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  1. Book ; Thesis: The relevance of social-emotional learning processes for the development, maintenance, and therapy of social anxiety

    Reichenberger, Jonas

    2021  

    Abstract: Social Anxiety Disorder (SAD) is with 6 - 12 % highly prevalent in the general population and social anxiety affects many people, restricting their personal, social, and professional life (Fehm, Pelissolo, Furmark, & Wittchen, 2005; Kessler et al., 2005; ...

    Title translation Die Bedeutung sozial-emotionaler Lernprozesse für die Entwicklung, Aufrechterhaltung und Therapie sozialer Ängste (DeepL)
    Abstract Social Anxiety Disorder (SAD) is with 6 - 12 % highly prevalent in the general population and social anxiety affects many people, restricting their personal, social, and professional life (Fehm, Pelissolo, Furmark, & Wittchen, 2005; Kessler et al., 2005; Kessler, Petukhova, Sampson, Zaslavsky, & Wittchen, 2012). Women develop an SAD nearly twice as often as men (Fehm et al., 2005; Ohayon & Schatzberg, 2010). Learning models like fear conditioning may depict a significant pathogenesis in anxiety disorders (LeDoux, 2014; Lissek et al., 2005; Mineka & Oehlberg, 2008; Mineka & Zinbarg, 2006). Investigating the underlying mechanisms of the development and maintenance of SAD, virtual reality (VR) as new research utilization is a promising tool for fear conditioning (Diemer, Mühlberger, Pauli, & Zwanzger, 2014; Mühlberger, Herrmann, Wiedemann, Ellgring, & Pauli, 2001; Mühlberger, Wiedemann, & Pauli, 2003; Shiban et al., 2017; Shiban et al., 2016b; Shiban, Schelhorn, Pauli, & Mühlberger, 2015b). Shiban, Reichenberger, Neumann, and Mühlberger (2015a) established a useful social fear conditioning (SFC) paradigm to investigate the underlying mechanisms in learning and unlearning social anxiety in humans. The present dissertation project has four main research goals. The first research aim is to examine if a social threat (e.g., spitting and verbal insult) triggers sensitively more fear responses than an unspecific threat (e.g., electrical stimulation) as unconditioned stimulus (US) in socially anxious participants. The second research goal is to unravel the underlying mechanisms of the gender differences in social anxiety. The third research aim is to investigate the effect of induced and extinguished social fears on gaze behavior (e.g., hypervigilance and attentional avoidance) towards ecological valid socially relevant stimuli in high and low socially anxious individuals. The fourth research goal is to validate virtual social interaction scenarios for psychotherapeutic interventions like social skills training in VR. To this end, four empirical studies were conducted. The first three SFC studies provide new insights into social fear conditioning and extinction of LSA and HSA participants in VR. The validation study suggests that social skills training in VR is a possible psychotherapeutic intervention for socially anxious individuals. All four studies of the dissertation project showed that social-emotional learning processes in social anxiety can be measured reliably using ecological valid socially relevant stimuli in immersive virtual environment. Prospective SFC studies should focus on comparing patients with SAD to healthy participants to examine possible discrepancies in social-emotional learning and to further develop efficient treatments for SAD. - Contents: (1) Reichenberger, J., Porsch, S., Wittmann, J., Zimmermann, V. & Shiban, Y. (2017). Social fear conditioning paradigm in virtual reality: Social vs. electrical aversive conditioning. Frontiers in Psychology, 8:1979. DOI: 10.3389/fpsyg.2017.01979 (2) Reichenberger, J., Pfaller, M., Forster, D., Gerczuk, J., Shiban, Y. & Mühlberger, A. (2019). Men scare me more: Gender differences in social fear conditioning in virtual reality. Frontiers in Psychology, 10:1617. DOI: 10.3389/fpsyg.2019.01617 (3) Reichenberger, J., Pfaller, M. & Mühlberger, A. (2020). Gaze behavior in social fear conditioning: An eye-tracking study in virtual reality. Frontiers in Psychology, 11:35. DOI: 10.3389/fpsyg.2020.00035 (4) Reichenberger, J., Diemer, J., Zwanzger, P., Notzon, S. & Mühlberger, A. (2017). Soziales Kompetenztraining in Virtueller Realität bei sozialer Angst: Validierung relevanter Interaktionssituationen. Zeitschrift für Klinische Psychologie und Psychotherapie, 46, 236-247. DOI: 10.1026/1616-3443/a000444
    Keywords Angststörungen ; Anxiety Disorders ; Emotionen ; Emotions ; Learning ; Lernen ; Social Anxiety ; Social Behavior ; Social Learning ; Social Phobia ; Social Skills Training ; Soziale Angst ; Soziale Phobie ; Soziales Lernen ; Soziales Verhalten ; Training sozialer Fertigkeiten ; Virtual Environment ; Virtual Reality ; Virtuelle Realität ; Virtuelle Umgebung
    Language English
    Size 139 pp., 13 pp. appendix
    Publisher Universität, Fakultät für Humanwissenschaften
    Publishing place Regensburg
    Document type Book ; Thesis
    Note Kumulative Dissertation
    DOI 10.5283/epub.44187
    Database PSYNDEX

