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The Efficacy of Virtual Reality Exposure Therapy in Treating PTSD among LGBTQ Individuals in Selected Support Groups in Kenya

DOI: 10.4236/oalib.1110310, PP. 1-20

Subject Areas: Physiology

Keywords: Efficacy, Virtual Reality Exposure Therapy (VRET), LGBTQ , Posttraumatic Stress Disorder (PTSD), Sexual and Gender Minority (SGM)

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Abstract

Virtual reality exposure therapy (VRET) is a digitally assisted psychotherapy that has potential evidence to suggest that VRET may be effective to reduce posttraumatic stress disorder (PTSD) symptoms. Meanwhile, empirical studies have indicated that LGBTQ individuals are at higher risk of developing PTSD, with the prevalence estimates of up to 48%, which is much higher than the general population. This current study therefore sought to investigate whether VRET will be efficacious to treat PTSD among LGBTQ individuals. This study is an intervention research using quasi-experimental research design to collect data from 60 LGBTQ individuals in selected support groups in Kenya. The samples of 60 LGBTQ individuals were screened positive for PTSD symptoms, using the post-traumatic stress disorder checklist (PCL-5). The recruited participants were assigned into two research groups namely, experimental (N = 30), and control (N = 30) groups. Participants at experimental group were treated with VRET, whereas, participants at control group did not go through VRET protocols. Participants were assessed at baseline, midline and a 3-month follow-up assessment at end line. The results from independent sample t test showed that VRET was effective in the treatment of PTSD (p = 0.042). The partial Eta Square effect size of (η2 = 0.080; p = 0.042) at endline is an indication that VRET has a medium effect size. The study concluded that VRET is a potentially effective psychotherapeutic approach for the treatment of PTSD and it can be used to help the LGBTQ individuals to mitigate the severity of PTSD among the SGM population in Kenya.

Cite this paper

Mbeneka, C. , Munene, A. and Waithima, A. (2023). The Efficacy of Virtual Reality Exposure Therapy in Treating PTSD among LGBTQ Individuals in Selected Support Groups in Kenya. Open Access Library Journal, 10, e310. doi: http://dx.doi.org/10.4236/oalib.1110310.

