Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-study

Introduction: Immersive virtual reality (VR) applications are burgeoning within healthcare as they promote high levels of engagement. Notwithstanding, existing solutions only stimulate two of our five senses (audio and visual), thus may not be optimal in the sense of promoting immersion and of “bein...

Full description

Bibliographic Details
Main Authors: Belmir Jose De Jesus Junior, Léa Perreault, Marilia K. S. Lopes, Marie-Claude Roberge, Alcyr A. Oliveira, Tiago H. Falk
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Virtual Reality
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frvir.2023.1261093/full
_version_ 1797635594909646848
author Belmir Jose De Jesus Junior
Léa Perreault
Léa Perreault
Marilia K. S. Lopes
Marie-Claude Roberge
Alcyr A. Oliveira
Tiago H. Falk
author_facet Belmir Jose De Jesus Junior
Léa Perreault
Léa Perreault
Marilia K. S. Lopes
Marie-Claude Roberge
Alcyr A. Oliveira
Tiago H. Falk
author_sort Belmir Jose De Jesus Junior
collection DOAJ
description Introduction: Immersive virtual reality (VR) applications are burgeoning within healthcare as they promote high levels of engagement. Notwithstanding, existing solutions only stimulate two of our five senses (audio and visual), thus may not be optimal in the sense of promoting immersion and of “being present”. In this paper, we explore the benefits of an immersive multisensory experience as a therapeutic modality for participants suffering from post-traumatic stress disorder (PTSD).Methods: In addition to 360-degree videos and corresponding natural sounds, nature smells are also presented by means of a portable ION 2 scent diffusion device attached to an Oculus Quest 2 VR head-mounted display. A 3-week 12-sessions protocol was applied to a sample of 20 participants diagnosed with PTSD.Results and discussion: We report the outcomes seen from a battery of qualitative metrics, including cognitive functioning tests, psychological symptoms, severity of PTSD, and several self-reported questionnaires and heart rate variability (HRV) metrics. Results are compared not only between pre-and post intervention, but also after a 3-month follow-up period. Results suggest a decrease in the severity of PTSD, as well as improvements in processing speed and sustained attention post-intervention, but also sustained decrease in the severity of PTSD and in dissociative tendencies at the 3-month follow-up. Overall, participants rated the experience as highly immersive and produced very mild to no symptoms of cybersickness, thus corroborating the feasibility and usefulness of the proposed multisensory immersive VR tool for reducing PTSD symptoms.
first_indexed 2024-03-11T12:23:57Z
format Article
id doaj.art-95c743f8af6e49d080d4bee637f2f971
institution Directory Open Access Journal
issn 2673-4192
language English
last_indexed 2024-03-11T12:23:57Z
publishDate 2023-10-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Virtual Reality
spelling doaj.art-95c743f8af6e49d080d4bee637f2f9712023-11-06T16:16:20ZengFrontiers Media S.A.Frontiers in Virtual Reality2673-41922023-10-01410.3389/frvir.2023.12610931261093Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-studyBelmir Jose De Jesus Junior0Léa Perreault1Léa Perreault2Marilia K. S. Lopes3Marie-Claude Roberge4Alcyr A. Oliveira5Tiago H. Falk6Institut National de la Recherche Scientifique, University of Quebec, Montreal, QC, CanadaInstitut National de la Recherche Scientifique, University of Quebec, Montreal, QC, CanadaTraumas Côte-Nord, Sept-Iles, QC, CanadaInstitut National de la Recherche Scientifique, University of Quebec, Montreal, QC, CanadaTraumas Côte-Nord, Sept-Iles, QC, CanadaFederal University of Health Sciences of Porto Alegre, Porto Alegre, RS, BrazilInstitut National de la Recherche Scientifique, University of Quebec, Montreal, QC, CanadaIntroduction: Immersive virtual reality (VR) applications are burgeoning within healthcare as they promote high levels of engagement. Notwithstanding, existing solutions only stimulate two of our five senses (audio and visual), thus may not be optimal in the sense of promoting immersion and of “being present”. In this paper, we explore the benefits of an immersive multisensory experience as a therapeutic modality for participants suffering from post-traumatic stress disorder (PTSD).Methods: In addition to 360-degree videos and corresponding natural sounds, nature smells are also presented by means of a portable ION 2 scent diffusion device attached to an Oculus Quest 2 VR head-mounted display. A 3-week 12-sessions protocol was applied to a sample of 20 participants diagnosed with PTSD.Results and discussion: We report the outcomes seen from a battery of qualitative metrics, including cognitive functioning tests, psychological symptoms, severity of PTSD, and several self-reported questionnaires and heart rate variability (HRV) metrics. Results are compared not only between pre-and post intervention, but also after a 3-month follow-up period. Results suggest a decrease in the severity of PTSD, as well as improvements in processing speed and sustained attention post-intervention, but also sustained decrease in the severity of PTSD and in dissociative tendencies at the 3-month follow-up. Overall, participants rated the experience as highly immersive and produced very mild to no symptoms of cybersickness, thus corroborating the feasibility and usefulness of the proposed multisensory immersive VR tool for reducing PTSD symptoms.https://www.frontiersin.org/articles/10.3389/frvir.2023.1261093/fullvirtual realityrelaxation trainingolfactorymultisensorymental health
spellingShingle Belmir Jose De Jesus Junior
Léa Perreault
Léa Perreault
Marilia K. S. Lopes
Marie-Claude Roberge
Alcyr A. Oliveira
Tiago H. Falk
Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-study
Frontiers in Virtual Reality
virtual reality
relaxation training
olfactory
multisensory
mental health
title Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-study
title_full Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-study
title_fullStr Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-study
title_full_unstemmed Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-study
title_short Using multisensory virtual reality nature immersion as a therapeutic modality for improving HRV and cognitive functions in post-traumatic stress disorder: a pilot-study
title_sort using multisensory virtual reality nature immersion as a therapeutic modality for improving hrv and cognitive functions in post traumatic stress disorder a pilot study
topic virtual reality
relaxation training
olfactory
multisensory
mental health
url https://www.frontiersin.org/articles/10.3389/frvir.2023.1261093/full
work_keys_str_mv AT belmirjosedejesusjunior usingmultisensoryvirtualrealitynatureimmersionasatherapeuticmodalityforimprovinghrvandcognitivefunctionsinposttraumaticstressdisorderapilotstudy
AT leaperreault usingmultisensoryvirtualrealitynatureimmersionasatherapeuticmodalityforimprovinghrvandcognitivefunctionsinposttraumaticstressdisorderapilotstudy
AT leaperreault usingmultisensoryvirtualrealitynatureimmersionasatherapeuticmodalityforimprovinghrvandcognitivefunctionsinposttraumaticstressdisorderapilotstudy
AT mariliakslopes usingmultisensoryvirtualrealitynatureimmersionasatherapeuticmodalityforimprovinghrvandcognitivefunctionsinposttraumaticstressdisorderapilotstudy
AT marieclauderoberge usingmultisensoryvirtualrealitynatureimmersionasatherapeuticmodalityforimprovinghrvandcognitivefunctionsinposttraumaticstressdisorderapilotstudy
AT alcyraoliveira usingmultisensoryvirtualrealitynatureimmersionasatherapeuticmodalityforimprovinghrvandcognitivefunctionsinposttraumaticstressdisorderapilotstudy
AT tiagohfalk usingmultisensoryvirtualrealitynatureimmersionasatherapeuticmodalityforimprovinghrvandcognitivefunctionsinposttraumaticstressdisorderapilotstudy