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  2. Article: Gaze Behavior in Social Fear Conditioning: An Eye-Tracking Study in Virtual Reality.

    Reichenberger, Jonas / Pfaller, Michael / Mühlberger, Andreas

    Frontiers in psychology

    2020  Volume 11, Page(s) 35

    Abstract: The vigilance-avoidance hypothesis of selective attention assumes that socially anxious persons initially direct their attention toward fear-related stimuli and subsequently avoid these social stimuli to reduce emotional distress. New technical ... ...

    Abstract The vigilance-avoidance hypothesis of selective attention assumes that socially anxious persons initially direct their attention toward fear-related stimuli and subsequently avoid these social stimuli to reduce emotional distress. New technical developments provide tools to implicit measure overt attention on fear-related stimuli via eye-tracking in ecological valid virtual environments presented via a head-mounted display. We examined in 27 low (LSA) and 26 high socially anxious (HSA) individuals fear ratings, physical behavior (duration of approach), hypervigilance (time to first fixation), and attentional avoidance (count of fixations) toward virtual female and male agents (CS) during social fear conditioning (SFC) and extinction in virtual reality (VR). As hypothesized, generally SFC was successfully induced and extinguished concerning the fear ratings. Our findings partly support the vigilance-avoidance hypothesis as HSA directed especially at the first half of the fear acquisition their initial attention more at CS+ than CS- agents, and avoided subsequently the CS+ more than the CS- agents during the fear acquisition. In contrast, in LSA participants initial and sustained attention did not differ between CS+ and CS- agents during fear acquisition. We conclude that HSA individuals guide their initial attention to emotionally threatening stimuli and subsequently avoid the threatening stimuli to possibly reduce their emotional distress, whereas LSA individuals regulate themselves less in their (fear) responses during SFC. Measuring implicit gaze behavior within a well-controlled virtual environment is an interesting innovative tool to in deeply investigate the impact of attention on emotional learning processes.
    Language English
    Publishing date 2020-01-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2020.00035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Fear, psychophysiological arousal, and cognitions during a virtual social skills training in social anxiety disorder while manipulating gaze duration.

    Reichenberger, Jonas / Wechsler, Theresa F / Diemer, Julia / Mühlberger, Andreas / Notzon, Swantje

    Biological psychology

    2022  Volume 175, Page(s) 108432

    Abstract: The use of virtual reality (VR) is an option for social skills training and exposure in Social Anxiety Disorder (SAD). In addition, virtual social situations are an ideal tool to study the influence of a counterpart's social behavior, e. g. eye contact. ... ...

