Assessment of Depression and Anxiety in Hemodialysis Patients Undergoing VR Therapy—Pilot Study

<b>Background/Objectives:</b> Patients with end-stage renal disease (ESRD) are at a significant risk for depressive and anxiety disorders, including severe depression. The use of virtual reality (VR) during hemodialysis can significantly impact psychological well-being and thus overall quality of life. The aim of the study was to assess the effects of VR therapy undertaken by hemodialysis (HD) patients on depression, anxiety, perceived self-efficacy and life satisfaction. <b>Methods:</b> Hemodialysis (HD) patients were recruited from the Dialysis Centre at St. Luke's Hospital in Bolesławiec. Group I (experimental EG) included 16 HD patients, and Group II (control CG) included 22 HD patients (no VR session). The EG used VR for one month (maximum 14 sessions); the CG was the same group of patients assessed over a one-month period prior to the intervention. VR therapy took place at the beginning of dialysis, three times a week for one month. A personal questionnaire, the Hospital Anxiety and Depression Scale (HADS), the Perceived Stress Scale (PSS-10), the General Self-Efficacy Scale (GSES) and the Satisfaction with Life Scale (SWLS) were used. <b>Results:</b> In the group of patients undergoing VR therapy, a significant reduction in the level of anxiety, depression and stress was observed, as well as a significant increase in life satisfaction and self-efficacy levels compared to the control group. <b>Conclusions</b>: Undertaking VR therapy during dialysis for patients with ESRD is beneficial, improves mood, satisfaction with life, and perceived self-efficacy, and reduces anxiety, but multi-center studies are needed on a larger group of patients.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2026-02-13
DOI
https://doi.org/10.3390/jcm15041489
Primary Topic
Dialysis and Renal Disease Management
Type
article
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article

Assessment of Depression and Anxiety in Hemodialysis Patients Undergoing VR Therapy—Pilot Study

Joanna Kowalska, Mariusz Kusztal, Agnieszka Zembroń-Łacny, Małgorzata Stefańska et al.
Journal of Clinical Medicine
Dialysis and Renal Disease Management
article

Assessment of Depression and Anxiety in Hemodialysis Patients Undergoing VR Therapy—Pilot Study

Joanna Kowalska, Mariusz Kusztal, Agnieszka Zembroń-Łacny, Małgorzata Stefańska, Łukasz Rogowski, Wioletta Dziubek, Tomasz Gołębiowski
article en

Abstract

<b>Background/Objectives:</b> Patients with end-stage renal disease (ESRD) are at a significant risk for depressive and anxiety disorders, including severe depression. The use of virtual reality (VR) during hemodialysis can significantly impact psychological well-being and thus overall quality of life. The aim of the study was to assess the effects of VR therapy undertaken by hemodialysis (HD) patients on depression, anxiety, perceived self-efficacy and life satisfaction. <b>Methods:</b> Hemodialysis (HD) patients were recruited from the Dialysis Centre at St. Luke's Hospital in Bolesławiec. Group I (experimental EG) included 16 HD patients, and Group II (control CG) included 22 HD patients (no VR session). The EG used VR for one month (maximum 14 sessions); the CG was the same group of patients assessed over a one-month period prior to the intervention. VR therapy took place at the beginning of dialysis, three times a week for one month. A personal questionnaire, the Hospital Anxiety and Depression Scale (HADS), the Perceived Stress Scale (PSS-10), the General Self-Efficacy Scale (GSES) and the Satisfaction with Life Scale (SWLS) were used. <b>Results:</b> In the group of patients undergoing VR therapy, a significant reduction in the level of anxiety, depression and stress was observed, as well as a significant increase in life satisfaction and self-efficacy levels compared to the control group. <b>Conclusions</b>: Undertaking VR therapy during dialysis for patients with ESRD is beneficial, improves mood, satisfaction with life, and perceived self-efficacy, and reduces anxiety, but multi-center studies are needed on a larger group of patients.

Journal of Clinical MedicineVol. 15(4)
Wroclaw Medical University (PL), Witelon State University of Applied Sciences in Legnica (PL), Wroclaw University of Health and Sport Sciences (PL), University of Zielona Góra (PL)
Openalex Percentile: Top 62%
Dialysis and Renal Disease Management
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