Slide
Centre Interdisciplinaire
de Recherche et d’Innovation
en Cybersécurité et Société
de Recherche et d’Innovation
en Cybersécurité et Société
1.
Guingo, E.; Debeurme, M. H.; Santos, R. P.; Addab, S.; Rainville, P.; Bouchard, S.; Chougui, K.; Tsimicalis, A.; Nault, M. -L.; Ducruet, T.; Ledjiar, O.; Noel, M.; St-Arneault, K.; Cotes-Turpin, C.; Hung, N.; Ouimet, P.; Parent, S.; Gardner, J.; Bernstein, M.; May, S. Le
Efficacy of Virtual Reality vs. Tablet Games for Pain and Anxiety in Children Undergoing Bone Pins Removal: Randomised Clinical Trial Journal Article
In: Journal of Advanced Nursing, vol. 82, no. 2, pp. 1791–1802, 2026, ISSN: 03092402 (ISSN).
Abstract | Links | BibTeX | Tags: Adolescent, analgesia, Anxiety, Bone Nails, Child, Children, clinical trial, comparative study, controlled study, female, human, Humans, intramedullary nailing, male, multicenter study, Pain Management, procedural pain, procedures, randomized controlled trial, Therapy, video game, Video Games, virtual reality
@article{guingo_efficacy_2026,
title = {Efficacy of Virtual Reality vs. Tablet Games for Pain and Anxiety in Children Undergoing Bone Pins Removal: Randomised Clinical Trial},
author = {E. Guingo and M. H. Debeurme and R. P. Santos and S. Addab and P. Rainville and S. Bouchard and K. Chougui and A. Tsimicalis and M. -L. Nault and T. Ducruet and O. Ledjiar and M. Noel and K. St-Arneault and C. Cotes-Turpin and N. Hung and P. Ouimet and S. Parent and J. Gardner and M. Bernstein and S. Le May},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105004216228&doi=10.1111%2Fjan.16991&partnerID=40&md5=9200a82b5c9572abcc5170e9c9d6142b},
doi = {10.1111/jan.16991},
issn = {03092402 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Journal of Advanced Nursing},
volume = {82},
number = {2},
pages = {1791–1802},
abstract = {Aims: To verify the efficacy of virtual reality compared to tablet games for pain and anxiety management in children undergoing percutaneous bone pin and/or suture removal procedures. Design: Randomised clinical trial using two parallel groups: (1) virtual reality or (2) tablet game. Methods: Three-center, randomised pragmatic clinical trial, using a parallel design with two groups (experimental group: immersive virtual reality; active comparator: tablet games). Children aged 6–17 requiring percutaneous pins and/or sutures were recruited between 2020 and 2022 from three outpatient orthopaedic clinics in paediatric hospitals. Pain was measured with the Numerical Rating Scale and anxiety with the Child Fear Scale before and immediately after the procedure. Results: A total of 188 participants were assigned to either the virtual reality group (96 participants) or the tablet group (92 participants). At the first assessment, there was no noticeable difference between the two groups in terms of pain or anxiety levels. However, further analysis revealed that participants aged 13 and older in the virtual reality group experienced significantly lower anxiety. Conclusion: Virtual reality was not more efficacious than games on a tablet for pain and anxiety of children undergoing removal of bone pins or sutures. However, virtual reality demonstrated a benefit in reducing anxiety for teenagers, particularly those aged 13-older. Implication for the Professional and/or Patient Care: Virtual reality games provide an immersive, non-pharmacological alternative of for anxiety management of teenagers during pins and/or sutures removal. Impact: This study showed that a virtual reality game may help reduce anxiety during pins and/or sutures removal procedures in patients aged 13 years and older. Reporting Method: We adhered to the CONSORT checklist for reporting results. Patient or Public Contribution: A patient partner reviewed the study design, methods and final manuscript. Trial Registration: NCT03680625. © 2025 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.},
keywords = {Adolescent, analgesia, Anxiety, Bone Nails, Child, Children, clinical trial, comparative study, controlled study, female, human, Humans, intramedullary nailing, male, multicenter study, Pain Management, procedural pain, procedures, randomized controlled trial, Therapy, video game, Video Games, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Aims: To verify the efficacy of virtual reality compared to tablet games for pain and anxiety management in children undergoing percutaneous bone pin and/or suture removal procedures. Design: Randomised clinical trial using two parallel groups: (1) virtual reality or (2) tablet game. Methods: Three-center, randomised pragmatic clinical trial, using a parallel design with two groups (experimental group: immersive virtual reality; active comparator: tablet games). Children aged 6–17 requiring percutaneous pins and/or sutures were recruited between 2020 and 2022 from three outpatient orthopaedic clinics in paediatric hospitals. Pain was measured with the Numerical Rating Scale and anxiety with the Child Fear Scale before and immediately after the procedure. Results: A total of 188 participants were assigned to either the virtual reality group (96 participants) or the tablet group (92 participants). At the first assessment, there was no noticeable difference between the two groups in terms of pain or anxiety levels. However, further analysis revealed that participants aged 13 and older in the virtual reality group experienced significantly lower anxiety. Conclusion: Virtual reality was not more efficacious than games on a tablet for pain and anxiety of children undergoing removal of bone pins or sutures. However, virtual reality demonstrated a benefit in reducing anxiety for teenagers, particularly those aged 13-older. Implication for the Professional and/or Patient Care: Virtual reality games provide an immersive, non-pharmacological alternative of for anxiety management of teenagers during pins and/or sutures removal. Impact: This study showed that a virtual reality game may help reduce anxiety during pins and/or sutures removal procedures in patients aged 13 years and older. Reporting Method: We adhered to the CONSORT checklist for reporting results. Patient or Public Contribution: A patient partner reviewed the study design, methods and final manuscript. Trial Registration: NCT03680625. © 2025 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.
2.
Delangle, M.; Moïse-Richard, A.; Leclercq, A. -L.; Labbé, D.; Bouchard, S.; Andrews, S.; Ménard, L.