    Abstract The use of virtual reality (VR) is an option for social skills training and exposure in Social Anxiety Disorder (SAD). In addition, virtual social situations are an ideal tool to study the influence of a counterpart's social behavior, e. g. eye contact. We developed two scenarios in VR that enable users to practice to assert their rights. The participants' tasks were to ask a passenger to release their reserved seat in a virtual train and to cancel a trip in a virtual travel agency. In a randomized, crossover design, we compared the effect of a large (during 80% of the conversation time) and a small (20%) amount of direct gaze by the virtual conversational partners in 41 patients with SAD and 21 healthy controls (HCs). We expected fear and psychophysiological arousal to be higher in patients than in HCs and higher in the 80% eye contact condition. The scenarios provoked an increase of fear and psychophysiological arousal over baseline in patients and in HCs. Gaze duration of the virtual agent had no influence on fear and psychophysiological arousal, but affected the experience of presence. Our results suggest a suitability of our scenarios for social skills training and exposure therapy in SAD. The lack of influence of gaze duration on parameters of fear might be explained by the fact that participants did not consciously detect the differences in gaze duration. However, the impact on some parameters (e. g. presence) suggests that participants noticed differences in gaze duration on a subliminal level.
    MeSH term(s) Humans ; Arousal ; Cognition ; Fear/physiology ; Phobia, Social/therapy ; Social Skills ; Cross-Over Studies
    Language English
    Publishing date 2022-09-30
    Publishing country Netherlands
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 185105-6
    ISSN 1873-6246 ; 0301-0511
    ISSN (online) 1873-6246
    ISSN 0301-0511
    DOI 10.1016/j.biopsycho.2022.108432
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Online ; Thesis: The relevance of social-emotional learning processes for the development, maintenance, and therapy of social anxiety

    Reichenberger, Jonas [Verfasser] / Mühlberger, Andreas [Akademischer Betreuer]

    2021  

    Author's details Jonas Reichenberger ; Betreuer: Andreas Mühlberger
    Keywords Psychologie ; Psychology
    Subject code sg150
    Language English
    Publisher Universitätsbibliothek Regensburg
    Publishing place Regensburg
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  5. Article: Gaze behavior in social fear conditioning

    Reichenberger, Jonas / Pfaller, Michael / Mühlberger, Andreas

    Frontiers in Psychology

    An eye-tracking study in virtual reality

    2020  

    Abstract: The vigilance-avoidance hypothesis of selective attention assumes that socially anxious persons initially direct their attention toward fear-related stimuli and subsequently avoid these social stimuli to reduce emotional distress. New technical ... ...

    Title translation Blickverhalten bei der Konditionierung sozialer Angst: Eine Eye-Tracking-Studie in virtueller Realität
    Abstract The vigilance-avoidance hypothesis of selective attention assumes that socially anxious persons initially direct their attention toward fear-related stimuli and subsequently avoid these social stimuli to reduce emotional distress. New technical developments provide tools to implicit measure overt attention on fear-related stimuli via eye-tracking in ecological valid virtual environments presented via a head-mounted display. We examined in 27 low (LSA) and 26 high socially anxious (HSA) individuals fear ratings, physical behavior (duration of approach), hypervigilance (time to first fixation), and attentional avoidance (count of fixations) toward virtual female and male agents (CS) during social fear conditioning (SFC) and extinction in virtual reality (VR). As hypothesized, generally SFC was successfully induced and extinguished concerning the fear ratings. Our findings partly support the vigilance-avoidance hypothesis as HSA directed especially at the first half of the fear acquisition their initial attention more at CS+ than CS- agents, and avoided subsequently the CS+ more than the CS- agents during the fear acquisition. In contrast, in LSA participants initial and sustained attention did not differ between CS+ and CS- agents during fear acquisition. We conclude that HSA individuals guide their initial attention to emotionally threatening stimuli and subsequently avoid the threatening stimuli to possibly reduce their emotional distress, whereas LSA individuals regulate themselves less in their (fear) responses during SFC. Measuring implicit gaze behavior within a well-controlled virtual environment is an interesting innovative tool to in deeply investigate the impact of attention on emotional learning processes.
    Keywords Attention ; Aufmerksamkeit ; Augenbewegungen ; Avoidance ; Blickfixierung ; Conditioned Fear ; Eye Fixation ; Eye Movements ; Fear ; Furcht ; Konditionierte Furcht ; Social Phobia ; Soziale Phobie ; Vermeidung ; Vigilance ; Vigilanz ; Virtual Reality ; Virtuelle Realität
    Language English
    Document type Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2020.00035
    Database PSYNDEX

