Journal article Embargoed Access
Objectives: Past research has shown that Virtual Reality (VR) is an effective method for reducing the perception of pain and effort associated with exercise. As pain and effort are subjective feelings, they are influenced by a variety of psychological factors, including one’s awareness of internal body sensations, known as Private Body Consciousness (PBC). The goal of the present study was to investigate whether the effectiveness of VR in reducing the feeling of exercise pain and effort is moderated by PBC.
Design and Methods: Eighty participants were recruited to this study and were randomly assigned to a VR or a non-VR control group. All participants were required to maintain a 20% 1RM isometric bicep curl, whilst reporting ratings of pain intensity and perception of effort. Participants in the VR group completed the isometric bicep curl task whilst wearing a VR device which simulated an exercising environment. Participants in the non-VR group completed a conventional isometric bicep curl exercise without VR. Participants’ heart rate was continuously monitored along with time to exhaustion. A questionnaire was used to assess PBC.
Results: Participants in the VR group reported significantly lower pain and effort and exhibited longer time to exhaustion compared to the non-VR group. Notably, PBC had no effect on these measures and did not interact with the VR manipulation.
Conclusions: Results verified that VR during exercise could reduce negative sensations associated with exercise regardless of the levels of PBC.
Files are currently under embargo but will be publicly accessible after March 1, 2021.
Ahles, T. A., Cassens, H. L., & Stalling, R. B. (1987). Private body consciousness, anxiety and the perception of pain. Journal of Behavior Therapy and Experimental Psychiatry, 18(3), 215-222. doi: 10.1016/0005-7916(87)90003-6.
Ahles, T. A., Pecora, L., & Riley, S. (1987). Self-focused attention, symptoms, and chronic pain: a hypothesis. Southern Psychologist, 3, 25-28.
Ainley, V., & Tsakiris, M. (2013). Body conscious? Interoceptive awareness, measured by heartbeat perception, is negatively correlated with self-objectification. PloS one, 8(2), e55568. doi: 10.1371/journal.pone.0055568.
Arntz, A., Dreessen, L., & Merckelbach, H. (1991). Attention, not anxiety, influences pain. Behaviour Research and Therapy, 29(1), 41-50. doi: 10.1016/S0005-7967(09)80006-5.
Astokorki, A.H., & Mauger, A.R. (2016). Tolerance of exercise-induced pain at a fixed rating of perceived exertion predicts time trial cycling performance. Scandinavian Journal of Medicine & Science in Sports, 27(3), 309-317. doi: 10.1111/sms.12659.
Bayer, T. L., Coverdale, J. H., Chiang, E., & Bangs, M. (1998). The role of prior pain experience and expectancy in psychologically and physically induced pain. Pain, 74(2-3), 327-331. doi: 10.1016/S0304-3959(97)00196-6.
Bekker, M. H., Croon, M. A., van Balkom, E. G., & Vermee, J. B. (2008). Predicting individual differences in autonomy‐connectedness: the role of body awareness,alexithymia, and assertiveness. Journal of Clinical Psychology, 64(6), 747-765. doi: 10.1002/jclp.20486.
Borg, G. (1998). Borg's perceived exertion and pain scales. Human kinetics.
Botvinick, M., & Cohen, J. (1998). Rubber hands 'feel' touch that eyes see. Nature, 391, 756.
Bower, G. H. (1981). Mood and memory. American Psychologist, 36(2), 129-148. doi: 10.1037/0003-066X.36.2.129.
Cohen, L. L., Blount, R. L., & Panopoulos, G. (1997). Nurse Coaching and Cartoon Distraction: An Efective and Practical Intervention to Reduce Child, Parent, and Nurse Distress During Immunizations. Journal of Pediatric Psychology, 22(3), 355-370. doi: 10.1093/jpepsy/22.3.355.
Cook, D. B., O'Connor, P. J., Eubanks, S. A., Smith, J. C., & Lee, M. I. N. G. (1997). Naturally occurring muscle pain during exercise: assessment and experimental evidence. Medicine and Science in Sports and Exercise, 29(8), 999-1012. doi: 10.1093/jpepsy/22.3.355.
Dahlquist, L. M., Herbert, L. J., Weiss, K. E., & Jimeno, M. (2010). Virtual-reality distraction and cold-pressor pain tolerance: does avatar point of view matter? Cyberpsychology, Behavior and Social Networking, 13(5), 587–591. doi: 10.1089/cyber.2009.0263.
