Evidence map›Paper›PMID 41024139›Full record

Trial reportBMC psychology2025

Non-immersive virtual environments for the treatment of hoarding disorder: a preliminary randomized controlled trial based on a non-clinical sample.

Susanna Pardini, Silvia Olivetto, Massimiliano Martinelli, Caterina Novara

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07160543 (Non-Immersive Virtual Environments for the Treatment of Hoarding Disorder), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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.

NCT07160543 nacompletednot on this map

Non-Immersive Virtual Environments for the Treatment of Hoarding Disorder: A Preliminary Randomized Controlled Trial With a Mixed Factorial Design Based on a Non-Clinical Sample

TypeinterventionalSponsorUniversity of PadovaRan2024 to 2024Enrolled80ConditionsHoarding Disorder, Virtual Reality Based Therapy, General Population (no Specific Condition or Disease)ArmsImagination Exposure, Non-immersive Virtual Reality Exposure
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. The influence of immersive tools on children's dental anxiety: a systematic review and meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
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

4 authors.

Susanna PardiniDepartment of General Psychology, University of Padua, Via Venezia 8, Padova, 35131, Italy. susanna.pardini@unipd.it.ORCID http://orcid.org/0000-0002-6692-8923
Silvia OlivettoDepartment of General Psychology, University of Padua, Via Venezia 8, Padova, 35131, Italy.
Massimiliano MartinelliDepartment of General Psychology, University of Padua, Via Venezia 8, Padova, 35131, Italy.
Caterina NovaraDepartment of General Psychology, University of Padua, Via Venezia 8, Padova, 35131, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHoarding Disorder (HD) is characterized by persistent difficulty discarding possessions, leading to excessive accumulation and functional impairment. Traditional treatments, based on cognitive-behavioral therapy (CBT), emphasize motivational enhancement, cognitive restructuring, and exposure-based interventions. However, these methods face challenges, including heightened distress during in vivo exposure and avoidance tendencies. Virtual Reality (VR) has emerged as a promising adjunctive tool, offering immersive, controlled environments for gradual exposure. The current preliminary study investigates the efficacy of non-immersive VR, defined as a computer-generated environment accessed via a standard screen without head mounted displays or motion tracking, in facilitating the discarding of personal belongings compared to imaginative exposure.

methodEighty participants from non-clinical convenience sample (mean age = 25.98, SD = 9.84) were randomly assigned to Virtual Reality Exposure (VRe) or Imagination Exposure (Ie). A non-immersive VR environment was created using Blender and GODOT software, simulating a non-immersive virtual home where participants interacted with representations of their objects. Psychological constructs, including state anxiety and positive and negative feelings, were measured using validated self-report tools (STAI-Y1, PANAS). Behavioral outcomes focused on object discarding frequency during exposure and in vivo sessions.

resultsResults demonstrated a significantly higher proportion of successful discarding in the VR group compared to the imagination group during the experimental exposure session (87.5% vs. 50%; p < .001).

conclusionVR’s realistic sensory-motor engagement may help circumvent cognitive and emotional barriers to exposure tasks, increasing the ecological validity of these techniques. This preliminary study indicates that non-immersive VR may play a role in bridging the gap between imaginative-based exposure therapy and in vivo HD, that is, real-life exposure to discarding personal items. Although replication in clinical populations and long-term outcome data will be needed, non-immersive VR may provide a cheap, broadly available tool to improve treatment engagement and efficacy. Therefore, future research should analyze the relative advantages of immersive-type VR systems and improve assessment instruments to capture subtle changes over time in psychological constructs. This study was conducted according to the Declaration of Helsinki and was approved by the Ethics Committee of Psychological Research (Area 17), University of Padova (approval number: DD0A28FFB2B4C63CFED6CC9BACC7A530).

trial registrationClinicalTrials.gov identifier NCT07160543. Retrospectively registered. Approved and published 5 September 2025.

Indexed as

Hoarding DisorderVirtual RealityVirtual Reality Exposure TherapyAdolescentAdultFemaleHumansImaginationMaleTreatment OutcomeYoung AdultHoarding disorderNon-immersive virtual scenariosPreliminary studyVirtual reality based therapy

Identifiers

PMID41024139
PMCPMC12482182

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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.