The DOI matches its Crossref record; 57 of the 59 references it cites were found in a registry or an index.
The effectiveness of virtual reality distraction for pain reduction: A systematic review
Abstract
Virtual reality technology enables people to become immersed in a computer-simulated, three-dimensional environment. This article provides a comprehensive review of controlled research on the effectiveness of virtual reality (VR) distraction for reducing pain. To be included in the review, studies were required to use a between-subjects or mixed model design in which VR distraction was compared with a control condition or an alternative intervention in relieving pain. An exhaustive search identified 11 studies satisfying these criteria. VR distraction was shown to be effective for reducing experimental pain, as well as the discomfort associated with burn injury care. Studies of needle-related pain provided less consistent findings. Use of more sophisticated virtual reality technology capable of fully immersing the individual in a virtual environment was associated with greater relief. Overall, controlled research suggests that VR distraction may be a useful tool for clinicians who work with a variety of pain problems.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“It is known that VW in this perspective is an established tool for acute affect modulation and acute pain relief [22, 23].”
From Virtual walking therapy in neuropathic spinal cord injury pain: a feasibility study (2024) · cites this paper as [23]
In the citing paper
“In VR relaxation [21] and VR pain management [36], presence is likely a mediator of intervention effects due to the inherent correlation with distraction from the outside and inside world”
From Experiences of gamified and automated virtual reality exposure therapy for spider phobia: qualitative study (2020) · cites this paper as [36]
Citations
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,421
Wasserman, S. S., Hedges, L. V., & Olkin, I. (1988) · Journal of Educational Statistics · doi:10.2307/1164953 · Cited by 10,377
The empirical status of cognitive-behavioral therapy: A review of meta-analyses
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.07.003 · Cited by 3,215
Statistical Methods for Meta-Analysis
(1985) · Elsevier eBooks · doi:10.1016/c2009-0-03396-0 · Cited by 2,564
Psychometric properties of the credibility/expectancy questionnaire
Devilly, G. J., & Borkovec, T. D. (2000) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/s0005-7916(00)00012-4 · Cited by 2,295 · cited 1×
“To our knowledge, there has been no empirical research on possible biological (Gold, Belmont, & Thomas, 2007) and psychological mechanisms such as expectancy (Kirsch, 1985) and credibility (Devilly & Borkovec, 2000) that might explain how VR distraction works to relieve pain.”
BackgroundMorley, S., Eccleston, C., & Williams, A. (1999) · Pain · doi:10.1016/s0304-3959(98)00255-3 · Cited by 1,597
Lost productive time and cost due to common pain conditions in the US workforce
Stewart, W. F. (2003) · JAMA · doi:10.1001/jama.290.18.2443 · Cited by 1,570
Response expectancy as a determinant of experience and behavior.
Kirsch, I. (1985) · American Psychologist · doi:10.1037/0003-066x.40.11.1189 · Cited by 1,009
Handbook of pediatric psychology
(1988) · Choice Reviews Online · doi:10.5860/choice.26-2400 · Cited by 799
Prevalence of chronic benign pain disorder among adults: a review of the literature
Verhaak, P. F. M., Kerssens, J. J., Dekker, J., Sorbi, M. J., & Bensing, J. M. (1998) · Pain · doi:10.1016/s0304-3959(98)00117-1 · Cited by 743
Distraction and coping with pain.
