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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Psychol.</journal-id>
<journal-title>Frontiers in Psychology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Psychol.</abbrev-journal-title>
<issn pub-type="epub">1664-1078</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fpsyg.2025.1637669</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Psychology</subject>
<subj-group>
<subject>Brief Research Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The potential of virtual natural environments: a critical analysis of a VR-based mindfulness approach</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Marocco</surname> <given-names>Silvia</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1265532/overview"/>
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<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Vitale</surname> <given-names>Valeria</given-names></name>
<uri xlink:href="https://loop.frontiersin.org/people/2881562/overview"/>
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</contrib>
<contrib contrib-type="author">
<name><surname>Grossi</surname> <given-names>Elena</given-names></name>
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</contrib>
<contrib contrib-type="author">
<name><surname>Presaghi</surname> <given-names>Fabio</given-names></name>
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<contrib contrib-type="author">
<name><surname>Talamo</surname> <given-names>Alessandra</given-names></name>
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</contrib-group>
<aff><institution>Department of Social and Developmental Psychology, Sapienza University of Rome</institution>, <addr-line>Rome</addr-line>, <country>Italy</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Pietro Cipresso, University of Turin, Italy</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Vasile Constantin, University of Bucharest, Romania</p>
<p>Miguel &#x00C1;ngel Garc&#x00ED;a Delgado, University of Burgos, Spain</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Silvia Marocco, <email>silvia.marocco@uniroma1.it</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>23</day>
<month>07</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1637669</elocation-id>
<history>
<date date-type="received">
<day>30</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Marocco, Vitale, Grossi, Presaghi and Talamo.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Marocco, Vitale, Grossi, Presaghi and Talamo</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The relationship between environmental factors and mental health is widely acknowledged in the field of Environmental Psychology, with nature-based therapies emerging as a promising approach for mental health treatment. In particular, nature has been recognized as a valuable complementary resource for mindfulness practice. At the same time, Virtual Reality (VR) provides innovative solutions to the challenges posed by conventional mindfulness practices, reducing external distractions and fostering an immersive, present-focused experience. This study explores the effects of a nature VR-based and a conventional mindfulness intervention on the mindfulness state (decentering and curiosity) and emotions (positive and negative), with the aim of determining whether virtual nature can enhance mindfulness practice. The findings indicate that both conventional and VR-based mindfulness interventions effectively enhanced decentering; however, only the VR-based intervention significantly reduced negative emotions, suggesting that virtual natural environments may play a role in emotional regulation, as supported by previous research. On the other hand, no significant changes were observed in terms of curiosity or positive emotions across both intervention types. Overall, this study contributes to the understanding of how nature-based therapies and immersive technologies can support mental health treatment, providing a foundation for future research on the potential synergy between VR, mindfulness, and natural environments.</p>
</abstract>
<kwd-group>
<kwd>nature</kwd>
<kwd>virtual reality</kwd>
<kwd>mindfulness</kwd>
<kwd>emotions</kwd>
<kwd>environmental psychology</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="45"/>
<page-count count="8"/>
<word-count count="6124"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Mindfulness</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>The relationship between environmental factors and mental health is widely acknowledged, with nature-based therapies gaining recognition as a promising approach for mental health treatment. Studies in Environmental Psychology suggest that spending time in natural environments, such as green spaces and blue spaces, can significantly reduce stress (<xref ref-type="bibr" rid="ref31">Schutte et al., 2017</xref>; <xref ref-type="bibr" rid="ref26">Palanica et al., 2019</xref>; <xref ref-type="bibr" rid="ref30">Schebella et al., 2020</xref>; <xref ref-type="bibr" rid="ref44">Yu et al., 2018</xref>; <xref ref-type="bibr" rid="ref40">Vitale et al., 2022</xref>; <xref ref-type="bibr" rid="ref9">Grossi and Marocco, 2025</xref>; <xref ref-type="bibr" rid="ref23">Marocco et al., 2025a</xref>,<xref ref-type="bibr" rid="ref24">b</xref>), enhance physical activity, and promote social interaction&#x2014;all of which contribute to improved mental well-being (<xref ref-type="bibr" rid="ref11">Hartig et al., 2014</xref>; <xref ref-type="bibr" rid="ref28">Roscoe et al., 2022</xref>).</p>
