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Enhancing Mindfulness-Based Cognitive Therapy in a Virtual Reality: A Prospective Interventional Study.
Bogoan Kim1, Dayoung Jeong2, Yoonseon Choi3
1School of Information and Communication Engineering, Chungbuk National University, Cheongju, 28644, Republic of Korea.
Scientific Reports
|September 9, 2025
Summary
Virtual Reality-Mindfulness-Based Cognitive Therapy (VR-MBCT) shows promise for depression treatment, offering an accessible and engaging alternative. Sensor data suggests individuals with depression may confront emotions more effectively in VR.
Area of Science:
- Psychiatry
- Human-Computer Interaction
- Digital Health
Background:
- Depression prevalence necessitates accessible treatments.
- Conventional Mindfulness-Based Cognitive Therapy (MBCT) faces limitations like access barriers and inconsistent engagement.
- Virtual Reality (VR) presents a potential solution to enhance MBCT delivery.
Purpose of the Study:
- To evaluate the feasibility and therapeutic potential of a VR-based MBCT program for individuals with depression.
- To assess user engagement, concentration, and emotional responses during VR-MBCT.
Main Methods:
- Developed and tested introductory mindfulness exercises and a three-session VR-MBCT program.
- Collected data from 73 participants using Meta Quest Pro and E4 wristband.
- Analyzed feasibility, engagement, and behavioral patterns via surveys and sensor data.
Main Results:
- High concentration levels and distinct emotional responses observed in individuals with depression during VR-MBCT.
- Sensor data indicated higher electrodermal activity entropy in individuals with depression, suggesting enhanced emotional confrontation.
- No significant differences in VR usability or presence were found between groups, but sensor data revealed distinct physiological patterns.
Conclusions:
- VR-MBCT is a user-friendly, immersive, and feasible approach for individuals with depression.
- VR technology demonstrates potential for improving engagement and therapeutic outcomes in mental health treatment.
- Further research is warranted to fully explore the clinical applications of VR-MBCT.

