, Aliza T. Stein, Andrew Levihn-Coon, Jamie R. Pogue, Barbara Rothbaum, Paul Emmelkamp, Gordon J.G. Asmundson, Per Carlbring, and Mark B. Powers. 2019. Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials. Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2018.08.003
[35]
Rachel K. Chesham, John M. Malouff, and Nicola S. Schutte. 2018. Meta-Analysis of the Efficacy of Virtual Reality Exposure Therapy for Social Anxiety. Behaviour Change. https://doi.org/10.1017/bec.2018.15
[36]
Arnaud Chevalier, Steve Gibbons, Andy Thorpe, Martin Snell, and Sherria Hoskins. 2009. Students' academic self-perception. Economics of Education Review 28, 6: 716--727.
[37]
D. a. Clark and Adrian Wells. 1995. A cognitive model of social phobia. Social phobia: Diagnosis, assessment, and Treatment.
[38]
David M Clark, W R Crozier, and L E Alden. 2005. A cognitive perspective on social phobia. The essential handbook of social anxiety for clinicians: 193--218.
[39]
Vítor Alexandre Coelho and Ana Maria Romão. 2018. The relation between social anxiety, social withdrawal and (cyber)bullying roles: A multilevel analysis. Computers in Human Behavior. https://doi.org/10.1016/j.chb.2018.04.048
[40]
Tom Cole, Paul Cairns, and Marco Gillies. 2015. Emotional and Functional Challenge in Core and Avant-Garde Games. In Proceedings of the 2015 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '15), 121--126. https://doi.org/10.1145/2793107.2793147
[41]
Samantha Cuming and Ronald M. Rapee. 2010. Social anxiety and self-protective communication style in close relationships. Behaviour Research and Therapy. https://doi.org/10.1016/j.brat.2009.09.010
[42]
Judith Dams, Hans Helmut König, Florian Bleibler, Jürgen Hoyer, Jörg Wiltink, Manfred E. Beutel, Simone Salzer, Stephan Herpertz, Ulrike Willutzki, Bernhard Strauß, Eric Leibing, Falk Leichsenring, and Alexander Konnopka. 2017. Excess costs of social anxiety disorder in Germany. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2017.01.041
[43]
Dan Chisholm Dan Chisholm. 2013. Investing in mental health: evidence for action.
[44]
M. Dechant, S. Trimpl, C. Wolff, A. Mühlberger, and Y. Shiban. 2017. Potential of virtual reality as a diagnostic tool for social anxiety: A pilot study. Computers in Human Behavior 76. https://doi.org/10.1016/j.chb.2017.07.005
[45]
Martin Dechant, Susanne Poeller, Colby Johanson, Katelyn Wiley, and Regan L. Mandryk. 2020. In-game and Out-of-game Social Anxiety Influences Player Motivations, Activities, and Experiences in MMORPGs. https://doi.org/10.1145/3313831.3376734
[46]
Julia Diemer, Georg W. Alpers, Henrik M. Peperkorn, Youssef Shiban, Andreas Mühlberger, and Andreas Mühlberger. 2015. The impact of perception and presence on emotional reactions: a review of research in virtual reality. Frontiers in Psychology 6, January: 1--9. https://doi.org/10.3389/fpsyg.2015.00026
[47]
Julia Diemer, Nora Lohkamp, Andreas Mühlberger, and Peter Zwanzger. 2016. Fear and physiological arousal during a virtual height challenge-effects in patients with acrophobia and healthy controls. Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2015.10.007
[48]
LORAH D DORN, JOHN C CAMPO, SATHJA THATO, RONALD E DAHL, DANIEL LEWIN, RAMAMURTI CHANDRA, and CARLO DI LORENZO. 2003. Psychological Comorbidity and Stress Reactivity in Children and Adolescents With Recurrent Abdominal Pain and Anxiety Disorders. Journal of the American Academy of Child & Adolescent Psychiatry 42, 1: 66--75. https://doi.org/https://doi.org/10.1097/00004583--200301000-00012
[49]
Robert L. DuPont, Dorothy P. Rice, Leonard S. Miller, Sarah S. Shiraki, Clayton R. Rowland, and Henrick J. Harwood. 1996. Economic costs of anxiety disorders. Anxiety. 0.CO;2-L
[50]
David D Ebert, Tom Van Daele, Tine Nordgreen, Maria Karekla, Angelo Compare, Cristina Zarbo, Agostino Brugnera, Svein Øverland, Glauco Trebbi, and Kit L Jensen. 2018. Internet-and mobile-based psychological interventions: applications, efficacy, and potential for improving mental health. European Psychologist.
