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virtual reality's dual edge: navigating mental health benefits and addiction risks across timeframes

CURRENT PSYCHOLOGY 2025年第7期44卷 6469-6480页

作者： Maksatbekova, Aisanat Argan, Metin Anadolu Univ Grad Sch Eskisehir Turkiye Eskisehir Tech Univ Fac Sports Sci Eskisehir Turkiye

This study explores the dual impact of virtual reality (VR) gaming on mental health, highlighting its potential benefits and risks. VR gaming offers significant advantages, including stress relief, emotional well-being, and enhanced social interactions through immersive experiences. Theoretical frameworks such as Self-Determination Theory and Flow Theory explain how VR meets intrinsic psychological needs-autonomy, competence, and relatedness-fostering emotional regulation and personal growth. However, the immersive nature of VR also introduces risks, such as addiction, maladaptive escapism, and physical health issues. The Biopsychosocial Model of Addiction provides insights into how biological, psychological, and social factors contribute to these challenges. Additionally, VR fosters empathy and social connection, making it a valuable tool in therapeutic settings for reducing loneliness and enhancing interpersonal understanding. This study employs thematic analysis of in-depth interviews with VR gamers, examining their experiences across immediate, intermediate, and long-term timeframes. The findings highlight the need for intentional and balanced integration of VR in recreational and therapeutic contexts. By doing so, it is possible to maximize mental health benefits while addressing potential challenges.

关键词： virtual reality Addiction and escapism Empathy Social interaction Mental health Immersive gaming

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virtual reality-based simulation improves rotator cuff repair skill: A randomized transfer validity study

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ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH 2025年第3期111卷 104053-104053页

作者： Vallee, Nicolas Tronchot, Alexandre Casy, Tiphaine Thomazeau, Herve Jannin, Pierre Maximen, Julien Huaulme, Arnaud Univ Rennes Inserm LTSI UMR 1099 F-35000 Rennes France Rennes Univ Hosp Orthopaed & Trauma Dept 2 Rue Henri Le Guilloux F-35000 Rennes France Univ Rennes Equipe MediCIS CHU Rennes InsermUMR 1099 F-35000 Rennes France

Background: Although virtual reality (VR) simulators have demonstrated their efficiency for basic technical skill training of healthcare professionals, validation for more complex and sequential procedures, especially in arthroscopic surgery, is still warranted. We hypothesized that the VR-based training simulation improves arthroscopic cuff repair skills when transferred to realistic visual and haptic conditions. Hypothesis: VR-based training simulation improves arthroscopic cuff repair skills when transferred to realistic visual and haptic conditions. Study design: This study is prospective, multicentric and randomized. Methods: Thirty orthopedic surgery residents were enrolled in the study and randomized in two groups: VR training (VR+) and no VR training (VR-). Only the VR+ group underwent a monthly VR-based training program for rotator cuff repair. The 1-h VR training sessions were standardized and supervised by the same instructor. After six months, all participants performed a double-row arthroscopic rotator cuff repair procedure on a benchtop shoulder model providing realistic visual and haptic conditions with implants. Two independent surgeons with expertise in shoulder repair and blinded to the randomization rated the participants' performance using the Arthroscopic Surgical Skill Evaluation Tool (ASSET). Results: Demographic characteristics and surgical experience were comparable between the two groups. The ASSET global rating score was higher in the VR+ group than in the VR- group (34.4 +/- 3.1 and 30.5 +/- 5.7, respectively;p = 0.046) and the VR+ group performed the procedure faster than the VR- group (27.3 +/- 3.6 vs. 31.7 +/- 0.4 min, respectively;p = 0.003). Discussion: This study demonstrated that a monthly VR-based program for 6 months was better than standard peer training alone for mastering a complex and sequential rotator cuff repair when using the validated ASSET Score. Overall, nonspecific arthroscopic skills were also higher in the VR+ group

关键词： Arthroscopy Simulation virtual reality Pedagogy Shoulder

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virtual reality Exposure for Treating PTSD Due to Military Sexual Trauma

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JOURNAL OF CLINICAL PSYCHOLOGY 2025年第2期81卷 81-92页

