Page 1/24 Does Virtual Reality Increase the Eｨcacy of Psychotherapy for Young Adults With Mild-to- Moderate Depression? A Study Protocol for A Multicenter Randomized Clinical Trial Adrián Montesano School of Psychology and Educational Sciences, Open University of Catalonia: Universitat Oberta de Catalunya Joan C Medina School of Psychology and Educational Sciences, Open University of Catalonia: Universitat Oberta de Catalunya Clara Paz (  clara.paz@udla.edu.ec ) Universidad de Las Americas https://orcid.org/0000-0003-1106-9567 Helena García-Mieres Research and Development Unit, Parc Sanitari Sant Joan de Déu: Parc Sanitari Sant Joan de Deu Noelia Niño-Robles Department of Clinical Psychology and Psychobiology, University of Barcelona Eugeni García-Grau Department of Clinical Psychology and Psychobiology, Universitat de Barcelona Josep Cañete Crespillo Department of Mental Health, Consorci Sanitari del Maresme, Hospital de Mataró Alejandro García-Gutiérrez Department of Clinical Psychology and Psychobiology, University of Barcelona Miquel Alabèrnia-Segura Department of Clinical Psychology and Psychobiology, University of Barcelona Guillem Feixas Department of Clinical Psychology and Psychobiology, University of Barcelona Research Article Keywords: Virtual reality, personal construct therapy, repertory grid technique, constructivism, psychotherapy eｨcacy, self and identity, therapy engagement DOI: https://doi.org/10.21203/rs.3.rs-371513/v1