A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorder

ObjectiveMen diagnosed with social anxiety disorder (SAD) often face significant challenges in daily functioning, particularly within social settings. This study aimed to evaluate the effectiveness of virtual reality (VR)-based extreme sports games in reducing symptoms of depression, anxiety, and st...

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Main Authors: Li Wang, Hossein Faridniya, Haiyang Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1617483/full
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author Li Wang
Hossein Faridniya
Haiyang Yu
author_facet Li Wang
Hossein Faridniya
Haiyang Yu
author_sort Li Wang
collection DOAJ
description ObjectiveMen diagnosed with social anxiety disorder (SAD) often face significant challenges in daily functioning, particularly within social settings. This study aimed to evaluate the effectiveness of virtual reality (VR)-based extreme sports games in reducing symptoms of depression, anxiety, and stress in this population. The intervention was designed to offer an engaging, immersive, and potentially less stigmatizing alternative to conventional therapeutic approaches.MethodsA quasi-experimental design with pre-test and post-test assessments was employed. Eighty-four men with SAD were selected through convenience sampling and randomly assigned to either an experimental group (n = 42) or a control group (n = 42). The experimental group participated in VR extreme sports sessions. Psychological symptoms were measured using the Depression, Anxiety, and Stress Scale (DASS-21), and data were analyzed via Analysis of Covariance (ANCOVA). Normality of data distribution was confirmed using the Kolmogorov–Smirnov test (p > 0.05), and Levene’s test also confirmed the homogeneity of variances (p > 0.05), supporting the use of ANCOVA to compare adjusted post-test scores between groups.ResultsThe VR-based intervention led to significant reductions across all three measured domains. Depression (η2 = 0.916), anxiety (η2 = 0.901), and stress (η2 = 0.829) levels showed substantial improvement in the experimental group compared to the control group.ConclusionThese findings highlight the promise of VR-based extreme sports as a novel, non-pharmacological intervention for men with SAD. By enabling controlled exposure to anxiety-provoking situations within a safe and immersive environment, the intervention effectively alleviated symptoms of depression, anxiety, and stress. Moreover, this approach may overcome common treatment barriers such as stigma and reluctance toward traditional therapy. Future large-scale, longitudinal studies are recommended to validate these outcomes and explore their long-term sustainability.
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spelling doaj-art-c19d40aabe3e431092d1343d1696ffad2025-08-20T03:23:16ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-06-011310.3389/fpubh.2025.16174831617483A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorderLi Wang0Hossein Faridniya1Haiyang Yu2Department of Athletic Training, Hebei Sport University, Hebei, ChinaSport Management, Faculty of Farabi, University of Tehran, Qom, IranSports Institute, Nanchang Institute of Technology, Jiangxi, ChinaObjectiveMen diagnosed with social anxiety disorder (SAD) often face significant challenges in daily functioning, particularly within social settings. This study aimed to evaluate the effectiveness of virtual reality (VR)-based extreme sports games in reducing symptoms of depression, anxiety, and stress in this population. The intervention was designed to offer an engaging, immersive, and potentially less stigmatizing alternative to conventional therapeutic approaches.MethodsA quasi-experimental design with pre-test and post-test assessments was employed. Eighty-four men with SAD were selected through convenience sampling and randomly assigned to either an experimental group (n = 42) or a control group (n = 42). The experimental group participated in VR extreme sports sessions. Psychological symptoms were measured using the Depression, Anxiety, and Stress Scale (DASS-21), and data were analyzed via Analysis of Covariance (ANCOVA). Normality of data distribution was confirmed using the Kolmogorov–Smirnov test (p > 0.05), and Levene’s test also confirmed the homogeneity of variances (p > 0.05), supporting the use of ANCOVA to compare adjusted post-test scores between groups.ResultsThe VR-based intervention led to significant reductions across all three measured domains. Depression (η2 = 0.916), anxiety (η2 = 0.901), and stress (η2 = 0.829) levels showed substantial improvement in the experimental group compared to the control group.ConclusionThese findings highlight the promise of VR-based extreme sports as a novel, non-pharmacological intervention for men with SAD. By enabling controlled exposure to anxiety-provoking situations within a safe and immersive environment, the intervention effectively alleviated symptoms of depression, anxiety, and stress. Moreover, this approach may overcome common treatment barriers such as stigma and reluctance toward traditional therapy. Future large-scale, longitudinal studies are recommended to validate these outcomes and explore their long-term sustainability.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1617483/fullmen anxietymen healthvirtual reality trainingexercise therapysocial anxiety
spellingShingle Li Wang
Hossein Faridniya
Haiyang Yu
A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorder
Frontiers in Public Health
men anxiety
men health
virtual reality training
exercise therapy
social anxiety
title A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorder
title_full A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorder
title_fullStr A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorder
title_full_unstemmed A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorder
title_short A public health perspective on virtual reality interventions: exploring the impact of VR extreme sports on stress, anxiety, and depression in men with social anxiety disorder
title_sort public health perspective on virtual reality interventions exploring the impact of vr extreme sports on stress anxiety and depression in men with social anxiety disorder
topic men anxiety
men health
virtual reality training
exercise therapy
social anxiety
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1617483/full
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