接受與承諾治療結合ChatGPT對脊髓損傷者之應用

以作者查詢圖書館館藏

、以作者查詢臺灣博碩士

、以作者查詢全國書目

、勘誤回報

、線上人數：21

、訪客IP：13.59.205.156

姓名

陳臻(CHEN CHEN) 查詢紙本館藏

畢業系所

企業管理學系

論文名稱

接受與承諾治療結合ChatGPT對脊髓損傷者之應用
(A Study of Acceptance and Commitment Therapy Combined with ChatGPT for Spinal Cord Injuries)

相關論文

★ 美國軟體產業創新活動與財務效率分析	★ Performance Measurements of Web 2.0, Social Media, and Mobile Apps for Municipal Emergency Management
★ 中國大陸股權結構與自願性財務預測之關聯性	★ 我國半導體產業下游公司法人說明會對供應鏈上游公司投資現金流量敏感度的影響
★ 線上串流音樂服務之使用者抗拒意圖研究	★ 從認知理論探討創業機會辨識對績效之影響
★ 影響Y世代消費者對智慧綠色產品購買意圖與使用意圖的因素：以智慧節能裝置為例	★ Application of social media mining on the comparison between two-dimensional barcode and near field communication
★ 應用社群探勘技術分析城市之創業精神與新創公司的特性	★ 科技接受度與學習風格對於頭戴式虛擬實境應用在學習行為意圖的影響
★ 電子發票巨量資料視覺化分析－以酒的消費為例	★ 應用文字探勘分析ERP之趨勢發展：以Twitter為例
★ 社群媒體文字採礦之研究：以第三方物流公司為例	★ 應用文字探勘技術分析遊戲產業趨勢：以兩大遊戲展之相關推文為例
★ 台灣有機食品消費與疾病死亡率之視覺化分析	★ 酒類消費與犯罪率之視覺化分析

檔案

[Endnote RIS 格式]

[Bibtex 格式]

[相關文章]

[文章引用]

[完整記錄]

[館藏目錄]

至系統瀏覽論文 ( 永不開放)

摘要(中)

隨著科技的進步，心理介入方法越趨多元，為許多族群帶來心理的改善，然而，對於因脊髓損傷造成心理影響的傷友而言，目前使用科技結合心理介入的方式仍較缺乏。故本研究開發ACT ChatGPT作為傷友心理介入之方法，將接受與承諾治療(Acceptance and commitment therapy , ACT)和ChatGPT結合。ChatGPT至問世以來，不僅對於人類生活帶來巨幅改變，在心理健康領域亦有發展潛能。而ACT ChatGPT由ACT六大核心組成:接受、脫離糾結、觀察自我、接觸當下、價值觀、承諾行動，透過核心相互結合的歷程來提升心理靈活性之目標，ACT ChatGPT主要納入ACT相關練習和ChatGPT進行思考交流，為驗證ACT ChatGPT之實用性，本研究以脊髓損傷者的案例分析來評估ACT ChatGPT的接受度，總共實施10日的ACT ChatGPT介入，同時也收集參與者和ACT ChatGPT的互動內容以及回饋，以深入探討ACT ChatGPT之影響，並藉案例分析來檢驗其對焦慮抑鬱以及心理靈活性程度的改善情況，為評估其有效性，採用先前已開發的HADS焦慮抑鬱量表(The Hospital Anxiety and Depression Scale, HADS)和CompACT心理靈活性量表(Comprehensive Assessment of Acceptance and Commitment Processes, CompACT)作為驗證之量表工具，所有人員皆完成前測和後測的HADS、CompACT量表填答。案例分析結果顯示，ACT ChatGPT儘管對心理靈活性和焦慮抑鬱無顯著改善，但在焦慮抑鬱方面呈現某種程度的改變，且參與者對於ACT ChatGPT的回饋多數為正面，從和ChatGPT的互動之中亦可觀察到，ChatGPT極具高度靈活性，能夠為參與者提供客製化回應。ACT ChatGPT作為一種新興的心理介入，具有發展潛力，未來若能進一步擴展ACT ChatGPT將其運用更廣泛的領域和族群，可以為更多有需要的人提供支援與幫助。

摘要(英)

