Evidence map›Paper›PMID 41019601›Full record

ArticleFrontiers in psychiatry2025

Virtual reality delivered exposure for fear of needles: a small-scale pilot.

Anna Caltabiano, Taylor Burke, Jacqueline Nesi, Martina Di Simplicio, Nejra van Zalk

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

5 authors.

Anna CaltabianoDyson School of Design Engineering, Imperial College London, London, United Kingdom.
Taylor BurkeDepartment of Psychiatry, Harvard Medical School/Massachusetts General Hospital, Boston, MA, United States.
Jacqueline NesiDepartment of Psychiatry, Warren Alpert Medical School of Brown University, Providence, RI, United States.
Martina Di SimplicioDivision of Psychiatry, Department of Brain Sciences, Imperial College London, London, United Kingdom.
Nejra van ZalkDyson School of Design Engineering, Imperial College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fear of needles significantly impacts individual and public health by leading many adults to avoid necessary medical procedures, including vaccinations and blood tests. Virtual Reality Exposure-Based Therapy has shown promise as an effective and accessible intervention for anxiety disorders but remains under-explored. Objectives: This study aimed to evaluate the efficacy and acceptability of a single-session virtual reality intervention targeting fear of needles in adults. Methods: A total of 62 adults reporting needle fear were recruited into experimental (n = 32) and online comparison groups (n = 30). The experimental group completed one Virtual Reality Exposure-Based Therapy session, which comprised of two self-paced virtual reality exposures simulating medical needle procedures. Anxiety and affect were assessed at baseline, during, and immediately following virtual reality exposures, and at a one-month follow-up. Acceptability, usability, presence, plausibility, and virtual reality sickness were also measured. Results: The intervention successfully elicited anxiety during exposure. At one-month follow-up, a modest but statistically significant reduction in symptom severity was observed on one measure (Specific Phobia Questionnaire), though no significant change was noted in life interference or on another severity measure (Medical Fears Survey). Participants rated the intervention highly in terms of usability and acceptability, although some reported symptoms of virtual reality sickness (e.g., disorientation, motion sickness). Conclusions: Virtual Reality Exposure-Based Therapy appears to be an effective and highly acceptable intervention for reducing immediate anxiety related to needle exposure, demonstrating strong potential as a scalable, accessible alternative to traditional exposure therapy. However, further research is necessary to confirm these findings, optimize intervention protocols, and examine long-term effectiveness for fear of needles.

Indexed as

anxietyexposurefear of needlesvirtual realityVR

Identifiers

PMID41019601
PMCPMC12462493

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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.