RESUMO
BACKGROUND: This study aimed (1) to assess the validity of a virtual reality (VR) intervention designed specifically to gain control over pain, (2) to test whether the association between the virtual environment and pain can be potentiated using a differential conditioning procedure, and (3) to examine the effects of this VR intervention in a cold pressor experiment. METHODS: The VR intervention was based on a figure representing pain. This figure could be manipulated until reaching a no-pain state. Participants were 64 undergraduate students, who were asked to evaluate this environment in terms of arousal and valence. A differential conditioning procedure was then applied, in which the pain figure was paired with electric shock and the no-pain figure was presented without shock. Afterwards, participants performed a cold pressor task. RESULTS: In the initial testing, the pain figure was evaluated as more arousing and more unpleasant than the no-pain figure. After the conditioning procedure, these ratings significantly increased; with the pain figure being rated as more anxiety eliciting and a better predictor of shocks than the no-pain figure. During cold pressor, the interaction with the conditioned VR figure led to significant increases in pain threshold and tolerance, as well as a significantly greater underestimation of time, but it did not affect pain intensity. CONCLUSIONS: These results provide preliminary support for the use of our VR intervention to gain control over pain.
