Evidence map›Paper›PMID 41862464›Full record

Trial reportTranslational psychiatry2026

Managing emotional distress in older adults with mental illness: a randomized controlled trial evaluating virtual reality relaxation.

M Seethaler, L Güntner, A Lütt, S A Just

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

M SeethalerCharité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Campus Mitte, Berlin, Germany.
L GüntnerCharité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Campus Mitte, Berlin, Germany.
A LüttCharité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Campus Mitte, Berlin, Germany.
S A JustCharité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Campus Mitte, Berlin, Germany. sandra.a.just@uit.no.ORCID http://orcid.org/0000-0001-8833-1805

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Virtual reality (VR) relaxation offers an innovative, immersive approach to managing negative emotions. Such digital therapies represent a promising, growing field in mental health care but remain under-researched in older populations - a group in critical need of scalable, engaging treatments. We conducted a randomized controlled trial to evaluate the feasibility and effectiveness of VR-based relaxation compared to guided imagery (treatment-as-usual) in older adults with mental illness. 44 older psychiatric patients (aged 58-98) were randomized into either VR or guided imagery (GI). In total, 39 participants completed the study (VR: n = 21, GI: n = 18) and were selected for analysis. Dropout rates, satisfaction, and overall experience were indicators of feasibility in both groups. Additionally, motion sickness and sense of presence were assessed in the VR group. Effectiveness was evaluated through pre-post-measurements of state anxiety (STAI-X1), affect (PANAS), and visual analogue scales for stress, relaxation, and well-being. VR demonstrated strong feasibility, with low dropout rates, high satisfaction and immersion, and minimal motion sickness (M = 0.25 ± 0.91). Mixed repeated measures ANOVA analyses revealed significant improvements in state anxiety, stress, negative affect, relaxation, positive affect, and well-being across both groups (p < 0.001), with no significant differences between VR and GI. Feasibility and effectiveness were consistent across age, gender and severity of illness. Our findings suggest that VR relaxation is a feasible and effective intervention for older adults with mental illness, offering a comparable alternative to traditional relaxation methods. This study underscores the potential of VR to enhance mental health care for older populations, including those with advanced age and serious mental illness.

Indexed as

Imagery, PsychotherapyMental DisordersPsychological DistressRelaxation TherapyVirtual RealityVirtual Reality Exposure TherapyAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMiddle AgedTreatment Outcome

Identifiers

PMID41862464
PMCPMC13018184

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.