Eccleston, C., Crombez, G., Aldrich, S., & Stannard, C. (1997). Attention and somatic awareness in chronic pain. Pain, 72(1), 209-215. doi: 10.1016/S0304-3959(97)00030-4.
Eichenberg, C., & Wolters, C. (2012). Virtual Realities in the treatment of mental disorders: A Review of the current state of research. Virtual Reality in Psychological, Medical and Pedagogical Applications, 2, 35-64. doi: 10.5772/50094.
Fenigstein, A., Scheier, M. F., & Buss, A. H. (1975). Public and private self-consciousness: Assessment and theory. Journal of Consulting and Clinical Psychology, 43(4), 522-527. doi: 10.1037/h0076760.
Ferguson, R. J., & Ahles, T. A. (1998). Private body consciousness, anxiety and pain symptom reports of chronic pain patients. Behaviour Research and Therapy, 36(5), 527-535. doi: 10.1016/S0005-7967(98)00048-5.
Gold, J. I., Belmont, K. A., & Thomas, D. A. (2007). The neurobiology of virtual reality pain attenuation. CyberPsychology & Behavior, 10(4), 536-544. doi: 10.1089/cpb.2007.9993.
Haugstad, G. K., Haugstad, T. S., Kirste, U. M., Leganger, S., Wojniusz, S., Klemmetsen, I., & Malt, U. F. (2006). Posture, movement patterns, and body awareness in women with chronic pelvic pain. Journal of Psychosomatic Research, 61(5), 637-644. doi: 10.1016/j.jpsychores.2006.05.003.
Hoffman, H. G., Seibel, E. J., Richards, T. L., Furness, T. A., Patterson, D. R., and Sharar, S. R. (2006). Virtual reality helmet display quality influences the magnitude of virtual 24 reality analgesia. The Journal of Pain, 7(11), 843-850. doi: 10.1016/j.jpain.2006.04.006.
Lee, J., Lee, J., Lim, H., Son, J. S., Lee, J. R., Kim, D. C., & Ko, S. (2012). Cartoon distraction alleviates anxiety in children during induction of anesthesia. Anesthesia & Analgesia, 115(5), 1168-1173. doi: 10.1213/ANE.0b013e31824fb469.
Li, A., Montaño, Z., Chen, V. J., & Gold, J. I. (2011). Virtual reality and pain management: current trends and future directions. Pain, 1(2), 147-157. doi: 10.2217/pmt.10.15.
Mahrer, N. E., & Gold, J. I. (2009). The use of virtual reality for pain control: A review. Current Pain and Headache Reports, 13(2), 100-109.
Malloy, K. M., & Milling, L. S. (2010). The effectiveness of virtual reality distraction for pain reduction: a systematic review. Clinical Psychology Review, 30(8), 1011-1018. doi: 10.1016/j.cpr.2010.07.001.
Marcora, S.M. (2016). Can Doping be a Good Thing? Using Psychoactive Drugs to Facilitate Physical Activity Behaviour. Sports Medicine, 46(1), 1-5.
Martin, J. B., Ahles, T. A., & Jeffery, R. (1991). The role of private body consciousness and anxiety in the report of somatic symptoms during magnetic resonance imaging. Journal of Behavior Therapy and Experimental Psychiatry, 22(1), 3-7. doi: 10.1016/0005-7916(91)90027-3.
Martin, M. A., & Metha, A. (1997). Recall of early childhood memories through musical mood induction. The Arts in Psychotherapy, 24(5), 447-454. doi: 10.1016/S0197-4556(97)00020-8.
Matsangidou, M., Ang, C. S., & Sakel, M. (2017). Clinical Utility of Virtual Reality in Pain Management: A Comprehensive Research Review from 2009 to 2016. British Journal of Neuroscience Nursing, 13(3), 70-80. doi: 10.12968/bjnn.2017.13.3.133.
Matsangidou, M., Ang, C. S., Mauger, A. R., Otkhmezuri, B., & Tabbaa, L. (2017, September). How Real Is Unreal? Virtual Reality and the Impact of Visual Imagery on the Experience of Exercise-Induced Pain. In IFIP Conference on Human-Computer Interaction (pp. 273-288). Springer, Cham.
Mauger, A. R. (2014). Factors affecting the regulation of pacing: current perspectives. Open Access Journal of Sports Medicine, 5, 209-214. doi: 10.2147/OAJSM.S38599.
