Mindfulness for Anxiety Management and Happiness: The Role of VR, Metacognition, and Hormones

Main Article Content

Eleni Mitsea
Athanasios Drigas
https://orcid.org/0000-0001-5637-9601
Charalampos Skianis

Abstract

Chronic stress, even at a young age, has become a major health concern with the harmful effects on cognition, mood, and well-being largely underestimated. Mindfulness interventions are well-recognized as effective strategies in stress management. However, we know less about the impact of mindfulness on physiological indicators such as hormones/neurotransmitters. This review study aims to provide representative studies regarding the impact of mindfulness practices on hormones and neurotransmitters, which are responsible for stress regulation, positivity, and wellness. Taking into consideration the difficulties that many people have to follow a conventional mindfulness program, we also investigated the effectiveness of virtual reality as an assistive tool for mindfulness training. The results confirmed our initial hypothesis, according to which mindfulness training reduces stress hormones while increasing hormones/neurotransmitters which induce relaxation along with positivity and self-satisfaction. Virtual reality provides several advantages facilitating training conditions, optimizing the experience, and increasing the effectiveness of interventions. In addition, it strengthens self-control skills. These results indicate also that those physiological parameters, which are considered to be out of human control, can be modified with self-control practices. We conclude that mindfulness practices constitute a form of metacognitive training by which individuals can take control and balance the physiological processes that determine cognition, mood, and well-being. Virtual reality maximizes therapeutic outcomes, especially for people with disabilities or difficulties with conventional interventions.


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How to Cite
Mitsea, E., Drigas, A., & Skianis, C. . (2022). Mindfulness for Anxiety Management and Happiness: The Role of VR, Metacognition, and Hormones. Technium BioChemMed, 3(3), 37–52. https://doi.org/10.47577/biochemmed.v3i3.7343
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References

Allen, M., Glen, J. C., Mullensiefen, D., Schwarzkopf, D. S., Fardo, F., Frank, D., & Rees, G. (2017). Metacognitive ability correlates with hippocampal and prefrontal microstructure. Neuroimage, 149, 415-423.

Arnsten, A. F. (2009). Stress signaling pathways that impair prefrontal cortex structure and function. Nature reviews neuroscience, 10(6), 410-422.

Bellosta-Batalla, M., del Carmen Blanco-Gandia, M., Rodriguez-Arias, M., Cebolla, A., Perez-Blasco, J., & Moya-Albiol, L. (2020). Brief mindfulness session improves mood and increases salivary oxytocin in psychology students. Stress and Health, 36(4), 469-477.

Bellosta-Batalla, M., Blanco-Gandia, M. C., Rodriguez-Arias, M., Cebolla, A., Perez-Blasco, J., & Moya-Albiol, L. (2020). Increased salivary oxytocin and empathy in students of clinical and health psychology after a mindfulness and compassion-based intervention. Mindfulness, 11(4), 1006-1017.

Blum, J., Rockstroh, C., & Goritz, A. S. (2019). Heart rate variability biofeedback based on slow-paced breathing with immersive virtual reality nature scenery. Frontiers in Psychology, 10, 2172.

Bujatti, M., & Riederer, P. (1976). Serotonin, noradrenaline, dopamine metabolites in transcendental meditation-technique. Journal of Neural Transmission, 39(3), 257-267.

Carro, N., Ibar, C., D'Adamo, P., Gonzalez, D., Berg, G., Fabre, B., & Lozada, M. (2022). Hair cortisol reduction and social integration enhancement after a mindfulness-based intervention in children. Child: Care, Health and Development.

Carro, N., D'Adamo, P., & Lozada, M. (2021). A school intervention helps decrease daily stress while enhancing social integration in children. Behavioral Medicine, 47(3), 251-258.

Chavez, L. J., Kelleher, K., Slesnick, N., Holowacz, E., Luthy, E., Moore, L., & Ford, J. (2020). Virtual reality meditation among youth experiencing homelessness: a pilot randomized controlled trial of feasibility. JMIR mental health, 7(9), e18244.

Choudhury, A., Sahu, T., Ramanujam, P. L., Banerjee, A. K., Chakraborty, I., Kumar, A., & Arora, N. (2018). Neurochemicals, behaviors and psychiatric perspectives of neurological diseases. Neuropsychiatry, 8(1), 395-424.

Cikajlo, I., Staba, U. C., Vrhovac, S., Larkin, F., & Roddy, M. (2017). A cloud-based virtual reality app for a novel tele-mindfulness service: rationale, design, and feasibility evaluation. JMIR research protocols, 6(6), e108.

