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<p>Adolescents with conduct disorder (CD) often exhibit deficits in emotion recognition, strained parent and peer relationships, and elevated social stress. This randomized controlled trial tested Impact VR, a brief, immersive socioemotional intervention, with the aim of building protective factors and improving socioemotional functioning among youth with CD. A total of 110 adolescents with CD (<i>M</i><sub><i>age</i></sub> = 13.79; 58% male) were randomized to either the Impact VR intervention or an active control. Outcomes were assessed at baseline, post-intervention, and 3-month follow-up, including emotion recognition accuracy (ER40 total and subscales: fear, sadness, anger, happy, neutral), self-reported peer relationships, parent relationships, and social stress. Mixed-effects models controlled for baseline scores. Impact VR produced significant improvements in ER40 total accuracy (<i>d</i> = 0.74, <i>p</i> &lt; .001), with specific gains for fear (<i>d</i> = 0.54, <i>p</i> &lt; .001), sadness (<i>d</i> = 0.75, p &lt; .001), and anger (<i>d</i> = 0.50, <i>p</i> = .014). No group differences emerged for happy (<i>p</i> = .126) or neutral (<i>p</i> = .050). Impact VR participants also reported stronger peer relationships (<i>d</i> = 0.58, <i>p</i> = .002) and parental relationships (<i>d</i> = 0.54, <i>p</i> &lt; .001), and reductions in social stress at the 3-month follow-up (<i>d</i> = 0.53, <i>p</i> &lt; .001). Findings demonstrate that even brief, scalable interventions delivered through immersive virtual experiences can yield meaningful improvements in socioemotional functioning for adolescents with CD. Impact VR represents a promising, engaging, and developmentally sensitive addition to the prevention science toolbox.</p>

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Impact VR: Building Socioemotional Resilience in Youth with Conduct Disorder

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年1月15日

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  • Nicholas D. Thomson,
  • Jessica J. James,
  • Victoria Blondell,
  • Robert Perera,
  • Laura Hazlett,
  • Scott Vrana

摘要

Adolescents with conduct disorder (CD) often exhibit deficits in emotion recognition, strained parent and peer relationships, and elevated social stress. This randomized controlled trial tested Impact VR, a brief, immersive socioemotional intervention, with the aim of building protective factors and improving socioemotional functioning among youth with CD. A total of 110 adolescents with CD (Mage = 13.79; 58% male) were randomized to either the Impact VR intervention or an active control. Outcomes were assessed at baseline, post-intervention, and 3-month follow-up, including emotion recognition accuracy (ER40 total and subscales: fear, sadness, anger, happy, neutral), self-reported peer relationships, parent relationships, and social stress. Mixed-effects models controlled for baseline scores. Impact VR produced significant improvements in ER40 total accuracy (d = 0.74, p < .001), with specific gains for fear (d = 0.54, p < .001), sadness (d = 0.75, p < .001), and anger (d = 0.50, p = .014). No group differences emerged for happy (p = .126) or neutral (p = .050). Impact VR participants also reported stronger peer relationships (d = 0.58, p = .002) and parental relationships (d = 0.54, p < .001), and reductions in social stress at the 3-month follow-up (d = 0.53, p < .001). Findings demonstrate that even brief, scalable interventions delivered through immersive virtual experiences can yield meaningful improvements in socioemotional functioning for adolescents with CD. Impact VR represents a promising, engaging, and developmentally sensitive addition to the prevention science toolbox.