[51]
Renée El-Gabalawy, Brian Cox, Ian Clara, and Corey Mackenzie. 2010. Assessing the validity of social anxiety disorder subtypes using a nationally representative sample. Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2009.11.003
[52]
Gunther Eysenbach. 2005. The law of attrition. Journal of Medical Internet Research 7, e11. https://doi.org/10.2196/jmir.7.1.e11
[53]
Lydia Fehm, Katja Beesdo, Frank Jacobi, and Agnes Fiedler. 2008. Social anxiety disorder above and below the diagnostic threshold: Prevalence, comorbidity and impairment in the general population. Social Psychiatry and Psychiatric Epidemiology. https://doi.org/10.1007/s00127-007-0299--4
[54]
Lydia Fehm, Antoine Pelissolo, Tomas Furmark, and Hans Ulrich Wittchen. 2005. Size and burden of social phobia in Europe. European Neuropsychopharmacology. https://doi.org/10.1016/j.euroneuro.2005.04.002
[55]
Anna Felnhofer, Helmut Hlavacs, Leon Beutl, Ilse Kryspin-Exner, and Oswald D. Kothgassner. 2019. Physical Presence, Social Presence, and Anxiety in Participants with Social Anxiety Disorder During Virtual Cue Exposure. Cyberpsychology, Behavior, and Social Networking 22, 1: 46--50. https://doi.org/10.1089/cyber.2018.0221
[56]
Ulrike Feske and Dianne L. Chambless. 1995. Cognitive behavioral versus exposure only treatment for social phobia: A meta-analysis. Behavior Therapy. https://doi.org/10.1016/S0005--7894(05)80040--1
[57]
Luciano Floridi and Mariarosaria Taddeo. 2016. What is data ethics? Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences. https://doi.org/10.1098/rsta.2016.0360
[58]
Edna B. Foa and Michael J. Kozak. 1986. Emotional Processing of Fear. Exposure to Corrective Information. Psychological Bulletin. https://doi.org/10.1037/0033--2909.99.1.20
[59]
Alana E Foley, Julianne B Herts, Francesca Borgonovi, Sonia Guerriero, Susan C Levine, and Sian L Beilock. 2017. The math anxiety-performance link: A global phenomenon. Current Directions in Psychological Science 26, 1: 52--58.
[60]
T. Furmark. 2002. Social phobia: Overview of community surveys. Acta Psychiatrica Scandinavica. https://doi.org/10.1034/j.1600-0447.2002.1r103.x
[61]
Daniel L Gardner and Theresa Jean Tanenbaum. 2018. Dynamic Demographics: Lessons from a Large-Scale Census of Performative Possibilities in Games. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (CHI '18), 1--12. https://doi.org/10.1145/3173574.3173667
[62]
Alison Gazzard. 2009. The avatar and the player: understanding the relationship beyond the screen. In 2009 Conference in games and virtual worlds for serious applications, 190--193.
[63]
Lindsay George and Lusia Stopa. 2008. Private and public self-awareness in social anxiety. Journal of Behavior Therapy and Experimental Psychiatry. https://doi.org/10.1016/j.jbtep.2006.09.004
[64]
Dina Gordon, Judy Wong, and Richard G. Heimberg. 2014. Cognitive-Behavioral Therapy for Social Anxiety Disorder: The State of the Science. In The Wiley Blackwell Handbook of Social Anxiety Disorder. John Wiley & Sons, Ltd, 475--497. https://doi.org/10.1002/9781118653920.ch22
[65]
Jérôme Guegan, Stéphanie Buisine, Fabrice Mantelet, Nicolas Maranzana, and Frédéric Segonds. 2016. Avatar-mediated creativity: When embodying inventors makes engineers more creative. Computers in Human Behavior 61: 165--175.
[66]
Katherina K. Hauner, Susan Mineka, Joel L. Voss, and Ken A. Paller. 2012. Exposure therapy triggers lasting reorganization of neural fear processing. Proceedings of the National Academy of Sciences of the United States of America 109, 23: 9203--9208. https://doi.org/10.1073/pnas.1205242109
[67]
David Hauser, Gabriele Paolacci, and Jesse Chandler. 2019. Common concerns with mturk as a participant pool: Evidence and solutions. In Handbook of Research Methods in Consumer Psychology. https://doi.org/10.4324/9781351137713
[68]
Dorothée Hefner, Christoph Klimmt, and Peter Vorderer. 2007. Identification with the Player Character as Determinant of Video Game Enjoyment BT - Entertainment Computing -- ICEC 2007. 39--48.