With the advancement of technology, there is a growing diversity in psychological intervention methods that can bring about psychological improvements for various populations. However, for individuals who experience psychological impacts due to spinal cord injuries, the integration of technology and psychological interventions remains relatively limited. Therefore, this study developed ACT ChatGPT as a method for psychological intervention among individuals with spinal cord injuries, combining Acceptance and Commitment Therapy (ACT) with ChatGPT. Since the emergence of ChatGPT, it has not only brought significant changes to human life but also holds potential for development in the field of mental health. ACT ChatGPT consists of the six core components of ACT: Acceptance, Defusion, Self-as-Context, Contact with the Present Moment, Values, and Committed Action. Through the integration of these core components, the aim is to enhance psychological flexibility. ACT ChatGPT primarily incorporates ACT-related exercises and engages in thoughtful exchanges through ChatGPT. To validate the effectiveness of ACT ChatGPT, this study utilized case analysis involving individuals with spinal cord injuries to assess the acceptance of ACT ChatGPT. A 10-day intervention with ACT ChatGPT was conducted, along with the collection of interaction content and feedback from participants regarding their interactions with ACT ChatGPT. This information aimed to comprehend the impact of ACT ChatGPT. Case analysis was used to examine improvements in anxiety, depression, and psychological flexibility. The study employed established tools, including the Hospital Anxiety and Depression Scale (HADS) and the Comprehensive Assessment of Acceptance and Commitment Processes (CompACT), for pre-test and post-test assessments.
The results of the case analysis indicated that although ACT ChatGPT did not significantly improve psychological flexibility and anxiety or depression, it demonstrated a certain degree of change in terms of anxiety and depression. Most participants provided positive feedback on ACT ChatGPT, and interactions with ChatGPT revealed its high flexibility in offering customized responses. As an emerging psychological intervention, ACT ChatGPT possesses developmental potential. Further expansion and application of ACT ChatGPT in wider domains and populations could provide support and assistance to a larger number of individuals in need.

關鍵字(中)

★ 接受與承諾治療
★ 脊髓損傷
★ 焦慮
★ 抑鬱
★ 心理靈活性

關鍵字(英)

★ Acceptance and Commitment
★ ChatGPT
★ Spinal Cord Injury
★ Anxiety
★ Depression
★ Psychological flexibility

論文目次

中文摘要 i
ABSTRACT ii
目錄 iv
圖目錄 vi
表目錄 vii
第一章緒論 1
1-1 研究背景 1
1-2 研究動機與目的 3
1-3 研究流程 5
第二章文獻回顧 6
第三章研究方法 12
3-1 ACT ChatGPT 12
3-1-1 接受與承諾治療 12
3-1-2 ChatGPT與接受與承諾治療的結合 16
3-2 焦慮抑鬱假設與量表 27
3-3 心理靈活性的假設與量表 31
3-4 Wilcoxon符號等級檢定 34
第四章案例分析 36
4-1 案例分析與資料分析 36
4-1-1案例分析與資料收集 36
4-1-2 問卷信效度分析 38
4-2 敘述性統計分析 43
4-2-1 參與者焦慮抑鬱程度之敘述性統計分析 43
4-2-2 參與者心理靈活性程度之敘述性統計分析 45
4-3 ACT ChatGPT文字分析 48
4-3-1 核心一-接受回答分析 48
4-3-2 核心二-脫離糾結回答分析 50
4-3-3 核心三接觸當下回答分析 51
4-3-4 核心四-觀察自我回答分析 53
4-3-5 核心五-價值觀回答分析 54
4-3-6 核心六-承諾行動回答分析 57
4-4 焦慮抑鬱之假設檢定結果 59
4-5 心理靈活性之假設檢定結果 60
第五章研究結論與建議 63
5-1研究結論 63
5-2 研究限制與未來研究建議 65
參考文獻 69

參考文獻

中文文獻
王珮羽. (2023, March 16). ChatGPT是什麼？GPT-4厲害在哪？跟過去幾代有差嗎？一篇看懂最強AI紅什麼. 數位時代. https://www.bnext.com.tw/article/73183/chatgpt-202212
張本聖, 丁郁芙, & 蘇益賢(譯). (2017). 走出苦難，擁抱人生：接受與承諾治療自助手冊 (H. Steven C, S. Smith, & Eds.). 張老師文化事業股份有限公司.
張本聖(譯). (2016). ACT實務工作者:認知行為治療與接受與承諾治療的結合 (j. V. Ciarrochi & A. Bailey, Eds.). 張老師文化事業股份有限公司
賴以玲. (2022, October 14). 脊椎損傷暨認知大調查！脊損年輕化成新隱憂「挺勇敢 We Go Together」助傷友生活重建. HEHO. https://heho.com.tw/archives/245307

