This randomized controlled trial examines whether imagery-based extinction memory updating following a standardized virtual reality (VR) exposure session improves the generalization of exposure effects to novel public speaking contexts. Individuals with elevated public speaking anxiety will complete a single-session VR speech exposure. Participants are randomized to (a) standard mental rehearsal of the exposure experience or (b) mental rehearsal plus guided imagery that updates the extinction memory with novel, non-exposed contexts. Generalization is assessed 7-14 days later using a multi-context behavioral approach test (BAT) in vivo and in VR.
Age range
18 Years – 70 Years
Sex
ALL
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Public Speaking Anxiety
Timeframe: From enrollment to one-week follow-up assessment
Subjective Fear During Behavioral Approach Tests
Timeframe: one-week follow-up assessment