Drigas, A., & Mitsea, E. (2021). Metacognition, Stress-Relaxation Balance & Related Hormones. Int. J. Recent Contributions Eng. Sci. IT, 9(1), 4-16.

Drigas, A., & Mitsea, E. (2020). A Metacognition Based 8 Pillars Mindfulness Model and Training Strategies. Int. J. Recent Contributions Eng. Sci. IT, 8(4), 4-17.

Drigas, A., & Mitsea, E. (2020). The 8 pillars of metacognition. International Journal of Emerging Technologies in Learning (iJET), 15(21), 162-178.

Drigas, A., & Mitsea, E. (2021). 8 Pillars X 8 Layers Model of Metacognition: Educational Strategies, Exercises &Trainings. International Journal of Online & Biomedical Engineering, 17(8).

Drigas, A., Mitsea, E., & Skianis, C. (2022). Virtual Reality and Metacognition Training Techniques for Learning Disabilities. Sustainability, 14(16), 10170.

Fan, Y., Pestke, K., Feeser, M., Aust, S., Pruessner, J. C., Boker, H., ... & Grimm, S. (2015). Amygdala-hippocampal connectivity changes during acute psychosocial stress: joint effect of early life stress and oxytocin. Neuropsychopharmacology, 40(12), 2736-2744.

Guglietti, C. L., Daskalakis, Z. J., Radhu, N., Fitzgerald, P. B., & Ritvo, P. (2013). Meditation-related increases in GABAB modulated cortical inhibition. Brain stimulation, 6(3), 397-402.

Harte, J. L., Eifert, G. H., & Smith, R. (1995). The effects of running and meditation on beta-endorphin, corticotropin-releasing hormone and cortisol in plasma, and on mood. Biological Psychology, 40(3), 251-265.

Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on psychological science, 6(6), 537-559.

Infante, J. R., Torres-Avisbal, M., Pinel, P., Vallejo, J. A., Peran, F., Gonzalez, F., ... & Roldan, A. (2001). Catecholamine levels in practitioners of the transcendental meditation technique. Physiology & behavior, 72(1-2), 141-146.

Kelly, R. M., Seabrook, E. M., Foley, F., Thomas, N., Nedeljkovic, M., & Wadley, G. (2022). Design Considerations for Supporting Mindfulness in Virtual Reality. Front. Virtual Real. 2: 672556. doi: 10.3389/frvir.

Kabat, Z. J. (2003). Mindfulness-based interventions in context: Past, present, and future.Clin. psychol. Sci.Pract.10, 144-156.

Kjaer, T. W., Bertelsen, C., Piccini, P., Brooks, D., Alving, J., & Lou, H. C. (2002). Increased dopamine tone during meditation-induced change of consciousness. Cognitive Brain Research, 13(2), 255-259.

Kim, E. J., Pellman, B., & Kim, J. J. (2015). Stress effects on the hippocampus: a critical review. Learning & memory, 22(9), 411-416.

Koncz, A., Kassai, R., Demetrovics, Z., & Takacs, Z. K. (2022). Short Mindfulness-Based Relaxation Training Has No Effects on Executive Functions but May Reduce Baseline Cortisol Levels of Boys in First Grade: A Pilot Study. Children, 9(2), 203.

Kumar, A., Rinwa, P., Kaur, G., & Machawal, L. (2013). Stress: Neurobiology, consequences and management. Journal of Pharmacy & bioallied sciences, 5(2), 91.

Lan, K. C., Li, C. W., & Cheung, Y. (2021). Slow Breathing Exercise with Multimodal Virtual Reality: A Feasibility Study. Sensors, 21(16), 5462.

Lovheim, H. (2012). A new three-dimensional model for emotions and monoamine neurotransmitters. Medical hypotheses, 78(2), 341-348.

Lunsky, Y., Redquest, B., Albaum, C., Hutton, S., Share, M., Share-Strom, D., & Weiss, J. (2022). Virtual Group-Based Mindfulness Intervention for Autistic Adults: a Feasibility Study. Mindfulness, 13(7), 1706-1718.

Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in cognitive sciences, 12(4), 163-169.

Malinowski, P. (2013). Neural mechanisms of attentional control in mindfulness meditation. Frontiers in neuroscience, 7, 8.

Nararro-Haro, M. V., Hoffman, H. G., Garcia-Palacios, A., Sampaio, M., Alhalabi, W., Hall, K., & Linehan, M. (2016). The use of virtual reality to facilitate mindfulness skills training in dialectical behavioral therapy for borderline personality disorder: a case study. Frontiers in Psychology, 7, 1573.

