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Utility of virtual reality environments to examine physiological reactivity and subjective distress in adults who stutter
Affiliation:1. Ecole d’orthophonie, Faculté de Médecine, 10 Boulevard Tonnellé, 37000 Tours, France;2. Université François Rabelais, Université François Rabelais, CHRU de Tours, UMR-S930, Tours France;1. Department of Linguistics, Ruhr-University Bochum, Germany;2. Department of Clinical Linguistics, Bielefeld University, Germany;3. Department of Clinical Neurophysiology, University Medical Center Göttingen, Germany;1. Communication, Aging and Neuropsychology Lab (CANlab), Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC) Herzliya, Herzliya, Israel;2. Oral Dynamics Lab, Department of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada;3. Toronto Rehabilitation Institute, Toronto, Ontario, Canada;4. Department of Psychology, University of Toronto Mississauga, Mississauga, Ontario, Canada;5. Faculty of Information, University of Toronto, Toronto, Ontario, Canada;6. Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada;7. Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada;1. Brain Imaging Center and Department of Neurology, Goethe University, Frankfurt, Germany;2. Department of Phoniatrics and Pediatric Audiology, Clinic of Otorhinolaryngology, Head and Neck Surgery, St. Elisabeth-Hospital, Ruhr University Bochum, Bochum, Germany;3. Institut der Kasseler Stottertherapie, Bad Emstal, Germany;4. Département des Neuroscience Fondamentales, Université de Genève, Switzerland
Abstract:PurposeVirtual reality environments (VREs) allow for immersion in speaking environments that mimic real-life interactions while maintaining researcher control. VREs have been used successfully to engender arousal in other disorders. The purpose of this study was to investigate the utility of virtual reality environments to examine physiological reactivity and subjective ratings of distress in persons who stutter (PWS).MethodSubjective and objective measures of arousal were collected from 10 PWS during four-minute speeches to a virtual audience and to a virtual empty room.ResultsStuttering frequency and physiological measures (skin conductance level and heart rate) did not differ across speaking conditions, but subjective ratings of distress were significantly higher in the virtual audience condition compared to the virtual empty room.ConclusionVREs have utility in elevating subjective ratings of distress in PWS. VREs have the potential to be useful tools for practicing treatment targets in a safe, controlled, and systematic manner.
Keywords:Virtual reality  Stuttering  Heart rate  Skin conductance level  SUDS  Adults
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