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Use of Virtual Reality (VR)-Based Relaxation Among Female Patients with Mental Disorders: A Pilot Study
Magdalena Stencel1, Błażej Pilarski1, Julia Kuca2
1Doctoral School, Department of Psychoprophylaxis, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 42-612 Tarnowskie Góry, Poland.
Reports (MDPI)
|December 24, 2025
Summary
Virtual reality (VR) and autogenic training (AT) both improved mental health in psychiatric patients. Inpatient VR offered the broadest benefits for anxiety, depression, and sleep quality.
Area of Science:
- Mental Health
- Psychiatry
- Digital Therapeutics
Background:
- Anxiety, depression, and insomnia frequently co-occur in psychiatric patients, significantly impairing daily functioning.
- Virtual Reality (VR) shows promise as a relaxation tool, but its effectiveness compared to traditional Autogenic Training (AT) needs further investigation.
Purpose of the Study:
- To compare the efficacy of VR relaxation versus Schultz Autogenic Training (AT) in reducing anxiety, depression, and insomnia symptoms.
- To evaluate the impact of inpatient versus home-based delivery settings on the effectiveness of VR and AT interventions.
Main Methods:
- A randomized controlled trial involving 37 female psychiatric patients assigned to four groups: inpatient AT, inpatient VR, home-based AT, and home-based VR.
- Interventions consisted of at least 10 sessions over 2 weeks, with assessments of anxiety, depression, sleep quality, and cognitive function before and after the intervention period.
Main Results:
- Across all participants, anxiety and depressive symptoms decreased, and sleep quality improved, with minor cognitive gains observed.
- Inpatient VR demonstrated the most comprehensive benefits, reducing anxiety and depressive symptoms while improving sleep quality.
- Home-based VR improved sleep quality, while home-based AT showed modest cognitive improvements but no significant changes in anxiety, depression, or sleep.
Conclusions:
- Both VR and AT are easily implementable interventions that can enhance mental health parameters, with effectiveness varying by context.
- Interventions delivered in an inpatient setting were generally more effective than home-based interventions, highlighting the importance of therapeutic structure and fewer distractions.
- Inpatient VR relaxation emerged as the most effective intervention, yielding the widest range of improvements in anxiety, depression, and sleep.