Navarro-Haro, M. V., Modrego-Alarcon, M., Hoffman, H. G., Lopez-Montoyo, A., Navarro-Gil, M., Montero-Marin, J., ... & Garcia-Campayo, J. (2019). Evaluation of a mindfulness-based intervention with and without virtual reality dialectical behavior therapy(r) mindfulness skills training for the treatment of generalized anxiety disorder in primary care: a pilot study. Frontiers in Psychology, 10, 55.

Mazgelyte, E., Rekiene, V., Dereskeviciute, E., Petrenas, T., Songailiene, J., Utkus, A., ... & Karciauskaite, D. (2021, December). Effects of Virtual Reality-Based Relaxation Techniques on Psychological, Physiological, and Biochemical Stress Indicators. In Healthcare (Vol. 9, No. 12, p. 1729). MDPI.

Mistry, D., Zhu, J., Tremblay, P., Wekerle, C., Lanius, R., Jetly, R., & Frewen, P. (2020). Meditating in virtual reality: Proof-of-concept intervention for posttraumatic stress. Psychological Trauma: Theory, Research, Practice, and Policy, 12(8), 847-858. https://doi.org/10.1037/tra0000959

Modrego-Alarcon, M., Lopez-del-Hoyo, Y., Garcia-Campayo, J., Perez-Aranda, A., Navarro-Gil, M., Beltran-Ruiz, M., ... & Montero-Marin, J. (2021). Efficacy of a mindfulness-based program with and without virtual reality support to reduce stress in university students: A randomized controlled trial. Behavior research and therapy, 142, 103866.

Moore, A., & Malinowski, P. (2009). Meditation, mindfulness and cognitive flexibility. Consciousness and cognition, 18(1), 176-186.

Nelson, J. M., & Harwood, H. (2011). Learning disabilities and anxiety: A meta-analysis. Journal of learning disabilities, 44(1), 3-17.

O'Connor, D. B., Thayer, J. F., & Vedhara, K. (2021). Stress and health: A review of psychobiological processes. Annual review of psychology, 72, 663-688.

Qiu, L., Su, J., Ni, Y., Bai, Y., Zhang, X., Li, X., & Wan, X. (2018). The neural system of metacognition accompanying decision-making in the prefrontal cortex. PLoS biology, 16(4), e2004037.

Riva, G., Banos, R. M., Botella, C., Mantovani, F., & Gaggioli, A. (2016). Transforming experience: the potential of augmented reality and virtual reality for enhancing personal and clinical change. Frontiers in psychiatry, 7, 164.

Seabrook, E., Kelly, R., Foley, F., Theiler, S., Thomas, N., Wadley, G., & Nedeljkovic, M. (2020). Understanding how virtual reality can support mindfulness practice: mixed methods study. Journal of medical Internet research, 22(3), e16106.

Serra-Pla, J. F., Pozuelo, M., Richarte, V., Corrales, M., Ibanez, P., Bellina, M., ... & Ramos-Quiroga, J. A. (2017). Treatment of attention deficit hyperactivity disorder in adults using virtual reality through a mindfulness program. Revista de Neurologia, 64(s01), S117-S122.

Schultchen, D., Messner, M., Karabatsiakis, A., Schillings, C., & Pollatos, O. (2019). Effects of an 8-week body scan intervention on individually perceived psychological stress and related steroid hormones in hair. Mindfulness, 10(12), 2532-2543.

Streeter, C. C., Gerbarg, P. L., Brown, R. P., Scott, T. M., Nielsen, G. H., Owen, L., ... & Silveri, M. M. (2020). Thalamic gamma-aminobutyric acid level changes in major depressive disorder after a 12-week Iyengar yoga and coherent breathing intervention. The Journal of Alternative and Complementary Medicine, 26(3), 190-197.

Soler, J., Elices, M., Pascual, J. C., Martin-Blanco, A., Feliu-Soler, A., Carmona, C., & Portella, M. J. (2016). Effects of mindfulness training on different components of impulsivity in borderline personality disorder: results from a pilot randomized study. Borderline personality disorder and emotion dysregulation,3(1), 1.

Tang, Y. Y., Holzel, B. K., & Posner, M. I. (2015). The neuroscience of mindfulness meditation. Nature Reviews Neuroscience, 16(4), 213-225.

Tooley, G. A., Armstrong, S. M., Norman, T. R., & Sali, A. (2000). Acute increases in night-time plasma melatonin levels following a period of meditation. Biological Psychology, 53(1), 69-78.