Speaking face-to-face with a virtual avatar to reduce anxiety in students who stutter: Tool development and pilot study results Journal Article
In: Journal of Fluency Disorders, vol. 87, 2026, ISSN: 0094730X (ISSN).
Abstract | Links | BibTeX | Tags: Adolescent, adult, Anxiety, Arousal, article, Avatar, avoidance behavior, Canada, Child, clinical article, cognitive behavioral therapy, complication, controlled study, distance learning, ecological validity, electrocardiogram, electrodermal response, exposure, female, Heart Rate, heart rate variability, human, Humans, Liebowitz Social Anxiety Scale, Likert scale, male, nonverbal communication, physiological stress, Pilot Projects, pilot study, procedures, psychology, questionnaire, randomized controlled trial, role playing, School-age children, Self Concept, Self Efficacy, self report, Signal processing, skin conductance, social anxiety, speech, student, Students, Stuttering, Therapy, treatment outcome, virtual reality, virtual reality exposure therapy
@article{delangle_speaking_2026,
title = {Speaking face-to-face with a virtual avatar to reduce anxiety in students who stutter: Tool development and pilot study results},
author = {M. Delangle and A. Moïse-Richard and A. -L. Leclercq and D. Labbé and S. Bouchard and S. Andrews and L. Ménard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105028302364&doi=10.1016%2Fj.jfludis.2026.106194&partnerID=40&md5=af0d246f9187ee19796f36456887400b},
doi = {10.1016/j.jfludis.2026.106194},
issn = {0094730X (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Journal of Fluency Disorders},
volume = {87},
abstract = {Purpose Speaking in class is challenging for students who stutter. Cognitive-behavioral therapy (CBT) with exposure in virtual reality (VR) emerges as a promising intervention for treating speaking anxiety in pediatric populations. This pilot study tested if real-time avatar-based VR can elicit anxiety responses while remaining acceptable to youth who stutter. Method Twelve students who stutter (aged 9–18) were randomly assigned to a single training session conducted either (1) in VR with a realistic avatar controlled live by their SLP, or (2) in role-play with their SLP, before facing a real actor. We assessed system acceptability, anxiety levels and perceived self-efficacy. Results The VR system was well accepted and elicited physiological arousal comparable to real-life interactions. Although participants reported experiencing less anxiety during VR, skin conductance level showed higher arousal; suggesting a divergence between the subjective report and physiological response. Finally, one training session (either in VR or with the SLP) did not produce gains in self-efficacy or decrease in anxiety related to the final real-actor conversation. Conclusion This study demonstrates evidence that the potential use of immersive VR could represent an acceptable and viable complementary strategy for SLP treatment, that could control exposure parameters while evoking physiological responses similar to real-life contexts. The differences between subjective and physiological measures suggest that VR is inducing anxiety responses differently than it was perceived. Further research could investigate the use of VR as anxiety interventions for students who stutter and should be explored across multi-session studies to understand their therapeutic effect. © 2026 The Authors.},
keywords = {Adolescent, adult, Anxiety, Arousal, article, Avatar, avoidance behavior, Canada, Child, clinical article, cognitive behavioral therapy, complication, controlled study, distance learning, ecological validity, electrocardiogram, electrodermal response, exposure, female, Heart Rate, heart rate variability, human, Humans, Liebowitz Social Anxiety Scale, Likert scale, male, nonverbal communication, physiological stress, Pilot Projects, pilot study, procedures, psychology, questionnaire, randomized controlled trial, role playing, School-age children, Self Concept, Self Efficacy, self report, Signal processing, skin conductance, social anxiety, speech, student, Students, Stuttering, Therapy, treatment outcome, virtual reality, virtual reality exposure therapy},
pubstate = {published},
tppubtype = {article}
}
Purpose Speaking in class is challenging for students who stutter. Cognitive-behavioral therapy (CBT) with exposure in virtual reality (VR) emerges as a promising intervention for treating speaking anxiety in pediatric populations. This pilot study tested if real-time avatar-based VR can elicit anxiety responses while remaining acceptable to youth who stutter. Method Twelve students who stutter (aged 9–18) were randomly assigned to a single training session conducted either (1) in VR with a realistic avatar controlled live by their SLP, or (2) in role-play with their SLP, before facing a real actor. We assessed system acceptability, anxiety levels and perceived self-efficacy. Results The VR system was well accepted and elicited physiological arousal comparable to real-life interactions. Although participants reported experiencing less anxiety during VR, skin conductance level showed higher arousal; suggesting a divergence between the subjective report and physiological response. Finally, one training session (either in VR or with the SLP) did not produce gains in self-efficacy or decrease in anxiety related to the final real-actor conversation. Conclusion This study demonstrates evidence that the potential use of immersive VR could represent an acceptable and viable complementary strategy for SLP treatment, that could control exposure parameters while evoking physiological responses similar to real-life contexts. The differences between subjective and physiological measures suggest that VR is inducing anxiety responses differently than it was perceived. Further research could investigate the use of VR as anxiety interventions for students who stutter and should be explored across multi-session studies to understand their therapeutic effect. © 2026 The Authors.
3.
Alessandra, G.; Beatrice, D. M.; Sara, C.; Roberta, M.; Martina, V.; Patrycja, K.; Maurizio, B.; Luca, B.; Adelaide, D. V. Laura; Stéphane, B.
In: British Journal of Health Psychology, vol. 31, no. 1, 2026, ISSN: 1359107X (ISSN).