<p>Specifically, nature has been identified as a valuable complementary resource for mindfulness practice. Mindfulness plays a crucial role in promoting mental health and well-being by improving emotional awareness, enhancing emotional regulation, and reducing stress (<xref ref-type="bibr" rid="ref10">Grossman et al., 2004</xref>; <xref ref-type="bibr" rid="ref39">Vitale and Bonaiuto, 2024</xref>). Nevertheless, mindfulness requires conscious effort, which can be particularly challenging for beginners. Novices often expend significant cognitive resources to self-regulate their attention, making the practice more demanding and less accessible (<xref ref-type="bibr" rid="ref17">Lymeus et al., 2017</xref>). Common difficulties include frustration, cognitive effort, environmental distractions, and adverse psychological outcomes, such as intrusive thoughts or distressing emotions (<xref ref-type="bibr" rid="ref1">Anderson et al., 2019</xref>). To address these challenges, two promising solutions have emerged: exposure to nature and the use of immersive technologies.</p>
<p>On the one hand, leveraging the inherent qualities of natural environments or focusing on specific natural features can enhance mindfulness outcomes (<xref ref-type="bibr" rid="ref12">Howell et al., 2011</xref>; <xref ref-type="bibr" rid="ref7">Djernis et al., 2019</xref>). According to the Attention Restoration Theory (ART), indeed, exposure to natural settings reduces cognitive fatigue and improves attentional and restorative capacities, facilitating more effortless and focused meditation (<xref ref-type="bibr" rid="ref13">Kaplan, 1980</xref>; <xref ref-type="bibr" rid="ref32">Seabrook et al., 2020</xref>).</p>
<p>On the other hand, emerging technologies, particularly Virtual Reality (VR), offer innovative solutions to mitigate the challenges associated with mindfulness practice. Traditional mindfulness practices typically reduce sensory input by encouraging a fixed gaze and still posture, which can sometimes result in decreased alertness and the intrusion of unhelpful thoughts, especially for inexperienced practitioners (<xref ref-type="bibr" rid="ref25">Navarro-Haro et al., 2017</xref>). In contrast, VR-based mindfulness engages attentional resources through visual and auditory stimuli, reducing the likelihood of external distractions and fostering an immersive, present-focused experience (<xref ref-type="bibr" rid="ref32">Seabrook et al., 2020</xref>). In this perspective, VR does not aim to distract users but rather to facilitate active attention control, helping practitioners focus on the present moment (<xref ref-type="bibr" rid="ref25">Navarro-Haro et al., 2017</xref>). However, it is crucial to recognize also the constraints that impact users&#x2019; willingness to adopt new technologies (<xref ref-type="bibr" rid="ref21">Marocco et al., 2024c</xref>), such as the system usability, the user acceptance, and the domain suitability (<xref ref-type="bibr" rid="ref34">Stickdorn and Schneider, 2012</xref>; <xref ref-type="bibr" rid="ref18">Marocco et al., 2024a</xref>; <xref ref-type="bibr" rid="ref19">Marocco et al., 2024b</xref>). Therefore, a human-centered design approach is crucial for effective VR interventions (<xref ref-type="bibr" rid="ref35">Talamo et al., 2011</xref>; <xref ref-type="bibr" rid="ref36">Talamo et al., 2021</xref>; <xref ref-type="bibr" rid="ref20">Marocco and Talamo, 2022</xref>; <xref ref-type="bibr" rid="ref18">Marocco et al., 2024a</xref>,<xref ref-type="bibr" rid="ref19">b</xref>,<xref ref-type="bibr" rid="ref21">c</xref>,<xref ref-type="bibr" rid="ref22">d</xref>).</p>
<p>Research on VR-based mindfulness has shown mixed results. For instance, <xref ref-type="bibr" rid="ref25">Navarro-Haro et al. (2017)</xref> found that VR-based mindfulness significantly increased the state of mindfulness and improved emotional states by reducing anxiety and sadness while enhancing relaxation. Similarly, <xref ref-type="bibr" rid="ref32">Seabrook et al. (2020)</xref> showed that exposure to virtual natural environments significantly increased mindfulness and positive emotions, but did not result in notable changes in negative emotions or subjective arousal. Moreover, recent findings indicate that interoceptive awareness and decentering remain largely overlooked in the literature on VR-based mindfulness interventions (<xref ref-type="bibr" rid="ref2">Arpaia et al., 2021</xref>).</p>
<p>Building on these considerations and addressing the existing research gap, the present study aims to enhance the understanding of how VR can support or hinder mindfulness practice. Specifically, the research seeks to determine the effect of a single mindfulness intervention, integrated with virtual natural environments, on the state of mindfulness (decentering and curiosity) and perceived emotions.</p>
</sec>
<sec id="sec2">
<label>2</label>
<title>Research hypotheses</title>
<p>Based on the literature findings, we developed the following research hypotheses:</p>
<disp-quote>
<p><italic>H1</italic>: <italic>The effectiveness of VR-based Mindfulness sessions in enhancing the level of decentering (State of Mindfulness):</italic></p>
</disp-quote>
<disp-quote>
<p><italic>H1a: Pre-Post Effectiveness Analysis:</italic> we hypothesize that overall the mindfulness interventions will increase the level of <italic>decentering</italic>, meaning the awareness of one&#x2019;s experience with some distance and disidentification rather than being carried away by one&#x2019;s thoughts and feelings (<xref ref-type="bibr" rid="ref37">Teasdale et al., 2002</xref>).</p>
</disp-quote>
<disp-quote>
<p><italic>H1b: Comparison between Groups:</italic> we hypothesize that the nature VR-based mindfulness intervention will lead to a greater increase of the level of <italic>decentering</italic>, compared to the conventional one.</p>