Yadav, R. K., Magan, D., Mehta, N., Sharma, R., & Mahapatra, S. C. (2012). Efficacy of a short-term yoga-based lifestyle intervention in reducing stress and inflammation: preliminary results. The journal of alternative and complementary medicine, 18(7), 662-667.

Yaribeygi, H., Panahi, Y., Sahraei, H., Johnston, T. P., & Sahebkar, A. (2017). The impact of stress on body function: A review. EXCLI journal, 16, 1057.

Yuksel, D., Goldstone, A., Prouty, D., Forouzanfar, M., Claudatos, S., Lee, Q., ... & de Zambotti, M. (2020). 0916 The Use of Immersive Virtual Reality and Slow Breathing to Enhance Relaxation and Sleep in Adolescents. Sleep, 43(Supplement_1), A348-A348.

Vago, D. R., & Silbersweig, D. A. (2012). Self-awareness, self-regulation, and self-transcendence (S-ART): a framework for understanding the neurobiological mechanisms of mindfulness. Frontiers in human neuroscience, 6, 296.

Zaccaro, A., Piarulli, A., Laurino, M., Garbella, E., Menicucci, D., Neri, B., & Gemignani, A. (2018). How breath-control can change your life: a systematic review on psycho-physiological correlates of slow breathing. Frontiers in human neuroscience, 12, 353.

Stavridou Th., Driga, A.M., Drigas, A.S., Blood Markers in Detection of Autism ,International Journal of Recent Contributions from Engineering Science & IT (iJES) 9(2):79-86. 2021.

Zavitsanou, A., & Drigas, A. (2021). Nutrition in mental and physical health. Technium Soc. Sci. J., 23, 67.

Driga, A.M., Drigas, A.S. "Climate Change 101: How Everyday Activities Contribute to the Ever-Growing Issue", International Journal of Recent Contributions from Engineering, Science & IT, vol. 7(1), pp. 22-31, 2019. https://doi.org/10.3991/ijes.v7i1.10031

Driga, A.M., and Drigas, A.S. "ADHD in the Early Years: Pre-Natal and Early Causes and Alternative Ways of Dealing." International Journal of Online and Biomedical Engineering (IJOE), vol. 15, no. 13, 2019, p. 95., doi:10.3991/ijoe.v15i13.11203

Vlachou J. and Drigas, A. S., "Mobile technology for students and adults with Autistic Spectrum Disorders (ASD)," International J. of Interactive Mobile Tech., vol. 11(1), pp. 4-17, 2017

Papoutsi C., Drigas, A. S., and C. Skianis, "Mobile Applications to Improve Emotional Intelligence in Autism - A Review," Int. J. Interact. Mob. Technol. (iJIM); Vol 12, No 6, 2018

Karabatzaki, Z., Stathopoulou, A., Kokkalia, G., Dimitriou, E., Loukeri, P., Economou A., & Drigas, A. (2018). Mobile Application Tools for Students in Secondary Education. An Evaluation Study. International Journal of Interactive Mobile Technologies (iJIM), 12(2), 142-161

Drigas, A. S., and Angelidakis P., 'Mobile Applications within Education: An Overview of Application Paradigms in Specific Categories', International Journal of Interactive Mobile Technologies (iJIM), vol. 11, no. 4, p. 17, May 2017. https://doi.org/10.3991/ijim.v11i4. 6589

Stathopoulou A., Loukeris D., Karabatzaki Z., Politi E., Salapata Y., and Drigas, A. S., "Evaluation of Mobile Apps Effectiveness in Children with Autism Social Training via Digital Social Stories," Int. J. Interact. Mob. Technol. (iJIM); Vol 14, No 03, 2020

Stathopoulou, et all Mobile assessment procedures for mental health and literacy skills in education. International Journal of Interactive Mobile Technologies, 12(3), 21-37, 2018,

Drigas, A., Kokkalia, G. & Lytras, M. D. (2015). Mobile and Multimedia Learning in Preschool Education. J. Mobile Multimedia, 11(1/2), 119-133.

Stathopoulou, A., Karabatzaki, Z., Kokkalia, G., Dimitriou, E., Loukeri, P.I., Economou, A., and Drigas, A. (2018). Mobile assessment procedures for mental health and literacy skills in education. International Journal of Interactive Mobile Technologies (iJIM), 12(3):21-37. https://doi.org/10.3991/ijim.v12i3.8038

Drigas, A.S., Ioannidou, R.E., Kokkalia, G. and Lytras, M. (2014), "ICTs, mobile learning and social media to enhance learning for attention difficulties", Journal of Universal Computer Science, Vol. 20 No. 10, pp. 1499-1510.

