APPLICATION OF VIRTUAL REALITY TECHNOLOGY TO SLEEP-DISORDERS: A SYSTEMATIC REVIEW OF DATABASES
Main Article Content
Keywords
Insomnia, sleep disorder, virtual reality, systematic review
Abstract
Background and Objective: Insomnia is one of the most prevalent mental disorders that seriously threatens the lives of individuals. The aim of this systematic review is to evaluate the effectiveness of virtual reality (VR) technology in triggering and treating insomnia.
Methods: This systematic review was conducted by searching relevant articles from 2010 to the first half of 2023. The search strategy was based on the PICO (Population, Intervention, Comparison, Outcome) definition and MESH keywords related to insomnia, sleep disorders, and virtual reality in international electronic databases, including Google Scholar, PubMed, Scopus, Science Direct, ProQuest EMBASE, CINAHL, Magiran, and Iran Medex. A manual search of the reference list of related articles was also performed. The quality of the articles was assessed using the Joanna Briggs Institute (JBI) checklist by two researchers.
Results: Six articles met the inclusion criteria and were included in this review. Studies have shown that the use of novel technologies such as VR positively affects inducing sleep or reducing insomnia in various patient groups compared with control groups using relaxation and medication therapy.
Conclusions: Integrating and applying virtual reality technology in sleep medicine may provide a new solution for inducing, improving, and treating insomnia in various patient groups. Despite the limited studies in this field, the use of this technology can strengthen the knowledge base and contribute to the promotion of public health.
References
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15. 25.El Beheiry M, Doutreligne S, Caporal C, Ostertag C, Dahan M, Masson JB. Virtual reality: beyond visualization. Journal of molecular biology. 2019 Mar 29;431(7):1315-21.
16. 26.Freeman D, Reeve S, Robinson A, Ehlers A, Clark D, Spanlang B, Slater M. Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychological medicine. 2017 Oct;47(14):2393-400.
17. 27.De Luca R, Manuli A, De Domenico C, Voi EL, Buda A, Maresca G, Bramanti A, Calabrò RS. Improving neuropsychiatric symptoms following stroke using virtual reality: A case report. Medicine. 2019 May;98(19).
18. 28.Lee C, Wong GK. Virtual reality and augmented reality in the management of intracranial tumors: a review. Journal of Clinical Neuroscience. 2019 Apr 1;62:14-20.
19. 29. Gunn T, Jones L, Bridge P, Rowntree P, Nissen L. The use of virtual reality simulation to improve technical skill in the undergraduate medical imaging student. Interactive Learning Environments. 2018 Jul 4;26(5):613-20.
20. 30. Roy E, Bakr MM, George R. The need for virtual reality simulators in dental education: A review. The Saudi dental journal. 2017 Apr 1;29(2):41-7.
21. 31. Cooper ID N, Millela F, Cant I, White M, Meyer G. Transfer of training Virtual reality training with augmented multisensory cues improves user experience during training and task performance in the real world. PLoS One. 2021;16(3).
22. 32. Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and surgical education challenges and innovations in the COVID-19 era: a systematic review. In vivo. 2020 Jun 1;34(3 suppl):1603-11.
23. 33.Mousavi SS, Karami M, Mireskandari SM, Samadi S. Effects of Virtual Reality Technology on Knowledge, Attitudes, and Skills of Anesthesia Residents. Archives of Anesthesiology and Critical Care. 2022 Nov 7;8(Supplement):358-63
24. 34.Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. International journal of surgery. 2021 Apr 1;88:105906.
25. 35.Mashfufa EW, Marina NS, Sari RK, Marta OF, Setyowati L, Aini N, Alifatin A. Interaction Between Exercise and Sleep Quality Through Melatonin Synthesis: A Literature Review. KnE Medicine. 2022 Sep 15:243-52.
26. 36.de Zambotti M, Yuksel D, Kiss O, Barresi G, Arra N, Volpe L, King C, Baker FC. A virtual reality-based mind–body approach to downregulate psychophysiological arousal in adolescent insomnia. Digital Health. 2022 Jun;8:20552076221107887.