英文文獻
Alizadeh, A., Dyck, S. M., & Karimi-Abdolrezaee, S. (2019). Traumatic spinal cord injury: an overview of pathophysiology, models and acute injury mechanisms. Frontiers in neurology, 10, 282.
Andersson, G., & Titov, N. (2014). Advantages and limitations of Internet‐based interventions for common mental disorders. World Psychiatry, 13(1), 4-11.
Anthony, C. A., Rojas, E., Glass, N., Keffala, V., Noiseux, N., Elkins, J., Brown, T. S., & Bedard, N. A. (2022). A psycholgical intervention delivered by automated mobile phone messaging stabilized hip and knee function during the COVID-19 pandemic: a randomized controlled trial. The Journal of Arthroplasty, 37(3), 431-437. e433.
Anthony, C. A., Rojas, E. O., Keffala, V., Glass, N. A., Shah, A. S., Miller, B. J., Hogue, M., Willey, M. C., Karam, M., & Marsh, J. L. (2020). Acceptance and commitment therapy delivered via a mobile phone messaging robot to decrease postoperative opioid use in patients with orthopedic trauma: randomized controlled trial. Journal of medical Internet research, 22(7), e17750.
Babamohamadi, H., Negarandeh, R., & Dehghan-Nayeri, N. (2011). Coping strategies used by people with spinal cord injury: a qualitative study. Spinal Cord, 49(7), 832-837.
Bai, Z., Luo, S., Zhang, L., Wu, S., & Chi, I. (2020). Acceptance and commitment therapy (ACT) to reduce depression: A systematic review and meta-analysis. Journal of Affective Disorders, 260, 728-737.
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: an updated literature review. Journal of psychosomatic research, 52(2), 69-77.
Boiler, L. (2013). Positive Psychology interventions: a meta-Analysis of randomised controlled studies. Retrieved from link bmcpublichealth. In: biomedcentral. com.
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior therapy, 42(4), 676-688.
Cameron, G., Cameron, D., Megaw, G., Bond, R., Mulvenna, M., O’Neill, S., Armour, C., & McTear, M. (2017). Towards a chatbot for digital counselling. Proceedings of the 31st International BCS Human Computer Interaction Conference (HCI 2017) 31,
Carpenter, K. M., Stoner, S. A., Mundt, J. M., & Stoelb, B. (2012). An online self-help CBT intervention for chronic lower back pain. The Clinical journal of pain, 28(1), 14.
Carvalho, S. A., Skvarc, D., Barbosa, R., Tavares, T., Santos, D., & Trindade, I. A. (2022). A pilot randomized controlled trial of online acceptance and commitment therapy versus compassion‐focused therapy for chronic illness. Clinical Psychology & Psychotherapy, 29(2), 524-541.
Cuijpers, P., & Schuurmans, J. (2007). Self-help interventions for anxiety disorders: an overview. Current psychiatry reports, 9, 284-290.
Denecke, K., Vaaheesan, S., & Arulnathan, A. (2020). A mental health chatbot for regulating emotions (SERMO)-concept and usability test. IEEE Transactions on Emerging Topics in Computing, 9(3), 1170-1182.
Fitzpatrick, K. K., Darcy, A., & Vierhile, M. (2017). Delivering cognitive behavior therapy to young adults with symptoms of depression and anxiety using a fully automated conversational agent (Woebot): a randomized controlled trial. JMIR Mental Health, 4(2), e7785.
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior modification, 31(6), 772-799.
Fornell, C., & Larcker, D. F. (1981). Structural equation models with unobservable variables and measurement error: Algebra and statistics. In: Sage Publications Sage CA: Los Angeles, CA.
Francis, A. W., Dawson, D. L., & Golijani-Moghaddam, N. (2016). The development and validation of the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT). Journal of Contextual Behavioral Science, 5(3), 134-145.
Guo, B., Zhang, X., Wang, Z., Jiang, M., Nie, J., Ding, Y., Yue, J., & Wu, Y. (2023). How close is chatgpt to human experts? comparison corpus, evaluation, and detection. arXiv preprint arXiv:2301.07597.
Hancock, K. M., Swain, J., Hainsworth, C. J., Dixon, A. L., Koo, S., & Munro, K. (2018). Acceptance and commitment therapy versus cognitive behavior therapy for children with anxiety: Outcomes of a randomized controlled trial. Journal of Clinical Child & Adolescent Psychology, 47(2), 296-311.
Harris, R. (2006). Embracing your demons: An overview of acceptance and commitment therapy. Psychotherapy in Australia, 12(4), 70-76.