[69]
Richard G. Heimberg. 2002. Cognitive-behavioral therapy for social anxiety disorder: Current status and future directions. Biological Psychiatry. https://doi.org/10.1016/S0006--3223(01)01183-0
[70]
Richard G. Heimberg, Faith A. Brozovich, and Ronald M. Rapee. 2010. A Cognitive Behavioral Model of Social Anxiety Disorder: Update and Extension. In Social Anxiety. https://doi.org/10.1016/B978-0--12--375096--9.00015--8
[71]
Nina Heinrichs and Stefan G. Hofmann. 2001. Information processing in social phobia: A critical review. Clinical Psychology Review. https://doi.org/10.1016/S0272--7358(00)00067--2
[72]
Colette Hirsch, Tim Meynen, and David Clark. 2004. Negative self?imagery in social anxiety contaminates social interactions. Memory 12, 4: 496--506. https://doi.org/10.1080/09658210444000106
[73]
Colette R. Hirsch, David M. Clark, Andrew Mathews, and Ruth Williams. 2003. Self-images play a causal role in social phobia. Behaviour Research and Therapy. https://doi.org/10.1016/S0005--7967(02)00103--1
[74]
Eric Horvitz, Andy Jacobs, and David Hovel. Attention-Sensitive Alerting. https://doi.org/10.5555/2073796.2073831
[75]
Zaheer Hussain and Mark D. Griffiths. 2008. Gender swapping and socializing in cyberspace: An exploratory study. Cyberpsychology and Behavior. https://doi.org/10.1089/cpb.2007.0020
[76]
Nicholas C. Jacobson, Berta Summers, and Sabine Wilhelm. 2020. Digital biomarkers of social anxiety severity: Digital phenotyping using passive smartphone sensors. Journal of Medical Internet Research. https://doi.org/10.2196/16875
[77]
Philip Jefferies and Michael Ungar. 2020. Social anxiety in young people: A prevalence study in seven countries. PLOS ONE 15, 9: 1--18. https://doi.org/10.1371/journal.pone.0239133
[78]
Martin Johannes Dechant, Julian Frommel, and Regan Mandryk. 2021. Assessing Social Anxiety Through Digital Biomarkers Embedded in a Gaming Task. In Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems (CHI '21). https://doi.org/10.1145/3411764.3445238
[79]
Colby Johanson. 2020. colbyj/bride-of-frankensystem 1.1. https://doi.org/10.5281/ZENODO.3738761
[80]
Colby Johanson, Carl Gutwin, Jason T. Bowey, and Regan L. Mandryk. 2019. Press pause when you play: Comparing spaced practice intervals for skill development in games. In CHI PLAY 2019 - Proceedings of the Annual Symposium on Computer-Human Interaction in Play. https://doi.org/10.1145/3311350.3347195
[81]
Fanny Kählke, Thomas Berger, Ava Schulz, Harald Baumeister, Matthias Berking, Randy P. Auerbach, Ronny Bruffaerts, Pim Cuijpers, Ronald C. Kessler, and David Daniel Ebert. 2019. Efficacy of an unguided internet?based self?help intervention for social anxiety disorder in university students: A randomized controlled trial. International Journal of Methods in Psychiatric Research 28, 2: e1766. https://doi.org/10.1002/mpr.1766
[82]
Ulrike Kaiser, Martin Schreier, and Chris Janiszewski. 2017. The self-expressive customization of a product can improve performance. Journal of Marketing Research. https://doi.org/10.1509/jmr.14.0293
[83]
B Kenwright. 2018. Virtual Reality: Ethical Challenges and Dangers [Opinion]. IEEE Technology and Society Magazine 37, 4: 20--25. https://doi.org/10.1109/MTS.2018.2876104
[84]
Martin Kocur, Philipp Schauhuber, Valentin Schwind, Christian Wolff, and Niels Henze. 2020. The Effects of Self-and External Perception of Avatars on Cognitive Task Performance in Virtual Reality. In 26th ACM Symposium on Virtual Reality Software and Technology, 1--11.
[85]
A. Kodal, I. Bjelland, R. Gjestad, G. J. Wergeland, O. E. Havik, E. R. Heiervang, and K. Fjermestad. 2017. Subtyping social anxiety in youth. Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2017.03.009
[86]
Rachel Kowert, Jens Vogelgesang, Ruth Festl, and Thorsten Quandt. 2015. Psychosocial causes and consequences of online video game play. Computers in Human Behavior. https://doi.org/10.1016/j.chb.2014.11.074
[87]
Mariska E. Kret, Jeroen J. Stekelenburg, Beatrice de Gelder, and Karin Roelofs. 2017. From face to hand: Attentional bias towards expressive hands in social anxiety. Biological Psychology. https://doi.org/10.1016/j.biopsycho.2015.11.016
[88]
Anil Kumar and H R Phookun. 2016. Barriers in the treatment of psychiatric disorders. Open Journal of Psychiatry & Allied Sciences 7, 2: 99--102.