Kokkalia G. K. and Drigas, A. S., "Mobile learning for special preschool education," International Journal of Interactive Mobile Technologies, vol. 10 (1), pp. 60-67, 2016

Pappas, M.A.; Papoutsi, C.; Drigas, A.S. Policies, Practices, and Attitudes toward Inclusive Education: The Case of Greece. Soc. Sci. 2018, 7, 90.

Drigas, A. S., & Ioannidou, R. E. (2011, September). ICTs in special education: A review. In World Summit on Knowledge Society (pp. 357-364). Springer, Berlin, Heidelberg.

Drigas, A. S., J.Vrettaros, L.Stavrou, D.Kouremenos, E-learning Environment for Deaf people in the E-Commerce and New Technologies Sector, WSEAS Transactions on Information Science and Applications, Issue 5, Volume 1, November 2004.

Drigas, A.S., Vrettaros, J. and Kouremenos, D. (2004a) 'Teleeducation and e-learning services for teaching English as a second language to deaf people, whose first language is the sign language', WSEAS Transactions on Information Science and Applications, Vol. 1, No. 3, pp.834-842.

Drigas, A., Koukianakis, L., Papagerasimou, Y., Towards an ICT-based psychology: Epsychology, Computers in Human Behavior, 2011, 27:1416-1423. https://doi.org/10.1016/j.chb.2010.07.045

Charami, F., & Drigas, A. (2014). ICTs in English Learning and Teaching. International Journal of Engineering and Science. Vol. 2(4):4-10. DOI: 10.3991/ijes.v2i4.4016

Drigas A.S., Kouremenos D (2005) An e-learning system for the deaf people. In: WSEAS transaction on advances in engineering education, vol 2, issue 1, pp 20-24

Drigas A., Pappas M, and Lytras M., "Emerging technologies for ict based education for dyscalculia: Implications for computer engineering education," International Journal of Engineering Education, vol. 32, no. 4, pp. 1604-1610, 2016.

Drigas, A. & Kokkalia, G. 2017. ICTs and Special Education in Kindergarten. International Journal of Emerging Technologies in Learning 9 (4), 35-42.

Drigas A., and Koukianakis L., A Modular Environment for E-learning and E-psychology Applications, WSEAS Transactions on Information Science and App., Vol. 3, 2004, pp. 2062-2067.

Drigas, A., Leliopoulos, P.: Business to consumer (B2C) e-commerce decade evolution. Int. J. Knowl. Soc. Res. (IJKSR) 4(4), 1-10 (2013)

Pappas M, Drigas A, Papagerasimou Y, Dimitriou H, Katsanou N, Papakonstantinou S, et al. Female Entrepreneurship and Employability in the Digital Era: The Case of Greece. Journal of Open Innovation: Technology, Market, and Complexity. 2018; 4(2): 1.

Papanastasiou G., Drigas, A. S., Skianis Ch., M. Lytras & E. Papanastasiou, "Patient-Centric ICTs based Healthcare for students with learning, physical and/or sensory disabilities," Telemat Inform, vol. 35, no. 4, pp. 654-664, 2018. https://doi. org/10.1016/j.tele.2017.09.002

Drigas, A., & Kontopoulou, M. T. L. (2016). ICTs based Physics Learning. International Journal of Engineering Pedagogy (iJEP), 6(3), 53-59. https://doi.org/10.3991/ijep.v6i3. 5899

Papanastasiou, G., Drigas, A., Skianis, C., and Lytras, M. (2020). Brain computer interface based applications for training and rehabilitation of students with neurodevelopmental disorders. A literature review. Heliyon 6:e04250. doi: 10.1016/j.heliyon.2020.e04250

Drigas, A. S., John Vrettaros, and Dimitris Kouremenos, 2005. "An e-learning management system for the deaf people," AIKED '05: Proceedings of the Fourth WSEAS International Conference on Artificial Intelligence, Knowledge Engineering Data Bases, article number 28.

Pappas, M., Demertzi, E., Papagerasimou, Y., Koukianakis, L., Kouremenos, D., Loukidis, I. and Drigas, A. 2018. E-Learning for deaf adults from a user-centered perspective. Education Sciences 8(206): 3-15.

