For highly invasive procedures, the effect of VR interventions did not reach statistical significance ( K = 4, SMD = −0.48, 95% CI: −1.21 to 0.24, p = 0.189, I 2 = 92%), indicating no clear evidence of anxiety reduction in this subgroup (see Supplementary Table 2 ).
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Effects of virtual reality interventions on anxiety symptoms in women undergoing gynecological examinations and surgeries: a multi-level dose-response meta-analysis.
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Instead, it should be viewed as representing an overall trend across heterogeneous gynecological settings.
The results of the cumulative meta-analysis, organized by publication year, indicate that as the number of studies gradually increased, the pooled effect size of VR interventions for anxiety symptoms in women undergoing gynecological examinations and surgeries showed a trend toward stabilization.