Harnessing Immersive Virtual Reality: A Comprehensive Scoping Review of its Applications in Assessing, Understanding, and Treating Eating Disorders.

BACKGROUND: Immersive Virtual Reality (IVR) has shown promise in the assessment, understanding, and treatment of eating disorders (EDs), providing a dynamic platform for clinical innovation. This scoping review aims to synthesize the recent advancements and applications of IVR in addressing these complex psychological disorders. METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols, focusing on studies published in the past five years. It included peer-reviewed papers that used IVR for ED assessment, examination, or treatment. A comprehensive database search provided a selection of relevant articles, which were then methodically screened and analyzed. RESULTS: Twenty studies met the inclusion criteria, with a primary focus on Anorexia Nervosa (AN), Bulimia Nervosa (BN), and Binge Eating Disorder (BED). The application of IVR was categorized into three areas: assessment, understanding, and treatment. IVR was found to be an effective tool in assessing body image distortions and emotional responses to food, providing insights that are less accessible through traditional methods. Furthermore, IVR offers innovative treatment approaches by facilitating exposure therapy, modifying body-related biases, and enabling emotional regulation through embodied experiences. The studies demonstrate IVR's potential to improve body image accuracy, reduce food-related anxieties, and support behavioral changes in ED patients. CONCLUSION: IVR stands out as a transformative technology in the field of EDs, offering comprehensive benefits across diagnostic, therapeutic, and experiential domains. The IVR's ability to simulate the brain's predictive coding mechanisms provides a powerful avenue for delivering embodied, experiential interventions that can help recalibrate distorted body representations and dysfunctional affective predictive models implicated in EDs. Future research should continue to refine these applications, ensuring consistent methodologies and wider clinical trials to fully harness IVR's potential in clinical settings.

Compatibility effects with destination and origin of motion.

Previous studies highlighted spatial compatibility effects other than those strictly arising from stimulus-response locations. In particular, the so-called Destination Compatibility (DC) effect refers to faster responses for dynamic (i.e., moving) stimuli the end point of which is spatially compatible with the response key. Four experiments examined whether the DC effect also occurs with static visual stimuli symbolically representing either motion destination alone (Experiment 1a), or both motion origin and destination (Experiments 1b, 2a, and 2b). Overall, our results are consistent in showing a DC effect; most importantly, the present findings reveal a predominance of the effect of destination of motion over that of origin, even when both the starting and ending positions of the stimulus are symbolically represented and participants are instructed to respond according to motion origin. This finding suggests that the DC effect is independent from other stimulus-response compatibility (SRC) effects.

Emotions in motion: affective valence can influence compatibility effects with graspable objects.

Previous studies showed that affective valence (positive, negative) influences Stimulus-Response Compatibility (SRC) effects elicited by both relevant and irrelevant spatial dimensions. We tested whether valence influences SRC effects when the irrelevant spatial dimension rather than being conveyed by the entire stimulus location is conveyed by the location of the stimulus' graspable part, i.e., the Handle-Response (H-R) compatibility effect. Participants saw objects with either a flower, a spider or nothing on their handle and categorized them as kitchen utensils or garage tools through button presses. In Experiment 1, a random presentation of valenced stimuli was used, whereas in Experiment 2 differently valenced stimuli were arranged in different blocks. Furthermore, participants in Experiment 2 could be spider-fearful or not. In Experiment 1, an H-R compatibility effect occurred for response latencies, regardless of whether stimuli presented a negative, positive or no element on their handle. In Experiment 2 the effect occurred only when a positive element was shown on the object's handle. In addition, spider-fearful individuals showed significantly slower responses when the element appearing on the object's handle had a negative valence. These results suggest that the SRC effect observed with pictures of graspable objects may be sensitive to the affective characteristics of stimuli and that approach/avoidance response tendencies may also depend on individual differences (being spider-fearful or not).

Does a look of fear prompt to act? The effects of gaze and face emotional expression on manipulable objects.

Gaze direction is an important social cue for understanding the intentions of other people. Indeed, interacting with others requires the ability to encode their current focus of attention in order to predict their future actions. Previous studies have showed that when asked to detect or identify a target, people are faster if shown a gaze oriented toward rather than away from that target. Most importantly, there is evidence that the emotion conveyed by the face with the averted gaze matters. We further tested the interplay between gaze and face emotion in the context of manipulable objects to understand whether and to what extent other people's gaze influences our own actions toward objects. Participants judged whether a target graspable object was upright or inverted after viewing a face cue with a central or averted gaze. Importantly, the target's handle could be oriented toward the gazed-at location or the opposite side such that gaze and handle were corresponding or non-corresponding in space. Furthermore, we manipulated the expression of the cue by using neutral and fearful faces. Results showed a handle-response (H-R) compatibility effect (i.e., a facilitation when the response key is on the same side as the object's handle) only with fearful cues with a central gaze.

Wearing the face mask affects our social attention over space.