[89]
M. H. Lader. 1967. Palmar skin conductance measures in anxiety and phobic states. Journal of Psychosomatic Research. https://doi.org/10.1016/0022--3999(67)90021--9
[90]
Petri Lankoski and Staffan Björk. 2007. Gameplay Design Patterns for Believable Non-Player Characters. In DiGRA Conference, 416--423.
[91]
Y. Lecrubier, H. U. Wittchen, C. Faravelli, J. Bobes, A. Patel, and M. Knapp. 2000. A European perspective on social anxiety disorder. European Psychiatry. https://doi.org/10.1016/S0924--9338(00)00216--9
[92]
Falk Leichsenring, Simone Salzer, Manfred E. Beutel, Stephan Herpertz, Wolfgang Hiller, Juergen Hoyer, Johannes Huesing, Peter Joraschky, Bjoern Nolting, Karin Poehlmann, Viktoria Ritter, Ulrich Stangier, Bernhard Strauss, Susan Tefikow, Tobias Teismann, Ulrike Willutzki, Joerg Wiltink, and Eric Leibing. 2014. Long-term outcome of psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder. American Journal of Psychiatry 171, 10: 1074--1082. https://doi.org/10.1176/appi.ajp.2014.13111514
[93]
Alex Lenk. 2020. Advanced People Pack 2. Retrieved from https://assetstore.unity.com/packages/3d/characters/humanoids/humans/advanced-people-pack-2--170756
[94]
Michael Lewis. 1995. Embarrassment: The emotion of self-exposure and evaluation.
[95]
Dong Dong Li, Albert Kien Liau, and Angeline Khoo. 2013. Player--Avatar Identification in video gaming: Concept and measurement. Computers in Human Behavior 29, 1: 257--263.
[96]
M. R. Liebowitz. 1987. Liebowitz Social Anxiety Scale. Modern Problems of Pharmapsychiatry.
[97]
Silja Litvin, Rob Saunders, Markus A. Maier, and Stefan Lüttke. 2020. Gamification as an approach to improve resilience and reduce attrition in mobile mental health interventions: A randomized controlled trial. PLOS ONE 15, 9: e0237220. https://doi.org/10.1371/journal.pone.0237220
[98]
Ian J. Livingston, Carl Gutwin, Regan L. Mandryk, and Max Birk. 2014. How Players value their characters in world of warcraft. In Proceedings of the ACM Conference on Computer Supported Cooperative Work, CSCW. https://doi.org/10.1145/2531602.2531661
[99]
Jan Van Looy, Cédric Courtois, Melanie De Vocht, and Lieven De Marez. 2012. Player Identification in Online Games: Validation of a Scale for Measuring Identification in MMOGs. Media Psychology. https://doi.org/10.1080/15213269.2012.674917
[100]
Regan L. Mandryk, Max V. Birk, Adam Lobel, Marieke van Rooij, Isabela Granic, and Vero Vanden Abeele. 2017. Games for the Assessment and Treatment of Mental Health. https://doi.org/10.1145/3130859.3131445
[101]
Regan L Mandryk and M Stella Atkins. 2007. A fuzzy physiological approach for continuously modeling emotion during interaction with play technologies. International journal of human-computer studies 65, 4: 329--347.
[102]
Regan Lee Mandryk and Max Valentin Birk. 2019. The potential of game-based digital biomarkers for modeling mental health. Journal of Medical Internet Research. https://doi.org/10.2196/13485
[103]
Evan Mayo-Wilson, Sofia Dias, Ifigeneia Mavranezouli, Kayleigh Kew, David M. Clark, A. E. Ades, and Stephen Pilling. 2014. Psychological and pharmacological interventions for social anxiety disorder in adults: A systematic review and network meta-analysis. The Lancet Psychiatry. https://doi.org/10.1016/S2215-0366(14)70329--3
[104]
Victoria McArthur and Jennifer Jenson. 2014. E is for Everyone? Best Practices for the Socially Inclusive Design of Avatar Creation Interfaces. In Proceedings of the 2014 Conference on Interactive Entertainment (IE2014), 1--8. https://doi.org/10.1145/2677758.2677783
[105]
Victoria McArthur, Robert John Teather, and Jennifer Jenson. 2015. The Avatar Affordances Framework: Mapping Affordances and Design Trends in Character Creation Interfaces. In Proceedings of the 2015 Annual Symposium on Computer-Human Interaction in Play (CHI PLAY '15), 231--240. https://doi.org/10.1145/2793107.2793121
[106]
Richard J. McNally. 2007. Mechanisms of exposure therapy: How neuroscience can improve psychological treatments for anxiety disorders. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2007.01.003
[107]
Lisa M. McTeague, Peter J. Lang, Marie Claude Laplante, Bruce N. Cuthbert, Cyd C. Strauss, and Margaret M. Bradley. 2009. Fearful Imagery in Social Phobia: Generalization, Comorbidity, and Physiological Reactivity. Biological Psychiatry 65, 5: 374--382. https://doi.org/10.1016/j.biopsych.2008.09.023
