AUTHOR=Lucifora Chiara , Gangemi Aldo , D’Italia Giovanni , Culicetto Laura , Ferraioli Francesca , Grasso Giorgio Mario , Vicario Carmelo Mario TITLE=PanicRoom: a virtual reality-based Pavlovian fear conditioning paradigm JOURNAL=Frontiers in Psychology VOLUME=15 YEAR=2024 URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1432141 DOI=10.3389/fpsyg.2024.1432141 ISSN=1664-1078 ABSTRACT=Introduction

Pavlovian fear conditioning is an experimental paradigm used to study the acquisition and extinction of fear responses and the various aspects of fear and anxiety. We developed a virtual reality (VR) version of this paradigm to leverage the benefits of virtual reality, such as ecological validity, standardization, safety, and therapeutic applications. Our objective was to create an open-source and immersive environment for studying fear-related responses using Unity Engine 3D and the Oculus Rift device.

Methods

In this virtual environment, the participants encountered a monster screaming at 100 dB approaching them as the fear-inducing stimulus (unconditioned stimulus or US). Our protocol included three sessions: habituation, acquisition, and extinction, with two stimuli associated with different doors (blue vs. red). The blue door (CS+) was linked to the US, while the red door (CS−) was the control. We tested this VR paradigm on 84 young participants, recording their skin conductance response (SCRs) and fear stimulus ratings (FSRs) on a 10-point Likert scale.

Results

The findings showed significantly higher SCRs and FSRs for CS+ as compared to CS− during the acquisition phase and higher SCRs and FSRs for CS+ during the acquisition phase as compared to the habituation and extinction sessions.

Discussion and conclusions

These results supported the reliability of the protocol for studying fear and anxiety-related conditions.