27. 37.Orsey AD, Wakefield DB, Cloutier MM. Physical activity (PA) and sleep among children and adolescents with cancer. Pediatric blood & cancer. 2013 Nov;60(11):1908-13.
28. 38.Walter LM, Nixon GM, Davey MJ, Downie PA, Horne RS. Sleep and fatigue in pediatric oncology: A review of the literature. Sleep medicine reviews. 2015 Dec 1;24:71-82.
29. 39.Fernandez-Mendoza J, Li Y, Vgontzas AN, Fang J, Gaines J, Calhoun SL, Liao D, Bixler EO. Insomnia is associated with cortical hyperarousal as early as adolescence. Sleep. 2016 May 1;39(5):1029-36.
30. 40.Jerath R, Beveridge C. Harnessing the spatial foundation of mind in breaking vicious cycles in anxiety, insomnia, and depression: the future of virtual reality therapy applications. Frontiers in Psychiatry. 2021 Jul 8;12:645289.
31. 41. Kaussner Y, Kuraszkiewicz AM, Schoch S, Markel P, Hoffmann S, Baur-Streubel R, Kenntner-Mabiala R, Pauli P. Treating patients with driving phobia by virtual reality exposure therapy–a pilot study. PLoS One. 2020 Jan 7;15(1):e0226937.
32. 42. Zisapel N. New perspectives on the role of melatonin in human sleep, circadian rhythms and their regulation. British journal of pharmacology. 2018 Aug;175(16):3190-9.
33. 43.Tanriverdi M, Cakir E, Akkoyunlu ME, Cakir FB. Effect of virtual reality-based exercise intervention on sleep quality in children with acute lymphoblastic leukemia and healthy siblings: A randomized controlled trial. Palliative & Supportive Care. 2022 Aug;20(4):455-61.
34. 44.Jensen MP, Day MA, Miró J. Neuromodulatory treatments for chronic pain: efficacy and mechanisms. Nature Reviews Neurology. 2014 Mar;10(3):167-78.
35. 45.Orakpo N, Yuan C, Olukitibi O, Burdette J, Arrington K. Does Virtual Reality Feedback at Infra-Low Frequency Improve Centralized Pain With Comorbid Insomnia While Mitigating Risks for Sedative Use Disorder?: A Case Report. Frontiers in Human Neuroscience. 2022;16.
36. 46. Zeng Y, Zeng L, Cheng AS, Wei X, Wang B, Jiang J, Zhou J. The use of immersive virtual reality for cancer-related cognitive impairment assessment and rehabilitation: A clinical feasibility study. Asia-Pacific Journal of Oncology Nursing. 2022 Dec 1;9(12):100079.
37. 47. Pourmand A, Davis S, Marchak A, Whiteside T, Sikka N. Virtual reality as a clinical tool for pain management. Current pain and headache reports. 2018 Aug;22:1-6.
38. 48. Lee SY, Kang J. Effect of virtual reality meditation on sleep quality of intensive care unit patients: a randomized controlled trial. Intensive and Critical Care Nursing. 2020 Aug 1;59:102849.
39. 49. Muñoz-Saavedra L, Miró-Amarante L, Domínguez-Morales M. Augmented and virtual reality evolution and future tendency. Applied sciences. 2020 Jan 1;10(1):322.
40. 50. Şahin MK, Aker S, Şahin G, Karabekiroğlu A. Prevalence of depression, anxiety, distress and insomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. Journal of community health. 2020 Dec;45:1168-77.
41. 51. Pan X, Zhang YC, Ren D, Lu L, Wang YH, Li GX, Xiao Y, Zhou HY, Bai YH. Virtual Reality in Treatment for Psychological Problems in First-Line Health Care Professionals Fighting COVID-19 Pandemic: A Case Series. The Journal of Nervous and Mental Disease. 2022 May 14:10-97.
2. Morin CM, Carrier J. The acute effects of the COVID-19 pandemic on insomnia and psychological symptoms. Sleep medicine. 2021 Jan; 77:346
3. Cox RC, Olatunji BO. A systematic review of sleep disturbance in anxiety and related disorders. Journal of anxiety disorders. 2016 Jan 1;37:104-29.
