Scientific Bulletin of Mukachevo State University. Series “Pedagogy and Psychology”

Vol. 12, No. 1, 2026 01.04.2026 open access Open access

Scientific and methodological foundations of using VR-practices in rehabilitation psychology

Yevgen Kotukh, Maryna Riabokin, Liudmyla Shkrebtiienko, Iuliia Lanovenko

DOI https://doi.org/10.52534/msu-pp1.2026.78 Pages 78 –87 Views 346 Views

Abstract

The increasing number of individuals affected by military actions in Ukraine has intensified the need for scientifically grounded digital tools in psychological rehabilitation. The rapid development of immersive technologies necessitates the methodological systematisation of their application in rehabilitation psychology. The aim of the study was to substantiate and develop a comprehensive methodology for the application of virtual reality (VR) technologies in rehabilitation psychology, including the systematisation of therapeutic scenarios, the design of an intervention model, and the creation of an algorithm for scenario selection. The research methodology was based on an interdisciplinary theoretical analysis integrating cognitive-behavioural therapy, trauma-focused psychotherapy, neuropsychology, and immersive digital technologies. Methods of analysis, synthesis, structural-functional modelling, and systematisation were applied to construct a three-stage intervention model and to design standardised practical protocols. It was established that immersive environments allow controlled exposure to traumatic stimuli while maintaining psychological safety and therapeutic flexibility. A functional classification of twenty therapeutic scenarios was developed according to their roles in exposure, stabilisation, integration, mindfulness training, and cognitive restoration. A three-stage model of interventions (exposure-stabilisation-integration) was substantiated, ensuring sequential therapeutic influence and minimising the risk of retraumatisation. A step-by-step algorithm for selecting optimal scenarios was designed based on the client’s psycho-emotional state, therapeutic goals, and identified triggers. Standardised session protocols were structured, including preparatory, main, and integrative phases with defined duration parameters and safety criteria. The practical value of the results lies in their applicability for rehabilitation psychologists, clinical practitioners, and higher education institutions training specialists in psychological rehabilitation, particularly in work with veterans, internally displaced persons, and other trauma-affected populations