</disp-quote>
<disp-quote>
<p><italic>H2</italic>: <italic>The effectiveness of VR-based Mindfulness sessions in enhancing the level of curiosity (State of Mindfulness):</italic></p>
</disp-quote>
<disp-quote>
<p><italic>H2a: Pre-Post Effectiveness Analysis:</italic> we hypothesize that overall the mindfulness interventions will increase the level of <italic>curiosity</italic>, meaning the awareness of the present moment experience (<xref ref-type="bibr" rid="ref37">Teasdale et al., 2002</xref>).</p>
</disp-quote>
<disp-quote>
<p><italic>H2b: Comparison between Groups:</italic> we hypothesize that nature VR-based mindfulness intervention will lead to a greater increase of the level of <italic>curiosity</italic>, compared to the conventional one.</p>
</disp-quote>
<disp-quote>
<p><italic>H3</italic>: <italic>The effectiveness of VR-based Mindfulness sessions in increasing Positive Emotions:</italic></p>
</disp-quote>
<disp-quote>
<p><italic>H3a: Pre-Post Effectiveness Analysis:</italic> we hypothesize that overall the mindfulness interventions will increase positive emotions.</p>
</disp-quote>
<disp-quote>
<p><italic>H3b: Comparison between Groups:</italic> we hypothesize that the nature VR-based mindfulness intervention will lead to a greater increase of positive emotions, compared to the conventional one.</p>
</disp-quote>
<disp-quote>
<p><italic>H4</italic>: <italic>The effectiveness of VR-based Mindfulness sessions in decreasing Negative Emotions:</italic></p>
</disp-quote>
<disp-quote>
<p><italic>H4a: Pre-Post Effectiveness Analysis:</italic> we hypothesize that overall the mindfulness interventions will decrease negative emotions.</p>
</disp-quote>
<disp-quote>
<p><italic>H4b: Comparison between Groups:</italic> we hypothesize that nature VR-based mindfulness intervention will lead to a greater decrease of negative emotions, compared to the conventional one.</p>
</disp-quote>
</sec>
<sec sec-type="materials|methods" id="sec3">
<label>3</label>
<title>Materials and methods</title>
<sec id="sec4">
<label>3.1</label>
<title>Research design</title>
<p>The present study adopts a mixed-methods research design with the aim of investigating the impact of virtual natural scenarios (between-subjects factor: experimental condition with or without virtual natural scenarios) on the state of mindfulness and emotions&#x2019; elicitation (within-subjects factor: pre- and post-measurements of the experimental session).</p>
</sec>
<sec id="sec5">
<label>3.2</label>
<title>Sample description</title>
<p>The study recruited Italian young adults aged 18&#x2013;40, aiming for a balanced gender distribution. A sample size calculation, performed via <italic>a priori</italic> power analysis using GPower (version 3.1.9.6.), indicated that a minimum of 34 participants were required to achieve 80% power, a medium effect size (<italic>f</italic>&#x202F;=&#x202F;0.25), and a significance level of <italic>&#x03B1;</italic>&#x202F;&#x2264;&#x202F;0.05 for the main analyses of interest. Based on this, the study targeted a total of 50 participants (25 per experimental group). The recruitment process involved an online questionnaire distributed via snowball sampling techniques. A total of 90 responses were collected, comprising 61 women and 29 men (M age&#x202F;=&#x202F;25.12, SD&#x202F;=&#x202F;3.46, range: 20&#x2013;43&#x202F;years). For the screening phase, participants with prior mindfulness experience were excluded from the sample. This was important to control for any pre-existing effects of mindfulness on their emotional state or mindfulness levels, ensuring that the study accurately assessed the impact of the intervention on naive participants. Specifically, 11 individuals were excluded due to prior engagement in mindfulness practices. The final sample consisted of 49 participants who voluntarily chose to take part in the study, including 31 women (63.3%) and 18 men (36.7%). The average age of participants was 24.86&#x202F;years (SD&#x202F;=&#x202F;3.01), predominantly student-based sample (79.6%), holding a bachelor degree (65.3%).</p>
</sec>
<sec id="sec6">
<label>3.3</label>
<title>Procedure</title>
<p>Participants first completed a recruitment questionnaire, which gathered socio-demographic information (gender, age, education, place of birth, occupation), questions about their prior experience with VR and mindfulness, and their connection to nature. Those who met the inclusion criteria were contacted via email to schedule the experimental session, providing them with basic procedural information and instructions.</p>
<p>The study was conducted in the IDEaCT Social Lab at the Department of Social and Developmental Psychology, Sapienza University of Rome.</p>
<p>Upon arrival, participants read and signed an informed consent form explaining the study&#x2019;s objectives, procedures, data treatment, and potential short-term effects of VR use. They were then fitted with the Polar H10 heart rate sensor, linked to the Elite HRV application, to measure baseline heart rate and inter-beat interval data for 2 min.</p>
<p>The Oculus Quest 2, a standalone VR system with an HMD and two manual controllers, was provided. Participants also wore over-ear headphones to hear environmental sounds (e.g., wind, birds, waves). A video recording of the session began, which included the lab space and mirrored VR footage to monitor participants&#x2019; behaviors.</p>