4. Bollu PC, Kaur H. Sleep medicine: insomnia and sleep. Missouri medicine. 2019 Jan;116(1):68.
5. Maich KH, Lachowski AM, Carney CE. Psychometric properties of the consensus sleep diary in those with insomnia disorder. Behavioral sleep medicine. 2018 Mar 4;16(2):117-34.
6. APA AP. Diagnostic and statistical manual of mental disorders. The American Psychiatric Association. 2013.
7. Sateia MJ. International classification of sleep disorders. Chest. 2014 Nov 1;146(5):1387-94.
8. Bathgate CJ, Fernandez-Mendoza J. Insomnia, short sleep duration, and high blood pressure: recent evidence and future directions for the prevention and management of hypertension. Current hypertension reports. 2018 Jun;20:1-0.
9. Loas G. The DSM-V: an overview. Revue Medicale de Bruxelles. 2016 Jan 1;37(4):231-4.
10. Thorpy M. International classification of sleep disorders. Sleep disorders medicine: basic science, technical considerations and clinical aspects. 2017:475-84.
1. 11.Yarahmadi M, Hafezi F, Makvandi B. Effectiveness of Cognitive-Behavioral Therapy for Insomnia on Emotional Regulation and Dysfunctional Sleep Beliefs Among Insomniac Patients. Iranian Journal of Psychiatry and Clinical Psychology. 2022 Jul 10;28(2):196-209.
2. 12.Melo DL, Carvalho LB, Prado LB, Prado GF. Biofeedback therapies for chronic insomnia: a systematic review. Applied psychophysiology and biofeedback. 2019 Dec;44:259-69.
3. 13.Hertenstein E, Feige B, Gmeiner T, Kienzler C, Spiegelhalder K, Johann A, Jansson-Fröjmark M, Palagini L, Rücker G, Riemann D, Baglioni C. Insomnia as a predictor of mental disorders: a systematic review and meta-analysis. Sleep medicine reviews. 2019 Feb 1;43:96-105.
4. 14. Ruel S, Ivers H, Savard MH, Gouin JP, Lemieux J, Provencher L, Caplette-Gingras A, Bastien C, Morin CM, Couture F, Savard J. Insomnia, immunity, and infections in cancer patients: Results from a longitudinal study. Health Psychology. 2020 May;39(5):358.
5. 15. Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, Du H, Li R, Kang L, Su M, Zhang J. Survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Frontiers in psychiatry. 2020 Apr 14;11:306.
6. 16. Chung KF, Lee CT, Yeung WF, Chan MS, Chung EW, Lin WL. Sleep hygiene education as a treatment of insomnia: a systematic review and meta-analysis. Family practice. 2018 Aug;35(4):365-75.
7. 17. Wichniak A, Wierzbicka A, Walęcka M, Jernajczyk W. Effects of antidepressants on sleep. Current psychiatry reports. 2017 Sep;19:1-7.
8. 18.de Zambotti M, Barresi G, Colrain IM, Baker FC. When sleep goes virtual: the potential of using virtual reality at bedtime to facilitate sleep. Sleep. 2020 Dec;43(12):zsaa178.
9. 19.Huang J, Ren L, Feng L, Yang F, Yang L, Yan K. AI Empowered Virtual Reality Integrated Systems for Sleep Stage Classification and Quality Enhancement. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2022 May 27;30:1494-503.
10. 20. Goldstein CA, Berry RB, Kent DT, Kristo DA, Seixas AA, Redline S, Westover MB, Abbasi-Feinberg F, Aurora RN, Carden KA, Kirsch DB. Artificial intelligence in sleep medicine: an American Academy of Sleep Medicine position statement. Journal of Clinical Sleep Medicine. 2020 Apr 15;16(4):605-7.