Abstract | Links | BibTeX | Tags: adult, controlled study, female, Heart Rate, human, Humans, hypertension, Immersive virtual reality, mental stress, Middle Aged, Narration, pathophysiology, physiology, Pilot Projects, pilot study, procedures, Psychological, psychology, Pulmonary, pulmonary arterial hypertension, pulmonary hypertension, randomized controlled trial, rehabilitation, relaxation, Relaxation Therapy, relaxation training, Stress, Therapy, verbal communication, virtual reality
@article{alessandra_preselected_2026,
title = {Preselected and preferred immersive virtual reality versus narrative alone to induce post-stress relaxation in patients with pulmonary arterial hypertension: A pilot study on perceived stress and heart rate},
author = {G. Alessandra and D. M. Beatrice and C. Sara and M. Roberta and V. Martina and K. Patrycja and B. Maurizio and B. Luca and D. V. Laura Adelaide and B. Stéphane},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105029595132&doi=10.1111%2Fbjhp.70059&partnerID=40&md5=b86f0151066a7923d8854913cbd54318},
doi = {10.1111/bjhp.70059},
issn = {1359107X (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {British Journal of Health Psychology},
volume = {31},
number = {1},
abstract = {Objectives: Several studies have shown the effectiveness of immersive virtual reality (IVR)-based relaxation techniques in alleviating stress within the general population. However, few data are available on patients, or on the effectiveness of different scenarios in inducing relaxation. This pilot study aims to compare the effectiveness of three relaxation techniques—preselected IVR (IVR-PS), preferred IVR (i.e. chosen by the participant from different alternatives—IVR-PR), and narrative alone (CTR)—in reducing physiological and psychological stress in 16 pulmonary arterial hypertension (PAH) female patients (N = 16, average age: 46 ± 10.66 years; average education: 13.31 ± 3.8 years; mean duration of illness: 8.56 ± 5.24 years) following an acute stress. Methods: Patients performed a mental stress test followed by three different relaxation sessions presented in a randomized order on three separate occasions. Self-perceived stress, level of relaxation, and heart rate (HR) were monitored during the sessions. Participants' ratings of their experiences were also collected. Results: The results indicated that the three relaxation methods were equally effective in reducing perceived stress induced by acute stress and in lowering HR. However, greater cognitive activation was reported in the two IVR conditions compared with the narrative condition. Conclusions: This is the first study to show evidence of the impact of IVR on a rare population. Despite the lack of significant differences between the two IVR and narrative-alone conditions in physiological and subjective relaxation, more than half of the participants expressed a subjective preference for the virtual experience, especially for the preferred one. © 2026 The Author(s). British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.},
keywords = {adult, controlled study, female, Heart Rate, human, Humans, hypertension, Immersive virtual reality, mental stress, Middle Aged, Narration, pathophysiology, physiology, Pilot Projects, pilot study, procedures, Psychological, psychology, Pulmonary, pulmonary arterial hypertension, pulmonary hypertension, randomized controlled trial, rehabilitation, relaxation, Relaxation Therapy, relaxation training, Stress, Therapy, verbal communication, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Objectives: Several studies have shown the effectiveness of immersive virtual reality (IVR)-based relaxation techniques in alleviating stress within the general population. However, few data are available on patients, or on the effectiveness of different scenarios in inducing relaxation. This pilot study aims to compare the effectiveness of three relaxation techniques—preselected IVR (IVR-PS), preferred IVR (i.e. chosen by the participant from different alternatives—IVR-PR), and narrative alone (CTR)—in reducing physiological and psychological stress in 16 pulmonary arterial hypertension (PAH) female patients (N = 16, average age: 46 ± 10.66 years; average education: 13.31 ± 3.8 years; mean duration of illness: 8.56 ± 5.24 years) following an acute stress. Methods: Patients performed a mental stress test followed by three different relaxation sessions presented in a randomized order on three separate occasions. Self-perceived stress, level of relaxation, and heart rate (HR) were monitored during the sessions. Participants' ratings of their experiences were also collected. Results: The results indicated that the three relaxation methods were equally effective in reducing perceived stress induced by acute stress and in lowering HR. However, greater cognitive activation was reported in the two IVR conditions compared with the narrative condition. Conclusions: This is the first study to show evidence of the impact of IVR on a rare population. Despite the lack of significant differences between the two IVR and narrative-alone conditions in physiological and subjective relaxation, more than half of the participants expressed a subjective preference for the virtual experience, especially for the preferred one. © 2026 The Author(s). British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.
4.
Monthuy-Blanc, J.; Fortin, G.; Corno, G.; Bouchard, S.
In: Frontiers in Psychology, vol. 16, 2026, ISSN: 16641078 (ISSN).
Abstract | Links | BibTeX | Tags: body dissatisfaction, dysfunctional eating attitude and behaviors, eating concerns, eating pathology, physical self-perceptions, self-esteem, shape concerns, virtual reality
@article{monthuy-blanc_examining_2026,
title = {Examining the distinctiveness of body image and self-related constructs in eating disorders using virtual reality: the role of shape concerns, physical self-worth, and global self-worth},
author = {J. Monthuy-Blanc and G. Fortin and G. Corno and S. Bouchard},
url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-105029796609&doi=10.3389%2Ffpsyg.2025.1649698&partnerID=40&md5=6051a2b03589f05fea165ff9d1d84200},
doi = {10.3389/fpsyg.2025.1649698},
issn = {16641078 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Frontiers in Psychology},
volume = {16},
abstract = {Introduction: In Western culture, the female body is commonly socially perceived as an object of evaluation, causing women to frequently evaluate their self-worth based on their physical appearance. Since the last decade, the use of virtual reality (VR) helped clarify the intricate interplay between broader self-related dimensions and dysfunctional eating attitudes and behaviors in women with eating disorders (EDs). The first objective of this study explores the role of body image attitudes (i.e., perceived physical attractiveness, body shape concerns), global self-worth, and physical self-worth in determining visual-perceptual body image representations (i.e., allocentric and egocentric ideal and self-perceived body size) and visual-perceptual body image disturbances (i.e., allocentric and egocentric visual-perceptual body dissatisfaction) in a sample of women with EDs. Additionally, the second objective is to explore the role of body image variables (in terms of attitudes: perceived physical attractiveness, body shape concerns; and in terms of visual-perceptual body image disturbances), global self-worth, physical self-worth, in determining dysfunctional eating attitudes and behaviors (i.e., eating concerns, restraint, and bulimia) in women with EDs. Methods: The sample involved 96 self-identified female participants. Pearson's bivariate correlations and multiple linear regressions analyses were conducted to investigate the study's objectives. A VR-based figure rating scale was used to perform visual depictive body size estimation tasks in an allocentric and egocentric perspectives. Results: The findings indicate that physical self-worth and shape concerns are the primary variables related to visual-perceptual body image dissatisfaction. Shape concerns is also associated with eating concerns. Discussion: This study emphasizes the critical role of physical self-worth and shape concerns as common variables of interest in relation to both visual-perceptual body image representations and disturbances, as well as shape concerns for dysfunctional eating attitudes and behaviors. These findings clarify the understating of the intricate interplay between body image, broader self-related dimensions, and dysfunctional eating attitudes and behaviors in EDs. Copyright © 2026 Monthuy-Blanc, Fortin, Corno and Bouchard.},
