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This Lecture Makes Me Sick: On Confounding Factors Influencing the Simulator Sickness Questionnaire (SSQ).
IEEE Transactions on Visualization and Computer Graphics
|March 30, 2026
Summary
The Simulator Sickness Questionnaire (SSQ) can yield high scores even without virtual reality (VR) exposure. This study found lecture attendees reported sickness levels comparable to VR users, questioning SSQ
Area of Science:
- Virtual Reality (VR) and Human Factors Research
- Psychometric Evaluation of Measurement Tools
- Cognitive and Perceptual Psychology
Background:
- The Simulator Sickness Questionnaire (SSQ) is widely used to measure discomfort in virtual reality (VR).
- However, SSQ interpretation faces challenges like subjective responses, strict military-based thresholds, and confounding variables.
- These limitations can impact the validity of VR research findings.
Purpose of the Study:
- To investigate the impact of non-VR experiences on SSQ scores.
- To evaluate the robustness of the SSQ when applied outside of typical VR scenarios.
- To highlight potential misinterpretations of SSQ data in VR research.
Main Methods:
- Three student cohorts completed the SSQ after a 90-minute lecture, with no VR exposure.
- SSQ scores were analyzed and compared to established thresholds and VR study data.
- Alternative SSQ scoring systems were also reviewed.
Main Results:
- SSQ scores from the lecture group were similar to those reported in VR studies.
- A significant majority (88.1%) exceeded the 'bad simulator' threshold, with 25.4% exceeding thrice this value.
- These results occurred despite the absence of any VR stimuli.
Conclusions:
- Caution is advised when interpreting SSQ results, especially in VR research.
- Non-VR factors, such as attending a lecture, can significantly elevate SSQ scores.
- Future research should consider potential confounding variables when using the SSQ to quantify sickness symptoms.
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