11. 21.Wilson S, Anderson K, Baldwin D, Dijk DJ, Espie A, Espie C, Gringras P, Krystal A, Nutt D, Selsick H, Sharpley A. British Association for Psychopharmacology consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders: an update. Journal of Psychopharmacology. 2019 Aug;33(8):923-47.
12. 22. Steffen JH, Gaskin JE, Meservy TO, Jenkins JL, Wolman I. Framework of affordances for virtual reality and augmented reality. Journal of Management Information Systems. 2019 Jul 3;36(3):683-729.
13. 23. Emmelkamp PM, Meyerbröker K. Virtual reality therapy in mental health. Annual review of clinical psychology. 2021 May 7;17:495-519.
14. 24.Ustun AB, Zhang K, Karaoğlan-Yilmaz FG, Yilmaz R. Learning analytics based feedback and recommendations in flipped classrooms: an experimental study in higher education. Journal of Research on Technology in Education. 2022 Feb 9:1-7.
15. 25.El Beheiry M, Doutreligne S, Caporal C, Ostertag C, Dahan M, Masson JB. Virtual reality: beyond visualization. Journal of molecular biology. 2019 Mar 29;431(7):1315-21.
16. 26.Freeman D, Reeve S, Robinson A, Ehlers A, Clark D, Spanlang B, Slater M. Virtual reality in the assessment, understanding, and treatment of mental health disorders. Psychological medicine. 2017 Oct;47(14):2393-400.
17. 27.De Luca R, Manuli A, De Domenico C, Voi EL, Buda A, Maresca G, Bramanti A, Calabrò RS. Improving neuropsychiatric symptoms following stroke using virtual reality: A case report. Medicine. 2019 May;98(19).
18. 28.Lee C, Wong GK. Virtual reality and augmented reality in the management of intracranial tumors: a review. Journal of Clinical Neuroscience. 2019 Apr 1;62:14-20.
19. 29. Gunn T, Jones L, Bridge P, Rowntree P, Nissen L. The use of virtual reality simulation to improve technical skill in the undergraduate medical imaging student. Interactive Learning Environments. 2018 Jul 4;26(5):613-20.
20. 30. Roy E, Bakr MM, George R. The need for virtual reality simulators in dental education: A review. The Saudi dental journal. 2017 Apr 1;29(2):41-7.
21. 31. Cooper ID N, Millela F, Cant I, White M, Meyer G. Transfer of training Virtual reality training with augmented multisensory cues improves user experience during training and task performance in the real world. PLoS One. 2021;16(3).
22. 32. Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and surgical education challenges and innovations in the COVID-19 era: a systematic review. In vivo. 2020 Jun 1;34(3 suppl):1603-11.
23. 33.Mousavi SS, Karami M, Mireskandari SM, Samadi S. Effects of Virtual Reality Technology on Knowledge, Attitudes, and Skills of Anesthesia Residents. Archives of Anesthesiology and Critical Care. 2022 Nov 7;8(Supplement):358-63
24. 34.Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. International journal of surgery. 2021 Apr 1;88:105906.
25. 35.Mashfufa EW, Marina NS, Sari RK, Marta OF, Setyowati L, Aini N, Alifatin A. Interaction Between Exercise and Sleep Quality Through Melatonin Synthesis: A Literature Review. KnE Medicine. 2022 Sep 15:243-52.
26. 36.de Zambotti M, Yuksel D, Kiss O, Barresi G, Arra N, Volpe L, King C, Baker FC. A virtual reality-based mind–body approach to downregulate psychophysiological arousal in adolescent insomnia. Digital Health. 2022 Jun;8:20552076221107887.
27. 37.Orsey AD, Wakefield DB, Cloutier MM. Physical activity (PA) and sleep among children and adolescents with cancer. Pediatric blood & cancer. 2013 Nov;60(11):1908-13.
28. 38.Walter LM, Nixon GM, Davey MJ, Downie PA, Horne RS. Sleep and fatigue in pediatric oncology: A review of the literature. Sleep medicine reviews. 2015 Dec 1;24:71-82.
