Evidence map›Paper›PMID 41212540›Full record

ArticleEuropean journal of pain (London, England)2025

Comparison of Experimental Pain Modulation by Hypnosis, Virtual Reality and Virtual Reality Hypnosis in Healthy Individuals.

Floriane Rousseaux, Émilie Giguère, Mathieu Landry, Mathieu Piché, Maedeh Mostanadi, Pierre Augier, Jessica Simon, Aminata Bicego, Marie-Elisabeth Faymonville, Anne-Sophie Nyssen and 3 more

Abstract readComparative Study
In one paragraph

Article in European journal of pain (London, England), 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

13 authors.

Floriane RousseauxConscious Care Lab, GIGA Consciousness, GIGA Institute, University of Liège, Liège, Belgium.ORCID 0000-0003-1998-5471
Émilie GiguèreResearch Centre, Institut Universitaire de Gériatrie, CRIUGM, University of Montreal, Montreal, Québec, Canada.
Mathieu LandryMedical Hypnosis Laboratory, Research Center of Maisonneuve-Rosemont Hospital, Montreal, Québec, Canada.
Mathieu PichéResearch Centre, Institut Universitaire de Gériatrie, CRIUGM, University of Montreal, Montreal, Québec, Canada.
Maedeh MostanadiDépartement d'Anatomie, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.
Pierre AugierMedical Hypnosis Laboratory, Research Center of Maisonneuve-Rosemont Hospital, Montreal, Québec, Canada.
Jessica SimonPsychology and Neuroscience of Cognition, University of Liège, Liège, Belgium.
Aminata BicegoConscious Care Lab, GIGA Consciousness, GIGA Institute, University of Liège, Liège, Belgium.
Marie-Elisabeth FaymonvilleConscious Care Lab, GIGA Consciousness, GIGA Institute, University of Liège, Liège, Belgium.
Anne-Sophie NyssenLaboratory of Cognitive Ergonomics and Work Intervention, University of Liège, Liège, Belgium.
David OgezMedical Hypnosis Laboratory, Research Center of Maisonneuve-Rosemont Hospital, Montreal, Québec, Canada.
Pierre RainvilleResearch Centre, Institut Universitaire de Gériatrie, CRIUGM, University of Montreal, Montreal, Québec, Canada.
Audrey VanhaudenhuyseConscious Care Lab, GIGA Consciousness, GIGA Institute, University of Liège, Liège, Belgium.

Funding

Benoit FoundationKing Baudouin FoundationThe AstraZeneca FoundationThe BioWin Health Cluster programThe Crédits sectoriels de la rechercheThe CRIUGM Research CentreThe European Biomedical Research FoundationThe Fonds de la Recherche Scientifique - FNRSThe Fonds Spéciaux de RechercheThe Foundation against Cancer 2017064The Foundation against Cancer C/2020/1357The Léon Frédéricq FoundationThe Mitacs Globalink Research AwardThe Strategic and Structural Research Support Program of the Fonds de recherche du Québec - Santé (FRQS)University of Liège and the University Hospital of Liège
6 · The paper itself

Abstract

backgroundHypnosis (H) and virtual reality (VR) are effective behavioural interventions to influence acute pain perception. Hypnotic suggestions have also been shown to modulate the nociceptive flexion reflex (NFR), suggesting the activation of descending modulatory mechanisms affecting spinal nociceptive activity. The combination of these techniques, virtual reality hypnosis (VRH), may reduce pain, but research on their comparative efficacy and mechanisms requires further experimental investigation. This study compared the effects of relaxation hypnosis, VR and VRH on pain perception and nociceptive physiological responses.

methodsTwenty-four healthy participants were tested at baseline followed by three experimental conditions (relaxation hypnosis, VR, VRH) in a counterbalanced order. Pain intensity and unpleasantness, as well as NFR amplitude evoked by noxious transcutaneous electrical stimulation, were measured. Bayesian statistics assessed evidence for analgesic effects on each variable.

resultsThe strength of evidence in favour of our hypotheses was categorised as follow: BF = 1-3: anecdotal evidence; BF = 3-10: moderate evidence and BF > 10: strong evidence. For NFR values, Bayesian paired-sample T-tests provided anecdotal support for the efficacy of relaxation hypnosis (BF + 0 = 2.11) and stronger evidence for VR (BF + 0 = 10.94) and VRH (BF + 0 = 14). For pain intensity, moderate evidence supported reductions with relaxation hypnosis (BF + 0 = 9.18), while strong evidence was found for VR (BF + 0 = 27.99) and low to moderate for VRH (BF + 0 = 5.88). Similarly, unpleasantness showed anecdotal reduction with hypnosis (BF + 0 = 1.9), and moderate evidence supported VR (BF + 0 = 4.86) and VRH (BF + 0 = 7.18). Across all measures, no significant differences were found between hypnosis, VR and VRH.

conclusionThese findings suggest that these techniques did not differentially affect NFR, pain intensity, or unpleasantness. SIGNIFICANCE STATEMENT: The strength of this fundamental study is to directly compare hypnosis, VR, and VRH on both pain perception and physiological responses. It shows that VR alone is effective, while adding hypnosis does not always lead to better results and the combination could even create interference in some cases. This article helps to nuance the existing literature and common assumptions about the tool's use. These findings help clarify how VRH works and to propose guidance for clinical practices and further VRH development.

Indexed as

HypnosisPainPain ManagementPain PerceptionVirtual RealityVirtual Reality Exposure TherapyAdultFemaleHealthy VolunteersHumansMalePain MeasurementRelaxation TherapyYoung Adultacute painexperimental painhypnosisnociceptive flexion reflexvirtual realityvirtual reality hypnosis

Identifiers

PMID41212540
PMCPMC12599604

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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.