keywords = {body dissatisfaction, dysfunctional eating attitude and behaviors, eating concerns, eating pathology, physical self-perceptions, self-esteem, shape concerns, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Introduction: In Western culture, the female body is commonly socially perceived as an object of evaluation, causing women to frequently evaluate their self-worth based on their physical appearance. Since the last decade, the use of virtual reality (VR) helped clarify the intricate interplay between broader self-related dimensions and dysfunctional eating attitudes and behaviors in women with eating disorders (EDs). The first objective of this study explores the role of body image attitudes (i.e., perceived physical attractiveness, body shape concerns), global self-worth, and physical self-worth in determining visual-perceptual body image representations (i.e., allocentric and egocentric ideal and self-perceived body size) and visual-perceptual body image disturbances (i.e., allocentric and egocentric visual-perceptual body dissatisfaction) in a sample of women with EDs. Additionally, the second objective is to explore the role of body image variables (in terms of attitudes: perceived physical attractiveness, body shape concerns; and in terms of visual-perceptual body image disturbances), global self-worth, physical self-worth, in determining dysfunctional eating attitudes and behaviors (i.e., eating concerns, restraint, and bulimia) in women with EDs. Methods: The sample involved 96 self-identified female participants. Pearson's bivariate correlations and multiple linear regressions analyses were conducted to investigate the study's objectives. A VR-based figure rating scale was used to perform visual depictive body size estimation tasks in an allocentric and egocentric perspectives. Results: The findings indicate that physical self-worth and shape concerns are the primary variables related to visual-perceptual body image dissatisfaction. Shape concerns is also associated with eating concerns. Discussion: This study emphasizes the critical role of physical self-worth and shape concerns as common variables of interest in relation to both visual-perceptual body image representations and disturbances, as well as shape concerns for dysfunctional eating attitudes and behaviors. These findings clarify the understating of the intricate interplay between body image, broader self-related dimensions, and dysfunctional eating attitudes and behaviors in EDs. Copyright © 2026 Monthuy-Blanc, Fortin, Corno and Bouchard.
5.
Monthuy-Blanc, J.; Fortin, G.; Corno, G.; Bouchard, S.
In: Frontiers in Psychology, vol. 16, 2026, ISSN: 16641078 (ISSN).
Abstract | Links | BibTeX | Tags: body dissatisfaction, dysfunctional eating attitude and behaviors, eating concerns, eating pathology, physical self-perceptions, self-esteem, shape concerns, virtual reality
@article{monthuy-blancExaminingDistinctivenessBody2026,
title = {Examining the distinctiveness of body image and self-related constructs in eating disorders using virtual reality: the role of shape concerns, physical self-worth, and global self-worth},
author = {J. Monthuy-Blanc and G. Fortin and G. Corno and S. Bouchard},
url = {https://www.scopus.com/pages/publications/105029796609?origin=resultslist},
doi = {10.3389/fpsyg.2025.1649698},
issn = {16641078 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Frontiers in Psychology},
volume = {16},
publisher = {Frontiers Media SA},
abstract = {Introduction: In Western culture, the female body is commonly socially perceived as an object of evaluation, causing women to frequently evaluate their self-worth based on their physical appearance. Since the last decade, the use of virtual reality (VR) helped clarify the intricate interplay between broader self-related dimensions and dysfunctional eating attitudes and behaviors in women with eating disorders (EDs). The first objective of this study explores the role of body image attitudes (i.e., perceived physical attractiveness, body shape concerns), global self-worth, and physical self-worth in determining visual-perceptual body image representations (i.e., allocentric and egocentric ideal and self-perceived body size) and visual-perceptual body image disturbances (i.e., allocentric and egocentric visual-perceptual body dissatisfaction) in a sample of women with EDs. Additionally, the second objective is to explore the role of body image variables (in terms of attitudes: perceived physical attractiveness, body shape concerns; and in terms of visual-perceptual body image disturbances), global self-worth, physical self-worth, in determining dysfunctional eating attitudes and behaviors (i.e., eating concerns, restraint, and bulimia) in women with EDs. Methods: The sample involved 96 self-identified female participants. Pearson's bivariate correlations and multiple linear regressions analyses were conducted to investigate the study's objectives. A VR-based figure rating scale was used to perform visual depictive body size estimation tasks in an allocentric and egocentric perspectives. Results: The findings indicate that physical self-worth and shape concerns are the primary variables related to visual-perceptual body image dissatisfaction. Shape concerns is also associated with eating concerns. Discussion: This study emphasizes the critical role of physical self-worth and shape concerns as common variables of interest in relation to both visual-perceptual body image representations and disturbances, as well as shape concerns for dysfunctional eating attitudes and behaviors. These findings clarify the understating of the intricate interplay between body image, broader self-related dimensions, and dysfunctional eating attitudes and behaviors in EDs. Copyright © 2026 Monthuy-Blanc, Fortin, Corno and Bouchard.},
keywords = {body dissatisfaction, dysfunctional eating attitude and behaviors, eating concerns, eating pathology, physical self-perceptions, self-esteem, shape concerns, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Introduction: In Western culture, the female body is commonly socially perceived as an object of evaluation, causing women to frequently evaluate their self-worth based on their physical appearance. Since the last decade, the use of virtual reality (VR) helped clarify the intricate interplay between broader self-related dimensions and dysfunctional eating attitudes and behaviors in women with eating disorders (EDs). The first objective of this study explores the role of body image attitudes (i.e., perceived physical attractiveness, body shape concerns), global self-worth, and physical self-worth in determining visual-perceptual body image representations (i.e., allocentric and egocentric ideal and self-perceived body size) and visual-perceptual body image disturbances (i.e., allocentric and egocentric visual-perceptual body dissatisfaction) in a sample of women with EDs. Additionally, the second objective is to explore the role of body image variables (in terms of attitudes: perceived physical attractiveness, body shape concerns; and in terms of visual-perceptual body image disturbances), global self-worth, physical self-worth, in determining dysfunctional eating attitudes and behaviors (i.e., eating concerns, restraint, and bulimia) in women with EDs. Methods: The sample involved 96 self-identified female participants. Pearson's bivariate correlations and multiple linear regressions analyses were conducted to investigate the study's objectives. A VR-based figure rating scale was used to perform visual depictive body size estimation tasks in an allocentric and egocentric perspectives. Results: The findings indicate that physical self-worth and shape concerns are the primary variables related to visual-perceptual body image dissatisfaction. Shape concerns is also associated with eating concerns. Discussion: This study emphasizes the critical role of physical self-worth and shape concerns as common variables of interest in relation to both visual-perceptual body image representations and disturbances, as well as shape concerns for dysfunctional eating attitudes and behaviors. These findings clarify the understating of the intricate interplay between body image, broader self-related dimensions, and dysfunctional eating attitudes and behaviors in EDs. Copyright © 2026 Monthuy-Blanc, Fortin, Corno and Bouchard.
