Evidence-based cognitive behavioral therapies (CBTs) for children with aggressive behavior problems have only modest effects. Research is needed into new methods to enhance CBT effectiveness. The aims of the present study were to (1) examine whether interactive virtual reality is a feasible treatment method for children with aggressive behavior problems; (2) investigate children’s appreciation of the method; and (3) explore whether children’s aggression decreased during the ten-session treatment. Six boys (8–12 years) participated at two clinical centers in the Netherlands. Newly developed weekly reports were collected on treatment feasibility (therapist-report), treatment appreciation (child report), and children’s aggression (child/parent report). Results supported treatment feasibility: therapists delivered on average 98% of the session content, provided more than the recommended practice time in virtual reality, experienced few technical issues, and were satisfied with their treatment delivery. Children highly appreciated the treatment. Parents reported decreases in children’s aggression over the treatment period (i.e., between week 1 and week 10), but children did not. The promising findings of this feasibility study warrant randomized controlled trials to determine whether interactive virtual reality enhances CBT effectiveness for children with aggressive behavior problems.

针对有攻击性行为问题的儿童的循证认知行为疗法（CBT）效果有限。需要研究新方法来提高 CBT 的有效性。本研究的目的是（1）检验交互式虚拟现实是否是治疗有攻击性行为问题的儿童的可行方法； (2)调查幼儿对方法的欣赏程度； (3)探讨在十次治疗期间儿童的攻击性是否减少。六名男孩（8-12 岁）在荷兰的两个临床中心参加。收集新制定的关于治疗可行性（治疗师报告）、治疗欣赏（儿童报告）和儿童攻击性（儿童/家长报告）的每周报告。结果支持了治疗的可行性：治疗师平均完成了 98% 的疗程内容，在虚拟现实中提供了超过建议的练习时间，遇到了很少的技术问题，并对他们的治疗交付感到满意。孩子们对此次治疗给予高度评价。家长报告说，在治疗期间（即第 1 周至第 10 周），儿童的攻击性有所下降，但儿童却没有。这项可行性研究的令人鼓舞的结果需要随机对照试验来确定交互式虚拟现实是否可以增强针对有攻击性行为问题的儿童的认知行为疗法的有效性。