虚拟现实对高等教育学生心理健康和幸福感影响的系统文献综述与荟萃分析。
A systematic literature review and meta-analysis of virtual reality nature effects on higher education students' mental health and wellbeing.
作者信息
Hubbard Gill, Verde Philip Albert, Barrable Alexia, O'Malley Chris, Barnes Nicholas, Toner Paul
机构信息
School of Health Sciences, 11 Airlie Place, University of Dundee, Dundee, Scotland, UK.
NHS Education for Scotland, Edinburgh, Scotland, UK.
出版信息
Appl Psychol Health Well Being. 2025 Oct;17(5):e70060. doi: 10.1111/aphw.70060.
Virtual Reality nature (VRn) may deliver mental health and wellbeing without being outside in real nature. The main objective of this systematic review and meta-analysis was to report effects of VRn on mental health and wellbeing of students in higher education. To be eligible, participants were higher education students, the intervention was VRn, the outcome variable was a mental health parameter, and the study design was experimental. Information sources were: OVID (Embase, MEDLINE, PsycINFO), SCOPUS, CINAHL, Cochrane Library, PubMed and GreenFILE. Searches were conducted May 2023 and re-run November 2024. The modified Downs and Black checklist for randomised and non-randomised studies was used to assess risk of bias. To synthesise results, data were first extracted into a Microsoft Excel spreadsheet and summarised in narrative, statistical and tabular formats. Twenty-four articles were included. Two studies were 'good' quality, 18 'fair', and four 'poor'. Total sample size was 1,419. Two studies compared VRn versus real nature, six VRn versus no intervention, seven VRn versus flat-screen. Twelve studies included forests as the only natural environment. Thirteen of 17, seven of eight, four of five, and four of seven studies reported pre-post intervention beneficial effects on self-reported mood, anxiety, stress and cognition, respectively. Nine of 13, six of 10 and all five studies that measured cardiovascular, skin conductivity and brain activity respectively, reported pre-post intervention beneficial effects. All five studies that measured anxiety, all three studies that measured mood, and all four studies that measured stress, found no significant differences between VRn and flat-screen images of nature. Caution is required drawing conclusions due to studies' quality and sample sizes. That said, the review suggests that nature replicated in VR shows promise for benefits to mental health and wellbeing in higher education students.
虚拟现实自然环境(VRn)无需身处真实自然环境就能促进心理健康和幸福感。本系统综述与荟萃分析的主要目的是报告VRn对高等教育学生心理健康和幸福感的影响。符合条件的参与者为高等教育学生,干预措施为VRn,结果变量为心理健康参数,研究设计为实验性研究。信息来源包括:OVID(Embase、MEDLINE、PsycINFO)、SCOPUS、CINAHL、Cochrane图书馆、PubMed和GreenFILE。检索于2023年5月进行,并于2024年11月重新运行。采用修改后的用于随机和非随机研究的唐斯和布莱克清单来评估偏倚风险。为了综合结果,首先将数据提取到Microsoft Excel电子表格中,并以叙述、统计和表格形式进行总结。纳入了24篇文章。两项研究质量为“良好”,18项为“中等”,4项为“较差”。总样本量为1419。两项研究比较了VRn与真实自然环境,六项比较了VRn与无干预,七项比较了VRn与平板屏幕。十二项研究将森林作为唯一的自然环境。17项研究中的13项、8项研究中的7项、5项研究中的4项以及7项研究中的4项分别报告了干预前后对自我报告的情绪、焦虑、压力和认知有有益影响。分别测量心血管、皮肤电导率和大脑活动的13项研究中的9项、10项研究中的6项以及所有5项研究均报告了干预前后有有益影响。测量焦虑的所有5项研究、测量情绪的所有3项研究以及测量压力的所有4项研究均发现VRn与自然平板屏幕图像之间无显著差异。由于研究质量和样本量的原因,得出结论时需要谨慎。话虽如此,该综述表明,VR中复制的自然环境有望对高等教育学生的心理健康和幸福感产生益处。