6.
Guingo, E.; Debeurme, M. H.; Santos, R. P.; Addab, S.; Rainville, P.; Bouchard, S.; Chougui, K.; Tsimicalis, A.; Nault, M. -L.; Ducruet, T.; Ledjiar, O.; Noel, M.; St-Arneault, K.; Cotes-Turpin, C.; Hung, N.; Ouimet, P.; Parent, S.; Gardner, J.; Bernstein, M.; May, S. Le
Efficacy of Virtual Reality vs. Tablet Games for Pain and Anxiety in Children Undergoing Bone Pins Removal: Randomised Clinical Trial Journal Article
In: Journal of Advanced Nursing, vol. 82, no. 2, pp. 1791–1802, 2026, ISSN: 03092402 (ISSN).
Abstract | Links | BibTeX | Tags: Adolescent, analgesia, Anxiety, Bone Nails, Child, Children, clinical trial, comparative study, controlled study, female, human, Humans, intramedullary nailing, male, multicenter study, Pain Management, procedural pain, procedures, randomized controlled trial, Therapy, video game, Video Games, virtual reality
@article{guingoEfficacyVirtualReality2026,
title = {Efficacy of Virtual Reality vs. Tablet Games for Pain and Anxiety in Children Undergoing Bone Pins Removal: Randomised Clinical Trial},
author = {E. Guingo and M. H. Debeurme and R. P. Santos and S. Addab and P. Rainville and S. Bouchard and K. Chougui and A. Tsimicalis and M. -L. Nault and T. Ducruet and O. Ledjiar and M. Noel and K. St-Arneault and C. Cotes-Turpin and N. Hung and P. Ouimet and S. Parent and J. Gardner and M. Bernstein and S. Le May},
url = {https://www.scopus.com/pages/publications/105004216228?origin=resultslist},
doi = {10.1111/jan.16991},
issn = {03092402 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Journal of Advanced Nursing},
volume = {82},
number = {2},
pages = {1791–1802},
publisher = {John Wiley and Sons Inc},
abstract = {Aims: To verify the efficacy of virtual reality compared to tablet games for pain and anxiety management in children undergoing percutaneous bone pin and/or suture removal procedures. Design: Randomised clinical trial using two parallel groups: (1) virtual reality or (2) tablet game. Methods: Three-center, randomised pragmatic clinical trial, using a parallel design with two groups (experimental group: immersive virtual reality; active comparator: tablet games). Children aged 6–17 requiring percutaneous pins and/or sutures were recruited between 2020 and 2022 from three outpatient orthopaedic clinics in paediatric hospitals. Pain was measured with the Numerical Rating Scale and anxiety with the Child Fear Scale before and immediately after the procedure. Results: A total of 188 participants were assigned to either the virtual reality group (96 participants) or the tablet group (92 participants). At the first assessment, there was no noticeable difference between the two groups in terms of pain or anxiety levels. However, further analysis revealed that participants aged 13 and older in the virtual reality group experienced significantly lower anxiety. Conclusion: Virtual reality was not more efficacious than games on a tablet for pain and anxiety of children undergoing removal of bone pins or sutures. However, virtual reality demonstrated a benefit in reducing anxiety for teenagers, particularly those aged 13-older. Implication for the Professional and/or Patient Care: Virtual reality games provide an immersive, non-pharmacological alternative of for anxiety management of teenagers during pins and/or sutures removal. Impact: This study showed that a virtual reality game may help reduce anxiety during pins and/or sutures removal procedures in patients aged 13 years and older. Reporting Method: We adhered to the CONSORT checklist for reporting results. Patient or Public Contribution: A patient partner reviewed the study design, methods and final manuscript. Trial Registration: NCT03680625. © 2025 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.},
keywords = {Adolescent, analgesia, Anxiety, Bone Nails, Child, Children, clinical trial, comparative study, controlled study, female, human, Humans, intramedullary nailing, male, multicenter study, Pain Management, procedural pain, procedures, randomized controlled trial, Therapy, video game, Video Games, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Aims: To verify the efficacy of virtual reality compared to tablet games for pain and anxiety management in children undergoing percutaneous bone pin and/or suture removal procedures. Design: Randomised clinical trial using two parallel groups: (1) virtual reality or (2) tablet game. Methods: Three-center, randomised pragmatic clinical trial, using a parallel design with two groups (experimental group: immersive virtual reality; active comparator: tablet games). Children aged 6–17 requiring percutaneous pins and/or sutures were recruited between 2020 and 2022 from three outpatient orthopaedic clinics in paediatric hospitals. Pain was measured with the Numerical Rating Scale and anxiety with the Child Fear Scale before and immediately after the procedure. Results: A total of 188 participants were assigned to either the virtual reality group (96 participants) or the tablet group (92 participants). At the first assessment, there was no noticeable difference between the two groups in terms of pain or anxiety levels. However, further analysis revealed that participants aged 13 and older in the virtual reality group experienced significantly lower anxiety. Conclusion: Virtual reality was not more efficacious than games on a tablet for pain and anxiety of children undergoing removal of bone pins or sutures. However, virtual reality demonstrated a benefit in reducing anxiety for teenagers, particularly those aged 13-older. Implication for the Professional and/or Patient Care: Virtual reality games provide an immersive, non-pharmacological alternative of for anxiety management of teenagers during pins and/or sutures removal. Impact: This study showed that a virtual reality game may help reduce anxiety during pins and/or sutures removal procedures in patients aged 13 years and older. Reporting Method: We adhered to the CONSORT checklist for reporting results. Patient or Public Contribution: A patient partner reviewed the study design, methods and final manuscript. Trial Registration: NCT03680625. © 2025 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.
