開車恐懼症的虛擬實境暴露療法之科技探索、系統發展與臨床實驗分析

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研究生：	郭儒廷 Kuo, Routine R. T.
論文名稱：	開車恐懼症的虛擬實境暴露療法之科技探索、系統發展與臨床實驗分析 VR Exposure Therapy for Driving Phobia Treatment – Technology Mining, System Development and Clinical Analysis
指導教授：	張瑞芬 Trappey, Amy J.C.
口試委員:	張家銘 Chang, Chia-Ming 張力元 Trappey, Charles V.
學位類別：	碩士 Master
系所名稱：	工學院 - 工業工程與工程管理學系 Department of Industrial Engineering and Engineering Management
論文出版年：	2021
畢業學年度：	109
語文別：	英文
論文頁數：	64
中文關鍵詞：	虛擬實境暴露療法、開車恐懼症、創傷後壓力症候群、生理訊號、專利佈局
外文關鍵詞：	Virtual reality exposure therapy, Driving phobia, Post-traumatic stress disorder, Physiological signals, Patent portfolios
相關次數：	點閱：3 下載：0
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開車恐懼症屬於一種創傷後壓力症候群(Post-traumatic stress disorder, PTSD)，它所代表的是指患者在經歷過嚴重的交通事故之後對開車行為所產生出的抗拒感與強烈的恐懼。患有開車恐懼症容易對患者的工作表現與日常生活造成影響，因此最近這幾十年來對於開車恐懼症治療的研究愈發廣泛。認知行為療法(Cognitive behavioral therapy, CBT)是治療開車恐懼症的傳統方式，隨著虛擬實境技術的成熟與普及，虛擬實境暴露療法(Virtual reality exposure therapy, VRET)成了治療開車恐懼症的新選擇，許多相關研究已經證實在開車恐懼症的治療上，採用VRET比採用CBT有著更加顯著的治療成效。本研究主要朝著VRET技術與應用中的三大方向進行。第一點，通過全面性的非專利文獻以及專利文獻的審查和分析進行VRET技術挖掘，以建立VRET知識本體與技術布局策略。第二點，設計出一套能夠整合虛擬實境技術、駕駛情境設計、蒐集受試者生理回饋訊號的感測器的VRET系統。第三點，本研究將會進行三項臨床實驗，第一項用於系統的預測試實驗，第二項用於系統改善實驗，第三項用於自適應系統應用實驗，藉此驗證VRET雛型系統對開車恐懼症的治療成效。研究的成果可被歸納為以下三項。第一項，根據專利技術布局分析，人們對於虛擬實境技術領域的研究逐漸增多，但只有為數不多的廠商在針對暴露療法與恐懼症治療的領域進行研究，這代表VRET應用領域在未來具有高度發展性。第二項，在系統的預測試實驗中介紹了VRET開車恐懼症的七階級的情境設計，並在後續的系統改善實驗中改良成VRET開車恐懼症的四階級的情境設計。第三項，三項臨床實驗的結果證明了VRET系統可以提供受試者高擬真度的駕駛模擬體驗，且在參與VRET實驗後可以減輕他們對於特定開車場景的焦慮感和恐懼感。

Driving phobia is a kind of post-traumatic stress disorder (PTSD) that refers to a persistent and intense fear of driving for people who suffered from traumatic vehicle accidents. Being diagnosed with a driving phobia interferes patient's working performance and quality of life. Researches about treating driving phobia have been widely studied during the past decades. Cognitive-behavioral therapy (CBT) is one of the traditional treatments for driving phobia, but with the maturity and popularization of virtual reality technology, virtual reality exposure therapy (VRET) has become another option for treating driving phobia. Several studies had proved that the latter is more effective in various kinds of phobia treatment. This thesis focuses on three main tasks in studying VRET technologies and applications. First, the VRET technology mining is conducted through comprehensive non-patent literature and patent review and analysis to build VRET knowledge ontology and its technology portfolio. Second, the VRET system, seamlessly incorporating VR techniques, driving scenario application, and the biosensors for subject data collection, is design and implemented. Third, three clinical experiment designs, one for system pre-testing, another for system refinement, and the other for self-adaptive design examination, are developed and conducted to test the effectiveness of the VRET prototype for driving phobia treatment. The research result can be summarized as follows. First, according to technology portfolio analysis, studies about VR technology show an increasing trend, but few assignees have focused on exposure therapy and phobia treatment, showing that the VRET application domain is developmental and has a prosperous future. Second, the seven-level scenario design is presented in the pre-test experiment, and another four-level scenario design is presented in subsequent refinements. Third, the result of three clinical experiments proves that the VRET system could provide an authentic experience to subjects, and their subjective distress and fear of driving in specific scenes were mitigated after participated in the VRET experiment.

Abstract        I
摘要        III
Table of Contents    IV
List of Figures    VI
List of Tables    VII
Chapter 1.  Introduction    1
1  Research background    2
2  Research purposes    2
3  Research outline    2
Chapter 2.  Technology mining - Non-Patent Literature Review    4
1  Non-patent literature about driving phobia treatment    4
1.1  Post-traumatic stress disorder    4
1.2  Cognitive behavior therapy    6
1.3  Virtual reality exposure therapy    7
1.4  Questionnaire design    9
1.5  Self-adaptive system    10
2  Knowledge map and review summary    11
Chapter 3.  Technology mining - Patent review and case study    13
1.  Patents review about VRET application    13
2.  VRET patent research history    14
3.  Case study    15
Chapter 4.  VRET design and development    20
1  System development flow    20
2  Scenario design and immersive environment introduction    21
3  System architecture    24
3.1  Hardware    25
3.2  Software    26
3.3  Database    27
4  Self-adaptive VRET system design    27
4.1  Self-adaptive design flow    27
4.2  Self-adaptive design algorithm    29
Chapter 5.  Clinical experiments and data analysis    32
1  First experiment result    32
1.1  Prior hypothesis definition    32
1.2  Participant's inclusion criteria    33
1.3  Experiment flow    33
1.4  Questionnaire design    34
1.5  Statistical analysis    36
2  Second experiment result    39
2.1  Prior hypothesis definition    39
2.2  Participant's inclusion criteria    39
2.3  Experiment flow    42
2.4  Questionnaire design    43
2.5  Statistical analysis    44
3  Result comparison between the first and the second experiment    50
4  Third experiment result    54
Chapter 6.  Conclusion    57
References        59


                                

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