作者： Loucks, Laura Rizzo, Albert Rothbaum, Barbara O. Emory Univ Sch Med Dept Psychiat & Behav Sci Atlanta GA 90007 USA Univ Southern Calif Inst Creat Technol Los Angeles CA 90007 USA

virtual reality exposure therapy (VRE) has been used in the treatment of combat-related PTSD since the late 1990s and was recently adapted to treat PTSD due to military sexual trauma (MST). With content specifically tailored to MST-related contexts, we present the case study of a military veteran who participated in the open clinical trial examining the feasibility of VRE in the treatment of MST-related PTSD (Loucks et al. 2019). We illustrate VRE's use in activating the trauma memory to facilitate therapeutic emotional processing across sessions and overall symptom reduction. The case study includes common challenges that may occur during VRE and relevant recommendations. The discussion will include lessons learned from the case study and the open clinical trial, recommendations for the flexible application of VRE, and the ongoing developments in the latest version of the VRE system, informed by feedback acquired from the clinicians and patients who experienced it in the initial clinical trial.

关键词： military sexual trauma posttraumatic stress disorder prolonged exposure virtual reality

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virtual reality vs. buzzy®. efficacy in pain and anxiety management during pediatric venipuncture. Systematic review and meta-analysis

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JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES 2023年 73卷 22-33页

作者： Merino-Lobato, Carolina Rodriguez-Gallego, Isabel Pabon-Carrasco, Manuel Romero-Castillo, Rocio Jimenez-Picon, Nerea Hosp Univ Clin San Cecilio Granada 18016 Spain Virgen Rocio Univ Hosp Seville 41013 Spain Univ Seville Ctr Univ Enfermeria Cruz Roja Seville 41009 Spain Univ Seville Dept Enfermeria Seville 41009 Spain Univ Seville Ctr Univ Enfermeria Cruz Roja Dept Enfermeria Seville 41009 Spain

Problem: Non-pharmacological distraction methods are novel alternatives that can help to alleviate pain and anxiety generated by venipuncture in the pediatric population. The aim is to determine the effectiveness of virtual reality, compared to cold and vibration devices (Buzzy (R) device), as a distraction method used during venipuncture in the management of pain and anxiety in children. Eligibility criteria: Clinical trials, cohort and quasi-experimental studies, published between 2017 and 2022, in Spanish or English and pediatric age, found in Medline, the Cochrane Library, Scopus, Web Of Science, CINAHL and Embase databases. Sample: Twenty-one studies were included and ten met the criteria for meta-analysis. Results: Fifty-seven percent of the studies evaluate virtual reality, 33.3% the Buzzy (R) device and 9.5% both comparatively. The effectiveness of virtual reality in reducing pain (66.6%, n = 14) and anxiety (47.6%, n = 10) compared to standard care (control group), 95% CI = 1.53 [0.91-2.16], p < 0.001, I2 = 78% and 95% CI = 1.53 [1.16-1.90]), p < 0.001, I2 = 77% respectively is demonstrated. Similarly, the effectiveness of Buzzy (R) in reducing pain (42.9%, n = 9) and anxiety (23.8%, n = 5), 95% CI = 1.62 [0.90-2.34], p < 0.001, I2 = 94% and 95% CI = 1.40 [0.06-2.20, p < 0.001, I2 = 91% respectively is demonstrated. Comparatively, there is no significant difference between both methods 95% CI = 0.29 [- 0.19-0.78], p = 0.24, I2 = 81%. Conclusions: The methods studied are effective in relieving pain and anxiety during venipuncture. Further research is needed on the level of satisfaction, adverse effects and cost-benefit. Implications: This study provides evidence of novel tools in daily practice to provide more humane, holistic and quality care.