7.
Corno, G.; Monthuy-Blanc, J.; Bouchard, S.
Applications of Virtual Reality in the Assessment and Treatment of Eating Disorders Journal Article
In: From Eating Disorders to Dysfunctional Eating Attitudes and Behaviors Continuum: The Core of Body Perceptions, pp. 30–43, 2026, ISSN: 978-104050847-3 (ISBN); 978-103268497-0 (ISBN).
Abstract | Links | BibTeX | Tags: body image, Condition, Eating disorders, Health research, Image disturbances, Life threatening conditions, Mental health, Psychological treatments, virtual reality
@article{cornoApplicationsVirtualReality2026,
title = {Applications of Virtual Reality in the Assessment and Treatment of Eating Disorders},
author = {G. Corno and J. Monthuy-Blanc and S. Bouchard},
url = {https://www.scopus.com/pages/publications/105045449016?origin=resultslist},
doi = {10.1201/9781032718125-4},
issn = {978-104050847-3 (ISBN); 978-103268497-0 (ISBN)},
year = {2026},
date = {2026-01-01},
journal = {From Eating Disorders to Dysfunctional Eating Attitudes and Behaviors Continuum: The Core of Body Perceptions},
pages = {30–43},
publisher = {CRC Press},
abstract = {Severe dysfunctional eating attitudes and behaviors, as eating disorders are complex and life-threatening conditions. Despite the existence of various treatment approaches, psychological treatments for eating disorders continue to encounter certain limitations, with only 50% of these therapies resulting in complete recovery. Over the past three decades, virtual reality has emerged as a valid tool for the treatment and assessment of these conditions. This chapter will discuss the main advantages of implementing virtual reality in mental health research, with a particular focus on eating disorders. Specifically, the chapter provides a review of the recent use of virtual reality as an intervention tool targeting specific features of eating disorders, such as fear of food, fear of gaining weight, urge to be physically active, and body image disturbances. Moreover, this chapter demonstrates the potential of VR to facilitate a more profound comprehension and evaluation of body image disturbances, including body dissatisfaction and body distortion. © 2027 Johana Monthuy-Blanc and Giulia Corno.},
keywords = {body image, Condition, Eating disorders, Health research, Image disturbances, Life threatening conditions, Mental health, Psychological treatments, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Severe dysfunctional eating attitudes and behaviors, as eating disorders are complex and life-threatening conditions. Despite the existence of various treatment approaches, psychological treatments for eating disorders continue to encounter certain limitations, with only 50% of these therapies resulting in complete recovery. Over the past three decades, virtual reality has emerged as a valid tool for the treatment and assessment of these conditions. This chapter will discuss the main advantages of implementing virtual reality in mental health research, with a particular focus on eating disorders. Specifically, the chapter provides a review of the recent use of virtual reality as an intervention tool targeting specific features of eating disorders, such as fear of food, fear of gaining weight, urge to be physically active, and body image disturbances. Moreover, this chapter demonstrates the potential of VR to facilitate a more profound comprehension and evaluation of body image disturbances, including body dissatisfaction and body distortion. © 2027 Johana Monthuy-Blanc and Giulia Corno.
8.
Alessandra, G.; Beatrice, D. M.; Sara, C.; Roberta, M.; Martina, V.; Patrycja, K.; Maurizio, B.; Luca, B.; Adelaide, D. V. Laura; Stéphane, B.
In: British Journal of Health Psychology, vol. 31, no. 1, 2026, ISSN: 1359107X (ISSN).