<p>Participants were instructed to select and explore three virtual natural environments&#x2014; a tropical island, a meadow, and a forest. The order of these scenarios was randomized. After each 2-min exploration, they removed the headset to complete a questionnaire on a computer, assessing their subjective emotional experience and the explored environment.</p>
<p>Once all three environments were explored, participants completed a questionnaire on their current emotional state (PANAS) and indicated their preferred scenario for the subsequent mindfulness session, which would use VR in the experimental condition.</p>
<p>The mindfulness session involved a 23-min audio track, combining a guiding voice and music at 432&#x202F;Hz to stimulate brain alpha waves and beta-endorphins. The guided mindfulness practice used in this study was taken from the <italic>Mindfulness-Based Stress Reduction (MBSR)</italic> program developed by <xref ref-type="bibr" rid="ref42">Woods and Rockman (2021)</xref>, in its Italian adaptation (<xref ref-type="bibr" rid="ref43">Woods and Rockman, 2022</xref>). The audio track features a professional instructor guiding participants through a structured mindfulness meditation consistent with MBSR principles. The guidance follows a gentle, non-directive style, with a calm and steady tone that encourages present-moment awareness and acceptance. The practice includes key themes typical of MBSR, such as focused attention on the breath, non-judgmental awareness of bodily sensations, and the invitation to gently return attention when the mind wanders. A single audio track was created for both experimental conditions, with the only difference being that in the conventional mindfulness track, participants were instructed to close their eyes, whereas this detail was omitted in the track for VR-based mindfulness. Participants listened to the track while seated in a chair at the center of the room. In the VR-based mindfulness condition, participants wore the headset again to view their preferred scenario.</p>
<p>Following the mindfulness experience, participants completed a final questionnaire assessing their emotional state (PANAS) and mindfulness state. They were also asked about their subjective experience with the virtual scenarios, the usability of the VR system, any symptoms related to headset use, and their sense of immersion and presence in the virtual environment.</p>
</sec>
<sec id="sec7">
<label>3.4</label>
<title>Virtual scenarios</title>
<p>The virtual natural scenarios (<xref ref-type="fig" rid="fig1">Figure 1</xref>) were developed following the eight components of the Biophilic Effect (<xref ref-type="bibr" rid="ref29">Salingaros, 2015</xref>), which include sunlight, color, gravity, fractal elements, curves, details, water, and life. These elements are known to promote relaxation and stress recovery, offering a healing effect on the human body. Specifically, the three natural scenarios analyzed in this study represent a tropical island, a meadow, and a forest.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Screenshots of the natural scenarios within virtual reality (in order: &#x201C;tropical island,&#x201D; &#x201C;meadow,&#x201D; &#x201C;forest&#x201D;).</p>
</caption>
<graphic xlink:href="fpsyg-16-1637669-g001.tif">
<alt-text content-type="machine-generated">A triptych illustration featuring three distinct scenes. The first panel shows a serene beach with turquoise waters, a wooden pier, and distant mountains. The second panel depicts a vast field of vibrant orange flowers under a bright blue sky with a butterfly flying. The third panel displays a tranquil forest stream surrounded by rocks and lush greenery with trees in the background.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec8">
<label>3.5</label>
<title>Measures</title>
<p>In the recruitment survey, participants completed a series of questions assessing socio-demographic indicators, including gender, age, highest level of educational achievement, country of birth, and employment status. They were also asked about prior experience with mindfulness and VR, dispositional mindfulness, and their connection with nature.</p>
<p>Dispositional mindfulness, serving as the pre-test measurement, was measured using the Italian version of the <italic>Toronto Mindfulness Trait Scale</italic> (TMTS; <xref ref-type="bibr" rid="ref6">Davis et al., 2009</xref>), which includes 13 items divided into two dimensions. The first one is curiosity which reflects an individual&#x2019;s disposition to explore and understand their experience. In particular, it refers to the interest in every aspect of inner experience, including thoughts, emotions and bodily sensations, observed with an attitude of openness and exploration (<xref ref-type="bibr" rid="ref15">Lau et al., 2006</xref>) even when they are unpleasant. Examples of items are: &#x201C;<italic>I am curious about what I might learn about myself by taking notice of how I react to certain thoughts, feelings or sensations</italic>&#x201D; and &#x201C;<italic>I remain curious about the nature of each experience as it arises</italic>.&#x201D;</p>
<p>The second one is decentering, indicating the tendency to observe thoughts and emotions without becoming absorbed by them. Specifically, it is defined as the ability to observe thoughts and emotions as temporary mental events rather than as accurate reflections of the self or reality (<xref ref-type="bibr" rid="ref15">Lau et al., 2006</xref>), a capacity that plays a particularly important role in emotional regulation. Examples of items are: &#x201C;<italic>I am more invested in just watching my experiences as they arise, than in figuring out what they could mean</italic>&#x201D; and &#x201C;<italic>I am aware of my thoughts and feelings without overidentifying with them.&#x201D;</italic></p>