关键词： Pain Anxiety virtual reality Child Cold and vibration device Meta-analysis

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virtual reality in the luxury fashion industry: a systematic literature review

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SPANISH JOURNAL OF MARKETING-ESIC 2025年第3期29卷 312-329页

作者： Liu, Tong (Tripp) Tan, Caroline Swee Lin Rodriguez, Carolina Quintero RMIT Univ Melbourne Australia

Purpose-This paper aims to synthesize the existing literature on virtual reality (VR) in the luxury fashion industry, discuss the current practical applications of VR technologies and review previous research undertaken in the luxury fashion field. Design/methodology/approach-This paper conducts a systematic review and thematic analysis of existing literature to evaluate current research concerning VR and the luxury fashion industry. This search initially returned a total of 1,131 sources. After establishing and applying criteria of exclusion and inclusion, a total of 46 articles were selected for the thematic analysis. Findings-Five major themes were identified, including virtual luxury fashion consumption, VR in marketing communication, virtual try-on, VR retail (including virtual fashion retail spaces) and virtual worlds (including customers' virtual representation as avatars). The importance of these themes for the study of VR in luxury fashion is supported by relevant studies in the literature. Originality/value-Whilst research into VR use within luxury fashion has increased recently, it remains fragmented. Given the absence of a comprehensive review addressing this topic within the literature, this paper will help scholars and fashion brands better understand the effects of VR on the luxury fashion industry. By integrating current practice and existing research, this paper contributes to a better understanding of how and where VR is used in luxury fashion contexts.

关键词： Luxury fashion virtual reality 3D technology Simulation virtual worlds VR retail Literature review

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virtual reality learning: A randomized controlled trial assessing medical student knowledge of fetal development

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INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 2023年第1期162卷 292-299页

作者： Ryan, Grace Rafferty, Anthony Murphy, John Higgins, Mary F. Mangina, Eleni McAuliffe, Fionnuala M. Univ Coll Dublin Natl Matern Hosp UCD Perinatal Res Ctr Sch Med Dublin Ireland Univ Coll Dublin UCD Sch Comp Sci Dublin Ireland Univ Coll Dublin Natl Matern Hosp Sch Med Women & Childrens HlthObstet & Gynecol UCD Perin 65-66 Lower Mt St3rd Floor Dublin D01NX40 Ireland

ObjectiveTo investigate whether a virtual reality learning environment (VRLE) enhanced student understanding and knowledge compared with a traditional tutorial. MethodA randomized controlled trial involving medical students from University College Dublin, Ireland. Participants were assigned to an intervention (VRLE involving a 15-min learning experience on the stages of fetal development) or control (PowerPoint tutorial on the same topic) group. Multiple choice questionnaires (MCQs) assessed knowledge at three time points: preintervention, immediately postintervention, and 1 week postintervention. Primary outcomes were differences in MCQ knowledge scores postintervention between groups. Secondary outcomes included attitudes on the learning experience assessed using the Student Satisfaction and Self-Confidence in Learning Scale (SCLS) and the virtual reality Design Scale (VRDS). ResultsNo statistically significant between-group differences were found in the primary outcome assessing postintervention knowledge scores. Within-group differences in knowledge scores were significant among the three time points for both the intervention (P < 0.01 [95% confidence interval, 5.33-6.19]) and control (P = 0.02 [95% confidence interval, 5.74-6.49]) groups. Mean levels of satisfaction and self-confidence in learning were higher in the intervention group compared with the control group: 54.2 (standard deviation, 7.5) and 50.5 (standard deviation, 7.2), respectively (P = 0.21). ConclusionVRLEs are a learning tool that can support knowledge development.

关键词： embryology fetal development medical education medical students obstetrics and gynecology randomized controlled trial virtual reality virtual reality learning environment

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virtual reality Experience during Labour (VIREL);a qualitative study

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BMC PREGNANCY AND CHILDBIRTH 2023年第1期23卷 1-9页

作者： Musters, A. Vandevenne, A. S. Franx, A. Wassen, M. M. L. H. Zuyderland Med Ctr Dept Obstet & Gynaecol POB 4446 NL-6401 CX Heerlen Netherlands Maastricht Univ POB 616 NL-6200 MD Maastricht Netherlands Erasmus MC Dept Obstet & Gynaecol POB 2060 NL-3000 CB Rotterdam Netherlands