Recent studies suggest that covering the face inhibits the recognition of identity and emotional expressions. However, it might also make the eyes more salient, since they are a reliable index to orient our social and spatial attention. This study investigates (1) whether the pervasive interaction with people with face masks fostered by the COVID-19 pandemic modulates the processing of spatial information essential to shift attention according to other's eye-gaze direction (i.e., gaze-cueing effect: GCE), and (2) whether this potential modulation interacts with motor responses (i.e., Simon effect). Participants were presented with face cues orienting their gaze to a congruent or incongruent target letter location (gaze-cueing paradigm) while wearing a surgical mask (Mask), a patch (Control), or nothing (No-Mask). The task required to discriminate the identity of the lateralized target letters by pressing one of two lateralized response keys, in a corresponding or a non-corresponding position with respect to the target. Results showed that GCE was not modulated by the presence of the Mask, but it occurred in the No-Mask condition, confirming previous studies. Crucially, the GCE interacted with Simon effect in the Mask and Control conditions, though in different ways. While in the Mask condition the GCE emerged only when target and response positions corresponded (i.e., Simon-corresponding trials), in the Control condition it emerged only when they did not correspond (i.e., Simon-non-corresponding trials). These results indicate that people with face masks induce us to jointly orient our visual attention in the direction of the seen gaze (GCE) in those conditions resembling (or associated with) a general approaching behavior (Simon-corresponding trials). This is likely promoted by the fact that we tend to perceive wearing the mask as a personal safety measure and, thus, someone wearing the face mask is perceived as a trustworthy person. In contrast, people with a patch on their face can be perceived as more threatening, therefore inducing a GCE in those conditions associated with a general avoidance behavior (Simon-non-corresponding trials).

Assessing Interpersonal Proximity Evaluation in the COVID-19 Era: Evidence From the Affective Priming Task.

Social proximity has since ever been evaluated as positive. However, the outbreak of the COVID-19 pandemic has dramatically reduced our social relations to avoid spreading the contagion. The present study aims to investigate people's current assessment of social proximity by using an affective priming paradigm (APP). We hypothesized that if our evaluation of social proximity is positive, then words with positive valence (e.g., relaxed) should be processed faster when preceded by images of social proximity than social distancing. On the contrary, if our evaluation of social proximity is turning negative, then words with a negative valence (e.g., sad) should be processed faster when preceded by images of social proximity than social distancing. To this end, we presented participants with prime images showing line drawings representing humans in situations of proximity or distancing and asked them to evaluate the valence (i.e., positive or negative) of a subsequent target word. In a follow-up session, the same participants evaluated the prime images as being positively or negatively valenced. Results showed that a large subset of participants who rated the prime images of social proximity as positive also processed positive words faster when these were preceded by images of social proximity than social distancing. Conversely, a smaller subset of participants who rated the prime images of social proximity as less positive processed negative words faster when these were preceded by images of social proximity than social distancing. These results suggest individual differences in the assessment of social proximity likely driven by the pandemic.

Does social distancing affect the processing of brand logos?

Social distancing and isolation have been imposed to contrast the spread of COVID-19. The present study investigates whether social distancing affects our cognitive system, in particular the processing of different types of brand logos in different moments of the pandemic spread in Italy. In a size discrimination task, six different logos belonging to three categories (letters, symbols, and social images) were presented in their original format and spaced. Two samples of participants were tested: one just after the pandemic spread in Italy, the other one after 6 months. Results showed an overall distancing effect (i.e., spaced stimuli are processed slower than original ones) that interacted with the sample, revealing a significant effect only for participants belonging to the second sample. However, both groups showed a distancing effect modulated by the type of logo as it only emerged for social images. Results suggest that social distancing behaviors have been integrated in our cognitive system as they appear to affect our perception of distance when social images are involved.

Corrigendum: Exploring the Role of Action Consequences in the Handle-Response Compatibility Effect.

[This corrects the article DOI: 10.3389/fnhum.2020.00286.].

Exploring the Role of Action Consequences in the Handle-Response Compatibility Effect.

Previous research investigating handle-response compatibility effects with graspable objects used different categories of objects as stimuli, regardless of their specific, intrinsic characteristics. The current study explores whether different types of objects' characteristics may elicit different types of spatial compatibility, that is, handle-response and response-effect compatibility as well as their potential interaction. In Experiment 1, objects having a graspable handle opposite to either a visible functional component (i.e., handle-function objects: a teapot) or a latent functional component (handle-only objects: a pitcher lacking the spout) were presented separately in different blocks. Both the handle and the goal-directed functional components of these objects were located on the horizontal axis. In Experiment 2, handle-only objects had a handle located on the horizontal axis and a latent functional component located on the vertical axis (e.g., a cup). In both experiments, participants were required to judge the material (plastic and metal) the object was made of. Results showed that the handle-response compatibility effect was sensitive to whether the actions consequences of object manipulation took place on the horizontal rather than on the vertical axis.

Do my hands prime your hands? The hand-to-response correspondence effect.

