Evidence map›Paper›PMID 42138978›Full record

Trial reportAnesthesia and analgesia2026

The Effect of Immersive Virtual Reality on Anterograde Amnesia and Subjective Pain During Procedures: A Within-Subject Randomized Controlled Study.

Hunter G Hoffman, Herta Flor, Brett R Stacey, Iaroslav Tsymbaliuk, Beatrice Addai, Keira P Mason

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Anesthesia and analgesia, 2026. 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. Trial
  2. Trial
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

6 authors.

Hunter G HoffmanFrom the Virtual Reality Research Center, Human Photonics Lab, Department of Mechanical Engineering.
Herta FlorDepartment of Neuropsychology and Psychological Resilience Research, Research Group Learning, Brain Plasticity and Mental Disorder, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.
Brett R StaceyDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
Iaroslav TsymbaliukState Institution "Romodonov Neurosurgery Institute of the National Academy of Medical Sciences of Ukraine", Kyiv, Ukraine.
Beatrice AddaiPeace and Love Hospitals Kumasi and Accra, Kumasi, Ghana, Africa.
Keira P MasonDepartment of Anesthesiology, Critical Care and Pain Medicine, Harvard Medical School, Boston Children's Hospital, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmersive virtual reality (VR) distraction reduces procedural pain. The current study explores whether immersive VR also reduces how much people can remember about a painful experience: anterograde amnesia for pain.

methodsA within-subject, crossover design was used. Sixteen healthy adult volunteers participated. Each participant received 5 thermal stimuli (some hot, some cold) during no-VR and 5 stimuli during immersive VR distraction (treatment order randomized). They were instructed to memorize the order of hot and cold stimuli for a later memory test. After a brief delay after each stimulus set, participants completed a memory recall test for the order of stimuli (the primary measure) and also provided ratings of pain, distraction, anxiety, and nausea using standardized graphic rating scales (GRS; 0-10).

resultsWithin-subject Wilcoxon signed-rank tests revealed that immersive VR significantly reduced how accurately participants could recall the hot/cold order of thermal stimuli, mean accuracy: 96% correct (standard deviation [SD] = 8.06) in no-VR, versus 59% (SD = 25.79) in VR, Z = 3.09, P = .002, r = 0.77. On a rating scale from 0 to 10, immersive VR was significantly more distracting (mean = 7.60, very distracting, SD =1.72) compared to the control condition (mean = 2.07, mildly distracting, SD = 2.16, Z = 3.42, P < .001, r = 0.86), and on GRS mean pain perception ratings, participants reported significantly lower pain intensity during VR, mean = 4.03 (SD = 1.61) during VR, versus no-VR = 6.30 (SD = 1.81), Z = 3.47, P < .001, r = 0.87.

conclusionsResults of this study provide preliminary evidence that immersive VR reduces memory for a painful experience. Conscious/episodic memory formation and storage of memories about specific experiences requires attentional resources. VR distraction pain intervention significantly disrupts memory for painful stimuli, leading to what we term "VR amnesia." Our study provides preliminary laboratory evidence that immersive VR during pain induces anterograde amnesia for pain, disrupting the formation of memory for painful events. Further studies exploring the mechanism of how VR reduces memory for painful events are needed. These results suggest the utility of future studies in clinical pain contexts. If VR can reduce the formation of adverse memories associated with painful clinical procedures, VR may serve as an effective nonpharmacological adjunct to reduce postoperative distress and medications and may reduce risk of developing chronic pain.

Indexed as

Amnesia, AnterogradePain PerceptionProcedural PainVirtual RealityAdultAttentionCross-Over StudiesFemaleHealthy VolunteersHumansMaleMental RecallPain MeasurementPain ThresholdYoung Adult

Identifiers

PMID42138978
PMCPMC13249296

What OpenQuestion holds

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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.