BackgroundThere is increasing evidence that virtual reality (VR) is effective in the reduction of labour pain. The implementation of alternative methods like VR to reduce labour pain can contribute to reduce patient request for pharmacological pain management methods and associated side effects. The aim of this study is to examine women's experiences, preferences and satisfaction in regard to the use of VR during *** qualitative interview study was conducted in a non-university teaching hospital in The Netherlands. Two VR applications, respectively a guided meditation and an interactive game were tested in eligible women with a singleton pregnancy, scheduled for induction of labour. For the primary outcome, patients' VR experience and application preference (meditation vs. game) were examined using a post-intervention questionnaire and a semi-structured interview. Three categories (with sub-categories) were used to guide interviews: "The VR experience", "Pain reduction", and "Usability of the VR application". Labour pain before and directly after VR was evaluated using the NRS ***-four women, of whom 14 were nulliparous and ten multiparous, were included and 12 of these women participated in semi-structured interviews. Using within-subject paired t-test comparisons, compared to pain pre-VR, patients reported a highly significant 26% decrease in mean NRS scores during VR meditation (pain pre-VR = 6.71 + - 1.65 vs. pain after VR = 4.96 + - 2.01) [p < 0.001]. Compared to pain before VR game, patients also reported a highly significant 19% decrease in mean NRS scores during VR game (pain before VR game = 6.89 + - 1.88 vs. pain after VR game = 5.61 + - 2.23) [p = 0.001].ConclusionAll women were highly satisfied with VR use during labour. Patients reported a highly significant reduction in pain during the interactive VR game and during meditation, patients preferred guided meditation. These results can contribute to the development of a potenti

关键词： virtual reality Labour Pain Analgesia Obstetric care

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virtual reality for Preoperative Planning in Complex Surgical Oncology: A Single-Center Experience

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JOURNAL OF SURGICAL RESEARCH 2023年第1期291卷 546-556页

作者： Lyuksemburg, Vadim Abou-Hanna, Jameil Marshall, J. Stephen Bramlet, Matthew T. Waltz, Alexa L. Keller, Sister M. Pieta Dwyer, Anthony Orcutt, Sonia T. Univ Illinois Dept Surg Coll Med Peoria Peoria IL USA Univ Illinois Dept Pediat Coll Med Peoria Peoria IL USA OSF HealthCare Jump Trading Simulat & Educ Ctr Peoria IL USA Univ AR Med Sci Dept Surg Surg 4301 W Markham St 725 Little Rock AR 72205 USA

Introduction: virtual reality models (VRM) are three-dimensional (3D) simulations of two-dimensional (2D) images, creating a more accurate mental representation of patient -specific ***: Patients were retrospectively identified who underwent complex oncologic re-sections whose operations differed from preoperative plans between April 2018 and April 2019. virtual reality modeling was performed based on preoperative 2D images to assess feasibility of use of this technology to create models. Preoperative plans made based upon 2D imaging versus VRM were compared to the final operations performed. Once the use of VRM to create preoperative plans was deemed feasible, individuals undergoing complex oncologic resections whose operative plans were difficult to define preoperatively were enrolled prospectively from July 2019 to December 2021. Preoperative plans made based upon 2D imaging and VRM by both the operating surgeon and a consulting surgeon were compared to the operation performed. Confidence in each operative plan was also ***: Twenty patients were identified, seven retrospective and 13 prospective, with tu-mors of the liver, pancreas, retroperitoneum, stomach, and soft tissue. Retrospectively, VRM were unable to be created in one patient due to a poor quality 2D image;the remainder (86%) were successfully able to be created and examined. virtual reality modeling more clearly defined the extent of resection in 50% of successful cases. Pro-spectively, all VRM were successfully performed. The concordance of the operative plan with VRM was higher than with 2D imaging (92% versus 54% for the operating surgeon and 69% versus 23% for the consulting surgeon). Confidence in the operative plan after VRM compared to 2D imaging also increased for both surgeons (by 15% and 8% for the operating and consulting surgeons, respectively).