McCaul, K. D., & Malott, J. M. (1984). Distraction and coping with pain. Psychological Bulletin, 95(3), 516-533. doi: 10.1037/0033-2909.95.3.516.
McGrath, P. J., Walco, G. A., Turk, D. C., Dworkin, R. H., Brown, M. T., Davidson, K., & Hertz, S. H. (2008). Core outcome domains and measures for pediatric acute and chronic/recurrent pain clinical trials: PedIMMPACT recommendations. The Journal of Pain, 9(9), 771-783. doi: 10.1016/j.jpain.2008.04.007.
Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., & Stewart, A. (2009). Body awareness: construct and self-report measures. PloS one, 4(5), e5614. doi: 10.1371/journal.pone.0005614.
Merskey, H., & Bogduk, N. (1994). Classification of chronic pain. Description of chronic pain syndromes and definitions of pain terms. IASP Press, Seattle, WA.
Miller, L. C., Murphy, R., & Buss, A. H. (1981). Consciousness of body: Private and public. Journal of Personality and Social Psychology, 41(2), 397-406. doi: 10.1037/0022-35220.127.116.117.
Morris, L. D., Louw, Q. A., & Grimmer-Somers, K. (2009). The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: a systematic review. The Clinical Journal of Pain, 25(9), 815-826. doi: 10.1097/AJP.0b013e3181aaa909.
Ohrbach, R., Crow, H., & Kamer, A. (1998). Examiner expectancy effects in the measurement of pressure pain thresholds. Pain, 74(2-3), 163-170. doi: 10.1016/S0304-3959(97)00174-7.
Pincus, T., Burton, A. K., Vogel, S., & Field, A. P. (2002). A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine, 27(5), E109-E120.
Rutter, C. E., Dahlquist, L. M., & Weiss, K. E. (2009). Sustained efficacy of virtual reality Distraction. The Journal of Pain: Official Journal of the American Pain Society, 10(4), 391–397. doi: 10.1016/j.jpain.2008.09.016.
Schneider, S. (2007). A series of studies exploring the use of virtual reality for chemotherapy treatments. Oncology Nursing Forum, 34(1), 182-183.
Schneider, S. M., & Workman, M. L. (2000). Virtual reality as a distraction intervention for older children receiving chemotherapy. Pediatric Nursing, 26(6), 593-597.
Schneider, S. M., Ellis, M., Coombs, W. T., Shonkwiler, E. L., & Folsom, L. C. (2003). Virtual reality intervention for older women with breast cancer. CyberPsychology & Behavior, 6(3), 301-307. doi: 10.1089/109493103322011605.
Schneider, S. M., Kisby, C. K., & Flint, E. P. (2011). Effect of virtual reality on time perception in patients receiving chemotherapy. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 19(4), 555–564.
Schneider, S. M., Prince-Paul, M., Allen, M. J., Silverman, P., & Talaba, D. (2004). Virtual reality as a distraction intervention for women receiving chemotherapy. Oncology nursing forum, 31(1), 81–88.
Sil, S., Dahlquist, L. M., Thompson, C., Hahn, A., Herbert, L., Wohlheiter, K., & Horn, S. (2014). The effects of coping style on virtual reality enhanced videogame distraction in children undergoing cold pressor pain. Journal of Behavioral Medicine, 37(1), 156–165.
Tieri, G., Tidoni, E., Pavone, E. F., & Aglioti, S. M. (2015). Body visual discontinuity affects feeling of ownership and skin conductance responses. Scientific Reports, 5, 17139.
Tsakiris, M., Hesse, M. D., Boy, C., Haggard, P., & Fink, G. R. (2006). Neural signatures of body ownership: a sensory network for bodily self-consciousness. Cerebral Cortex, 17(10), 2235-2244. doi: 10.1093/cercor/bhl131.
von Baeyer, C. L., & Spagrud, L. J. (2007). Systematic review of observational (behavioral) measures of pain for children and adolescents aged 3 to 18 years. Pain, 127(1), 140-150. doi: 10.1016/j.pain.2006.08.014.
Wickens, C. D. (2008). Multiple resources and mental workload. Human Factors, 50(3), 449-455.
Wiederhold, M. D., & Wiederhold, B. K. (2007). Virtual reality and interactive simulation for pain distraction. Pain Medicine, 8(3), 182-188. doi: 10.1111/j.1526-4637.2007.00381.x.
Zatzick, D. F., & Dimsdale, J. E. (1990). Cultural variations in response to painful stimuli. Psychosomatic Medicine, 52(5), 544-557.