Marios A. Pappas, Eleftheria Demertzi, Yannis Papagerasimou, Lefteris Koukianakis, Nikitas Voukelatos, and Drigas, A. S., 2019. Cognitive Based E-Learning Design for Older Adults. Social Sciences 8, 1 (Jan. 2019), 6. https://doi.org/10.3390/socsci801000

Drigas, A. S., Leyteris Koukianakis: Government online: An e-government platform to improve public administration operations and services delivery to the citizen. WSKS (1), volume 5736 de Lecture Notes in Computer Science, 523-532. Springer, 2009.

Theodorou, P.; Drigas, A. ICTs and Music in Generic Learning Disabilities. Int. J. Emerg. Technol. Learn. 2017, 12, 101-110

Drigas, A., Kokkalia, G., & Lytras, M. D. (2015). ICT and collaborative co-learning in preschool children who face memory difficulties. Computers in Human Behavior, 51, 645-651. https://doi.org/10.1016/j.chb.2015.01.019

Pappas, M.A., & Drigas, A.S. (2015). ICT based screening tools and etiology of dyscalculia. International Journal of Engineering Pedagogy, 3, 61-66.

Drigas, A., & Kostas, I. (2014). On Line and other ICTs Applications for teaching math in Special Education. International Journal of Recent Contributions from Engineering, Science & IT (iJES), 2(4), pp-46. http://dx.doi.org/10.3991/ijes.v2i4.4204

Alexopoulou, A, Batsou, A, Drigas, A. (2019). Resilience and academic underachievement in gifted students: causes, consequences and strategic methods of prevention and intervention. International Journal of Online and Biomedical Engineering (iJOE), vol. 15, no. 14, pp. 78.

Pappas, M. A., & Drigas, A. S. (2015). ICT Based Screening Tools and Etiology of Dyscalculia. International Journal of Engineering Pedagogy, 5(3)

Drigas, A. & Ioannidou, R. E. (2013). Special education and ICT's. International Journal of Emerging Technologies in Learning 8(2), 41- 47.

Drigas, A., & Papanastasiou, G. (2014). Interactive White Boards in Preschool and Primary Education. International Journal of Online and Biomedical Engineering (iJOE), 10(4), 46-51. https://doi.org/10.3991/ijoe.v10i4.3754

Drigas, A. S. and Politi-Georgousi, S. (2019). Icts as a distinct detection approach for dyslexia screening: A contemporary view. Intern. Journal of Online and Biomedical Eng. (iJOE), 15(13):46-60.

Lizeta N. Bakola, Nikolaos D. Rizos, Drigas, A. S., "ICTs for Emotional and Social Skills Development for Children with ADHD and ASD Co-existence"International Journal of Emerging Technologies in Learning (iJET), https://doi.org/10.3991/ijet.v14i05.9430

Kontostavlou, E.Z., & Drigas, A.S. (2019). The Use of Information and Communications Technology (ICT) in Gifted Students. International Journal of Recent Contributions from Engineering, Science and IT, 7(2), 60-67. doi:10.3991/ijes.v7i2.10815

Drigas, A. S., and Vlachou J. A., "Information and communication technologies (ICTs) and autistic spectrum disorders (ASD)," Int. J. Recent Contrib. Eng. Sci. IT (iJES), vol. 4, no. 1, p. 4, 2016. https://doi.org/10.3991/ijes.v4i1.5352

Drigas, A. S., Koukianakis, L, Papagerasimou, Y. (2006) "An elearning environment for nontraditional students with sight disabilities.", Frontiers in Edu. Conf., 36th Annual. IEEE, p. 23-27.

Drigas A., and Koukianakis L. An open distance learning e-system to support SMEs e-enterprising. In proceeding of 5th WSEAS Internationalconference on Artificial intelligence, knowledge engineering, data bases (AIKED 2006). Spain

Kefalis C and Drigas A. (2019) Web Based and Online Applications in STEM Education. International Journal of Engineering Pedagogy (iJEP) 9, 4 (2019), 76- 85.https://doi.org/10.3991/ijep.v9i4.10691

Drigas, A. S., Rodi-Eleni Ioannidou, A Review on Artificial Intelligence in Special Education, Information Systems, Elearning, and Knowledge Management Research Communications in Computer and Info. Science Volume 278, pp 385-391, 2013 http://dx.doi.org/10.1007/978-3-642-35879-1_46

Drigas, A., Vrettaros, J.: An Intelligent Tool for Building e-Learning Contend-Material Using Natural Language in Digital Libraries. WSEAS Transactions on Information Science and Applications 5(1) (2004) 1197-1205

Drigas, A.S., Vrettaros, J., Koukianakis, L.G. and Glentzes, J.G. (2005). A Virtual Lab and e-learning system for renewable energy sources. Int. Conf. on Educational Tech.