McCaul, K. D., & Malott, J. M. (1984) · Psychological Bulletin · doi:10.1037/0033-2909.95.3.516 · Cited by 713
McGuire, S. (2011) · Advances in Nutrition · doi:10.3945/an.111.000497 · Cited by 699
Clinical Effectiveness and Cost-Effectiveness of Treatments for Patients With Chronic Pain
Turk, D. C. (2002) · Clinical Journal of Pain · doi:10.1097/00002508-200211000-00003 · Cited by 638
A meta-analysis of hypnotically induced analgesia: How effective is hypnosis
Montgomery, G. H., Duhamel, K. N., & Redd, W. H. (2000) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207140008410045 · Cited by 513
Patterson, D. R., & Jensen, M. P. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.4.495 · Cited by 396
Effectiveness of Virtual Reality for Pediatric Pain Distraction during IV Placement
Gold, J. I., Kim, S. H., Kant, A. J., Joseph, M. H., & Rizzo, A. (2006) · CyberPsychology & Behavior · doi:10.1089/cpb.2006.9.207 · Cited by 393
Das, D. A., Grimmer, K. A., Sparnon, A. L., McRae, S., & Thomas, B. H. (2005) · BMC Pediatrics · doi:10.1186/1471-2431-5-1 · Cited by 391
Orne, M. T., & Hilgard, E. R. (1966) · The American Journal of Psychology · doi:10.2307/1421316 · Cited by 391
Effectiveness of Virtual Reality–Based Pain Control With Multiple Treatments
Hoffman, H. G., Patterson, D. R., Carrougher, G. J., & Sharar, S. R. (2001) · Clinical Journal of Pain · doi:10.1097/00002508-200109000-00007 · Cited by 360
Virtual reality pain control during burn wound debridement in the hydrotank
Hoffman, H. G., Patterson, D. R., Seibel, E., Soltani, M., Jewett-Leahy, L., & Sharar, S. R. (2008) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e318164d2cc · Cited by 352
A Pilot and Feasibility Study of Virtual Reality as a Distraction for Children With Cancer
Gershon, J., Zimand, E., Pickering, M., ROTHBAUM, B. O., & Hodges, L. F. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000135621.23145.05 · Cited by 344
Turk, D. C., Swanson, K. S., & Tunks, E. R. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805300402 · Cited by 298
Manipulating presence influences the magnitude of virtual reality analgesia
Hoffman, H. G., Sharar, S. R., Coda, B. A., Everett, J. J., Ciol, M. A., Richards, T. L., & Patterson, D. R. (2004) · Pain · doi:10.1016/j.pain.2004.06.013 · Cited by 267
The Neurobiology of Virtual Reality Pain Attenuation
Gold, J. I., Belmont, K. A., & Thomas, D. A. (2007) · CyberPsychology & Behavior · doi:10.1089/cpb.2007.9993 · Cited by 266
Empirically supported treatments in pediatric psychology: procedure- related pain
Powers, S. W. (1999) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/24.2.131 · Cited by 255
Virtual Reality Helmet Display Quality Influences the Magnitude of Virtual Reality Analgesia
Hoffman, H. G., Seibel, E. J., Richards, T. L., Furness, T. A., Patterson, D. R., & Sharar, S. R. (2006) · Journal of Pain · doi:10.1016/j.jpain.2006.04.006 · Cited by 246
Wint, S. S., Eshelman, D. A., Steele, J., & Guzzetta, C. E. (2002) · Oncology nursing forum · doi:10.1188/02.onf.e8-e15 · Cited by 235
The face of 2010: A Delphi poll on the future of psychotherapy.