[108]
Jacob Metcalf and Kate Crawford. 2016. Where are human subjects in Big Data research? The emerging ethics divide. Big Data and Society. https://doi.org/10.1177/2053951716650211
[109]
A. C. Miers, A. W. Blöte, M. De Rooij, C. L. Bokhorst, and P. M. Westenberg. 2013. Trajectories of social anxiety during adolescence and relations with cognition, social competence, and temperament. Journal of Abnormal Child Psychology. https://doi.org/10.1007/s10802-012--9651--6
[110]
Rowland S Miller. 2014. Embarrassment and Social Anxiety Disorder: Fraternal Twins or Distant Cousins? In Social Anxiety, Stefan G Hofmann and Patricia M B T - Social Anxiety (Third Edition) DiBartolo (eds.). Elsevier, San Diego, 117--140. https://doi.org/10.1016/B978-0--12--394427--6.00005--4
[111]
Alexander Miloff, Arvid Marklund, and Per Carlbring. 2015. The challenger app for social anxiety disorder: New advances in mobile psychological treatment. Internet Interventions 2, 382--391. https://doi.org/10.1016/j.invent.2015.08.001
[112]
Brent Daniel Mittelstadt, Patrick Allo, Mariarosaria Taddeo, Sandra Wachter, and Luciano Floridi. 2016. The ethics of algorithms: Mapping the debate. Big Data & Society 3, 2: 2053951716679679.
[113]
Victoria A. Mountford, Kate Tchanturia, and Lucia Valmaggia. 2016. ?What Are You Thinking When You Look at Me?" A Pilot Study of the Use of Virtual Reality in Body Image. Cyberpsychology, Behavior, and Social Networking. https://doi.org/10.1089/cyber.2015.0169
[114]
National Clinical Guideline National Collaborating Centre for Mental Health. 2013. Social Anxiety Disorder. Recognition. Assessment and Treatment. New England Journal of Medicine. https://doi.org/10.1056/NEJMcp1614701
[115]
Maurice M. Ohayon and Alan F. Schatzberg. 2010. Social phobia and depression: Prevalence and comorbidity. Journal of Psychosomatic Research. https://doi.org/10.1016/j.jpsychores.2009.07.018
[116]
Christian Otte. 2011. Cognitive behavioral therapy in anxiety disorders: Current state of the evidence. Dialogues in Clinical Neuroscience.
[117]
Cale J. Passmore and Regan L. Mandryk. 2018. An about face: Diverse self-representation in games. In CHI PLAY 2018 - Proceedings of the 2018 Annual Symposium on Computer-Human Interaction in Play. https://doi.org/10.1145/3270316.3271552
[118]
Cale J Passmore, Max V Birk, and Regan L Mandryk. 2018. The privilege of immersion: Racial and ethnic experiences, perceptions, and beliefs in digital gaming. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems, 1--19.
[119]
Cale J Passmore, Mathew K Miller, Jun Liu, Cody J Phillips, and Regan L Mandryk. 2020. A Cheating Mood: The Emotional and Psychological Benefits of Cheating in Single-Player Games. In Proceedings of the Annual Symposium on Computer-Human Interaction in Play, 58--70.
[120]
Antoine Pelissolo, Sandra Abou Kassm, and Lauriane Delhay. 2019. Therapeutic strategies for social anxiety disorder: where are we now? Expert Review of Neurotherapeutics 19, 12: 1179--1189. https://doi.org/10.1080/14737175.2019.1666713
[121]
D Pertaub, M Slater, and C Barker. 2002. An Experiment on Public Speaking Anxiety in Response to Three Different Types of Virtual Audience. Presence 11, 1: 68--78. https://doi.org/10.1162/105474602317343668
[122]
Daniel Pimentel and Sri Kalyanaraman. 2020. Customizing Your Demons: Anxiety Reduction via Anthropomorphizing and Destroying an "Anxiety Avatar." Frontiers in Psychology 11.
[123]
Daniel S. Pine, Patricia Cohen, Diana Gurley, Judith Brook, and Yuju Ma. 1998. The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.55.1.56
[124]
Kristie L. Poole, Ryan J. Van Lieshout, and Louis A. Schmidt. 2017. Exploring relations between shyness and social anxiety disorder: The role of sociability. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2017.01.020
[125]
Mark B. Powers, Nicole F. Briceno, Robert Gresham, Ernest N. Jouriles, Paul M.G. Emmelkamp, and Jasper A.J. Smits. 2013. Do conversations with virtual avatars increase feelings of social anxiety? Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2013.03.003
[126]
Gianfranco Preciado Cossio and Giacomo Preciado Cossio. 2012. Use of Virtual Reality Systems and Augmented Reality for Visualizing Acrophobic Environments. In WORLD CONGRESS ON ENGINEERING AND COMPUTER SCIENCE, WCECS 2012, VOL I.
