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September 16, 2025European PsychiatryOpen Access

Effectiveness and efficiency of Virtual Reality cognitive behavioural therapy for paranoid delusions - results from a randomized clinical trial

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Authors

WVWim VelingUniversity of Groningen

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Implication

Randomized clinical trial shows virtual reality therapy improves momentary paranoia in patients with psychotic disorders, suggesting increased treatment efficiency.

Key Points

  • Virtual reality cognitive behaviour therapy shows significant improvements in momentary paranoia compared to standard therapy.
  • Participants experienced reduced safety behaviours, depressive symptoms, and improved self-esteem with VR-CBTp intervention.
  • The trial included 103 enrolled patients, with 98 randomized, achieving notable results across various psychological metrics.
  • VR-CBTp is potentially more effective and efficient than traditional cognitive behaviour therapy for treating paranoid ideations.

Cite This Study

Wim Veling (2025) studied this question.

synapsesocial.com/papers/68d4507931b076d99fa57e8ehttps://doi.org/10.1192/j.eurpsy.2025.54
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Virtual reality-based versus standard cognitive behavioral therapy for paranoia in schizophrenia spectrum disorders: a randomized controlled trial2025 · 8 citations
  2. 2Tracking Symptom Change Across Therapy Sessions in Virtual Reality Cognitive Behavioral Therapy Versus Cognitive Behavioral Therapy for Paranoid Ideation: A Secondary Analysis of a Randomized Controlled Trial2026 · 1 citations
  3. 3Exploring treatment moderators in a randomized clinical trial of virtual reality-based vs. standard cognitive behavioral therapy for paranoia2026
  4. 4Exploring the role of clinical and demographic characteristics on the effects of virtual reality cognitive behavioral therapy for psychosis: A moderator analysis2024 · 7 citations
  5. 5Treatment effect modifiers of virtual reality-based versus standard cognitive behavioral therapy for paranoia in schizophrenia spectrum disorders: an exploratory moderator analysis of clinical and demographic characteristics in the FaceYourFears trial2026 · 3 citations