Norcross, J. C., Hedges, M., & Prochaska, J. O. (2002) · Professional Psychology: Research and Practice · doi:10.1037/0735-7028.33.3.316 · Cited by 228
The Effectiveness of Virtual Reality for Dental Pain Control: A Case Study
Hoffman, H. G., García‐Palacios, A., Patterson, D. R., Jensen, M. P., Furness, T. A., & Ammons, W. F. (2001) · CyberPsychology & Behavior · doi:10.1089/109493101750527088 · Cited by 219
Spaños, N. P., Radtke, H. L., Hodgins, D. C., Stam, H. J., & Bertrand, L. D. (1983) · Psychological Reports · doi:10.2466/pr0.1983.53.2.523 · Cited by 216
Nilsson, S., Finnström, B., Kokinsky, E., & Enskär, K. (2009) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2009.01.003 · Cited by 209
Dahlquist, L. M., McKenna, K. D., Jones, K. K., Clendaniel, L. D., Weiss, K. E., & Ackerman, C. S. (2007) · Health Psychology · doi:10.1037/0278-6133.26.6.794 · Cited by 203
The handbook of pediatric psychology
Shelton, T. L. (1989) · Clinical Psychology Review · doi:10.1016/0272-7358(89)90065-2 · Cited by 199
The use of virtual reality for pain control: A review
Mahrer, N. E., & Gold, J. I. (2009) · Current Pain and Headache Reports · doi:10.1007/s11916-009-0019-8 · Cited by 194
Wolitzky-Taylor, K. B., Fıvush, R., Zimand, E., Hodges, L. F., & ROTHBAUM, B. O. (2005) · Psychology and Health · doi:10.1080/14768320500143339 · Cited by 182
Wismeijer, A. A. J., & Vingerhoets, A. J. J. M. (2005) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm3003_11 · Cited by 175
Water‐friendly virtual reality pain control during wound care
Hoffman, H. G., Patterson, D. R., Magula, J., Carrougher, G. J., Zeltzer, K., Dagadakis, S., & Sharar, S. R. (2003) · Journal of Clinical Psychology · doi:10.1002/jclp.10244 · Cited by 174
Mott, J., Bucolo, S., Cuttle, L., Mill, J., Hilder, M., Miller, K., & Kimble, R. M. (2008) · Burns · doi:10.1016/j.burns.2007.10.010 · Cited by 155
Virtual reality for psychotherapy: Current reality and future possibilities.
Glanz, K., Rizzo, A., & Graap, K. M. (2003) · Psychotherapy · doi:10.1037/0033-3204.40.1-2.55 · Cited by 142
Handbook of pediatric psychology, 3rd ed.
Roberts, M. C. (2003) · Cited by 142
Gershon, J., Zimand, E., Lemos, R., ROTHBAUM, B. O., & Hodges, L. F. (2003) · CyberPsychology & Behavior · doi:10.1089/109493103322725450 · Cited by 141
Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan
Chan, E. A., Chung, J. W. Y., Wong, T. K., Lien, A. S., & Yang, J. Y. (2007) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01719.x · Cited by 131
Management of Pediatric Pain and Distress Due to Medical Procedures.
Blount, R. L., Piira, T., & Cohen, L. L. (2003) · Cited by 122
Dahlquist, L. M., Weiss, K. E., Clendaniel, L. D., Law, E. F., Ackerman, C. S., & McKenna, K. D. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn023 · Cited by 106
Analgesic effects of posthypnotic suggestions and virtual reality distraction on thermal pain
Patterson, D. R., Hoffman, H. G., Palacios, A. G., & Jensen, M. J. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.4.834 · Cited by 100
Virtual Reality as a Pediatric Pain Modulation Technique: A Case Study
Steele, E. J., Grimmer, K. A., Thomas, B. H., Mulley, B., Fulton, I., & Hoffman, H. G. (2003) · CyberPsychology & Behavior · doi:10.1089/109493103322725405 · Cited by 96
Immersive Virtual Reality for Reducing Experimental Ischemic Pain
Hoffman, H. G., Garcia-Palacios, A., Kapa, V., Beecher, J., & Sharar, S. R. (2003) · International Journal of Human-Computer Interaction · doi:10.1207/s15327590ijhc1503_10 · Cited by 93
Leibovici, V., Magora, F., Cohen, S. E., & Ingber, A. (2009) · Pain Research and Management · doi:10.1155/2009/178751 · Cited by 82
Hoffman, H. G., Patterson, D. R., Carrougher, G. J., Nakamura, D. Y., Moore, M. L., García‐Palacios, A., & Furness, T. A. (2001) · International Journal of Human-Computer Interaction · doi:10.1207/s15327590ijhc1301_1 · Cited by 73
Virtual environments in clinical psychology.