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  6. Article: Fear, psychophysiological arousal, and cognitions during a virtual social skills training in social anxiety disorder while manipulating gaze duration

    Reichenberger, Jonas / Wechsler, Theresa F. / Diemer, Julia / Mühlberger, Andreas / Notzon, Swantje

    Biological Psychology

    2022  

    Abstract: Abstract not released by publisher. ...

    Title translation Furcht, psychophysiologische Erregung und Kognitionen während eines virtuellen Trainings sozialer Fertigkeiten bei sozialer Angststörung mit manipulierter Blickdauer
    Abstract Abstract not released by publisher.
    Keywords Angststörungen ; Anxiety Disorders ; Blickkontakt ; Cognitions ; Expositionstherapie ; Exposure Therapy ; Eye Contact ; Fear ; Furcht ; Kognitionen (Denkinhalte) ; Physiological Arousal ; Physiological Processes ; Physiologische Aktivierung ; Physiologische Prozesse ; Social Anxiety ; Social Skills Training ; Soziale Angst ; Training sozialer Fertigkeiten ; Virtual Reality ; Virtual Reality Exposure Therapy ; Virtuelle Expositionstherapie ; Virtuelle Realität
    Language English
    Document type Article
    ZDB-ID 185105-6
    ISSN 1873-6246 ; 0301-0511
    ISSN (online) 1873-6246
    ISSN 0301-0511
    DOI 10.1016/j.biopsycho.2022.108432
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  7. Article: Men Scare Me More: Gender Differences in Social Fear Conditioning in Virtual Reality.

    Reichenberger, Jonas / Pfaller, Michael / Forster, Diana / Gerczuk, Jennifer / Shiban, Youssef / Mühlberger, Andreas

    Frontiers in psychology

    2019  Volume 10, Page(s) 1617

    Abstract: Women nearly twice as often develop social anxiety disorder (SAD) compared to men. The reason for this difference is still being debated. The present study investigates gender differences and the effect of male versus female agents in low (LSA) and high ... ...

    Abstract Women nearly twice as often develop social anxiety disorder (SAD) compared to men. The reason for this difference is still being debated. The present study investigates gender differences and the effect of male versus female agents in low (LSA) and high socially anxious (HSA) participants regarding the acquisition and extinction of social fear in virtual reality (VR). In a social fear conditioning (SFC) paradigm, 60 participants actively approached several agents, some of which were paired with an aversive unconditioned stimulus (US) consisting of a verbal rejection and spitting simulated by an aversive air blast (CS+), or without an US (CS-). Primary outcome variables were defined for each of the 4 levels of emotional reactions including experience (fear ratings), psychophysiology (fear-potentiated startle), behavior (avoidance), and cognition (recognition task). Secondary outcome variables were personality traits, contingency ratings, heart rate (HR), and skin conductance response (SCR). As hypothesized, fear ratings for CS+ increased significantly during acquisition and the differentiation between CS+ and CS- vanished during extinction. Additionally, women reported higher fear compared to men. Furthermore, a clear difference in the fear-potentiated startle response between male CS+ and CS- at the end of acquisition indicates successful SFC to male agents in both groups. Concerning behavior, results exhibited successful SFC in both groups and a general larger distance to agents in HSA than LSA participants. Furthermore, HSA women maintained a larger distance to male compared to female agents. No such differences were found for HSA men. Regarding recognition, participants responded with higher sensitivity to agent than object stimuli, suggesting a higher ability to distinguish the target from the distractor for social cues, which were on focus during SFC. Regarding the secondary physiological outcome variables, we detected an activation in HR response during acquisition, but there were no differences between stimuli or groups. Moreover, we observed a gender but no CS+/CS- differences in SCR. SFC was successfully induced and extinguished according to the primary outcome variables. VR is an interesting tool to measure emotional learning processes on different outcome levels with enhanced ecological validity. Future research should further investigate social fear learning mechanisms for developing more efficient treatments of SAD.
    Language English
    Publishing date 2019-07-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2019.01617
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Social Fear Conditioning Paradigm in Virtual Reality: Social vs. Electrical Aversive Conditioning.