<p>The <italic>Toronto Mindfulness State Scale</italic> (TMS; <xref ref-type="bibr" rid="ref15">Lau et al., 2006</xref>) was adopted to assess - as the post-test measurement - the dimensions of curiosity and decentering through 13 items, with participants rating their experiences during the meditation on a 5-point scale ranging from 0 (&#x201C;not at all&#x201D;) to 4 (&#x201C;very much&#x201D;).</p>
<p>The Italian short version of the <italic>Positive and Negative Affect Schedule</italic> (PANAS; <xref ref-type="bibr" rid="ref41">Watson et al., 1988</xref>; <xref ref-type="bibr" rid="ref38">Terracciano et al., 2003</xref>) was used to assess participants&#x2019; emotional states pre- and post- intervention. The Positive Affect scale assesses the degree of pleasurable engagement with the environment, characterized by emotions such as enthusiasm, excitement, energy, and determination. Conversely, the Negative Affect scale captures a general dimension of subjective distress and unpleasurable engagement, encompassing a broad spectrum of aversive emotional states, including fear, nervousness, guilt, and shame (<xref ref-type="bibr" rid="ref38">Terracciano et al., 2003</xref>). This scale evaluates positive and negative emotions through self-reported agreement with items on a 5-point Likert scale.</p>
</sec>
</sec>
<sec sec-type="results" id="sec9">
<label>4</label>
<title>Results</title>
<p>Analytic strategy plan is detailed in <xref ref-type="supplementary-material" rid="SM1">Supplementary material S1</xref>. Additionally, preliminary analyses were conducted on dispositional mindfulness and baseline emotions to assess groups comparability (see <xref ref-type="supplementary-material" rid="SM1">Supplementary material S2</xref>).</p>
<sec id="sec10">
<label>4.1</label>
<title>The effectiveness of VR-based mindfulness sessions in enhancing the level of decentering (H1)</title>
<p><xref ref-type="table" rid="tab1">Table 1</xref> shows descriptive statistics of the variables of interest across groups.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Descriptive statistics with mean and standard deviation (in parentheses) for the variables of interest at pre- and post-intervention across groups.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Variable</th>
<th align="left" valign="top" rowspan="2">Group</th>
<th align="center" valign="top" colspan="2">Mean (SD)</th>
</tr>
<tr>
<th align="center" valign="top">Pre-test</th>
<th align="center" valign="top">Post-test</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="2">Mindfulness&#x2014;Decentering</td>
<td align="left" valign="top">Mindfulness-only</td>
<td align="center" valign="top">13.78 (3.05)</td>
<td align="center" valign="top">19.13 (3.15)</td>
</tr>
<tr>
<td align="left" valign="top">Mindfulness + VR</td>
<td align="center" valign="top">13.96 (3.15)</td>
<td align="center" valign="top">18.30 (3.71)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Mindfulness&#x2014;Curiosity</td>
<td align="left" valign="top">Mindfulness-only</td>
<td align="center" valign="top">19.39 (3.91)</td>
<td align="center" valign="top">19.44 (3.34)</td>
</tr>
<tr>
<td align="left" valign="top">Mindfulness + VR</td>
<td align="center" valign="top">19.35 (2.77)</td>
<td align="center" valign="top">19.23 (4.01)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Emotions&#x2014;Positive</td>
<td align="left" valign="top">Mindfulness-only</td>
<td align="center" valign="top">3.35 (0.68)</td>
<td align="center" valign="top">3.31 (0.80)</td>
</tr>
<tr>
<td align="left" valign="top">Mindfulness + VR</td>
<td align="center" valign="top">3.29 (0.73)</td>
<td align="center" valign="top">3.24 (0.77)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Emotions&#x2014;Negative</td>
<td align="left" valign="top">Mindfulness-only</td>
<td align="center" valign="top">1.38 (0.55)</td>
<td align="center" valign="top">1.13 (0.35)</td>
</tr>
<tr>
<td align="left" valign="top">Mindfulness + VR</td>
<td align="center" valign="top">1.40 (0.58)</td>
<td align="center" valign="top">1.06 (0.17)</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Concerning decentering (<xref ref-type="fig" rid="fig2">Figure 2</xref>), a significant main effect of time was observed, <italic>F</italic> (1, 47)&#x202F;=&#x202F;77.102, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.621, indicating overall higher scores at the state level post-intervention (<italic>M</italic>&#x202F;=&#x202F;13.88, SD&#x202F;=&#x202F;3.07) than at the trait level pre-intervention (<italic>M</italic>&#x202F;=&#x202F;18.69, SD&#x202F;=&#x202F;3.45). However, no significant main effect of the experimental group was found, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.178, <italic>p</italic>&#x202F;=&#x202F;0.675, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.004. Additionally, the interaction between time and experimental group was not significant, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.823, <italic>p</italic>&#x202F;=&#x202F;0.369, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.017.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Changes in decentering before and after intervention across groups. &#x002A; indicates a significant difference in comparison with variable scores.</p>
</caption>
<graphic xlink:href="fpsyg-16-1637669-g002.tif">
<alt-text content-type="machine-generated">Bar chart titled "Mindfulness - Decentering" compares Pre-test and Post-test results. Mindfulness-only group shows an increase from 13.78 to 19.13. Mindfulness plus VR group shows an increase from 13.96 to 18.30. Statistical significance is indicated with an asterisk.</alt-text>
