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The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
Published on: November 12, 2009
Effects of a Virtual Reality-Based Meditation Intervention on Anxiety and Depression Among Patients With Acute
Bixia Zhang1, XiaoHuan Jin, Xiaolin Kuang
1Author Affiliations: The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong (Dr Jin and Dr Wong); The Second Clinical College of Guangzhou University of Chinese Medicine (Ms Zhang); Nursing Department, Zhuhai Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine (Ms Kuang); Nursing Department, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine (Ms Zhang and Dr Shen); Nursing Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine and Guangdong Provincial Hospital of Traditional Chinese Medicine (Ms Qiu); and Department of Hematology and Oncology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine and Guangdong Provincial Hospital of Traditional Chinese Medicine (Ms Peng, Ms X Chen, Dr Dai, and Mr E Chen), China.
Background:
Emerging evidence supports that virtual reality (VR)-based meditation interventions may improve anxiety and depression among patients with cancer. However, empirical studies involving patients with acute leukemia during induction chemotherapy are limited.
Objective:
This study aimed to examine the effects of VR-based meditation intervention on alleviating anxiety and depression and improving the quality of life among patients with acute leukemia during induction chemotherapy.
Methods:
This randomized controlled trial recruited 63 patients newly diagnosed with acute leukemia. Participants were randomly assigned to an intervention group (received VR-based meditation for 20 min daily for 14 days) and a control group. Anxiety, depression, and quality of life were measured using the State Anxiety Inventory, the Center for Epidemiological Studies Depression Scale, and the Functional Assessment of Cancer Therapy-Leukemia Questionnaire, respectively. All outcomes were measured at baseline and post-intervention.
Results:
Compared with patients in the control group, those in the intervention group demonstrated a significantly greater reduction in anxiety (P = .04) and improvement in quality of life (P = .04). However, no significant difference was noted in depression levels between groups (P = .09), although a decreasing trend was observed in the intervention group.
Conclusion:
Virtual reality-based meditation intervention effectively alleviated anxiety and improved the quality of life among acute leukemia patients during induction chemotherapy. Future randomized controlled trials with larger sample sizes and longer follow-up periods are warranted.
Implication For Practice:
Virtual reality-based meditation can be applied in clinical practice virtually anytime and anywhere to provide a convenient intervention for anxiety reduction for acute leukemia patients during induction chemotherapy.
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