The effectiveness of immersive virtual reality on the psychology of older adults: A systematic review and Meta-analysis of randomized controlled trials

IF 3.7 2区医学 Q1 PSYCHIATRY General hospital psychiatry Pub Date : 2025-05-01 Epub Date: 2025-02-28 DOI:10.1016/j.genhosppsych.2025.02.024

Zhilan Ke , Meng Wei , Fen Yang , Yufei Qiu , Xinhong Zhu , Xiaolian Gao , Jing Zhou , Guiyuan Qiao

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Abstract

Background

The increasing prevalence of psychological issues among older adults is a significant public health concern. Immersive Virtual Reality (IVR) is being investigated and tested as a potential intervention tool for addressing these issues.

Objective

This review aims to assess the effectiveness of IVR devices in enhancing the psychological well-being of older adults.

Methods

A comprehensive literature search was conducted across the PubMed, EMBASE, Web of Science, and Cochrane Library databases up to January 24, 2024. The Cochrane Risk of Bias Tool for Randomized Trials, version 2, was used to assess the methodological quality of the studies and determine the levels of evidence for the outcomes. Results are reported as Standardized Mean Differences (SMDs) with 95 % Confidence Intervals (CIs).

Results

The primary outcomes of this review were depression and anxiety, with psychological well-being as the secondary outcome. Among the 15 randomized controlled trials (RCTs) included (n = 15), for overall methodological quality, 1 study showed high risk, 6 studies showed some concerns and 8 studies showed low risk. A total of 802 older adults participated across the studies. Compared with control groups, IVR intervention was more effective in reducing depression (SMD -0.608, 95 % CI -0.900 ∼ −0.315, P < 0.001), anxiety (SMD -0.708, 95 % CI -1.119 ∼ −0.297, P = 0.001), and more effective in improving psychological well-being (SMD 0.641, 95 % CI 0.068–1.214, P = 0.028).

Conclusions

IVR has the potential to improve the psychological health of older adults and may be widely applicable in promoting successful aging.

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沉浸式虚拟现实对老年人心理的影响：随机对照试验的系统回顾和meta分析

背景：老年人中日益普遍的心理问题是一个重要的公共卫生问题。沉浸式虚拟现实（IVR）正在被调查和测试，作为解决这些问题的潜在干预工具。目的本综述旨在评估IVR设备在提高老年人心理健康方面的有效性。方法对截至2024年1月24日的PubMed、EMBASE、Web of Science和Cochrane Library数据库进行综合文献检索。Cochrane随机试验偏倚风险工具（Cochrane Risk of Bias Tool for random Trials, version 2）用于评估研究的方法学质量，并确定结果的证据水平。结果以95%置信区间（ci）的标准化平均差异（SMDs）报告。结果本综述的主要结局为抑郁和焦虑，心理健康为次要结局。纳入的15项随机对照试验（rct）（n = 15）中，整体方法学质量方面，1项研究为高风险，6项研究为部分关注，8项研究为低风险。共有802名老年人参与了这些研究。与对照组相比，IVR干预在减少抑郁方面更有效(SMD -0.608, 95% CI -0.900 ~ - 0.315, P <；0.001)，焦虑（SMD -0.708, 95% CI -1.119 ~ - 0.297, P = 0.001），以及更有效地改善心理健康（SMD 0.641, 95% CI 0.068 ~ 1.214, P = 0.028）。结论sivr具有改善老年人心理健康的潜力，可广泛应用于促进老年人成功衰老。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

General hospital psychiatry 医学-精神病学

CiteScore

9.60

自引率

2.90%

发文量

125

审稿时长

20 days

期刊介绍： General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.