</graphic>
</fig>
<p>Post-hoc comparisons showed that the increase of decentering level in the post-intervention was significant for both the VR-based mindfulness group, <italic>t</italic> (47)&#x202F;=&#x202F;&#x2212;5.746, <italic>p<sub>tukey</sub></italic>&#x202F;&#x003C;&#x202F;0.001, and the conventional group, <italic>t</italic> (47)&#x202F;=&#x202F;&#x2212;6.650, <italic>p<sub>tukey</sub></italic>&#x202F;&#x003C;&#x202F;0.001. For a comprehensive overview of the analysis, please see the <xref ref-type="supplementary-material" rid="SM1">Supplementary material S3</xref>.</p>
<p>This result indicates that the increase in decentering after the intervention was observed across all participants, regardless of whether they engaged in mindfulness alone or mindfulness combined with nature VR, suggesting the intervention type did not differentially impact decentering.</p>
</sec>
<sec id="sec11">
<label>4.2</label>
<title>The effectiveness of VR-based mindfulness sessions in enhancing the level of curiosity (H2)</title>
<p>Regarding curiosity (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S1</xref>), no significant main effects of time, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.004, <italic>p</italic>&#x202F;=&#x202F;0.951, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.000, nor of the experimental group factor were observed, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.023, <italic>p</italic>&#x202F;=&#x202F;0.881, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.000. Also, results did not show a significant interaction between time and experimental group, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.019, <italic>p</italic>&#x202F;=&#x202F;0.892, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.000. As reported, the curiosity scores tend to vary very slightly after the intervention (<italic>M</italic>&#x202F;=&#x202F;19.33, SD&#x202F;=&#x202F;3.68) compared to the pre-test (<italic>M</italic>&#x202F;=&#x202F;19.37, SD&#x202F;=&#x202F;3.32): it seems that the curiosity dimension is not affected by the Mindfulness intervention both when combined or not with VR. Complete analysis details are provided in the <xref ref-type="supplementary-material" rid="SM1">Supplementary material S4</xref>.</p>
</sec>
<sec id="sec12">
<label>4.3</label>
<title>The effectiveness of VR-based mindfulness sessions in increasing positive emotions (H3)</title>
<p>Regarding positive emotions (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure S2</xref>), the main effect of time was not significant, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.144, <italic>p</italic>&#x202F;=&#x202F;0.706, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.003, so there were no relevant differences between positive emotions detected during the pre (<italic>M</italic>&#x202F;=&#x202F;3.31, SD&#x202F;=&#x202F;0.70) and the post test (<italic>M</italic>&#x202F;=&#x202F;3.28, SD&#x202F;=&#x202F;0.79). As the graph shows, the main effect of the experimental group, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.001, <italic>p</italic>&#x202F;=&#x202F;0.982, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.000 and the interaction effect of time and experimental group, were not significant too, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.486, <italic>p</italic>&#x202F;=&#x202F;0.489, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.010. Further details of the analysis can be found in the <xref ref-type="supplementary-material" rid="SM1">Supplementary material S5</xref>.</p>
<p>Overall, it seems that the proposed interventions have no significant effect in enhancing positive emotions, contrasting our initial hypothesis.</p>
</sec>
<sec id="sec13">
<label>4.4</label>
<title>The effectiveness of VR-based mindfulness sessions in increasing negative emotions (H4)</title>
<p>Concerning negative emotions (<xref ref-type="fig" rid="fig3">Figure 3</xref>), according to the analysis, there is a significant main effect of time, <italic>F</italic> (1, 47)&#x202F;=&#x202F;15.732, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.251: the negative emotions perception decrease from the pre-test (<italic>M</italic>&#x202F;=&#x202F;1.40, SD&#x202F;=&#x202F;0.57) to the post-test (<italic>M</italic>&#x202F;=&#x202F;1.10, SD&#x202F;=&#x202F;0.27), as expected. In contrast, both the main effect of the experimental group, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.030, <italic>p</italic>&#x202F;=&#x202F;0.864, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.001, and the interaction effect of time and experimental group were not significant, <italic>F</italic> (1, 47)&#x202F;=&#x202F;0.336, <italic>p</italic>&#x202F;=&#x202F;0.565, <italic>&#x03B7;<sup>2</sup><sub>p</sub></italic>&#x202F;=&#x202F;0.007.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Changes in negative emotions before and after intervention across groups. &#x002A; indicates a significant difference in comparison with variable scores.</p>
</caption>
<graphic xlink:href="fpsyg-16-1637669-g003.tif">
<alt-text content-type="machine-generated">Bar graph depicting negative affect levels in two groups: "Mindfulness-only" and "Mindfulness + VR". The pre-test and post-test data are shown with patterned and solid bars, respectively. The "Mindfulness-only" group scores 1.38 pre-test and 1.13 post-test. The "Mindfulness + VR" group scores 1.40 pre-test and 1.06 post-test, with a significant difference indicated between these scores.</alt-text>
</graphic>
</fig>