    Reichenberger, Jonas / Porsch, Sonja / Wittmann, Jasmin / Zimmermann, Verena / Shiban, Youssef

    Frontiers in psychology

    2017  Volume 8, Page(s) 1979

    Abstract: In a previous study we could show that social fear can be induced and extinguished using virtual reality (VR). In the present study, we aimed to investigate the belongingness effect in an operant social fear conditioning (SFC) paradigm which consisted of ...

    Abstract In a previous study we could show that social fear can be induced and extinguished using virtual reality (VR). In the present study, we aimed to investigate the belongingness effect in an operant social fear conditioning (SFC) paradigm which consisted of an acquisition and an extinction phase. Forty-three participants used a joystick to approach different virtual male agents that served as conditioned stimuli. Participants were randomly allocated to one of two experimental conditions. In the electroshock condition, the unconditioned stimulus (US) used during acquisition was an electric stimulation. In the social threat condition, the US consisted of an offense: a spit in the face, mimicked by a sound and a weak air blast to the participant's neck combined with an insult. In both groups the US was presented when participants were close to the agent (75% contingency for CS+). Outcome variables included subjective, psychophysiological and behavioral data. As expected, fear and contingency ratings increased significantly during acquisition and the differentiation between CS+ and CS- vanished during extinction. Furthermore, a clear difference in skin conductance between CS+ and CS- at the beginning of the acquisition indicated that SFC had been successful. However, a fast habituation to the US was found toward the end of the acquisition phase for the physiological response. Furthermore, participants showed avoidance behavior toward CS+ in both conditions. The results show that social fear can successfully be induced and extinguished in VR in a human sample. Thus, our paradigm can help to gain insight into learning and unlearning of social fear. Regarding the belongingness effect, the social threat condition benefits from a better differentiation between the aversive and the non-aversive stimuli. As next step we suggest comparing social-phobic patients to healthy controls in order to investigate possible differences in discrimination learning and to foster the development of more efficient treatments for social phobia.
    Language English
    Publishing date 2017-11-14
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2017.01979
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Social conditioning and extinction paradigm: a translational study in virtual reality.

    Shiban, Youssef / Reichenberger, Jonas / Neumann, Inga D / Mühlberger, Andreas

    Frontiers in psychology

    2015  Volume 6, Page(s) 400

    Abstract: In human beings, experiments investigating fear conditioning with social stimuli are rare. The current study aims at translating an animal model for social fear conditioning (SFC) to a human sample using an operant SFC paradigm in virtual reality. Forty ... ...

    Abstract In human beings, experiments investigating fear conditioning with social stimuli are rare. The current study aims at translating an animal model for social fear conditioning (SFC) to a human sample using an operant SFC paradigm in virtual reality. Forty participants actively (using a joystick) approached virtual male agents that served as conditioned stimuli (CS). During the acquisition phase, unconditioned stimuli (US), a combination of an air blast (5 bar, 10 ms) and a female scream (95 dB, 40 ms), were presented when participants reached a defined proximity to the agent with a contingency of 75% for CS+ agents and never for CS- agents. During the extinction and the test phases, no US was delivered. Outcome variables were pleasantness ratings and physiological reactions in heart rate (HR) and fear-potentiated startle. Additionally, the influence of social anxiety, which was measured with the Social Phobia Inventory scale, was evaluated. As expected after the acquisition phase the CS+ was rated clearly less pleasant than the CS-. This difference vanished during extinction. Furthermore, the HR remained high for the CS+, while the HR for the CS- was clearly lower after than before the acquisition. Furthermore, a clear difference between CS+ and CS- after the acquisition indicated successful conditioning on this translational measure. Contrariwise no CS+/CS- differences were observed in the physiological variables during extinction. Importantly, at the generalization test, higher socially fearful participants rated pleasantness of all agents as low whereas the lower socially fearful participants rated pleasantness as low only for the CS+. SFC was successfully induced and extinguished confirming operant conditioning in this SFC paradigm. These findings suggest that the paradigm is suitable to expand the knowledge about the learning and unlearning of social fears. Further studies should investigate the operant mechanisms of development and treatment of social anxiety disorder.
    Language English
    Publishing date 2015-04-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2015.00400
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Men scare me more

