Evidence map›Paper›PMID 37145841›Full record

ReviewJMIR mental health2023

Adverse Effects of Virtual and Augmented Reality Interventions in Psychiatry: Systematic Review.

Robert M Lundin, Yuhern Yeap, David B Menkes

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in JMIR mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
16.0field-weighted citation impact, top 1% of its field
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.

NCT06653829 nacompletednot on this map

NST-SPARK: Preliminary Study of an Augmented Reality (AR) App Delivering Recovery-Oriented Cognitive Therapy for Negative Symptoms in Schizophrenia

TypeinterventionalSponsorNorth Shore Therapeutics, Inc.Ran2023 to 2024Enrolled20ConditionsNegative Symptoms in Schizophrenia, Schizophrenia, Schizoaffective DisorderArmsSPARK
NCT07349563 nacompletednot on this mapstarted 2025, after this paper: background citation

Effect of Nature-Based Virtual Reality and Two-Dimensional Nature Videos on OSCE-Related Exam Stress in Nursing Students: A Randomized Controlled Trial

TypeinterventionalSponsorAcibadem UniversityRan2025 to 2026Enrolled60ConditionsStress, Virtual Reality, Students, NursingArmsNature-Based Virtual Reality, 2D Nature Video
NCT07630350 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Use of Virtual Reality in Outpatient Management of Pediatric Chronic Pain of Head, Neck and Upper Extremity

TypeinterventionalSponsorElizabeth PickleRan2026 to 2027Enrolled20ConditionsChronic Pain ManagementArmsVirtual reality gaming, Physical therapy exercises
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

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  4. Digital Psychiatry with Virtual Reality and Augmented Reality: Recent Advances and Limitations.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
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  19. Leveraging virtual reality to improve medication adherence among marginalized populations with high-risk chronic health conditions: Proof-of-concept protocol, considerations, and next steps.Proceedings of the ... Annual Hawaii International Conference on System Sciences. Annual Hawaii International Conference on System Sciences · 2025
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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

3 authors at 3 institutions in 2 countries.

Robert M LundinChange to Improve Mental Health, Mental Health Drugs and Alcohol Services, Barwon Health, Geelong, Australia.ORCID https://orcid.org/0000-0002-5992-2822
Yuhern YeapMental Health and Addictions, Waikato District Health Board, Hamilton, New Zealand.ORCID https://orcid.org/0000-0002-5296-1538
David B MenkesWaikato Clinical Campus, University of Auckland, Hamilton, New Zealand.ORCID https://orcid.org/0000-0003-3760-7896
Barwon Health · AUUniversity of Auckland · NZWaikato District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVirtual reality (VR) and augmented reality (AR) are emerging treatment modalities in psychiatry, which are capable of producing clinical outcomes broadly comparable to those achieved with standard psychotherapies.

objectiveBecause the side effect profile associated with the clinical use of VR and AR remains largely unknown, we systematically reviewed available evidence of their adverse effects.

methodsA systematic review was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework across 3 mental health databases (PubMed, PsycINFO, and Embase) to identify VR and AR interventions targeting mental health diagnoses.

resultsOf 73 studies meeting the inclusion criteria, 7 reported worsening clinical symptoms or an increased fall risk. Another 21 studies reported "no adverse effects" but failed to identify obvious adverse effects, mainly cybersickness, documented in their results. More concerningly, 45 of the 73 studies made no mention of adverse effects whatsoever.

conclusionsAn appropriate screening tool would help ensure that VR adverse effects are correctly identified and reported.

Indexed as

adverse eventsARaugmented realitycybersicknesshardwaremental healthreporting standardsside effectssoftwarevirtual realityVR

Identifiers

PMID37145841
PMCPMC10199391
OpenAlexW4372291693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.