29. 39.Fernandez-Mendoza J, Li Y, Vgontzas AN, Fang J, Gaines J, Calhoun SL, Liao D, Bixler EO. Insomnia is associated with cortical hyperarousal as early as adolescence. Sleep. 2016 May 1;39(5):1029-36.
30. 40.Jerath R, Beveridge C. Harnessing the spatial foundation of mind in breaking vicious cycles in anxiety, insomnia, and depression: the future of virtual reality therapy applications. Frontiers in Psychiatry. 2021 Jul 8;12:645289.
31. 41. Kaussner Y, Kuraszkiewicz AM, Schoch S, Markel P, Hoffmann S, Baur-Streubel R, Kenntner-Mabiala R, Pauli P. Treating patients with driving phobia by virtual reality exposure therapy–a pilot study. PLoS One. 2020 Jan 7;15(1):e0226937.
32. 42. Zisapel N. New perspectives on the role of melatonin in human sleep, circadian rhythms and their regulation. British journal of pharmacology. 2018 Aug;175(16):3190-9.
33. 43.Tanriverdi M, Cakir E, Akkoyunlu ME, Cakir FB. Effect of virtual reality-based exercise intervention on sleep quality in children with acute lymphoblastic leukemia and healthy siblings: A randomized controlled trial. Palliative & Supportive Care. 2022 Aug;20(4):455-61.
34. 44.Jensen MP, Day MA, Miró J. Neuromodulatory treatments for chronic pain: efficacy and mechanisms. Nature Reviews Neurology. 2014 Mar;10(3):167-78.
35. 45.Orakpo N, Yuan C, Olukitibi O, Burdette J, Arrington K. Does Virtual Reality Feedback at Infra-Low Frequency Improve Centralized Pain With Comorbid Insomnia While Mitigating Risks for Sedative Use Disorder?: A Case Report. Frontiers in Human Neuroscience. 2022;16.
36. 46. Zeng Y, Zeng L, Cheng AS, Wei X, Wang B, Jiang J, Zhou J. The use of immersive virtual reality for cancer-related cognitive impairment assessment and rehabilitation: A clinical feasibility study. Asia-Pacific Journal of Oncology Nursing. 2022 Dec 1;9(12):100079.
37. 47. Pourmand A, Davis S, Marchak A, Whiteside T, Sikka N. Virtual reality as a clinical tool for pain management. Current pain and headache reports. 2018 Aug;22:1-6.
38. 48. Lee SY, Kang J. Effect of virtual reality meditation on sleep quality of intensive care unit patients: a randomized controlled trial. Intensive and Critical Care Nursing. 2020 Aug 1;59:102849.
39. 49. Muñoz-Saavedra L, Miró-Amarante L, Domínguez-Morales M. Augmented and virtual reality evolution and future tendency. Applied sciences. 2020 Jan 1;10(1):322.
40. 50. Şahin MK, Aker S, Şahin G, Karabekiroğlu A. Prevalence of depression, anxiety, distress and insomnia and related factors in healthcare workers during COVID-19 pandemic in Turkey. Journal of community health. 2020 Dec;45:1168-77.
41. 51. Pan X, Zhang YC, Ren D, Lu L, Wang YH, Li GX, Xiao Y, Zhou HY, Bai YH. Virtual Reality in Treatment for Psychological Problems in First-Line Health Care Professionals Fighting COVID-19 Pandemic: A Case Series. The Journal of Nervous and Mental Disease. 2022 May 14:10-97.
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Jan 17, 2024
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Saeideh Sadat Mousavi, & Shahram Samadi. (2024). APPLICATION OF VIRTUAL REALITY TECHNOLOGY TO SLEEP-DISORDERS: A SYSTEMATIC REVIEW OF DATABASES. Journal of Population Therapeutics and Clinical Pharmacology, 31(1), 843–855. https://doi.org/10.53555/jptcp.v31i1.4090
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Author Biographies
Saeideh Sadat Mousavi
Bachelor in Nursing, Ph.D. Curriculum Studies and Instruction, Researcher in Sleep Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Shahram Samadi
Anesthesia, Critical Care and Pain Management Research Center, Tehran University of Medical Sciences, Tehran, Iran