[127]
Shiri Prizant-Passal, Tomer Shechner, and Idan M Aderka. 2016. Social anxiety and internet use -- A meta-analysis: What do we know? What are we missing? Computers in Human Behavior 62: 221--229. https://doi.org/https://doi.org/10.1016/j.chb.2016.04.003
[128]
S Rachman and Steven Taylor. 1993. Analyses of claustrophobia. Journal of Anxiety disorders.
[129]
Beatrice Rammstedt and Oliver P. John. 2007. Measuring personality in one minute or less: A 10-item short version of the Big Five Inventory in English and German. Journal of Research in Personality. https://doi.org/10.1016/j.jrp.2006.02.001
[130]
Ronald M. Rapee and Maree J. Abbott. 2007. Modelling relationships between cognitive variables during and following public speaking in participants with social phobia. Behaviour Research and Therapy. https://doi.org/10.1016/j.brat.2007.08.008
[131]
Ronald M. Rapee and Susan H. Spence. 2004. The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2004.06.004
[132]
Rabindra Ratan, David Beyea, Benjamin J Li, and Luis Graciano. 2020. Avatar characteristics induce users' behavioral conformity with small-to-medium effect sizes: A meta-analysis of the proteus effect. Media Psychology 23, 5: 651--675.
[133]
Rabindra Ratan, R V Rikard, Celina Wanek, Madison McKinley, Lee Johnson, and Young June Sah. 2016. Introducing Avatarification: An experimental examination of how avatars influence student motivation. In 2016 49th Hawaii International Conference on System Sciences (HICSS), 51--59.
[134]
Jonas Reichenberger, Sonja Porsch, Jasmin Wittmann, Verena Zimmermann, and Youssef Shiban. 2017. Social fear conditioning paradigm in virtual reality: Social vs. electrical aversive conditioning. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2017.01979
[135]
David C.S. Richard and Andrew T. Gloster. 2007. Exposure therapy has a public relations problem: A dearth of litigation amid a wealth of concern. In Handbook of Exposure Therapies. https://doi.org/10.1016/B978-012587421--2/50019--3
[136]
David C S Richard, Dean Lauterbach, and Andrew T Gloster. 2007. Chapter 1 - Description, mechanisms of action, and assessment. In David C S Richard and Dean B T - Handbook of Exposure Therapies Lauterbach (eds.). Academic Press, Burlington, 1--28. https://doi.org/https://doi.org/10.1016/B978-012587421--2/50002--8
[137]
Thomas L. Rodebaugh, Robert M. Holaway, and Richard G. Heimberg. 2004. The treatment of social anxiety disorder. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2004.07.007
[138]
Denise Rousseau. 1995. Psychological Contracts in Organizations: Understanding Written and Unwritten Agreements. SAGE Publications, Inc., 2455 Teller Road, Thousand Oaks California 91320 United States . https://doi.org/10.4135/9781452231594
[139]
A. M. Ruscio, T. A. Brown, W. T. Chiu, J. Sareen, M. B. Stein, and R. C. Kessler. 2008. Social fears and social phobia in the USA: Results from the National Comorbidity Survey Replication. Psychological Medicine. https://doi.org/10.1017/S0033291707001699
[140]
Graham Russell and Steve Shaw. 2009. A study to investigate the prevalence of social anxiety in a sample of higher education students in the United Kingdom. Journal of Mental Health 18, 3: 198--206. https://doi.org/10.1080/09638230802522494
[141]
Richard M. Ryan and Edward L. Deci. 2000. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist. https://doi.org/10.1037/0003-066X.55.1.68
[142]
Richard M. Ryan, C. Scott Rigby, and Andrew Przybylski. 2006. The motivational pull of video games: A self-determination theory approach. Motivation and Emotion. https://doi.org/10.1007/s11031-006--9051--8
[143]
Nina K. Rytwinski, David M. Fresco, Richard G. Heimberg, Meredith E. Coles, Michael R. Liebowitz, Shadha Cissell, Murray B. Stein, and Stefan G. Hofmann. 2009. Screening for social anxiety disorder with the self-report version of the liebowitz social anxiety scale. Depression and Anxiety. https://doi.org/10.1002/da.20503
[144]
Eduardo Sabaté. 2015. Adherence to long-term therapies: Evidence for Action. WHO ACTION. Retrieved February 11, 2021 from http://www.who.int/chp/knowledge/publications/adherence_report/en/
[145]
Franziska Schreiber, Volkmar Höfling, Ulrich Stangier, Christiane Bohn, and Regina Steil. 2012. A cognitive model of social phobia: Applicability in a large adolescent sample. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2012.5.3.341
[146]
Ulrike Schultze. 2011. The avatar as sociomaterial entanglement: a performative perspective on identity, agency and world-making in virtual worlds.
