Evidence map›Paper›PMID 41874554›Full record

ArticleJMIR serious games2026

Effects of Virtual Nature Embodiment on Compassion, Empathy, Nature Connectedness, and Symptom Burden in Patients With Psychosis or Depression: An Explorative Clinical Study.

Alva Lütt, Kristina Lütgens, Christiane Montag, Stefan Gutwinski, Georg Felix Reuth, Steve Nebel, Felix Bermpohl, Pia Spangenberger

Registry-linked trialAbstract read
In one paragraph

Article in JMIR serious games, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06446856 (EVEN - Effects of VR on Empathy for Nature in Patients with Psychosis and Depressive Disorders / Effekte Von Virtueller Realität), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06446856 completednot on this map

EVEN - Effects of VR on Empathy for Nature in Patients with Psychosis and Depressive Disorders / Effekte Von Virtueller Realität (VR) Auf Naturverbundenheit Und Empathie in Patient:innen Mit Psychotischen Und Depressiven Erkrankungen

TypeobservationalSponsorCharite University, Berlin, GermanyRan2024 to 2024Enrolled60ConditionsDepressive Disorder, Schizophrenia, Healthy ControlArmsVR application
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

8 authors.

Alva LüttDepartment of Psychiatry and Neurosciences, Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-5955-8821
Kristina LütgensDepartment of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany.ORCID https://orcid.org/0009-0000-9854-1363
Christiane MontagDepartment of Psychiatry and Neurosciences, Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-3307-276X
Stefan GutwinskiDepartment of Psychiatry and Neurosciences, Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0009-0001-7150-6071
Georg Felix ReuthDepartment of Education, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0001-8775-6772
Steve NebelDepartment of Education, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0001-5831-8140
Felix BermpohlDepartment of Psychiatry and Neurosciences, Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-3260-6328
Pia SpangenbergerDepartment of Education, University of Potsdam, Potsdam, Germany.ORCID https://orcid.org/0000-0002-6468-6086

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNature experiences may have a positive impact on mental health. Innovative alternatives, such as immersive virtual reality (iVR), can have similar effects. In previous studies on embodying a tree in virtual reality, connectedness to nature has been induced in healthy participants and shown to be influenced by compassion. Compassion and empathy, however, can be altered in psychiatric disorders, leading to impaired relationships with fellow human beings. The potential effect of nature experiences in iVR on compassion, empathy, and nature connectedness in mental health disorders has not yet been investigated.

objectiveThis study aims to examine the development of nature connectedness, compassion, empathy, and individual symptom load in patients with depression (n=20), schizophrenia (n=20), and healthy controls (n=20), measured pre and post 1 session of virtual embodying a rainforest tree.

methodsWe conducted an explorative clinical trial, comparing 3 groups (depression, schizophrenia, and healthy control), using repeated measures ANOVA and multiple regression analysis. Effect sizes (η

resultsIndividual symptom load decreased significantly through the experience of embodying a growing tree in iVR in both patient groups (F

conclusionsOur results indicate that virtually embodying a tree seems to have a positive effect on individual symptoms. Patients with depression and schizophrenia were able to receive an iVR-based intervention and benefited from the experience. Our results provide a deeper understanding of the phenomenon of virtual body ownership of nature, a specific affordance of iVR, thereby laying the groundwork for future innovative body psychotherapy interventions for individuals with mental health disorders.

trial registrationClinicalTrials.gov NCT06446856; https://tinyurl.com/nhjar26p.

Indexed as

compassiondepressionempathyimmersive virtual realitynature connectednesspsychosissymptom burdenvirtual body ownership

Identifiers

PMID41874554
PMCPMC13058528

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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.