Evidence map›Paper›PMID 36983145›Full record

ArticleJournal of clinical medicine2023

A Recovery-Oriented Program for People with Bipolar Disorder through Virtual Reality-Based Cognitive Remediation: Results of a Feasibility Randomized Clinical Trial.

Alessandra Perra, Alessia Galetti, Rosanna Zaccheddu, Aurora Locci, Federica Piludu, Antonio Preti, Diego Primavera, Lorenzo Di Natale, Antonio Egidio Nardi, Peter Konstantin Kurotshka and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05070065 (VIVA-CORE! Virtual Reality VAlidation Tool for Cognitive Rehabilitation, a REcovery Oriented Project for People With Psychosocial Disabilieties), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT05070065 nacompletednot on this map

VIVA-CORE! Virtual Reality VAlidation Tool for Cognitive Rehabilitation, a REcovery Oriented Project for People With Psychosocial Disabilieties: Protocol of Randomize Clinical Trial

TypeinterventionalSponsorUniversity of CagliariRan2021 to 2022Enrolled50ConditionsMood DisordersArmsCognitive remedy intervention with virtual reality (CEREBRUM)
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
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  3. Review
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  6. Article
  7. Virtual reality, social intelligence, mirror neurons, and bipolar spectrum: a new perspective.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025
    Article
  8. Virtual reality: an emerging tool for mental health.Trends in psychiatry and psychotherapy · 2025
    Article
  9. Article
  10. Bipolar disorders: an update on critical aspects.The Lancet regional health. Europe · 2025
    Review
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Article
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Alessandra PerraInternational PhD in Innovation Sciences and Technologies, University of Cagliari, 09124 Cagliari, Italy.ORCID 0000-0001-5791-1655
Alessia GalettiDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
Rosanna ZacchedduDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
Aurora LocciDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
Federica PiluduDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
Antonio PretiDepartment of Neuroscience, University of Turin, 10125 Turin, Italy.ORCID 0000-0001-9003-9838
Diego PrimaveraDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.
Lorenzo Di NataleIDEGO Digital Psychology Society, 00133 Rome, Italy.
Antonio Egidio NardiInstitute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil.ORCID 0000-0002-2152-4669
Peter Konstantin KurotshkaDepartment of General Practice, University Hospital Wuerburg, 12459 Wuerzburg, Germany.ORCID 0000-0003-3750-6147
Giulia CossuDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.ORCID 0000-0002-1245-016X
Federica SancassianiDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.ORCID 0000-0002-7963-5281
Giusy StellaDepartment of Mental Health and Pathological Addiction, ASL 5, 00034 Rome, Italy.
Valerio De LorenzoPRoMIND Services for Mental Health, 00133 Rome, Italy.
Thurayya ZreikMental Health Service User Association, 11072070 Beirut, Lebanon.
Mauro Giovanni CartaDepartment of Medical Sciences and Public Health, University of Cagliari, 09124 Cagliari, Italy.ORCID 0000-0003-0706-9687

Funding

Fondazione di Sardegna U351.2020/AI.334.MGB-2020.1581
6 · The paper itself

Abstract

backgroundCognitive impairment is a frequent consequence of bipolar disorder (BD) that is difficult to prevent and treat. In addition, the quality of the preliminary evidence on the treatment of BD through Cognitive Remediation (CR) with traditional methods is poor. This study aims to evaluate the feasibility of a CR intervention with fully immersive Virtual Reality (VR) as an additional treatment for BD and offers preliminary data on its efficacy.

methodsFeasibility randomized controlled cross-over clinical study, with experimental condition lasting three months, crossed between two groups. Experimental condition: CR fully immersive VR recovery-oriented program plus conventional care; Control condition: conventional care. The control group began the experimental condition after a three months period of conventional care (waiting list). After the randomization of 50 people with BD diagnosis, the final sample consists of 39 participants in the experimental condition and 25 in the control condition because of dropouts.

resultsAcceptability and tolerability of the intervention were good. Compared to the waitlist group, the experimental group reported a significant improvement regarding cognitive functions (memory:

conclusionsThe results are preliminary and cannot be considered exhaustive due to the small sample size. However, the evidence of efficacy, together with the good acceptability of the intervention, is of interest. These results suggest the need to conduct studies with larger samples that can confirm this data.

trial registrationClinicalTrialsgov NCT05070065, registered in September 2021.

Indexed as

Cognitive Remediationmental healthrecoveryvirtual reality

Identifiers

PMID36983145
PMCPMC10056011

What OpenQuestion holds

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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.