[147]
Abdullah Shehab and Abdishakur Abdulle. 2011. Cognitive and autonomic dysfunction measures in normal controls, white coat and borderline hypertension. BMC Cardiovascular Disorders. https://doi.org/10.1186/1471--2261--11--3
[148]
Youssef Shiban, Paul Pauli, and Andreas Mühlberger. 2013. Effect of multiple context exposure on renewal in spider phobia. Behaviour Research and Therapy. https://doi.org/10.1016/j.brat.2012.10.007
[149]
Youssef Shiban, Henrik Peperkorn, Georg W. Alpers, Paul Pauli, and Andreas Mühlberger. 2016. Influence of perceptual cues and conceptual information on the activation and reduction of claustrophobic fear. Journal of Behavior Therapy and Experimental Psychiatry. https://doi.org/10.1016/j.jbtep.2015.11.002
[150]
Rebecca S. Siegel, Annette M. la Greca, and Hannah M. Harrison. 2009. Peer victimization and social anxiety in adolescents: Prospective and reciprocal relationships. Journal of Youth and Adolescence. https://doi.org/10.1007/s10964-009--9392--1
[151]
Mel Slater, David-Paul Pertaub, Chris Barker, and David M Clark. 2006. An Experimental Study on Fear of Public Speaking Using a Virtual Environment. CyberPsychology & Behavior 9, 5: 627--633. https://doi.org/10.1089/cpb.2006.9.627
[152]
S. H. Spence, C. Donovan, and M. Brechman-Toussaint. 2000. The treatment of childhood social phobia: The effectiveness of a social skills training-based, cognitive-behavioural intervention, with and without parental involvement. Journal of Child Psychology and Psychiatry and Allied Disciplines. https://doi.org/10.1017/S0021963099005934
[153]
Susan H. Spence and Ronald M. Rapee. 2016. The etiology of social anxiety disorder: An evidence-based model. Behaviour Research and Therapy. https://doi.org/10.1016/j.brat.2016.06.007
[154]
Dan J. Stein, Carmen C.W. Lim, Annelieke M. Roest, Peter de Jonge, Sergio Aguilar-Gaxiola, Ali Al-Hamzawi, Jordi Alonso, Corina Benjet, Evelyn J. Bromet, Ronny Bruffaerts, Giovanni de Girolamo, Silvia Florescu, Oye Gureje, Josep Maria Haro, Meredith G. Harris, Yanling He, Hristo Hinkov, Itsuko Horiguchi, Chiyi Hu, Aimee Karam, Elie G. Karam, Sing Lee, Jean Pierre Lepine, Fernando Navarro-Mateu, Beth Ellen Pennell, Marina Piazza, Jose Posada-Villa, Margreet ten Have, Yolanda Torres, Maria Carmen Viana, Bogdan Wojtyniak, Miguel Xavier, Ronald C. Kessler, Kate M. Scott, Mohammed Salih Al-Kaisy, Laura Helena Andrade, Guilherme Borges, Brendan Bunting, Jose Miguel Caldas de Almeida, Graca Cardoso, Alfredo H. Cia, Somnath Chatterji, Louisa Degenhardt, Koen Demyttenaere, John Fayyad, Chi yi Hu, Yueqin Huang, Norito Kawakami, Andrzej Kiejna, Viviane Kovess-Masfety, Daphna Levinson, John McGrath, Maria Elena Medina-Mora, Jacek Moskalewicz, Beth Ellen Pennell, Tim Slade, Juan Carlos Stagnaro, Nezar Taib, Harvey Whiteford, and David R. Williams. 2017. The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine 15, 1. https://doi.org/10.1186/s12916-017-0889--2
[155]
Murray B. Stein, Martina Fuetsch, Nina Müller, Michael Höfler, Roselind Lieb, and Hans-Ulrich Wittchen. 2001. Social Anxiety Disorder and the Risk of Depression. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.58.3.251
[156]
Lusia Stopa and David M. Clark. 1993. Cognitive processes in social phobia. Behaviour Research and Therapy. https://doi.org/10.1016/0005--7967(93)90024-O
[157]
Robert J. Taormina and Jennifer H. Gao. 2013. Maslow and the motivation hierarchy: Measuring satisfaction of the needs. American Journal of Psychology. https://doi.org/10.5406/amerjpsyc.126.2.0155
[158]
Unity Technologies. 2020. Unity Engine. Retrieved from https://unity.com/
[159]
Sebastian Trautmann, Jürgen Rehm, and Hans?Ulrich Wittchen. 2016. The economic costs of mental disorders. EMBO reports. https://doi.org/10.15252/embr.201642951
[160]
Robert J Ursano, Carl Bell, Spencer Eth, Matthew Friedman, Ann Norwood, Betty Pfefferbaum, J D Pynoos, Douglas F Zatzick, David M Benedek, and John S McIntyre. 2004. Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Am J Psychiatry 161, 11 Suppl: 3--31.
