Trial reportInternational journal of environmental research and public health2020
Psychological and Physiological Responses in Patients with Generalized Anxiety Disorder: The Use of Acute Exercise and Virtual Reality Environment.
Trial report in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- A Systematic Review and Meta-Analysis of EEG, fMRI, and fNIRS Studies on the Psychological Impact of Nature on Well-Being.International journal of environmental research and public health · 2026Pooled it
- Virtual reality relaxation for people with mental health conditions: a systematic review.Social psychiatry and psychiatric epidemiology · 2023Pooled it
- Cities and neuroscience research: A systematic literature review.Frontiers in psychiatry · 2022Pooled it
- Effects of Digital Nature Interventions on Positive Psychological Outcomes: A Scoping Review.Behavioral sciences (Basel, Switzerland) · 2026Review
- Stress reduction from landscape painting and live nature viewing: a comparative experimental study.Journal of global health · 2025Article
- Effect of using virtual reality on fatigue and mental workload as key determinants of perceived stress in neonatal intensive care staff: A randomized controlled trial feasibility study and protocol.Nursing in critical care · 2025Article
- Beyond Pharmacology: A Narrative Review of Alternative Therapies for Anxiety Disorders.Diseases (Basel, Switzerland) · 2024Review
- Review
- Effects of Different Visual Flow Velocities on Psychophysiological Responses During Virtual Reality Cycling.Cureus · 2024Article
- Virtual Exercise in Medicine: A Proof of Concept in a Healthy Population.JMIR formative research · 2024Article
- XR and mental wellbeing: state of the art and future research directions for the Metaverse.Frontiers in psychology · 2024Review
- A systematic review on the efficacy of virtual reality and gamification interventions for managing anxiety and depression.Frontiers in digital health · 2023Review
- Immersive Therapy for Improving Anxiety in Health Professionals of a Regional Hospital during the COVID-19 Pandemic: A Quasi-Experimental Pilot Study.International journal of environmental research and public health · 2022Article
- Exposure to Green, Blue and Historic Environments and Mental Well-Being: A Comparison between Virtual Reality Head-Mounted Display and Flat Screen Exposure.International journal of environmental research and public health · 2022Article
- The Visual Attention and Psychological Responses from Older Customers to Wellness Service Pictures of Hotels.International journal of environmental research and public health · 2022Article
- Visual Attention, Behavioral Intention, and Choice Behavior Among Older Consumers Toward Sports Marketing Images: An Eye-Tracking Study.Frontiers in psychology · 2022Article
- Using a Nature-Based Virtual Reality Environment for Improving Mood States and Cognitive Engagement in Older Adults: A Mixed-Method Feasibility Study.Innovation in aging · 2022Article
- Visual responses of patients with generalized anxiety disorder who cycling in the virtual sportscapes with different tree cover densities.Frontiers in psychiatry · 2022Article
- Virtual Reality for Supporting the Treatment of Depression and Anxiety: Scoping Review.JMIR mental health · 2021Article
- The use of virtual reality in assessment and treatment of anxiety and related disorders.Clinical psychology & psychotherapy · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Virtual exercise therapy is considered a useful method by which to encourage patients with generalized anxiety disorder (GAD) to engage in aerobic exercise in order to reduce stress. This study was intended to explore the psychological and physiological responses of patients with GAD after cycling in a virtual environment containing natural images. Seventy-seven participants with GAD were recruited in the present study and randomly assigned to a virtual nature (VN) or a virtual abstract painting (VAP) group. Their electroencephalogram alpha activity, perceived stress, and levels of restorative quality and satisfaction were assessed at baseline and after an acute bout of 20 min of moderate-intensity aerobic exercise. The results showed that both the VN and VAP groups showed significantly higher alpha activity post-exercise as compared to pre-exercise. The VN group relative to the VAP group exhibited higher levels of stress-relief, restorative quality, and personal satisfaction. These findings imply that a virtual exercise environment is an effective way to induce a relaxing effect in patients with GAD. However, they exhibited more positive psychological responses when exercising in such an environment with natural landscapes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.