The last two decades have witnessed the emergence of virtual reality (VR) as an important tool for research, evaluation and treatment in mental disorders in mental healthIntroducción L as tecnologías han ingresado cada vez más al desarrollo de la vida actual ampliando las características evolutivas de los seres humanos, con aplicaciones que ofrecen nuevos escenarios en la resolución de problemas y también de los trastornos mentales. Una de las herramientas que se presentan como una vanguardia tecnológica clínica es la realidad virtual (RV). La RV inversiva crea mundos interactivos generados por computadora, que sustituyen las percepciones sensoriales del mundo real por las generadas digitalmente, produciendo la sensación de estar realmente en nuevos entornos de tamaño real. La RV permite un control estrecho sobre los estímulos presentados y las estrategias de intervención facilitando implementaciones más precisas 1 . De esta forma pueden ser utilizada como una valiosa herramienta en la evaluación, tratamiento e investigación, ya que

The aim of this study was to determine the immersive virtual reality-based sensorimotor rehabilitation (IVR-SRB) effect on mental health (global mental health, depression, anxiety and well-being) in older adults. Methods:This study was experimental, with a sample of 111 older adults (controlexperimental), considering an application of IVR-SRB in four different virtual settings with exteroceptive synchronization, proprioceptive and vestibular stimuli, for 6 weeks. Outcome variables: symptoms associated with depression and anxiety; positive mental health (psychological well-being). A descriptive and inferential approach was used to analyze the data, and the ANCOVA test was used to compare the post-intervention groups, controlled by the baseline; In case of baseline moderation, a linear regression model was applied to identify the level of moderation and a region of significance analysis.Results: An IVR-SRB positive net effect was found in the reduction of symptoms of global mental health (p < 0.0001) and depression (p < 0.0001), without baseline moderation. The anxiety scores showed moderation at the beginning (p < 0.0001; b = −0.53), identifying that the greater the presence of anxiety symptoms, the greater the effect of IVR-SRB in reducing these symptoms; its effect is present from scores of 2.9 (Goldberg-12). There were no changes in well-being. Conclusion:IVR-SRB is recognized as a great intervention tool among elderly population, showing its multidimensional approach capacity, properly responding to the reduction of symptoms associated with mental disorders.

COVID‐19 pandemic has had a great impact worldwide, specially affecting mental health and has undoubtedly taken part in human behaviour modification, increasing global health burden and with stress, anxiety and depression being the main contributors to this load. Because of the importance of this issue, the objective of this study was the creation of an explanatory model for the causal relationship of the main psychological variables: stress, anxiety and depression in the COVID‐19 pandemic context. A cross‐sectional study was carried out with a sample of 709 volunteers, sociodemographic variables and psychological symptoms were measured through a virtual DASS‐21 questionnaire, during the COVID‐19 pandemic, dated from November 2 to 6, 2020. A structural equation model using the weighted least squares means and the adjusted variance was employed for the creation and adjustment of the explanatory relational model. The results showed the presence of stress, anxiety and depression symptoms among the general population. The model showed an adequate fit (CFI = 0.94; TLI = 0.94; RMSEA = 0.06; P = 0.000) and was able to explain more than 80% of depressive symptoms ( R 2 = 0.86) and more than 70% of anxiety symptoms ( R 2 = 0.72), in addition to showing a unidirectional causal relationship of long‐term stress on anxiety, and anxiety on depressive symptoms, showing a linked behaviour of the same, in the adjusted model. It was also outlined that this model was characterized by being expressed mainly in women, with lower quality of sleep and at a younger age.

Objetivo. Evaluar el efecto de la telesimulación sobre el rendimiento académico y satisfacción estudiantil durante la realización online de una asignatura clínica debido al periodo de confinamiento por Covid-19. Metodología. Estudio preexperimental longitudinal comparativo. La muestra fueron 59 estudiantes de pregrado de la carrera de Kinesiología de la Universidad Autónoma de Chile que cursaron la asignatura clínica Práctica II de manera online durante el periodo otoñal del año 2021. Las comparaciones intragrupo de las variables rendimiento académico y satisfacción estudiantil fueron determinadas mediante la prueba t para muestras relacionadas. En todos los casos se adoptó un p < 0.05. Resultados. El puntaje de autopercepción de rendimiento académico y satisfacción aumentaron significativamente posterior a la implementación de telesimulación con pacientes estandarizados (p < 0.05). Conclusiones. La implementación de la telesimulación con pacientes estandarizados mejoró significativamente el rendimiento académico y satisfacción del estudiante durante el confinamiento por COVID-19. Implicancia clínica. Esta estrategia de enseñanza podría ser parte integral del plan de estudio apoyando al logro de los aprendizajes del estudiante independiente del estado sanitario local.