Riva, G. (2003) · Psychotherapy · doi:10.1037/0033-3204.40.1-2.68 · Cited by 65
Gebhart, G. F., & Schmidt, R. F. (2013) · Springer eBooks · doi:10.1007/978-3-642-28753-4_101704 · Cited by 56
Virtual reality in the treatment of pain
Botella, C., Díaz‐García, A., Baños, R., Quero, S., & Bretón, J. M. (2008) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 24
Dahlquist, L. M. (1999) · Springer eBooks · doi:10.1007/978-1-4615-4757-0 · Cited by 24
Commentary on "Treatments that work in pediatric psychology: Procedure- related pain"
Dahlquist, L. M. (1999) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/24.2.153 · Cited by 17
Virtual Reality: A Real Treatment Option
Gorman, J. M. (2006) · CNS Spectrums · doi:10.1017/s1092852900024081 · Cited by 5
Introduction to the special issue.
Wolf, A. W. (2003) · Psychotherapy · doi:10.1037/0033-3204.40.1-2.3 · Cited by 5
Flagged first, then by citations
2 of the 59 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- McGrath, 1985, CHEOPS: A behavioral scale for rating postoperative pain in children, Advances in Pain Research and Therapy, 9, 395
- Riva, 2008, Editorial, Annual Review of CyberTherapy and Telemedicine, 6, 10
Cited by
Sorted by citations
Virtual reality in neuroscience research and therapy
Bohil, C. J., Alicea, B., & Biocca, F. A. (2011) · Nature Reviews Neuroscience · doi:10.1038/nrn3122 · Cited by 1,108
“A review of studies of VR pain analgesia for burn victims finds that more highly immersive VR equipment (for example, a high-end head-mounted display (HMD)) corresponds with greater levels of relie”
BackgroundArtificial Intelligence in Medicine: Today and Tomorrow
Briganti, G., & Le Moine, O. (2020) · Frontiers in Medicine · doi:10.3389/fmed.2020.00027 · Cited by 743
“Augmented medicine is not only enabled by AI-based technologies but also several other digital tools, such as surgical navigation systems for computer-assisted surgery (7), virtuality-reality continuum tools for surgery, pain management and psychiatric disorders (8–10).”
Neuroscience of virtual reality: from virtual exposure to embodied medicine
Riva, G., Wiederhold, B. K., & Mantovani, F. (2019) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2017.29099.gri · Cited by 608
Systematic Review and Meta-analysis of Virtual Reality in Pediatrics: Effects on Pain and Anxiety
Eijlers, R., Utens, E. M. W. J., Staals, L. M., de Nijs, P. F. A., Berghmans, J. M., Wijnen, R. M. H., Hillegers, M. H. J., Dierckx, B., & Legerstee, J. S. (2019) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000004165 · Cited by 628
Hoffman, H. G., Chambers, G. T., Meyer, W. J., Arceneaux, L. L., Russell, W. J., Seibel, E. J., Richards, T. L., Sharar, S. R., & Patterson, D. R. (2011) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9248-7 · Cited by 599
“A growing number of researchers using a variety of distraction software have also found evidence that VR reduces clinical and laboratory pain [24, 39, 51, 55–59] or itching [60].”
Background
Metadata
- Authors
- Malloy, K. M., & Milling, L. S.
- Affiliations
- University of Hartford (US)
- Corresponding author
- Milling, Leonard S.
- ORCID
- Milling, Leonard S.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2010-12
- Volume
- 30
- Issue
- 8
- Pages
- 1011-1018
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2164662311
- Cited by
- 653
- References
- 59
- Citations by year
- 2026: 44 · 2025: 72 · 2024: 52 · 2023: 67 · 2022: 59 · 2021: 75 · 2020: 66 · 2019: 53 · 2018: 51 · 2017: 31 · 2016: 18 · 2015: 18 · 2014: 23 · 2013: 9 · 2012: 7
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- virtual reality, distraction therapy, analgesia, experimental pain, immersion, pain management
- MeSH terms
- Attention, Burns, Humans, Injections, Pain, Research, User-Computer Interface, Treatment Outcome, Controlled Clinical Trials as Topic, Pain Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review