Hauser-Ulrich, S., Künzli, H., Meier-Peterhans, D., & Kowatsch, T. (2020). A smartphone-based health care chatbot to promote self-management of chronic pain (SELMA): pilot randomized controlled trial. JMIR mHealth and uHealth, 8(4), e15806.
Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist, 40(7), 976-1002.
Hayes, S. C., & Strosahl, K. D. (2005). A practical guide to acceptance and commitment therapy. Springer Science+ Business Media.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy. Guilford press New York.
Hearn, J. H., & Finlay, K. A. (2018). Internet-delivered mindfulness for people with depression and chronic pain following spinal cord injury: a randomized, controlled feasibility trial. Spinal Cord, 56(8), 750-761.
Hollis, C., Morriss, R., Martin, J., Amani, S., Cotton, R., Denis, M., & Lewis, S. (2015). Technological innovations in mental healthcare: harnessing the digital revolution. The British Journal of Psychiatry, 206(4), 263-265.
Ivanova, E., Lindner, P., Ly, K. H., Dahlin, M., Vernmark, K., Andersson, G., & Carlbring, P. (2016). Guided and unguided Acceptance and Commitment Therapy for social anxiety disorder and/or panic disorder provided via the Internet and a smartphone application: A randomized controlled trial. Journal of anxiety disorders, 44, 27-35.
Khanjani, M. S., Kazemi, J., Younesi, J., Dadkhah, A., Biglarian, A., & Barmi, B. E. (2021). The effect of acceptance and commitment therapy on psychological flexibility and emotional regulation in patients with spinal cord injuries: A randomized controlled trial. Iranian Journal of Psychiatry and Behavioral Sciences, 15(2).
Khorasanizadeh, M., Yousefifard, M., Eskian, M., Lu, Y., Chalangari, M., Harrop, J. S., Jazayeri, S. B., Seyedpour, S., Khodaei, B., & Hosseini, M. (2019). Neurological recovery following traumatic spinal cord injury: a systematic review and meta-analysis. Journal of Neurosurgery: Spine, 30(5), 683-699.
Klos, M. C., Escoredo, M., Joerin, A., Lemos, V. N., Rauws, M., & Bunge, E. L. (2021). Artificial intelligence–based chatbot for anxiety and depression in university students: pilot randomized controlled trial. JMIR formative research, 5(8), e20678.
Kohtala, A., Muotka, J., & Lappalainen, R. (2017). What happens after five years?: The long-term effects of a four-session Acceptance and Commitment Therapy delivered by student therapists for depressive symptoms. Journal of Contextual Behavioral Science, 6(2), 230-238.
Lappalainen, P., Lappalainen, R., Keinonen, K., Kaipainen, K., Puolakanaho, A., Muotka, J., & Kiuru, N. (2023). In the shadow of COVID-19: A randomized controlled online ACT trial promoting adolescent psychological flexibility and self-compassion. Journal of Contextual Behavioral Science, 27, 34-44.
Liu, H., Peng, H., Song, X., Xu, C., & Zhang, M. (2022). Using AI chatbots to provide self-help depression interventions for university students: A randomized trial of effectiveness. Internet interventions, 27, 100495.
Ly, K. H., Ly, A.-M., & Andersson, G. (2017). A fully automated conversational agent for promoting mental well-being: A pilot RCT using mixed methods. Internet interventions, 10, 39-46.
Mattila, E., Lappalainen, R., Välkkynen, P., Sairanen, E., Lappalainen, P., Karhunen, L., Peuhkuri, K., Korpela, R., Kolehmainen, M., & Ermes, M. (2016). Usage and dose response of a mobile acceptance and commitment therapy app: secondary analysis of the intervention arm of a randomized controlled trial. JMIR mHealth and uHealth, 4(3), e5241.
Mehta, S., Hadjistavropoulos, H., Nugent, M., Karin, E., Titov, N., & Dear, B. F. (2020). Guided internet-delivered cognitive-behaviour therapy for persons with spinal cord injury: a feasibility trial. Spinal Cord, 58(5), 544-552.
Mehta, S., Orenczuk, S., Hansen, K. T., Aubut, J.-A. L., Hitzig, S. L., Legassic, M., & Teasell, R. W. (2011). An evidence-based review of the effectiveness of cognitive behavioral therapy for psychosocial issues post-spinal cord injury. Rehabilitation psychology, 56(1), 15.
Merritt, C. H., Taylor, M. A., Yelton, C. J., & Ray, S. K. (2019). Economic impact of traumatic spinal cord injuries in the United States. Neuroimmunology and neuroinflammation, 6.
