https://ojs.sgsci.org/journals/amr <p><em><strong>Advanced Medical Research</strong></em> is an international, fully peer-reviewed journal covering all aspects of Medical, including fields of basic and clinical science research. The mission of the Journal is to foster and promote multidisciplinary studies, especially the practice, policy and theory of Medicine. Medical Science, including fields of basic and clinical science research Taking the lead in timely publication in medical fields, the increased availability of such information is aimed to ultimately promote the publish and exchange of views of new achievements in medicine.</p> <p><strong>ISSN(Online): 2972-3175</strong></p> en-US <p>This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommerical-NoDerivatives 4.0 International License.</p> gspsci@gspsci.com (GSP Editorial Office) gspsci@gspsci.com (Mr. Mason Wu) Tue, 07 Jul 2026 00:00:00 +0800 OJS 3.3.0.11 http://blogs.law.harvard.edu/tech/rss 60 https://ojs.sgsci.org/journals/amr/article/view/651 <p>Palliative care has traditionally focused on cancer patients, yet non-cancer serious illnesses such as heart failure, chronic obstructive pulmonary disease (COPD), and dementia account for a substantial proportion of end-of-life care needs. Virtual reality (VR) technology is emerging as a promising non-pharmacological intervention that may address the complex physical, psychological, and spiritual dimensions of suffering in this population. This review synthesizes current evidence on VR applications in non-cancer palliative care. Key findings indicate that VR can effectively reduce pain, alleviate anxiety and depression, and improve quality of life across multiple non-cancer conditions. Specific applications include nature-based immersive experiences for symptom management in COPD, personalized VR distraction for pain relief in advanced heart failure, and synchronized dyadic interventions that simultaneously support both patients and caregivers. Meta-analytic evidence shows moderate-to-large effect sizes for pain reduction, though the evidence base remains limited by small sample sizes, heterogeneous protocols, and a lack of randomized controlled trials specifically targeting non-cancer populations. Distraction is frequently cited as the primary mechanism, but emerging evidence suggests that VR may facilitate deeper processes including restoration of autonomy, symbolic connection, and spiritual meaning-making. Safety and tolerability are generally favorable. Future research priorities include adequately powered randomized controlled trials targeting specific non-cancer conditions, elucidation of therapeutic mechanisms, and development of standardized implementation protocols.</p> Shengli Huang, Jiye Liu Copyright (c) 2026 Shengli Huang, Jiye Liu https://creativecommons.org/licenses/by-nc-nd/4.0 https://ojs.sgsci.org/journals/amr/article/view/651 Thu, 16 Jul 2026 00:00:00 +0800 https://ojs.sgsci.org/journals/amr/article/view/665 <p>This study investigated the current status of medical students’ psychological status (depression, anxiety) and academic adjustment (academic burnout, academic procrastination), analyzed their detection rates, demographic group differences and internal correlations, so as to provide empirical evidence for targeted mental health education and academic support in medical colleges. Using PHQ-9, GAD-7, SBI and BEPS scales, a cross-sectional questionnaire survey was conducted among 729 full-time undergraduates from freshmen to seniors in a clinical medical college. Descriptive statistics, Shapiro-Wilk normality test, one-way ANOVA, Pearson correlation analysis and multiple linear regression were adopted for data analysis. The results showed distinct detection rates of negative emotions and academic maladjustment: the detection rates of moderate and above depression, anxiety, academic burnout and academic procrastination were 11.66%, 8.78%, 41.84% and 50.62% respectively. Significant inter-group differences existed across symptom severity levels. Depression, anxiety, academic burnout and procrastination were significantly positively correlated pairwise (r = 0.470~0.854, p &lt; 0.001). Depression and academic burnout positively predicted anxiety, while anxiety, burnout and procrastination jointly predicted depression. Only 26.9% of students reported clear distress and support demands, and merely 35% of high-risk students were willing to seek help actively, revealing a prominent mismatch between actual needs and help-seeking behaviors. Conclusion: Medical students suffer more severe academic maladjustment than emotional symptoms. Psychological distress and academic problems reinforce each other into a vicious cycle, and most students avoid seeking psychological help. Medical colleges should establish closed-loop mental health warning systems and hierarchical academic support services, deliver precise interventions for different student groups, and popularize mental health knowledge to reduce stigma.</p> Yaxin Deng, Ruihan Peng, Guan Wang Copyright (c) 2026 Yaxin Deng, Ruihan Peng, Guan Wang https://creativecommons.org/licenses/by-nc-nd/4.0 https://ojs.sgsci.org/journals/amr/article/view/665 Tue, 07 Jul 2026 00:00:00 +0800