Effects of Change in Dysfunctional Beliefs and Self-Esteem in Avatar-Based Cognitive Therapy for Symptoms of Social Anxiety Disorder: A Randomized Parallel Trial

Published in Scientific Reports, 2026

Peperkorn, N. L., Ohse, J., Fox, J., Limberg, S., Hadžić, B., Rätsch, M., Voigt-Antons, J.-N., Witthöft, M. & Shiban, Y.

This randomized parallel trial investigates the effects of avatar-based cognitive therapy on symptoms of social anxiety disorder, focusing on changes in dysfunctional beliefs and self-esteem. The study examines whether modifications in maladaptive cognitions and self-related evaluations mediate therapeutic outcomes. Results provide insights into the psychological mechanisms underlying immersive, avatar-mediated therapeutic interventions and their potential for treating social anxiety symptoms.

Recommended citation: Peperkorn, N. L., Ohse, J., Fox, J., Limberg, S., Hadžić, B., Rätsch, M., Voigt-Antons, J.-N., Witthöft, M. & Shiban, Y. (2026). Effects of Change in Dysfunctional Beliefs and Self-Esteem in Avatar-Based Cognitive Therapy for Symptoms of Social Anxiety Disorder: A Randomized Parallel Trial. Scientific Reports, 16, 6144. https://doi.org/10.1038/s41598-026-39641-x