<p>However, post-hoc comparisons revealed that the reduction in negative emotions from pre- to post-test was significant only for participants in the experimental group who underwent VR-based mindfulness, <italic>t</italic> (47)&#x202F;=&#x202F;3.318, <italic>p<sub>tukey</sub></italic>&#x202F;=&#x202F;0.009. In contrast, the difference between pre- and post-test scores was not significant in the group that received conventional mindfulness, <italic>t</italic> (47)&#x202F;=&#x202F;2.325, <italic>p<sub>tukey</sub></italic>&#x202F;=&#x202F;0.107.</p>
<p>Refer to the <xref ref-type="supplementary-material" rid="SM1">Supplementary material S6</xref> for a full description of the analysis.</p>
<p>Thus, it appears that VR-based mindfulness significantly reduced negative emotions, whereas conventional mindfulness did not show a comparable effect, suggesting that experiencing virtual nature may enhance the effectiveness of mindfulness practices in reducing negative emotions.</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec14">
<label>5</label>
<title>Discussion</title>
<p>The present study adopts a mixed-methods research design with the aim of investigating the impact of nature VR-based mindfulness session on the state of mindfulness and emotions&#x2019; elicitation.</p>
<p>The results of this study partially confirmed H1. Specifically, H1a was supported. Indeed, an increase in the state of mindfulness in terms of decentering after the intervention was observed. This finding suggests that overall the interventions were effective in enabling participants to adopt a more &#x201C;decentered&#x201D; perspective on their thoughts and emotions. On the other hand, H1b was not supported. In fact, significant differences in mindfulness scores of decentering were found across both groups, meaning that the VR-based mindfulness intervention did not produce significantly higher effects compared to the conventional mindfulness intervention.</p>
<p>Also H2a was not verified, as no significant changes in curiosity scores were observed before and after interventions and no significant differences were found across groups.</p>
<p>Similarly, H3 was not supported, as there was no significant pre-post intervention difference in positive emotions, nor were there significant differences between the two groups.</p>
<p>Conversely, H4 was confirmed. Specifically, H4a was supported, since a significant decrease in negative emotions were observed post intervention. Moreover, H4b was verified since the reduction of negative emotions was significant only in the VR-based mindfulness group, whereas no significant differences were found in the conventional mindfulness group.</p>
<p>Overall, although no significant pre-post changes nor differences across groups were observed in terms of curiosity and positive emotions, the study results appear to be aligned with previous literature. Indeed, the VR-based mindfulness intervention was able to reduce negative emotions, similarly to what has been reported by <xref ref-type="bibr" rid="ref25">Navarro-Haro et al. (2017)</xref>. This suggests that virtual environments may contribute to emotional regulation, aligning with findings from previous studies (<xref ref-type="bibr" rid="ref15">Lau et al., 2006</xref>; <xref ref-type="bibr" rid="ref5">Choe et al., 2020b</xref>). Additionally, the well-established restorative effects of natural settings (<xref ref-type="bibr" rid="ref13">Kaplan, 1980</xref>; <xref ref-type="bibr" rid="ref9001">Ulrich, 1983</xref>) likely support emotional regulation by alleviating negative emotions. Several studies (<xref ref-type="bibr" rid="ref7">Djernis et al., 2019</xref>; <xref ref-type="bibr" rid="ref4">Choe et al., 2020a</xref>) have explored this by conducting mindfulness sessions in natural physical environments, reporting that mindfulness states tend to improve more significantly in natural settings compared to non-natural ones.</p>
<p>Finally, findings suggest that both conventional and VR-based mindfulness interventions effectively enhanced decentering. While the effects of conventional mindfulness on decentering are well-established in the literature (<xref ref-type="bibr" rid="ref33">Shoham et al., 2017</xref>), the novelty of this study lies in the finding that VR-based mindfulness may also facilitate a decentering experience. The strong sense of presence typically evoked during exposure to virtual scenarios (<xref ref-type="bibr" rid="ref16">L&#x00F8;nne et al., 2023</xref>) may have contributed to a more detached perspective on personal thoughts, thereby supporting the experience of decentering.</p>
<sec id="sec15">
<label>5.1</label>
<title>Limitations and future research</title>
<p>The present study showed some promising results; however, some limitations should be considered. A possible explanation for the discrepancy between some observed results and our expectations, particularly regarding the expected added value of nature in VR, could be linked to some issues due to the design of the intervention, specifically the duration of the VR-based meditation session and the modality of experiencing virtual natural scenarios. Observing a virtual scene for 23 consecutive minutes without the option for interaction or exploration&#x2014;since the meditation was conducted in a seated position&#x2014;could have been a limiting factor. Mindfulness practice in natural environments - whether real or simulated - relies on attentional anchors and sensory stimuli to help practitioners stay present and engaged (<xref ref-type="bibr" rid="ref3">Brown and Ryan, 2003</xref>). While the virtual environments in this study were visually and auditorily rich, it is possible that after a certain period, they ceased to be stimulating, failing to maintain participants&#x2019; attention. Additionally, several participants in the VR-based group expressed that they would have preferred to close their eyes during the mindfulness practice. This may have led them to perceive the VR experience as a barrier, preventing complete immersion in the practice. Future studies could further explore these aspects to determine the most effective way to structure the experience of mindfulness sessions in natural virtual environments. Additionally, research should investigate whether&#x2014;and to what extent&#x2014;specific characteristics of the natural environment influence the effectiveness of mindfulness practice.</p>
