The Role of Virtual Reality in Chronic Pain and Loneliness: Narrative Review.

Journal of medical extended reality Pub Date : 2025-07-07 eCollection Date: 2025-01-01 DOI:10.1089/jmedxr.2024.0063
Alicia Pan, Sacha Moreau, Ghazal Rafeeh, Naba Ahsan, Christopher L Robinson, Min Lang, Margot Paul, James Khan, Alexandra Thérond
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Abstract

Chronic pain and loneliness are significant public health challenges that often intersect, leading to a cyclical cycle of physical, emotional, and social distress. The COVID-19 pandemic has further exacerbated these issues, highlighting the need for innovative solutions. Virtual reality (VR) has emerged as a promising tool for managing chronic pain and alleviating loneliness, but its potential to address the complex interplay between these conditions remains underexplored. This narrative review aims to synthesize current evidence on the effectiveness of VR interventions in managing chronic pain and loneliness, identify key themes and knowledge gaps, and provide recommendations for future research and clinical applications. A literature search was conducted, focusing on randomized controlled trials, cohort studies, and case-control studies published between January 2020 and December 2024 that investigated VR interventions for chronic pain and loneliness in adult populations. Studies were analyzed for recurring themes, trends, applications, and implications. VR interventions demonstrate the potential to reduce pain intensity, improve mood, and foster social connectedness through immersive, interactive experiences. Several key themes emerged, including the importance of multisensory stimulation, personalization, and social presence in enhancing VR's therapeutic effects. However, challenges related to accessibility, user experience, and long-term efficacy remain. VR offers a promising approach to managing chronic pain and loneliness, with the potential to improve patient outcomes and quality of life. Future research should address identified barriers, develop culturally adaptive interventions, leverage artificial intelligence for personalization, and conduct longitudinal studies to assess long-term benefits and potential side effects. Integrating VR into collaborative health care teams and comprehensive treatment plans has the potential to maximize its impact and help with cost efficiencies. Advancing VR technology will require continued research to maximize its potential to enhance physical, emotional, and social well-being for those experiencing chronic pain and loneliness.

虚拟现实在慢性疼痛和孤独中的作用:叙事回顾。
慢性疼痛和孤独是重大的公共卫生挑战,往往相互交叉,导致身体、情感和社会困扰的周期性循环。2019冠状病毒病大流行进一步加剧了这些问题,凸显了创新解决方案的必要性。虚拟现实(VR)已成为治疗慢性疼痛和减轻孤独感的一种有前途的工具,但其解决这些疾病之间复杂相互作用的潜力仍未得到充分探索。本综述旨在综合当前关于虚拟现实干预治疗慢性疼痛和孤独感有效性的证据,确定关键主题和知识差距,并为未来的研究和临床应用提供建议。进行了文献检索,重点关注2020年1月至2024年12月期间发表的随机对照试验、队列研究和病例对照研究,这些研究调查了VR干预对成人慢性疼痛和孤独感的影响。研究分析了反复出现的主题、趋势、应用和影响。虚拟现实干预展示了通过沉浸式互动体验减轻疼痛强度、改善情绪和促进社会联系的潜力。几个关键主题出现了,包括多感官刺激、个性化和社会存在在增强VR治疗效果方面的重要性。然而,与可访问性、用户体验和长期功效相关的挑战仍然存在。虚拟现实为治疗慢性疼痛和孤独感提供了一种很有前景的方法,有可能改善患者的治疗结果和生活质量。未来的研究应解决已识别的障碍,开发文化适应性干预措施,利用人工智能进行个性化,并进行纵向研究以评估长期益处和潜在副作用。将VR整合到协作医疗团队和综合治疗计划中,有可能最大化其影响并帮助提高成本效率。推进虚拟现实技术需要持续的研究,以最大限度地发挥其潜力,为那些经历慢性疼痛和孤独的人改善身体、情感和社会福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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