Drigas AS, Argyri K, Vrettaros J (2009) Decade review (1999-2009): artificial intelligence techniques in student modeling. In: World Summit on Knowledge Society. Springer, pp 552-564

Vrettaros, J., Tagoulis, A., Giannopoulou, N., & Drigas, A. (2009). An empirical study on the use of Web 2.0 by Greek adult instructors in educational procedures. World Summit on Knowledge System (WSKS), 49, 164-170. http://dx.doi.org/10.1007/978-3-642-04757-2_18

Drigas, A., Dourou, A. (2013). A Review on ICTs, E-Learning and Artificial Intelligence for Dyslexic's Assistance. iJet, 8(4), 63-67.

Drigas, A. S., Ioannidou,E.R., (2012), Artificial intelligence in special education: A decade review, International Journal of Engineering Education, vol. 28, no. 6.

Drigas, A. S., and Leliopoulos, Panagiotis, The Use of Big Data in Education, International Journal of Computer Science Issues, Vol. 11, Issue 5, 2014, 58-63

Anagnostopoulou, P., Alexandropoulou, V., Lorentzou, G., Lykothanasi, A., Ntaountaki, P., & Drigas, A. (2020). Artificial intelligence in autism assessment. International Journal of Emerging Technologies in Learning, 15(6), 95-107. https://doi.org/10.3991/ijet.v15i06.11231

Pappas, M., & Drigas, A. (2016). Incorporation of artificial intelligence tutoring techniques in mathematics. International Journal of Engineering Pedagogy, 6(4), 12-16. https://doi.org/10.3991/ijep.v6i4.6063

Chaidi E, Kefalis C, Papagerasimou Y, Drigas (2021) A Educational robotics in Primary Education. A case in Greece. Research, Society and Development 10 (9)

Papanastasiou, G. P., Drigas, A. S., & Skianis, C. (2017). Serious games in preschool and primary education: Benefits and impacts on curriculum course syllabus. International Journal of Emerging Technologies in Learning, 12(1), 44-56. https://doi.org/10.3991/ijet.v12i01.6065

Kokkalia, G., Drigas, A., Economou, A., Roussos, P., & Choli, S. (2017). The use of serious games in preschool education. International Journal of Emerging Technologies in Learning, 12(11), 15-27. https://doi.org/10.3991/ijet.v12i11.6991

Drigas, A. S., and Pappas M.A. "On line and other Game-Based Learning for Mathematics." International Journal of Online Engineering (iJOE) 11.4, 62-67, 2015 https://doi.org/10.3991/ijoe.v11i4.4742

Papanastasiou, G., Drigas, A., Skianis, C., & Lytras, M. D. (2017). Serious games in K-12 education: Benefits and impacts on students with attention, memory and developmental disabilities. Program, 51(4), 424-440. https://doi.org/10.1108/prog-02-2016-0020

Drigas, A. S., & Kokkalia, G. K. (2014). ICTs in Kindergarten. International Journal of Emerging Technologies in Learning, 9(2). https://doi.org/10.3991/ijet.v9i2.3278

Kokkalia, G., Drigas, A., & Economou, A. (2016). The role of games in special preschool education. International Journal of Emerging Technologies in Learning (iJET), 11(12), 30-35.

Drigas, A., & Mitsea, E. (2020). The 8 Pillars of Metacognition. International Journal of Emerging Technologies in Learning (iJET), 15(21), 162-178. https://doi.org/10.3991/ijet. v15i21.14907

Drigas, A., & Papoutsi, C. (2019). Emotional intelligence as an important asset for HR in organizations: Leaders and employees. International Journal of Advanced Corporate Learning, 12(1). https://doi.org/10.3991/ijac.v12i1.9637

Drigas, A. S., and M. Pappas, "The Consciousness-Intelligence-Knowledge Pyramid: An 8x8 Layer Model," International Journal of Recent Contributions from Engineering, Science & IT (iJES), vol. 5, no.3, pp 14-25, 2017. https://doi.org/10.3991/ijes.v5i3.7680

Mitsea, E., & Drigas, A. (2019). A journey into the metacognitive learning strategies. International Journal of Online & Biomedical Engineering, 15(14). https://doi.org/ 10.3991/ijoe.v15i14.11379

Drigas A, Karyotaki M (2017) Attentional control and other executive functions. Int J Emerg Technol Learn iJET 12(03):219-233

