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Immersive virtual reality and neurofeedback for the management of cancer symptoms during treatment

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Abstract

Millions of people are diagnosed with cancer each year in the USA and are living on systemic therapies designed to prolong their life. While these therapies are intended to treat the disease, most exacerbate cancer symptoms such as pain and anxiety. Oncologists and other healthcare providers are now challenged to deliver adjunctive therapies designed to improve quality of life of patients while they undergo cancer treatment, including minimizing already disruptive symptoms such as cancer pain and anxiety. Complementary and alternative medicines such as immersive virtual reality (VR) and neurofeedback (NF) are novel approaches to the management of cancer symptoms. While the evidence for combining VR and NF, specifically for management of cancer pain, while patients undergo systemic therapies, is still emerging; our preliminary findings suggest this treatment modality might offer relief of cancer symptoms. This paper briefly highlights the clinical need for supportive therapies such as VR and NF in the oncological setting and summarizes innovative research in this area.

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References

  1. Siegel RL, Miller KD, Fuchs HE, Jemal A (2022) Cancer statistics. CA Cancer J Clin 72:7–33. https://doi.org/10.3322/caac.21708

    Article  PubMed  Google Scholar 

  2. Danon N, Al-Gobari M, Burnand B, Rodondi PY (2022) Are mind–body therapies effective for relieving cancer-related pain in adults? A systematic review and meta-analysis. Psycho-Oncology 31:345–371. https://doi.org/10.1002/pon.5821

    Article  PubMed  Google Scholar 

  3. Ahmad M, Bani Mohammad E, Anshasi HA (2020) Virtual reality technology for pain and anxiety management among patients with cancer: a systematic review. Pain Manag Nurs 21:601–607. https://doi.org/10.1016/j.pmn.2020.04.002

    Article  PubMed  Google Scholar 

  4. Alawneh A, Anshasi H, Khirfan G, Yaseen H, Quran A (2017) Symptom prevalence of patients with cancer in a tertiary cancer center in Jordan. Gulf J Oncolog 1:37–43

    PubMed  Google Scholar 

  5. van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, Schouten HC, van Kleef M, Patijn J (2007) Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol 18:1437–1449. https://doi.org/10.1093/annonc/mdm056

    Article  PubMed  Google Scholar 

  6. Nikbakhsh N, Moudi S, Abbasian S, Khafri S (2014) Prevalence of depression and anxiety among cancer patients. Caspian J Intern Med 5:167–170

    PubMed  PubMed Central  Google Scholar 

  7. Li X-M, Xiao W-H, Yang P, Zhao H-X (2017) Psychological distress and cancer pain: results from a controlled cross-sectional survey in China. Sci Rep 7:39397. https://doi.org/10.1038/srep39397

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Greenlee H, Balneaves LG, Carlson LE, Cohen M, Deng G, Hershman D et al (2014) Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer. J Natl Cancer Inst Monogr 2014:346–358. https://doi.org/10.1093/jncimonographs/lgu041

    Article  PubMed  PubMed Central  Google Scholar 

  9. Balneaves LG, Watling CZ, Hayward EN, Ross B, Taylor-Brown J, Porcino A et al (2022) Addressing complementary and alternative medicine use among individuals with cancer: an integrative review and clinical practice guideline. J Natl Cancer Inst 114:25–37. https://doi.org/10.1093/jnci/djab048

    Article  PubMed  Google Scholar 

  10. Wiederhold BK, Gao K, Sulea C, Wiederhold MD (2014) Virtual reality as a distraction technique in chronic pain patients. Cyberpsychol Behav Soc Netw 17:346–352. https://doi.org/10.1089/cyber.2014.0207

    Article  PubMed  PubMed Central  Google Scholar 

  11. Orakpo N, Vieux U, Castro-Nuñez C (2021) Case report: virtual reality neurofeedback therapy as a novel modality for sustained analgesia in centralized pain syndromes. Front Psychiatry 12:660105. https://doi.org/10.3389/fpsyt.2021.660105

    Article  PubMed  PubMed Central  Google Scholar 

  12. Kubik A, Biedroń A (2013) Neurofeedback therapy in patients with acute and chronic pain syndromes: literature review and own experience. Przegl Lek 70:440–442

    PubMed  Google Scholar 

  13. Pourmand A, Davis S, Marchak A, Whiteside T, Sikka N (2018) Virtual reality as a clinical tool for pain management. Curr Pain Headache Rep 22:53. https://doi.org/10.1007/s11916-018-0708-2

    Article  PubMed  Google Scholar 

  14. Rolbiecki AJ, Craig K, Polniak M, Smith J, Ghosh P, Mehr DR (2022) Virtual reality and neurofeedback for management of cancer symptoms: a feasibility pilot. Am J Hosp Palliat Care https://doi.org/10.1177/10499091221109900

  15. Viviani G, Vallesi A (2021) EEG-neurofeedback and executive function enhancement in healthy adults: a systematic review. Psychophysiology 58:e13874. https://doi.org/10.1111/psyp.13874

    Article  PubMed  PubMed Central  Google Scholar 

  16. Trambaiolli LR, Kohl SH, Linden DEJ, Mehler DMA (2021) Neurofeedback training in major depressive disorder: a systematic review of clinical efficacy, study quality and reporting practices. Neurosci Biobehav Rev 125:33–56. https://doi.org/10.1016/j.neubiorev.2021.02.015

    Article  PubMed  Google Scholar 

  17. Roy R, de la Vega R, Jensen MP, Miró J (2020) Neurofeedback for pain management: a systematic review. Front Neurosci 14:671. https://doi.org/10.3389/fnins.2020.00671

    Article  PubMed  PubMed Central  Google Scholar 

  18. Pindi P, Houenou J, Piguet C, Favre P (2022) Real-time fMRI neurofeedback as a new treatment for psychiatric disorders: a meta-analysis. Prog Neuropsychopharmacol Biol Psychiatry 119:110605. https://doi.org/10.1016/j.pnpbp.2022.110605

    Article  CAS  PubMed  Google Scholar 

  19. Baños RM, Espinoza M, García-Palacios A, Cervera JM, Esquerdo G, Barrajón E et al (2013) A positive psychological intervention using virtual reality for patients with advanced cancer in a hospital setting: a pilot study to assess feasibility. Support Care Cancer 21:263–270. https://doi.org/10.1007/s00520-012-1520-x

    Article  PubMed  Google Scholar 

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Funding

This work was funded by the University of Missouri, Department of Family and Community Medicine.

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AJR wrote the first draft of manuscript with AG and BF providing thorough edits and subject matter expertise. All authors participated in providing final edits.

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Correspondence to Abigail J. Rolbiecki.

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Ethical approval

Ethical approval for the original study referenced in this paper was provided by the University of Missouri, Institutional Review Board. The Review Board approved the initial study as an exempt study, with a written consent in which patients digitally acknowledged using REDCap.

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The authors declare no competing interests.

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Rolbiecki, A.J., Govindarajan, A. & Froeliger, B. Immersive virtual reality and neurofeedback for the management of cancer symptoms during treatment. Support Care Cancer 31, 493 (2023). https://doi.org/10.1007/s00520-023-07957-3

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