RNSystematic ReviewJournal of clinical nursing2026

Virtual reality-based reminiscence therapy for older adults to improve psychological well-being and cognition: A systematic review.

Wai Hung Daniel Ng, Wei How Darryl Ang, Hiroki Fukahori and 5 others

PMID 39020507

WHAT IT FOUND

Older adults generally enjoyed virtual reality reminiscence and had little cybersickness, but effects on anxiety, depression and cognition were mixed.

It may help recall personal memories, not prove broader cognitive or mood benefits.

Key findings

01All but one included study indicated a positive VR experience, and all but one reported no significant cybersickness.

02Psychological effects were mixed: some studies found no change in depression or anxiety, while others found reductions.

03Cognitive effects were mixed: studies that measured general cognitive function found no change, while studies that measured autobiographical memory found positive effects.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review could not pool the data because the included studies were too varied, so the findings are descriptive. Many studies had small samples and only six studies had comparators, so it is hard to know whether VR reminiscence itself caused any change. The included studies used simple reminiscence, so this review does not show what VR-delivered life review or life review therapy would do. Only English-language studies were included. Sample sizes were small and VR-RT sessions were infrequent, so the findings may not apply widely. One included study was rated low quality.

Declared interests

The authors reported no funding and no conflicts of interest.

The easy way to misread this

Do not conclude that VR reminiscence improves mood or general cognition in older adults. The review found mixed results: four studies found no significant difference in cognitive function, and studies of depression and anxiety included both no change and reductions. Do not attribute any benefit to VR alone, because the intervention was VR combined with reminiscence, and only six studies had comparators, so the separate contribution of VR and reminiscence cannot be established.

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