The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactions

IntroductionEnhanced self-focused attention plays an important role in the maintenance of Social Anxiety Disorder (SAD). Therefore, changing attentional processes is a major target in cognitive behavioral therapy (CBT) and recent approaches apply Virtual Reality (VR) behavioral exercises to change t...

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Main Authors: Teresa Schmidt-Peter, Theresa F. Wechsler, Leon O. H. Kroczek, Andreas Mühlberger
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Virtual Reality
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Online Access:https://www.frontiersin.org/articles/10.3389/frvir.2025.1556898/full
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author Teresa Schmidt-Peter
Theresa F. Wechsler
Leon O. H. Kroczek
Andreas Mühlberger
author_facet Teresa Schmidt-Peter
Theresa F. Wechsler
Leon O. H. Kroczek
Andreas Mühlberger
author_sort Teresa Schmidt-Peter
collection DOAJ
description IntroductionEnhanced self-focused attention plays an important role in the maintenance of Social Anxiety Disorder (SAD). Therefore, changing attentional processes is a major target in cognitive behavioral therapy (CBT) and recent approaches apply Virtual Reality (VR) behavioral exercises to change these processes. A promising approach to enhance such VR exposure-based exercises is implementing eye-tracking-based feedback.MethodsThis experimental study investigates which characteristics of gaze-related feedback lead to a positive valence and an increase in focused attention on social stimuli. Additionally, we examine differential effects in low (LSA) vs highly socially anxious (HSA) individuals. Overall, 50 participants, who were grouped into LSA and HSA according to the median split of the SPIN, were instructed to hold eye contact with virtual agents until they received feedback either in the form of a smile, a positive tone, or a praise. Furthermore, the required duration of maintaining eye contact with virtual agents to receive feedback was manipulated. The feedback variants were evaluated during and after the experiment via ratings, and participants’ gaze was measured via eye tracking.ResultsResults revealed that the smile feedback was perceived as more pleasant and elicited more eye contact in a subsequent test phase than the praise, which was associated with higher valence than the tone. In addition, LSA participants rated the social feedback variants (smile, praise) as significantly more pleasant than HSA participants, who showed reduced sensitivity to positive social feedback.DiscussionThese findings suggest that socially rewarding feedback is more effective in LSA individuals and may not generalize to those with high social anxiety. Future research should therefore explore further feedback variants within individuals with SAD to further refine and optimize VR-based attentional interventions for enhanced therapeutic outcomes.
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spelling doaj-art-123bcf0e07bd4a14ae8246b585ee22832025-08-20T03:31:11ZengFrontiers Media S.A.Frontiers in Virtual Reality2673-41922025-06-01610.3389/frvir.2025.15568981556898The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactionsTeresa Schmidt-PeterTheresa F. WechslerLeon O. H. KroczekAndreas MühlbergerIntroductionEnhanced self-focused attention plays an important role in the maintenance of Social Anxiety Disorder (SAD). Therefore, changing attentional processes is a major target in cognitive behavioral therapy (CBT) and recent approaches apply Virtual Reality (VR) behavioral exercises to change these processes. A promising approach to enhance such VR exposure-based exercises is implementing eye-tracking-based feedback.MethodsThis experimental study investigates which characteristics of gaze-related feedback lead to a positive valence and an increase in focused attention on social stimuli. Additionally, we examine differential effects in low (LSA) vs highly socially anxious (HSA) individuals. Overall, 50 participants, who were grouped into LSA and HSA according to the median split of the SPIN, were instructed to hold eye contact with virtual agents until they received feedback either in the form of a smile, a positive tone, or a praise. Furthermore, the required duration of maintaining eye contact with virtual agents to receive feedback was manipulated. The feedback variants were evaluated during and after the experiment via ratings, and participants’ gaze was measured via eye tracking.ResultsResults revealed that the smile feedback was perceived as more pleasant and elicited more eye contact in a subsequent test phase than the praise, which was associated with higher valence than the tone. In addition, LSA participants rated the social feedback variants (smile, praise) as significantly more pleasant than HSA participants, who showed reduced sensitivity to positive social feedback.DiscussionThese findings suggest that socially rewarding feedback is more effective in LSA individuals and may not generalize to those with high social anxiety. Future research should therefore explore further feedback variants within individuals with SAD to further refine and optimize VR-based attentional interventions for enhanced therapeutic outcomes.https://www.frontiersin.org/articles/10.3389/frvir.2025.1556898/fullvirtual realitysocial anxietyself-focused attentionsocial interactioneye trackingfeedback
spellingShingle Teresa Schmidt-Peter
Theresa F. Wechsler
Leon O. H. Kroczek
Andreas Mühlberger
The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactions
Frontiers in Virtual Reality
virtual reality
social anxiety
self-focused attention
social interaction
eye tracking
feedback
title The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactions
title_full The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactions
title_fullStr The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactions
title_full_unstemmed The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactions
title_short The effects of different variants of eye-tracking-based feedback of attentional processes during virtual social interactions
title_sort effects of different variants of eye tracking based feedback of attentional processes during virtual social interactions
topic virtual reality
social anxiety
self-focused attention
social interaction
eye tracking
feedback
url https://www.frontiersin.org/articles/10.3389/frvir.2025.1556898/full
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