Previous research has shown an effect of handle-response correspondence on key-press responses when participants judged the upright or inverted orientation of photographed one-handled graspable objects. In three experiments, we explored whether this effect still holds for symmetric graspable objects that are usually grasped by two hands (i.e. two-handled objects; e.g. shears). In Experiments 1 and 2, participants were required to perform a between-hand response in order to categorize cooking or amusement objects appearing as grasped from either an allocentric (Experiment 1) or an egocentric perspective (Experiment 2). In Experiment 3, they were required to perform a within-hand response to categorize the same stimuli appearing as grasped from an egocentric perspective. Across all three experiments, results showed that categorization was more difficult when the objects were displayed as grasped on the opposite side than the response rather than on the same side. We discuss the implications of these results for theories of action potentiation and spatial coding and suggest that different mechanisms may be recruited depending on the required action (i.e. response mode).

Comparing Stroop-like and Simon Effects on Perceptual Features.

Stroop-like and Simon tasks produce two sources of interference in human information processing. Despite being logically similar, it is still debated whether the conflicts ensuing from the two tasks are resolved by the same or different mechanisms. In the present study, we compare two accounts of the Stroop-like effect. According to the Perceptual Account, the Stroop-like effect is due to Stimulus-Stimulus congruence. According to the Decisional Account, the Stroop-like effect results from the same mechanisms that produce the Simon effect, that is, Stimulus-Response compatibility. In two experiments we produced Stroop-like and Simon effects by presenting left/right-located stimuli consisting of a colored square surrounded by a frame of the same color as the square or of a different color. Results showed that discriminating either the color of the square (Experiment 1) or that of the frame (Experiment 2) yielded additive Stroop-like and Simon effects. In addition, the patterns of temporal distributions of the two effects were different. These results support the Perceptual Account of the Stroop-like effect and the notion that the Stroop-like effect and the Simon effect occur at different processing stages and are attributable to different mechanisms.

The triangle inequality constraint in similarity judgments.

Since Tversky's (1977) seminal investigation, the triangle inequality, along with symmetry and minimality, have had a central role in investigations of the fundamental constraints on human similarity judgments. The meaning of minimality and symmetry in similarity judgments has been straightforward, but this is not the case for the triangle inequality. Expressed in terms of dissimilarities, and assuming a simple, linear function between dissimilarities and distances, the triangle inequality constraint implies that human behaviour should be consistent with Dissimilarity (A,B) + Dissimilarity (B,C) ≥ Dissimilarity (A,C), where A, B, and C are any three stimuli. We show how we can translate this constraint into one for similarities, using Shepard's (1987) generalization law, and so derive the multiplicative triangle inequality for similarities, Sim(A,C)≥Sim(A,B)⋅Sim(B,C) where 0≤Sim(x,y)≤1. Can humans violate the multiplicative triangle inequality? An empirical demonstration shows that they can.

The Multilevel Modality-Switch Effect: What Happens When We See the Bees Buzzing and Hear the Diamonds Glistening.

Previous studies demonstrated that the sequential verification of different sensory modality properties for concepts (e.g., BLENDER-loud; BANANA-yellow) brings about a processing cost, known as the modality-switch effect. We report an experiment designed to assess the influence of the mode of presentation (i.e., visual, aural) of stimuli on the modality-switch effect in a property verification and lexical decision priming paradigm. Participants were required to perform a property verification or a lexical decision task on a target sentence (e.g., "a BEE buzzes", "a DIAMOND glistens") presented either visually or aurally after having been presented with a prime sentence (e.g., "the LIGHT is flickering", "the SOUND is echoing") that could either share both, one or none of the target's mode of presentation and content modality. Results show that the mode of presentation of stimuli affects the conceptual modality-switch effect. Furthermore, the depth of processing required by the task modulates the complex interplay of perceptual and semantic information. We conclude that the MSE is a task-related, multilevel effect which can occur on two different levels of information processing (i.e., perceptual and semantic).

The modality-switch effect: visually and aurally presented prime sentences activate our senses.

Verifying different sensory modality properties for concepts results in a processing cost known as the modality-switch effect. It has been argued that this cognitive cost is the result of a perceptual simulation. This paper extends this argument and reports an experiment investigating whether the effect is the result of an activation of sensory information which can also be triggered by perceptual linguistically described stimuli. Participants were first exposed to a prime sentence describing a light or a sound's perceptual property (e.g., "The light is flickering", "The sound is echoing"), then required to perform a property-verification task on a target sentence (e.g., "Butter is yellowish", "Leaves rustle"). The content modalities of the prime and target sentences could be compatible (i.e., in the same modality: e.g., visual-visual) or not (i.e., in different modalities). Crucially, we manipulated the stimuli's presentation modality such that half of the participants was faced with written sentences while the other half was faced with aurally presented sentences. Results show a cost when two different modalities alternate, compared to when the same modality is repeated with both visual and aural stimuli presentations. This result supports the embodied and grounded cognition view which claims that conceptual knowledge is grounded into the perceptual system. Specifically, this evidence suggests that sensory modalities can be pre-activated through the simulation of either read or listened linguistic stimuli describing visual or acoustic perceptual properties.