Skip to main content
OpenTrials
Recruiting

NCT Number: NCT07171736

Virtual Reality Assisted Schema Therapy

Schema therapy helps people understand which emotional needs were not met during childhood, and how they can take care of those needs now. One important part of the therapy is the chairwork exercise, where people imagine talking to different parts of themselves (like the strict parent or the hurt child) using empty chairs. These exercises can be very helpful, but they can also be difficult for people who find it hard to imagine things in their mind.

Virtual Reality (VR) can make these exercises easier and more powerful. VR creates a 3D world that feels real, using special equipment like a headset. In this world, people can see and interact with virtual characters that represent different parts of themselves. This can make the therapy more concrete and easier to understand, especially for people who struggle with imagination.

In this study, the investigators want to compare the regular imagination-based exercise with the chairwork exercise done in Virtual Reality. Everyone who joins the study will do both versions of the exercise-one with imagination and one with VR. The order will be random. Before and after each exercise, a short assessment will be conducted to see how people feel. At the end, there will also be a short interview about their experience. The whole session will take about 1.5 to 2 hours.

The investigators want to know if people experience the VR exercise differently than the regular imagination exercise. The investigators also want to know if these differences depend on how well someone can imagine things in their mind.

Recruiting

Interested in participating?

Request Info

Key information

Age range

16 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

UMCG

Groningen, Provincie Groningen, 9713 GZ, Netherlands

Location status: Recruiting

Location contact

Elise van der Stouwe, PhD

CONTACT

[email protected]

+31 (0)6 39199758

Elise van der Stouwe, PhD

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Undergraduate student
  • 16 years or older
  • A score of ≥ 3 on (at least) one of the schema modes (Demanding Parent, Punitive Parent, and/or Vulnerable Child)

Exclusion criteria

  • Insufficient command of the Dutch Language

Treatment and study plan

Virtual Reality chairwork exercise

Behavioral

A chairwork exercise from schema therapy, executed in Virtual Reality

Imagination exercise

Behavioral

A regular schema therapy imagination exercise

Primary outcomes

  1. Visual Analogue Scale (VAS) questions about schema modes

    Time frame: Pre-, mid-, and post-assessment (within timeframe of 1.5 hours)

    VAS questions on schema modes (Momentary Schema Modes Questionnaire [MSMQ])

  2. Visual Analogue Scale (VAS) questions about affect

    Time frame: Pre-, mid-, and post-assessment (within timeframe of 1.5 hours)

    VAS questions on positive and negative affect that were derived from ESM studies and previous VR studies.

  3. Visual Analogue Scale (VAS) questions Self-Compassion and self-Criticism Scales (SCCS)

    Time frame: Pre-, mid-, and post-assessment (within timeframe of 1.5 hours)

    VAS questions on self-criticism and self-compassion (Self-Compassion and Self-Criticism Scales [SCCS])

  4. Visual Analogue Scale (VAS) questions about self-esteem.

    Time frame: Pre-, mid-, and post-assessment (within timeframe of 1.5 hours)

    VAS questions on self-esteem that were derived from ESM studies and previous VR studies.

  5. Visual Analogue Scale (VAS) questions on therapeutic relationship

    Time frame: Mid- and post-assessment (within timeframe of 1.5 hours)

    Visual Analogue Scale (VAS) questions on therapeutic relationship (Session Rating Scale [SRS])

  6. Visual Analogue Scale (VAS) questions on immersion

    Time frame: Mid- and post-assessment (within timeframe of 1.5 hours)

    VAS questions on the Igroup Presence Questionnaire (IPQ)

Secondary outcomes

  1. Subjective experiences with both exercises

    Time frame: Post-assessment (within timeframe of 1.5 hours)

    Qualitative interview consisting of open-ended questions to explore experiences and compare their experiences with both exercises, as well as close-ended evaluation questions in a questionnaire.

Other outcomes

  1. Mental Imagery Ability

    Time frame: Pre-assessment (at the beginning of the 1.5h session, before the intervention)

    For moderation analyses, mental imagery ability will be measured using the Verbalizer-Visualizer Questionnaire (VVQ) and the Vividness of Visual Imagery Questionnaire (VVIQ)

  2. Screening questionnaire of schema modes

    Time frame: Screening (before start of intervention)

    The Schema Mode Inventory will be used to assess scores on schema modes, for inclusion of participants (≥3 on demanding parent, punitive parent, and/or vulnerable child).

  3. Demographic characteristics

    Time frame: Pre-assessment (at the beginning of the 1.5h session, before the intervention)

    The following demographics will be collected: sex, age, received psychological treatment in the past (yes/no, if yes: what type of treatment?), currently receiving psychological treatment (yes/no), received schema therapy in the past (yes/no), currently receiving schema therapy (yes/no).

  4. Questionnaire on schemas (Young Schema Questionnaire - Short Form)

    Time frame: Pre-assessment (at the beginning of the 1.5h session, before the intervention)

    The Young Schema Questionnaire - Short Form will be used to assess schemas

Sponsors and collaborators

Lead sponsor

University Medical Center Groningen

Other

Collaborators

  • University of Groningen

Registry information

Official study title

VRAST: Virtual Reality Assisted Schema Therapy

Acronym: VRAST

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Sep 12, 2025
Registry last updated
May 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.