Drigas A, Karyotaki M 2014. Learning Tools and Application for Cognitive Improvement. International Journal of Engineering Pedagogy, 4(3): 71-77. From (Retrieved on 13 May 2016)

Drigas, A., & Mitsea, E. (2021). 8 Pillars X 8 Layers Model of Metacognition: Educational Strategies, Exercises &Trainings. International Journal of Online & Biomedical Engineering, 17(8). https://doi.org/10.3991/ijoe.v17i08.23563

Drigas A., Papoutsi C. (2020). The Need for Emotional Intelligence Training Education in Critical and Stressful Situations: The Case of COVID-19. Int. J. Recent Contrib. Eng. Sci. IT 8 (3), 20-35. 10.3991/ijes.v8i3.17235

Drigas, A., & Mitsea, E. (2020). The Triangle of Spiritual Intelligence, Metacognition and Consciousness. International Journal of Recent Contributions from Engineering, Science & IT (iJES), 8(1), 4-23. https://doi.org/10.3991/ijes.v8i1.12503

Kokkalia, G., Drigas, A. Economou, A., & Roussos, P. (2019). School readiness from kindergarten to primary school. International Journal of Emerging Tech. in Learning, 14(11), 4-18.

Drigas, A., & Mitsea, E. (2021). Metacognition, stress-relaxation balance & related hormones. International Journal of Recent Contributions from Engineering, Science & IT (iJES), 9(1), 4-16. https://doi.org/10.3991/ijes.v9i1.19623

Pappas M, Drigas A. Computerized Training for Neuroplasticity and Cognitive Improvement. International Journal of Engineering Pedagogy. 2019;.(4):50-62

Papoutsi, C. and Drigas, A. (2017) Empathy and Mobile Applications. International Journal of Interactive Mobile Technologies 11. 57. https://doi.org/10.3991/ijim.v11i3.6385

Papoutsi, C. & Drigas, A. (2016). Games for Empathy for Social Impact. International Journal of Engineering Pedagogy 6(4), 36-40.

Karyotaki, M., & Drigas, A. (2015). Online and other ICT Applications for Cognitive Training and Assessment. International Journal of Online and Biomedical Engineering. 11(2), 36-42.

Papoutsi, C., Drigas, A., & Skianis, C. (2019). Emotional intelligence as an important asset for HR in organizations: Attitudes and working variables. International Journal of Advanced Corporate Learning, 12(2), 21-35. https://doi.org/10.3991/ijac.v12i2.9620

Chaidi I. and Drigas, A. S., "Autism, Expression, and Understanding of Emotions: Literature Review," Int. J. Online Biomed. Eng., vol. 16, no. 02, pp. 94-111, 2020. https://doi.org/ 10.3991/ijoe.v16i02.11991

Chaidi I., Drigas, A. C Karagiannidis Autistic people's family and emotional intelligence Technium Soc. Sci. J. 26, 194

Drigas, A. S., & Karyotaki, M. (2019). A Layered Model of Human Consciousness. International Journal of Recent Contributions from Engineering, Science & IT (iJES), 7(3), 41- 50. https://doi.org/10.3991/ijes.v7i3.11117

Drigas, A. S., Karyotaki, M., & Skianis, C. (2018). An Integrated Approach to Neuro-development, Neuroplasticity and Cognitive Improvement. International Journal of Recent Contributions from Engineering, Science & IT (iJES), 6(3), 4-18.

Karyotaki M. and Drigas, A. S., "Latest trends in problem solving assessment," International Journal of Recent contributions from Engineering, Science & IT (iJES), vol. 4, no. 2, 2016. [Online serial]. Available: https://online-journals.org/index.php/i-jes/article/view/5800/. [Accessed Aug. 21, 2019]. https://doi.org/10.3991/ijes.v4i2.5800

Mitsea E., Drigas, A. S., andMantas P., "Soft Skills & Metacognition as Inclusion Amplifiers in the 21st Century," Int. J. Online Biomed. Eng. IJOE, vol. 17, no. 04, Art. no. 04, Apr. 2021. https://doi.org/10.3991/ijoe.v17i04.20567

Angelopoulou, E. Drigas, A. (2021). Working Memory, Attention and their Relationship: A theoretical Overview. Research. Society and Development,10(5), 1-8. https://doi.org/10.33448/rsd-v10i5.15288

Tourimpampa, A., Drigas, A., Economou, A., & Roussos, P. (2018). Perception and text comprehension. It'sa matter of perception! International Journal of Emerging Technologies in Learning (iJET). Retrieved from https://online-journals.org/index.php/ijet/article/view/7909/5051

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