References

[1]  Beckman, K., Shipherd, J., Simpson, T., et al. (2018) Military Sexual Assault in Transgender Veterans: Results from a Nationalwide Survey. Journal of Trauma and Stress, 31, 181-190. https://doi.org/10.1002/jts.22280
[2]  Pantalone, D.W., Valentine, S.E. and Shipherd, J.C. (2017) Working with Survivors of Trauma in the Sexual Minority and Transgender and Gender Nonconforming Populations. In: DeBord, K.A., Fischer, K.J., Bieschke, K.J. and Perez, R.M., Eds., Handbook of Sexual Orientation and Gender Diversity in Counseling and Psychotherapy, American Psychological Association, Washington DC, 183-211. https://doi.org/10.1037/15959-008
[3]  Carey, F., LeardMann, C.A., Lehavot, C., Jacobson, I.G., Kolaja, C.A., Stander, V.A. and Rull, R.P. (2022) Health Disparities among Lesbian, Gay, and Bisexual Service Members and Veterans. American Journal of Preventive Medicine, 63, 521-531. https://doi.org/10.1016/j.amepre.2022.04.034
[4]  Sullivan, T.J., Feinstein, B.A., Marshall, A.D. and Mustanski, B. (2017) Trauma Exposure, Discrimination, and Romantic Relationship Functioning: A Longitudinal Investigation among LGB Young Adults. Psychology of Sexual Orientation and Gender Diversity, 4, 481-490. https://doi.org/10.1037/sgd0000249
[5]  Norman, S., Hamblen, J., Schnurr, P., et al. (2023, January 11) PTSD: National Center for PTSD; Overview of Psychotherapy for PTSD. U.S. Department of Veterans Affairs. https://www.ptsd.va.gov/professional/treat/txessentials/overview_therapy.asp#:~:text=Over-all%2C%20individual%20trauma%2Dfocused%20psychotherapies,over%20the%20standard%20treatments%20alone
[6]  Valentine, S.E., Livingston, N.A., Salomaa, A.C., et al. (2022, April 4) Trauma, Discrimination and PTSD among LGBTQ People. National Center for PTSD. https://www.ptsd.va.gov/professional/treat/specific/trauma_discrimination_lgbtq.asp
[7]  Merz, J., Schwarzer, G. and Gerger, H. (2019) Comparative Efficacy and Acceptability of Pharmacological, Psychotherpeutic and Combination Treatments in Adults with Posttraumatic Stress Disorder: A Network Meta-Analysis. JAMA Psychiatry, 76, 904-913. https://doi.org/10.1001/jamapsychiatry.2019.0951
[8]  Eshuis, L.V., van Gelderen, M., van Zuiden, M.J., et al. (2021) Efficacy of Immersive PTSD Treatments: A Systematic Review of Virtual and Augmented Reality Exposure Therapy and a Meta-Analysis of Virtual Reality Exposure Therapy. Journal of Psychiatric Research, 143, 516-527. https://doi.org/10.1016/j.jpsychires.2020.11.030
[9]  Ivan Dandy, N. (2023) Efficacy of Virtual Reality Exposure Therapy for Posttraumatic Stress Disorder. European Journal of Psychotraumatology, 21, 1-9.
[10]  Meyerbroker, K. and Emmelkamp, P.M. (2010) Virtual Reality Exposure Therapy in Anxiety Disorders: A Systematic Review of Process-and-Outcomes Studies. Depression and Anxiety, 27, 933-944. https://doi.org/10.1002/da.20734
[11]  Deng, W., Hu, D., Xu, S., et al. (2019) The Efficacy of Virtual Reality Exposure Therapy for PTSD Symptoms: A Systematic Review and Meta-Analysis. Journal of Affective Disorders, 257, 698-709. https://doi.org/10.1016/j.jad.2019.07.086
[12]  Singh, S. and Nathan-Roberts, D. (2019) Virtual Reality Exposure Therapy and Military Personnel with Post-Traumatic Stress Disorder: A Systematic Review. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 63, 1378-1383. https://doi.org/10.1177/1071181319631178
[13]  Kim, W., Cho, S., Hong, J., et al. (2022) Effectiveness of Virtual Reality Exposure Treatment for Posttraumatic Stress Disorder Due to Motor Vehile or Industrial Accidents. Virtual Reality, 26, 1539-1549. https://doi.org/10.1007/s10055-022-00623-9
[14]  Jonathan, N.T., Bahri, M.R., Wijaya, E., et al. (2023) The Efficacy of Virtual Reality Exposure Therapy (VRET) with Extra Intervention for Treating PTSD Symptoms. Procedia Computer Science, 216, 252-259. https://doi.org/10.1016/j.procs.2022.12.134
[15]  Meyerbröker, K., Morina, N. and Emmelkamp, P.M. (2018) Enhancement of Exposure Therapy in Participants with Specific Phobia: A Randomized Controlled Trial Comparing Yohimbine, Propranolol and Placebo. Journal of Anxiety Disorders, 57, 48-56. https://doi.org/10.1016/j.janxdis.2018.05.001
[16]  Rowland, D.P., Casey, L.M., Ganapathy, A., et al. (2022) A Decade in Review: A Systematic Review of Virtual Reality Interventions for Emotional Disorders. Psychosocial Intervention, 31, 1-20. https://doi.org/10.5093/pi2021a8
[17]  Wilkins, K.C., Lang, A.J. and Norman, S.B. (2011) Synthesis of the Psychometric Properties of the PTSD Checklist (PCL) Military, Civilian, and Specific Versions. Depression and Anxiety, 28, 596-606. https://doi.org/10.1002/da.20837
[18]  Roy, M.J., Costanzo, M.E., Blair, J.R., et al. (2014) Compelling Evidence That Exposure Therapy for PTSD Normalizes Brain Function. Studies in Health Technology and Informatics, 199, 61-65.
[19]  Rutherford, K., Mcintyre, J., Daley, A., et al. (2012) Development of Expertise in Mental Health Service Provision for Lesbian, Gay, Bisexual and Transgender Communities: Development of Expertise in LGBT Mental Health. Medical Education, 46, 903-913. https://doi.org/10.1111/j.1365-2923.2012.04272.x
[20]  Freitas, J.R., Velosa, V.H., Abreu, L.T., et al. (2021) Virtual Reality Exposure Treatment in Phobias: A Systematic Review. Psychiatric Quarterly, 92, 1685-1710. https://doi.org/10.1007/s11126-021-09935-6
[21]  Lewis, C., Roberts, N.P., Gibson, S., et al. (2020) Dropout from Psychological Therapies for Posttraumatic Stress Disorder (PTSD) in Adults: Systematic Review and Meta-Analysis. European Journal of Psychotraumatology, 11, e1709709. https://doi.org/10.1080/20008198.2019.1709709
[22]  Beidel, D.C., Frueh, B.C., Neer, S.M., et al. (2019) Trauma Management Therapy with Virtual Reality Augmented Exposure Therapy for Combat-Related PTSD: A Randomized Controlled Trial. Journal of Anxiety Disorders, 61, 64-74. https://doi.org/10.1016/j.janxdis.2017.08.005

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