Keywords

virtual reality; trauma; mindfulness; exposure therapy; methodological protocols

References

  1. Baghaei, N., Chitale, V., Hlasnik, A., Stemmet, L., Liang, H.N., & Porter, R. (2021). Virtual reality for supporting the treatment of depression and anxiety: Scoping review. JMIR Mental Health, 8(9), article number e29681. doi: 10.2196/29681.
  2. Carl, E., Stein, A.T., Levihn-Coon, A., Pogue, J.R., Rothbaum, B., Emmelkamp, P., Asmundson, G., Carlbring, P., & Powers, M.B. (2019). Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomised controlled trials. Journal of Anxiety Disorders, 61, 27-36. doi: 10.1016/j.janxdis.2018.08.003.
  3. Chaban, O., Sak, L., Oliinyk, A., Burdeinyi, A., & Odintsov, A. (2024). Virtual reality exposure therapy protocol for post-traumatic stress disorder treatment in military veterans: Cross-cultural adaptation of virtual exposure therapy in Ukraine. Mental Health: Global Challenges Journal, 7(1), 118-128. doi: 10.56508/mhgcj.v7i1.245.
  4. Dellazizzo, L., Potvin, S., Luigi, M., & Dumais, A. (2020). Evidence on virtual reality-based therapies for psychiatric disorders: Meta-review of meta-analyses. Journal of Medical Internet Research, 22(8), article number e20889. doi: 10.2196/20889.
  5. Eshuis, L.V., van Gelderen, M.J., van Zuiden, M., Nijdam, M.J., Vermetten, E., Olff, M., & Bakker, A. (2021). Efficacy of immersive PTSD treatments: A systematic review of virtual and augmented reality exposure therapy and a meta-analysis of virtual reality exposure therapy. Journal of Psychiatric Research, 143, 516-527. doi: 10.1016/j.jpsychires.2020.11.030.
  6. Glybchenko, Y. (2023). Virtual reality technologies as PeaceTech: Supporting Ukraine in practice and research. Journal of Peacebuilding & Development, 19(1), 117-122. doi: 10.1177/15423166231211303.
  7. Graham, W., Drinkwater, R., Kelson, J., & Kabir, M.A. (2025). Self-guided virtual reality therapy for anxiety: A systematic review. ArXiv. doi: 10.48550/arXiv.2501.17375.
  8. Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1). doi: 10.1016/j.brat.2005.06.006.
  9. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.
  10. Kolotilov, M.M., Zakomornyy, O.S., Omelchenko, O.M., Tarasyuk, B.A., Zabudska, L.R., Makomela, N.M., & Hlazovska, I.I. (2025). Posttraumatic stress disorder: A narrative review. Ukrainian Journal Health of Woman, 3(178), 86-95. doi: 10.15574/HW.2025.3(178).8695.
  11. Kotukh, Y., Riabokin, M., Shkrebtiienko, L., & Lanovenko, Y. (2025a). Training of specialists in rehabilitation psychology: Virtual reality as an innovative educational technology. New Collegium, 4(120), 37-44. doi: 10.34142/ nc.2025.4.37.
  12. Kotukh, Y., Riabokin, M., Shkrebtiienko, L., Masliuk, A., & Lanovenko, I. (2025b). Integration of VR technologies into the system of psychological rehabilitation: Innovative potential and scaling prospects in Ukraine. Psychological Journal, 11(4), 46-60. doi: 10.31108/1.2025.11.4.3.
  13. Li, Y., Shen, J., & Huang, G. (2026). Effectiveness of self-guided virtual reality exposure therapy for social anxiety disorder: A systematic review and meta-analysis protocol. Frontiers in Public Health, 13, article number 1735471. doi: 10.3389/fpubh.2025.1735471.
  14. Maples-Keller, J.L., Bunnell, B.E., Kim, S.J., & Rothbaum, B.O. (2017). The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders. Harvard Review of Psychiatry, 25(3), 103-113. doi: 10.1097/ HRP.0000000000000138.
  15. Planert, J., Hildebrand, A.S., Machulska, A., Roesmann, K., Neubert, M., Pilgramm, S., Pilgramm, J., & Klucken, T. (2025). Blended mobile-based interventions with integrated virtual reality exposure therapy for anxiety disorders: Thematic analysis of patient perspectives. JMIR Human Factors, 12, article number e60957. doi: 10.2196/60957.
  16. Riva, G., Baños, R.M., Botella, C., Mantovani, F., & Gaggioli, A. (2016). Transforming experience: The potential of augmented reality and virtual reality for enhancing personal and clinical change. Frontiers in Psychiatry, 7, article number 164. doi: 10.3389/fpsyt.2016.00164.
  17. Schröder, D., Wrona, K.J., Müller, F., Heinemann, S., Fischer, F., & Dockweiler, C. (2023). Impact of virtual reality applications in the treatment of anxiety disorders: A systematic review and meta-analysis of randomisedcontrolled trials. Journal of Behavior Therapy and Experimental Psychiatry, 81, article number 101893. doi: 10.1016/j. jbtep.2023.101893.
  18. Stanica, I.-C., Hainagiu, S.M., Milicu, A., Dascalu, M.-I., & Portelli, G.-P. (2024). Effectiveness of virtual realitybased multi-therapy systems for physio-psychological rehabilitation: A clinical study. Applied Sciences, 14(19), article number 9093. doi: 10.3390/app14199093.
  19. Tan, Y.L., Chang, V.Y.X., Ang, W.H.D., Ang, W.W., & Lau, Y. (2025). Virtual reality exposure therapy for social anxiety disorders: A meta-analysis and meta-regression of randomised controlled trials. Anxiety, Stress, & Coping, 38(2), 141160. doi: 10.1080/10615806.2024.2392195.
  20. The Belmont report: Ethical principles and guidelines for the protection of human subjects of research. (1979). Retrieved from https://www.hhs.gov/ohrp/regulations-and-policy/belmont-report/read-the-belmont-report/index. html.
  21. Veling, W., Lestestuiver, B., Jongma, M., Hoenders, H.J.R., & van Driel, C. (2021). Virtual reality relaxation for patients with a psychiatric disorder: Crossover randomised controlled trial. Journal of Medical Internet Research, 23(1), article number e17233 doi: 10.2196/17233.
  22. Wiederhold, B.K., & Wiederhold, M.D. (2025). Virtual reality therapy combined with physiological monitoring provides effective treatment, with objective metrics, for post-traumatic stress disorder. Expert Review of Medical Devices, 22(2), 117-119. doi: 10.1080/17434440.2025.2454930.
  23. Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford: Stanford University Press.

Suggested citation

Kotukh, Ye., Riabokin, M., Shkrebtiienko, L., & Lanovenko, Iu. (2026). Scientific and methodological foundations of using VR-practices in rehabilitation psychology. Scientific Bulletin of Mukachevo State University. Series “Pedagogy and Psychology”, 12(1), 78-87. https://doi.org/10.52534/msu-pp1.2026.78