[161]
Stephanos Vassilopoulos. 2005. Social anxiety and the effects of engaging in mental imagery. Cognitive Therapy and Research. https://doi.org/10.1007/s10608-005--2993--4
[162]
Sara Ventura, Rosa M. Baños, and Cristina Botella. 2018. Virtual and Augmented Reality: New Frontiers for Clinical Psychology. State of the Art Virtual Reality and Augmented Reality Knowhow. https://doi.org/10.5772/intechopen.74344
[163]
Eric M. Vernberg, David A. Abwender, Keith K. Ewell, and Susan H. Beery. 1992. Social Anxiety and Peer Relationships in Early Adolescence: A Prospective Analysis. Journal of Clinical Child Psychology. https://doi.org/10.1207/s15374424jccp2102_11
[164]
Margo C. Villarosa-Hurlocker, Adrian J. Bravo, Matthew R. Pearson, Mark A. Prince, Michael B. Madson, James M. Henson, Alison Looby, Vivian M. Gonzalez, Amber M. Henslee, Carrie Cuttler, Maria M. Wong, and Dennis E. McChargue. 2019. The Relationship Between Social Anxiety and Alcohol and Marijuana Use Outcomes Among Concurrent Users: A Motivational Model of Substance Use. Alcoholism: Clinical and Experimental Research. https://doi.org/10.1111/acer.13966
[165]
Bruce E. Wampold, James W. Lichtenberg, and Charles A. Waehler. 2002. Principles of Empirically Supported Interventions in Counseling Psychology. The Counseling Psychologist 30, 2: 197--217. https://doi.org/10.1177/0011000002302001
[166]
Melissa Watts. 2016. Avatar self-identification, self-esteem, and perceived social capital in the real world: A study of World of Warcraft players and their avatars.
[167]
Justin W Weeks, Thomas L Rodebaugh, Richard G Heimberg, Peter J Norton, and Tejal A Jakatdar. 2009. "To avoid evaluation, withdraw": fears of evaluation and depressive cognitions lead to social anxiety and submissive withdrawal. Cognitive Therapy and Research 33, 4: 375--389.
[168]
Adrian Wells and Costas Papageorgiou. 1998. Social phobia: Effects of external attention on anxiety, negative beliefs, and perspective taking. Behavior Therapy. https://doi.org/10.1016/S0005--7894(98)80037--3
[169]
Taryn Williams, Coenraad J. Hattingh, Catherine M. Kariuki, Sean A. Tromp, Anton J. van Balkom, Jonathan C. Ipser, and Dan J. Stein. 2017. Pharmacotherapy for social anxiety disorder (SAnD). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001206.pub3
[170]
Kate B. Wolitzky-Taylor, Jonathan D. Horowitz, Mark B. Powers, and Michael J. Telch. 2008. Psychological approaches in the treatment of specific phobias: A meta-analysis. Clinical Psychology Review. https://doi.org/10.1016/j.cpr.2008.02.007
[171]
Susannah M. Wood and Antonia Szymanski. 2020. "The Me I Want You to See": The Use of Video Game Avatars to Explore Identity in Gifted Adolescents. Gifted Child Today. https://doi.org/10.1177/1076217519898217
[172]
Maja Wrzesien, Juana Bretón-López, Cristina Botella, Jean Marie Burkhardt, Mariano Alcañiz, María Ángeles Pérez-Ara, and Antonio Riera Del Amo. 2013. How technology influences the therapeutic process: Evaluation of the patient-therapist relationship in augmented reality exposure therapy and in vivo exposure therapy. Behavioural and Cognitive Psychotherapy. https://doi.org/10.1017/S1352465813000088
[173]
Nick Yee and Jeremy Bailenson. 2007. The proteus effect: The effect of transformed self-representation on behavior. Human Communication Research. https://doi.org/10.1111/j.1468--2958.2007.00299.x

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      cover image Proceedings of the ACM on Human-Computer Interaction
      Proceedings of the ACM on Human-Computer Interaction  Volume 5, Issue CHI PLAY
      CHI PLAY
      September 2021
      1535 pages
      EISSN:2573-0142
      DOI:10.1145/3490463
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