Evidence map›Paper›PMID 42091202›Full record

Trial reportAddiction biology2026

Virtual Reality-Based Cue Exposure and Aversion Therapy for Alcohol Dependence: A Randomized Controlled Trial.

Haoyu Zhao, Xiaotong Ying, Xiaoyu Du, Genhui Ren, Hongdu Deng, Wenhui Li, Jiali Wang, Ming Chen, Zihang Shao, Jingshu Zhang and 9 more

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Haoyu ZhaoThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.ORCID https://orcid.org/0009-0000-1000-3879
Xiaotong YingThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Xiaoyu DuThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Genhui RenThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Hongdu DengThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Wenhui LiThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Jiali WangThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Ming ChenThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Zihang ShaoThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Jingshu ZhangThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Lanci LiuThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Jie ZhangThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Ping CuiThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Chunyan LiThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Xinyou WangThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Ying XuThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Junjun ZhangThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Dan WangThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.
Chuansheng WangThe Second Affiliated Hospital of Henan Medical University, Xinxiang, Henan, China.

Funding

2024 Research and Innovation Support Program for Postgraduates, the Henan Medical University YJSCX202432YHenan Province science and technology research and development plan joint fund (industry) major project 235101610004Henan Provincial Key Laboratory of Addiction MedicineHenan Provincial Science and Technology Research Project, China 242102310286Henan Provincial Science and Technology Research Project, China LHGJ20240498Henan Provincial Science and Technology Research Project, China LHGJ20240507Open Project of Psychiatry and Neuroscience Discipline of Second Affiliated Hospital of Henan Medical University XYEFYJSSJ-2023-03Open Project of Psychiatry and Neuroscience Discipline of Second Affiliated Hospital of Henan Medical University XYEFYJSSJ-2024-01Open Project of Psychiatry and Neuroscience Discipline of Second Affiliated Hospital of Henan Medical University XYEFYJSSJ-2024-06
6 · The paper itself

Abstract

Alcohol dependence (AD) is characterized by a high relapse rate. Virtual reality (VR) technology can provide immersive cue exposure therapy (VR-CET) and aversion therapy (VR-AT). This study aimed to evaluate the efficacy of VR-CET, VR-AT and their combination on craving, emotional and sleep states, attentional bias and relapse rate in patients with AD. In this single-centre randomized controlled trial, male inpatients with AD were randomly assigned to one of four groups: control, VR-CET, VR-AT or combined VR-CET + AT (target n = 25 per group; 80 completed, 20 per group). The interventions spanned 15 days with eight sessions (VR-CET + AT ~20 min/session; others ~10 min). Assessments were conducted before and after treatment using the Visual Analogue Scale (VAS), the Pennsylvania Alcohol Craving Scale (PACS), the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA) and the Pittsburgh Sleep Quality Index (PSQI). Eye-tracking and grasping indices in VR environments were used to assess attentional bias (e.g., alcohol-cue fixation time ratio). Relapse was evaluated by telephone at 4 and 12 weeks post-treatment. Statistical analyses used Shapiro-Wilk tests and ANOVA/Kruskal-Wallis tests with appropriate post hoc comparisons (α = 0.05). All groups showed significant pre- to post-treatment improvements in PACS, HAMD, HAMA, PSQI and VAS scores (all p < 0.001). Between-group comparisons at post-treatment revealed significant differences in alcohol-cue fixation time ratio (p < 0.05), with the VR-CET + AT group showing a lower fixation time ratio than the control group. VAS scores also differed among groups (p < 0.05), with the control group showing higher values than the VR-CET + AT group. Changes in alcohol-cue fixation time ratio from pre- to post-treatment were significantly greater in the VR-CET + AT group than in the control group. Relapse rates at 4 and 12 weeks (47/80 reached by telephone follow-up) did not significantly differ among groups (both p > 0.05). Combining VR-CET with VR-AT reduced craving (VAS) and attentional bias (alcohol-cue fixation time ratio) beyond standard care, whereas all groups improved on clinical scales. Larger and longer trials are warranted to further clarify relapse outcomes. Trial Registration: Chinese Clinical Trial Registry, ChiCTR2500110026. Registered 29 September 2025 (retrospectively registered).

Indexed as

AlcoholismCuesVirtual RealityVirtual Reality Exposure TherapyAdultAttentional BiasCravingEmotionsHumansMaleMiddle AgedRecurrenceTreatment Outcomealcohol dependenceattentional biasaversion therapycue exposure therapyvirtual reality

Identifiers

PMID42091202
PMCPMC13148881

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.