Migliorini, C., Tonge, B., & Taleporos, G. (2008). Spinal cord injury and mental health. Australian & New Zealand Journal of Psychiatry, 42(4), 309-314.
Nickerson, R. S. (2000). Null hypothesis significance testing: a review of an old and continuing controversy. Psychological methods, 5(2), 241.
Nunnally, J. C. (1978). An overview of psychological measurement. Clinical diagnosis of mental disorders: A handbook, 97-146.
Oladeji, B. D., & Gureje, O. (2016). Brain drain: a challenge to global mental health. BJPsych international, 13(3), 61-63.
Pollard, C., & Kennedy, P. (2007). A longitudinal analysis of emotional impact, coping strategies and post‐traumatic psychological growth following spinal cord injury: A 10‐year review. British journal of health psychology, 12(3), 347-362.
Post, M., & van Leeuwen, C. M. (2012). Psychosocial issues in spinal cord injury: a review. Spinal Cord, 50(5), 382-389.
Pernet, C. (2015). Null hypothesis significance testing: a short tutorial. F1000Research, 4.
Schueller, S. M. (2010). Preferences for positive psychology exercises. The Journal of Positive Psychology, 5(3), 192-203.
Singh, A., Tetreault, L., Kalsi-Ryan, S., Nouri, A., & Fehlings, M. G. (2014). Global prevalence and incidence of traumatic spinal cord injury. Clinical epidemiology, 309-331.
Singh, O. P. (2023). Artificial intelligence in the era of ChatGPT-Opportunities and challenges in mental health care. Indian Journal of Psychiatry, 65(3), 297.
Stapleton, A., Lavelle, J., & McHugh, L. (2022). Chatbot-delivered acceptance and commitment therapy with adolescents: A pilot randomized controlled trial.
Streiner, D. L. (2003). Unicorns do exist: A tutorial on “proving” the null hypothesis. The Canadian Journal of Psychiatry, 48(11), 756-761.
Teplow, D. B. (2018). Progress in molecular biology and translational science. Academic Press.
Torabian, S., Hemmati Sabet, V., & Meschi, F. (2019). The effectiveness of acceptance and commitment therapy on anxiety, depression, and stress in patients with spinal cord injuries. International Clinical Neuroscience Journal, 6(2), 46-52.
Tregarthen, J., Kim, J. P., Sadeh-Sharvit, S., Neri, E., Welch, H., & Lock, J. (2019). Comparing a tailored self-help mobile app with a standard self-monitoring app for the treatment of eating disorder symptoms: Randomized controlled trial. JMIR Mental Health, 6(11), e14972.
Trompetter, H. R., Bohlmeijer, E. T., Veehof, M. M., & Schreurs, K. M. (2015). Internet-based guided self-help intervention for chronic pain based on Acceptance and Commitment Therapy: a randomized controlled trial. Journal of behavioral medicine, 38, 66-80.
Vaidyam, A. N., Wisniewski, H., Halamka, J. D., Kashavan, M. S., & Torous, J. B. (2019). Chatbots and conversational agents in mental health: a review of the psychiatric landscape. The Canadian Journal of Psychiatry, 64(7), 456-464.
Van Spijker, B. A., Majo, M. C., Smit, F., van Straten, A., & Kerkhof, A. J. (2012). Reducing suicidal ideation: cost-effectiveness analysis of a randomized controlled trial of unguided web-based self-help. Journal of medical Internet research, 14(5), e141.
van Spijker, B. A., van Straten, A., & Kerkhof, A. J. (2010). The effectiveness of a web-based self-help intervention to reduce suicidal thoughts: a randomized controlled trial. Trials, 11(1), 1-7.
van Spijker, B. A., van Straten, A., & Kerkhof, A. J. (2014). Effectiveness of online self-help for suicidal thoughts: results of a randomised controlled trial. PloS one, 9(2), e90118.
Wynne, B., McHugh, L., Gao, W., Keegan, D., Byrne, K., Rowan, C., Hartery, K., Kirschbaum, C., Doherty, G., & Cullen, G. (2019). Acceptance and commitment therapy reduces psychological stress in patients with inflammatory bowel diseases. Gastroenterology, 156(4), 935-945. e931.
Zemestani, M., & Mozaffari, S. (2020). Acceptance and commitment therapy for the treatment of depression in persons with physical disability: a randomized controlled trial. Clinical Rehabilitation, 34(7), 938-947, Article 0269215520923135. https://doi.org/10.1177/0269215520923135
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370.

指導教授

沈建文(Shen, Chien-wen)

審核日期

2024-9-11

推文