Abstract | Links | BibTeX | Tags: adult, controlled study, female, Heart Rate, human, Humans, hypertension, Immersive virtual reality, mental stress, Middle Aged, Narration, pathophysiology, physiology, Pilot Projects, pilot study, procedures, Psychological, psychology, Pulmonary, pulmonary arterial hypertension, pulmonary hypertension, randomized controlled trial, rehabilitation, relaxation, Relaxation Therapy, relaxation training, Stress, Therapy, verbal communication, virtual reality
@article{alessandraPreselectedPreferredImmersive2026,
title = {Preselected and preferred immersive virtual reality versus narrative alone to induce post-stress relaxation in patients with pulmonary arterial hypertension: A pilot study on perceived stress and heart rate},
author = {G. Alessandra and D. M. Beatrice and C. Sara and M. Roberta and V. Martina and K. Patrycja and B. Maurizio and B. Luca and D. V. Laura Adelaide and B. Stéphane},
url = {https://www.scopus.com/pages/publications/105029595132?origin=resultslist},
doi = {10.1111/bjhp.70059},
issn = {1359107X (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {British Journal of Health Psychology},
volume = {31},
number = {1},
publisher = {John Wiley and Sons Ltd},
abstract = {Objectives: Several studies have shown the effectiveness of immersive virtual reality (IVR)-based relaxation techniques in alleviating stress within the general population. However, few data are available on patients, or on the effectiveness of different scenarios in inducing relaxation. This pilot study aims to compare the effectiveness of three relaxation techniques—preselected IVR (IVR-PS), preferred IVR (i.e. chosen by the participant from different alternatives—IVR-PR), and narrative alone (CTR)—in reducing physiological and psychological stress in 16 pulmonary arterial hypertension (PAH) female patients (N = 16, average age: 46 ± 10.66 years; average education: 13.31 ± 3.8 years; mean duration of illness: 8.56 ± 5.24 years) following an acute stress. Methods: Patients performed a mental stress test followed by three different relaxation sessions presented in a randomized order on three separate occasions. Self-perceived stress, level of relaxation, and heart rate (HR) were monitored during the sessions. Participants' ratings of their experiences were also collected. Results: The results indicated that the three relaxation methods were equally effective in reducing perceived stress induced by acute stress and in lowering HR. However, greater cognitive activation was reported in the two IVR conditions compared with the narrative condition. Conclusions: This is the first study to show evidence of the impact of IVR on a rare population. Despite the lack of significant differences between the two IVR and narrative-alone conditions in physiological and subjective relaxation, more than half of the participants expressed a subjective preference for the virtual experience, especially for the preferred one. © 2026 The Author(s). British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.},
keywords = {adult, controlled study, female, Heart Rate, human, Humans, hypertension, Immersive virtual reality, mental stress, Middle Aged, Narration, pathophysiology, physiology, Pilot Projects, pilot study, procedures, Psychological, psychology, Pulmonary, pulmonary arterial hypertension, pulmonary hypertension, randomized controlled trial, rehabilitation, relaxation, Relaxation Therapy, relaxation training, Stress, Therapy, verbal communication, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Objectives: Several studies have shown the effectiveness of immersive virtual reality (IVR)-based relaxation techniques in alleviating stress within the general population. However, few data are available on patients, or on the effectiveness of different scenarios in inducing relaxation. This pilot study aims to compare the effectiveness of three relaxation techniques—preselected IVR (IVR-PS), preferred IVR (i.e. chosen by the participant from different alternatives—IVR-PR), and narrative alone (CTR)—in reducing physiological and psychological stress in 16 pulmonary arterial hypertension (PAH) female patients (N = 16, average age: 46 ± 10.66 years; average education: 13.31 ± 3.8 years; mean duration of illness: 8.56 ± 5.24 years) following an acute stress. Methods: Patients performed a mental stress test followed by three different relaxation sessions presented in a randomized order on three separate occasions. Self-perceived stress, level of relaxation, and heart rate (HR) were monitored during the sessions. Participants' ratings of their experiences were also collected. Results: The results indicated that the three relaxation methods were equally effective in reducing perceived stress induced by acute stress and in lowering HR. However, greater cognitive activation was reported in the two IVR conditions compared with the narrative condition. Conclusions: This is the first study to show evidence of the impact of IVR on a rare population. Despite the lack of significant differences between the two IVR and narrative-alone conditions in physiological and subjective relaxation, more than half of the participants expressed a subjective preference for the virtual experience, especially for the preferred one. © 2026 The Author(s). British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.
9.
Delangle, M.; Moïse-Richard, A.; Leclercq, A. -L.; Labbé, D.; Bouchard, S.; Andrews, S.; Ménard, L.
Speaking face-to-face with a virtual avatar to reduce anxiety in students who stutter: Tool development and pilot study results Journal Article
In: Journal of Fluency Disorders, vol. 87, 2026, ISSN: 0094730X (ISSN).
Abstract | Links | BibTeX | Tags: Adolescent, adult, Anxiety, Arousal, article, Avatar, avoidance behavior, Canada, Child, clinical article, cognitive behavioral therapy, complication, controlled study, distance learning, ecological validity, electrocardiogram, electrodermal response, exposure, female, Heart Rate, heart rate variability, human, Humans, Liebowitz Social Anxiety Scale, Likert scale, male, nonverbal communication, physiological stress, Pilot Projects, pilot study, procedures, psychology, questionnaire, randomized controlled trial, role playing, School-age children, Self Concept, Self Efficacy, self report, Signal processing, skin conductance, social anxiety, speech, student, Students, Stuttering, Therapy, treatment outcome, virtual reality, virtual reality exposure therapy
@article{delangleSpeakingFacetofaceVirtual2026,
title = {Speaking face-to-face with a virtual avatar to reduce anxiety in students who stutter: Tool development and pilot study results},
author = {M. Delangle and A. Moïse-Richard and A. -L. Leclercq and D. Labbé and S. Bouchard and S. Andrews and L. Ménard},
url = {https://www.scopus.com/pages/publications/105028302364?origin=resultslist},
doi = {10.1016/j.jfludis.2026.106194},
issn = {0094730X (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {Journal of Fluency Disorders},
volume = {87},
publisher = {Elsevier Inc.},
