Abstract
The therapeutic use of virtual reality (VR) is well established in the treatment of anxiety disorders. As an early step to develop a VR environment to desensitize people suffering from eco-anxiety, we created an “emotion-to-picture match” task to characterize their behavioral and physiological responses during exposure to neutral and threatening environmental stimuli. Twenty-nine participants who were identified as “high” or “low” scorers in the Hogg Eco-Anxiety Scale (Hogg et al. 2021) were exposed to three blocks of randomized “eco-anxiety” and “neutral” images, while their electrocardiogram and skin conductance level was recorded. In each trial, participants had to choose from six emotions the one that would closely match their feelings towards the image. During “eco-anxiety” images, the “high” scorers addressed significantly more “anger” than the “low” scorers, whereas “seeking” emotions were more frequent among the latter. In addition, “neutral” images also evoked significantly more “panic” among the “high” eco-anxiety participants, whereas “seeking” emotions were more frequently experienced by the “low” eco-anxiety participants. Surprisingly, “high” eco-anxiety participants displayed higher heart rate variability and lower electrodermal activity than “low” eco-anxiety participants throughout the task, a finding that is at odds with the current understanding of physiological symptoms of anxiety. The design of therapeutic VR environments should forecast all sorts of discomfort that patients are willing to tolerate during VR exposure therapy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Disclosure of Interests
The authors have no competing interests to declare that are relevant to the content of this article.
References
Ahmadpour, N., Randall, H., Choksi, H., Gao, A., Vaughan, C., Poronnik, P.: Virtual reality interventions for acute and chronic pain management. Int. J. Biochem. Cell Biol. 114, 105568 (2019). https://doi.org/10.1016/j.biocel.2019.105568
Brosschot, J.F., Verkuil, B., Thayer, J.F.: Exposed to events that never happen: Generalized unsafety, the default stress response, and prolonged autonomic activity. Neurosci. Biobehav. Rev. 74(Pt B), 287–296 (2017)
Cacioppo, J.T., Tassinary, L.G., Berntson, G.G. (eds.): Handbook of psychophysiology, 4th edn. Cambridge University Press, Cambridge (2016)
Chalmers, J.A., Quintana, D.S., Abbott, M.J., Kemp, A.H.: Anxiety Disorders are Associated with Reduced Heart Rate Variability: A Meta-Analysis. Front. Psych. 5, 80 (2014)
Cheng, Y.C., Su, M.I., Liu, C.W., Huang, Y.C., Huang, W.L.: Heart rate variability in patients with anxiety disorders: a systematic review and meta-analysis. Psychiatry Clin. Neurosci. 76(7), 292–302 (2022)
Clayton, S.: Climate anxiety: psychological responses to climate change. J. Anxiety Disord. 74, 102263 (2020)
Davis, K.L., Panksepp, J.: The brain’s emotional foundations of human personality and the Affective Neuroscience Personality Scales. Neurosci. Biobehav. Rev. 35(9), 1946–1958 (2011)
Demeco, A., et al.: Immersive virtual reality in post-stroke rehabilitation: a systematic review. Sensors 23(3), 1712 (2023)
Forte, G., Favieri, F., Oliha, E.O., Marotta, A., Casagrande, M.: Anxiety and attentional processes: the role of resting heart rate variability. Brain Sci. 11(4), 480 (2021)
GDB. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 388, 1545–602(2016)
Hogg, T., Stanley, S., O’Brien, L., Wilson, M., Watsford, C.: The Hogg Eco-Anxiety Scale: development and validation of a multidimensional scale. Glob. Environ. Chang. 71, 102391 (2021)
Kaplan, E.A.: Is climate-related pre-traumatic stress syndrome a real condition? American Imago 77(1), 81–104 (2020)
Krzystanek, M., et al.: Tips for effective implementation of virtual reality exposure therapy in phobias-a systematic review. Front. Psych. 12, 737351 (2021)
Kurth, C., Pihkala, P.: Eco-anxiety: what it is and why it matters. Front. Psychol. 13, 981814 (2022)
Lee, I., et al.: Cigarette pack size and consumption: a randomized cross-over trial. Addiction 118(3), 489–499 (2023)
Mantzari, E., Ventsel, M., Ferrar, J., Pilling, M.A., Hollands, G.J., Marteau, T.M.: Impact of wine bottle and glass sizes on wine consumption at home: a within- and between- households randomized controlled trial. Addiction 117(12), 3037–3048 (2022)
Niedderer, K., et al.: Design for behaviour change as a driver for sustainable innovation: implementation in the private and public sectors. Int. J. Des. 10(2), 67–85 (2016)
Panksepp, J.: The cross-mammalian neurophenomenology of primal emotional affects: from animal feelings to human therapeutics. J. Comp. Neurol. 524(8), 1624–1635 (2016)
Pittig, A., Arch, J.J., Lam, C.W., Craske, M.G.: Heart rate and heart rate variability in panic, social anxiety, obsessive-compulsive, and generalized anxiety disorders at baseline and in response to relaxation and hyperventilation. Int. J. Psychophysiol. 87(1), 19–27 (2013)
Porges, S.W.: Orienting in a defensive world: mammalian modifications of our evolutionary heritage. A polyvagal theory. Psychophysiology 32(4), 301–318 (1995)
Ramírez, E., Ortega, A.R., Reyes Del Paso, G.A.: Anxiety, attention, and decision making: yhe moderating role of heart rate variability. Int. J. Psychophysiol. 98(3 Pt 1), 490–496 (2015)
Shaffer, F., Ginsberg, J.P.: An overview of heart rate variability metrics and norms. Front. Public Health 5, 258 (2017)
Siennicka, A., et al.: Resting heart rate variability, attention and attention maintenance in young adults. Int. J. Psychophysiol. 143, 126–131 (2019)
Talarowska, M., Wysiadecki, G., Chodkiewicz, J.: Affective neuroscience personality scales and early maladaptive schemas in depressive disorders. Int. J. Environ. Res. Public Health 19(13), 8062 (2022)
Task Force of the European Society, 1996.Task Force of the European Society. Guidelines - heart rate variability. Euro Heart J. 17, 354–381 (1996)
Thayer, J.F., Lane, R.D.: Claude Bernard and the heart-brain connection: further elaboration of a model of neurovisceral integration. Neurosci. Biobehav. Rev. 33(2), 81–88 (2009)
Wu, Y., Gu, R., Yang, Q., Luo, Y.J.: How do amusement, anger and fear influence heart rate and heart rate variability? Front. Neurosci. 13, 1131 (2019)
Zhan, J., et al.: Regulating anger under stress via cognitive reappraisal and sadness. Front. Psychol. 8, 1372 (2017)
Acknowledgments
This study was supported by UNIDCOM under a grant from the Fundação para a Ciência e Tecnologia (FCT) No. UIDB/00711/2020 attributed to UNIDCOM – Unidade de Investigação em Design e Comunicação, Lisbon, Portugal.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2025 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this paper
Cite this paper
Quelhas Martins, A., Ferrajão, P., Revés, B., Torres, N. (2025). Towards a VR Environment for Desensitization of Ecological Anxiety. In: Chen, J.Y.C., Fragomeni, G., Streitz, N.A., Konomi, S., Fang, X. (eds) HCI International 2024 – Late Breaking Papers. HCII 2024. Lecture Notes in Computer Science, vol 15377. Springer, Cham. https://doi.org/10.1007/978-3-031-76812-5_11
Download citation
DOI: https://doi.org/10.1007/978-3-031-76812-5_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-76811-8
Online ISBN: 978-3-031-76812-5
eBook Packages: Computer ScienceComputer Science (R0)