    Reichenberger, Jonas / Pfaller, Michael / Forster, Diana / Gerczuk, Jennifer / Shiban, Youssef / Mühlberger, Andreas

    Frontiers in Psychology

    Gender differences in social fear conditioning in virtual reality

    2019  

    Abstract: Women nearly twice as often develop social anxiety disorder (SAD) compared to men. The reason for this difference is still being debated. The present study investigates gender differences and the effect of male versus female agents in low (LSA) and high ... ...

    Title translation Männer machen mir mehr Angst: Geschlechtsspezifische Unterschiede in der Konditionierung sozialer Angst in der virtuellen Realität
    Abstract Women nearly twice as often develop social anxiety disorder (SAD) compared to men. The reason for this difference is still being debated. The present study investigates gender differences and the effect of male versus female agents in low (LSA) and high socially anxious (HSA) participants regarding the acquisition and extinction of social fear in virtual reality (VR). In a social fear conditioning (SFC) paradigm, 60 participants actively approached several agents, some of which were paired with an aversive unconditioned stimulus (US) consisting of a verbal rejection and spitting simulated by an aversive air blast (CS+), or without an US (CS-). Primary outcome variables were defined for each of the 4 levels of emotional reactions including experience (fear ratings), psychophysiology (fear-potentiated startle), behavior (avoidance), and cognition (recognition task). Secondary outcome variables were personality traits, contingency ratings, heart rate (HR), and skin conductance response (SCR). As hypothesized, fear ratings for CS+ increased significantly during acquisition and the differentiation between CS+ and CS- vanished during extinction. Additionally, women reported higher fear compared to men. Furthermore, a clear difference in the fear-potentiated startle response between male CS+ and CS at the end of acquisition indicates successful SFC to male agents in both groups. Concerning behavior, results exhibited successful SFC in both groups and a general larger distance to agents in HSA than LSA participants. Furthermore, HSA women maintained a larger distance to male compared to female agents. No such differences were found for HSA men. Regarding recognition, participants responded with higher sensitivity to agent than object stimuli, suggesting a higher ability to distinguish the target from the distractor for social cues, which were on focus during SFC. Regarding the secondary physiological outcome variables, we detected an activation in HR response during acquisition, but there were no differences between stimuli or groups. Moreover, we observed a gender but no CS+/CS- differences in SCR. SFC was successfully induced and extinguished according to the primary outcome variables. VR is an interesting tool to measure emotional learning processes on different outcome levels with enhanced ecological validity. Future research should further investigate social fear learning mechanisms for developing more efficient treatments of SAD.
    Keywords Emotional Responses ; Emotionale Reaktionen ; Fear ; Frauen ; Furcht ; Geschlechtsunterschiede beim Menschen ; Human Females ; Human Males ; Human Sex Differences ; Männer ; Operant Conditioning ; Operante Konditionierung ; Physiological Processes ; Physiologische Prozesse ; Social Anxiety ; Soziale Angst ; Stereotype Einstellungen ; Stereotyped Attitudes ; Virtual Reality ; Virtuelle Realität
    Language English
    Document type Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2019.01617
    Database PSYNDEX

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