abstract = {Purpose Speaking in class is challenging for students who stutter. Cognitive-behavioral therapy (CBT) with exposure in virtual reality (VR) emerges as a promising intervention for treating speaking anxiety in pediatric populations. This pilot study tested if real-time avatar-based VR can elicit anxiety responses while remaining acceptable to youth who stutter. Method Twelve students who stutter (aged 9–18) were randomly assigned to a single training session conducted either (1) in VR with a realistic avatar controlled live by their SLP, or (2) in role-play with their SLP, before facing a real actor. We assessed system acceptability, anxiety levels and perceived self-efficacy. Results The VR system was well accepted and elicited physiological arousal comparable to real-life interactions. Although participants reported experiencing less anxiety during VR, skin conductance level showed higher arousal; suggesting a divergence between the subjective report and physiological response. Finally, one training session (either in VR or with the SLP) did not produce gains in self-efficacy or decrease in anxiety related to the final real-actor conversation. Conclusion This study demonstrates evidence that the potential use of immersive VR could represent an acceptable and viable complementary strategy for SLP treatment, that could control exposure parameters while evoking physiological responses similar to real-life contexts. The differences between subjective and physiological measures suggest that VR is inducing anxiety responses differently than it was perceived. Further research could investigate the use of VR as anxiety interventions for students who stutter and should be explored across multi-session studies to understand their therapeutic effect. © 2026 The Authors.},
keywords = {Adolescent, adult, Anxiety, Arousal, article, Avatar, avoidance behavior, Canada, Child, clinical article, cognitive behavioral therapy, complication, controlled study, distance learning, ecological validity, electrocardiogram, electrodermal response, exposure, female, Heart Rate, heart rate variability, human, Humans, Liebowitz Social Anxiety Scale, Likert scale, male, nonverbal communication, physiological stress, Pilot Projects, pilot study, procedures, psychology, questionnaire, randomized controlled trial, role playing, School-age children, Self Concept, Self Efficacy, self report, Signal processing, skin conductance, social anxiety, speech, student, Students, Stuttering, Therapy, treatment outcome, virtual reality, virtual reality exposure therapy},
pubstate = {published},
tppubtype = {article}
}
Purpose Speaking in class is challenging for students who stutter. Cognitive-behavioral therapy (CBT) with exposure in virtual reality (VR) emerges as a promising intervention for treating speaking anxiety in pediatric populations. This pilot study tested if real-time avatar-based VR can elicit anxiety responses while remaining acceptable to youth who stutter. Method Twelve students who stutter (aged 9–18) were randomly assigned to a single training session conducted either (1) in VR with a realistic avatar controlled live by their SLP, or (2) in role-play with their SLP, before facing a real actor. We assessed system acceptability, anxiety levels and perceived self-efficacy. Results The VR system was well accepted and elicited physiological arousal comparable to real-life interactions. Although participants reported experiencing less anxiety during VR, skin conductance level showed higher arousal; suggesting a divergence between the subjective report and physiological response. Finally, one training session (either in VR or with the SLP) did not produce gains in self-efficacy or decrease in anxiety related to the final real-actor conversation. Conclusion This study demonstrates evidence that the potential use of immersive VR could represent an acceptable and viable complementary strategy for SLP treatment, that could control exposure parameters while evoking physiological responses similar to real-life contexts. The differences between subjective and physiological measures suggest that VR is inducing anxiety responses differently than it was perceived. Further research could investigate the use of VR as anxiety interventions for students who stutter and should be explored across multi-session studies to understand their therapeutic effect. © 2026 The Authors.
10.
Houda, Z. A. El; Moudoud, H.
Toward a Secure Zero-Touch Tactile Internet: Challenges and Opportunities Journal Article
In: IEEE Communications Magazine, vol. 64, no. 1, pp. 56–62, 2026, ISSN: 01636804 (ISSN).
Abstract | Links | BibTeX | Tags: Communication service, Communications networks, High availability, High reliability, Low latency, Network security, Real-time application, Remote surgery, Security aspects, Security challenges, Tactile sensors, Ultra-high, virtual reality
@article{elhoudaSecureZeroTouchTactile2026,
title = {Toward a Secure Zero-Touch Tactile Internet: Challenges and Opportunities},
author = {Z. A. El Houda and H. Moudoud},
url = {https://www.scopus.com/pages/publications/105025652094?origin=resultslist},
doi = {10.1109/MCOM.001.2500259},
issn = {01636804 (ISSN)},
year = {2026},
date = {2026-01-01},
journal = {IEEE Communications Magazine},
volume = {64},
number = {1},
pages = {56–62},
publisher = {Institute of Electrical and Electronics Engineers Inc.},
abstract = {Tactile Internet (TI) is a new generation of communication networks, extending beyond 5G/6G capabilities to achieve ultra-low latency, ultra-responsive, ultra-high availability, and ultra-high reliability communication services and thus enabling a new era of real-time applications, such as virtual reality, remote surgery, and autonomous driving. TI is expected to revolutionize many industries, including healthcare, transportation, and manufacturing. Despite recent TI initiatives, security aspects remain largely unexplored. TI presents several security challenges due to the increased complexity of the network and the criticality of the applications it supports. Thus, security aspects must be carefully designed to ensure that the benefits of the TI are not outweighed by the risks. In this article, we will initially identify the leading factors that drive TI, with regard to their applications and related technological trends, with respect to ETSI's Zero-touch Service Management (ZSM) principles. Then, we shed light on the primary security challenges, the current missing building blocks toward secure TI, and propose some potential solutions. Finally, we conclude the article with several recommendations and observations for the roadmap toward secure TI. Ultimately, the focus of this article is to establish a foundation for more in-depth research on TI security. © 1979-2012 IEEE.},
keywords = {Communication service, Communications networks, High availability, High reliability, Low latency, Network security, Real-time application, Remote surgery, Security aspects, Security challenges, Tactile sensors, Ultra-high, virtual reality},
pubstate = {published},
tppubtype = {article}
}
Tactile Internet (TI) is a new generation of communication networks, extending beyond 5G/6G capabilities to achieve ultra-low latency, ultra-responsive, ultra-high availability, and ultra-high reliability communication services and thus enabling a new era of real-time applications, such as virtual reality, remote surgery, and autonomous driving. TI is expected to revolutionize many industries, including healthcare, transportation, and manufacturing. Despite recent TI initiatives, security aspects remain largely unexplored. TI presents several security challenges due to the increased complexity of the network and the criticality of the applications it supports. Thus, security aspects must be carefully designed to ensure that the benefits of the TI are not outweighed by the risks. In this article, we will initially identify the leading factors that drive TI, with regard to their applications and related technological trends, with respect to ETSI's Zero-touch Service Management (ZSM) principles. Then, we shed light on the primary security challenges, the current missing building blocks toward secure TI, and propose some potential solutions. Finally, we conclude the article with several recommendations and observations for the roadmap toward secure TI. Ultimately, the focus of this article is to establish a foundation for more in-depth research on TI security. © 1979-2012 IEEE.