<p>Moreover, while participants with prior mindfulness experience were excluded to control for pre-existing differences in familiarity with the practice, this decision limits the generalizability of the findings to novice practitioners. Evidence suggests that experienced meditators may engage differently with mindfulness-based interventions, both physiologically and neurologically. For example, experienced practitioners exhibit reduced heart rate variability, reflecting enhanced autonomic self-regulation (<xref ref-type="bibr" rid="ref27">Peressutti et al., 2012</xref>), and show altered resting-state connectivity in brain regions associated with self-referential processing and cognitive control, such as the posterior cingulate cortex and dorsolateral prefrontal cortex (<xref ref-type="bibr" rid="ref14">Kral et al., 2018</xref>). Supporting this, <xref ref-type="bibr" rid="ref8">Falcone and Jerram&#x2019;s (2018)</xref> meta-analysis found distinct patterns of brain activation between novice and experienced meditators, indicating that mindfulness is a learned skill characterized by progressive neuroplastic changes&#x2014;such as shifts from insula activation in novices to basal ganglia involvement in experts&#x2014;reflecting increasing habitual engagement with the practice. To deepen understanding and optimize intervention efficacy, future research should systematically investigate how varying levels of prior mindfulness experience influence behavioral outcomes as well as underlying neural and physiological mechanisms. This will facilitate the development of more tailored and effective mindfulness-based interventions, including combined VR nature-based mindfulness interventions across diverse populations.</p>
</sec>
</sec>
<sec sec-type="conclusions" id="sec16">
<label>6</label>
<title>Conclusion</title>
<p>This study investigated the impact of nature VR-based mindfulness on mindfulness and emotional responses. The results indicate that both conventional and VR-based mindfulness interventions successfully promoted decentering, but only the VR-based intervention led to a reduction in negative emotions. However, no significant changes were observed in curiosity or positive emotions before and after the intervention, nor were there differences between the groups.</p>
<p>Given that this study assessed the immediate effects of a single exposure to virtual nature during mindfulness practice, further research is needed to explore the optimal duration of exposure and to evaluate the long-term impact of VR-supported mindfulness practice. Additionally, future studies should consider integrating interactive VR environments that allow for controller-based locomotion or other forms of exploration, even in a seated position, to enhance engagement and sense of presence.</p>
<p>Overall, this study contributes to the understanding of how nature-based therapies and the use of immersive technologies can support mental health treatment and lays the groundwork for future research on the potential synergy between VR and mindfulness-based interventions.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec17">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="ethics-statement" id="sec18">
<title>Ethics statement</title>
<p>The studies involving humans were approved by Ethics Committee of Sapienza University of Rome. The studies were conducted in accordance with the local legislation and institutional requirements. The participants provided their written informed consent to participate in this study. Written informed consent was obtained from the individual(s) for the publication of any potentially identifiable images or data included in this article.</p>
</sec>
<sec sec-type="author-contributions" id="sec19">
<title>Author contributions</title>
<p>SM: Writing &#x2013; original draft, Conceptualization, Writing &#x2013; review &#x0026; editing. VV: Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Conceptualization. EG: Writing &#x2013; review &#x0026; editing. FP: Data curation, Writing &#x2013; review &#x0026; editing, Conceptualization, Supervision. AT: Supervision, Writing &#x2013; review &#x0026; editing, Conceptualization.</p>
</sec>
<sec sec-type="funding-information" id="sec20">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research and/or publication of this article.</p>
</sec>
<ack>
<p>The authors wish to thank all participants for their valuable contributions to this study.</p>
</ack>
<sec sec-type="COI-statement" id="sec21">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec22">
<title>Generative AI statement</title>
<p>The authors declare that no Gen AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="sec23">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="sec24">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1637669/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1637669/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.DOCX" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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