关键词： Preoperative care Surgical oncology Three-dimensional imaging Three-dimensional printing virtual reality

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virtual reality digital surgical planning for jaw reconstruction: a usability study

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ANZ JOURNAL OF SURGERY 2023年第5期93卷 1341-1347页

作者： Manzie, Timothy MacDougall, Hamish Cheng, Kai Venchiarutti, Rebecca Fox, Richard Sharman, Ashleigh Charters, Emma Seyfi, Doruk Dunn, Masako Mukherjee, Payal Clark, Jonathan Chris OBrien Lifehouse Dept Head & Neck Surg Sydney NSW Australia Sydney Local Hlth Dist Royal Prince Alfred Inst Acad Surg Sydney NSW Australia Univ Sydney Fac Med & Hlth Sydney Sch Publ Hlth Sydney NSW Australia Neos Metaverse Bellevue WA USA Univ Sydney Fac Med & Hlth Sydney Sch Hlth Sci Sydney NSW Australia Univ Sydney Fac Med & Hlth Sydney Med Sch Sydney NSW Australia

BackgroundDigital surgical planning (DSP) has revolutionized the preparation and execution of the management of complex head and neck pathologies. The addition of virtual reality (VR) allows the surgeon to have a three-dimensional experience with six degrees of freedom for visualizing and manipulating objects. This pilot study describes the participants experience with the first head and neck reconstructive VR-DSP platform. MethodsAn original VR-DSP platform has been developed for planning the ablation and reconstruction of head and neck pathologies. A prospective trial utilizing this platform involving reconstructive surgeons was performed. Participants conducted a simulated VR-DSP planning session, pre- and post-questionnaire as well as audio recordings allowing for qualitative analysis. ResultsThirteen consultant reconstructive surgeons representing three surgical backgrounds with varied experience were recruited. The majority of surgeons had no previous experience with VR. Based on the system usability score, the VR-DSP platform was found to have above average usability. The qualitative analysis demonstrated the majority had a positive experience. Participants identified some perceived barriers to implementing the VR-DSP platform. Conclusionsvirtual reality-digital surgical planning is usable and acceptable to reconstructive surgeons. Surgeons were able to perform the steps in an efficient time despite limited experience. The addition of VR offers additional benefits to current VSP platforms. Based on the results of this pilot study, it is likely that VR-DSP will be of benefit to the reconstructive surgeon.

关键词： digital surgical planning free flap reconstruction virtual reality virtual surgical planning

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virtual reality and haptics in dental education: Implementation progress and lessons learned after a decade

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EUROPEAN JOURNAL OF DENTAL EDUCATION 2023年第4期27卷 833-840页

作者： Serrano, Carlos M. Bakker, Dirk R. Zamani, Masie de Boer, Ilse R. Koopman, Pepijn Wesselink, Paul R. Berkhout, Erwin Vervoorn, Johanna M. Acad Ctr Tandheelkunde Amsterdam Digital Dent Amsterdam Netherlands Acad Ctr Tandheelkunde Amsterdam Integrated Dent Amsterdam Netherlands Univ Amsterdam Fac Dent Amsterdam Netherlands Acad Ctr Dent Amsterdam ACTA Gustav Mahlerlaan 3004 NL-1081 LA Amsterdam Netherlands

IntroductionThe search for alternative training environments in dentistry responded mainly to scarcity and lack of standardisation of training material and non-availability of specific clinical procedures. The development of haptic virtual reality (VR) dental trainers provides a platform where irreversible procedures can be safely and unlimitedly practised. The aim of this study was to assess the educational implementation of these devices and evaluate schools' satisfaction. MethodsDental schools that were using haptic VR dental trainers, were approached. The Dental Trainer User Inventory (DTUI), addressing the educational implementation and users' satisfaction, was developed and distributed. ResultsTwenty-seven schools completed the DTUI. The total number of VR dental trainers available varied from one to 42 devices with a mean of 7 devices. The dental trainer was mostly made available from the first year (63.0%) of the undergraduate program, but it was mostly integrated into the curriculum by the third year (70.4%). Curricular integration was reported by 18 schools (66.7%), while nine schools (33.3%) indicated that they had not yet achieved integration. Twenty-one schools (69.4%) were 'satisfied' or 'very satisfied' with the devices, while two schools (7.4%) were dissatisfied and six schools (22.2%) were neither satisfied nor dissatisfied. ConclusionVR haptic dental trainers are implemented in multiple dental programs and are also being used for educational research and clinical training. Even though curricular changes and teachers' acceptance remain a challenge, most schools are satisfied with VR haptic dental trainers and would recommend the device to other schools.

关键词： clinical training dental education haptics simulation virtual reality

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