| 摘要(英) |
Recently,the application of Virtual Reality Environment Therapy (VRET) in Rehabilitation Medicine has been quickly developed. It is an important assistance tool for Rehabilitation Medicine, for it can be used not only to estimate the ability and progress of the patient, but also to provide the patient the possibility of adequate practice. In addition, it can even bring positive feedbacks and a sense of satisfaction to the patient. In the field of physical rehabilitation, with the help of the software for Virtual Reality Environment and proper assistance tools, the patient is able to retrain many aspects of his physical functions through playing games. For example, pinch, rehabilitation of cardiopulmonary function, physical coordination and so on. VRET reduces the cost and time for training, and it is more stable and safer than traditional rehabilitation, in order to inspire the patient to rehabilitate by himself.
Besides physical rehabilitation, VRET can also be applied in psychotherapy. In 1995, it was found that VRET is able to trigger off anxiety reaction of acrophobics, and now the therapeutic efficacy of VRET for acrophobia has been proved. Nevertheless, in other fields of psychotherapy, it still needs more researches to prove the therapeutic efficacy of VRET. This research is aimed at claustrophobe, and with the use of head mount display, the subject is placed in an environment of virtual elevator. After testing all kinds of possible dangerous situations, which might occur in real life, the result will show that if those situations panicked the subject. Furthermore, skills of augmented reality (AR) are also applied in this research, in order to contrast with the result of VRET. The subject is required to fulfill three questionnaires (anxiety evaluation, presence and awareness, and technology acceptance) and measure the Heart Rate Variability, so that the physiological reactions of the subject can be completely recorded and be applied in the analysis afterward.
Results of the experiments indicate that both VRET and AR can trigger the subjects’ anxiety, and the efficacy of AR is far more obvious than VRET. In the aspect of presence and awareness, the subjects perceived stronger sense of presence when they were undergoing the AR experiment, because they were actually standing in a real elevator. In the aspect of technology acceptance however, the efficacy of entertainment is not considered to be apparent, but the skills and equipment applied in this experiment are still able to encourage the curiosity and imagination of the subjects, and thus help to accomplish the purposes of this research.
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| 參考文獻 |
[1] Ost, L.-G. (2007). "The claustrophobia scale: a psychometric evaluation." Behaviour Research and Therapy 45(5): 1053-1064.
[2] Lourenco, S. F., M. R. Longo, et al. (2011). "Near space and its relation to claustrophobic fear." Cognition 119(3): 448-453.
[3] 廖士程 and 林信男 (2003). "恐慌症之診斷與藥物治療策略." Medicine Today 351: 31.
[4] Davey, G., Ed. (2000). Phobias : A Handbook of Theory, Research and Treatment, Wiley; 1 edition (February 29, 2000).
[5] Harris, L. M., J. Robinson, et al. (1999). "Evidence for fear of restriction and fear of suffocation as components of claustrophobia." Behaviour Research and Therapy 37(2): 155-159.
[6] Rachman, S. and S. Taylor (1993). "Analyses of Claustrophobia." Journal of Anxiety Disorders 7(4): 281-291.
[7] st, L.-G. r. O. and P. Csatlos (2000). "Probability ratings in claustrophobic patients and normal controls." Behaviour Research and Therapy 38(11): 1107-1116.
[8] Choy, Y., A. J. Fyer, et al. (2007). "Treatment of specific phobia in adults." Clinical Psychology Review 27(3): 266-286.
[9] Booth, R. and S. Rachman (1992). "The reduction of claustrophobia—I." Behaviour Research and Therapy 30(3): 207-221.
[10] Shafran, R., R. Booth, et al. (1993). "The reduction of claustrophobia—II: Cognitive analyses." Behaviour Research and Therapy 31(1): 75-85.
[11] Murphy, K. J. and J. A. Brunberg (1997). "Adult claustrophobia, anxiety and sedation in MRI." Magnetic Resonance Imaging 15(1): 51-54.
[12] Thorpe, S., P. M. Salkovskis, et al. (2008). "Claustrophobia in MRI: the role of cognitions." Magnetic Resonance Imaging 26(8): 1081-1088.
[13] Alpers, G. W. and R. Sell (2008). "And yet they correlate: Psychophysiological activation predicts self-report outcomes of exposure therapy in claustrophobia." Journal of Anxiety Disorders 22(7): 1101-1109.
[14] Antony, M. M., R. E. McCabe, et al. (2001). "Effect of distraction and coping style on in vivo exposure for specific phobia of spiders." Behaviour Research and Therapy 39(10): 1137-1150.
[15] McGlynn, F. D., P. M. Moore, et al. (1999). "Relaxation training inhibits fear and arousal during in vivo exposure to phobia-cue stimuli." Journal of Behavior Therapy and Experimental Psychiatry 30(3): 155-168.
[16] KIRSCH, I., H. TENNEN, et al. (1983). "The Role of Expectancy in Fear Reduction." Behavior Therapy 14(4): 520-533.
[17] Cottraux, J. (2004). "Combining psychological and pharmacological treatment for specific phobias." Psychiatry 3(6): 87-89.
[18] Ost, L.-G., J. Johansson, et al. (1982). "Individual response patterns and the effects of different behavioral methods in the treatment of claustrophobia." Behaviour Research and Therapy 20(5): 445-460.
[19] Wolitzky-Taylor, K. B., J. D. Horowitz, et al. (2008). "Psychological approaches in the treatment of specific phobias : A meta-analysis." Clinical Psychology Review 28(6): 1021-1037.
[20] Davey, G. C. L. (2007). "Psychopathology and treatment of specific phobias." Psychiatry 6(6): 247-253.
[21] Sutherland, I. E. (1965). "The Ultimate Display : Information Processing Techniques." Proceedings of IFIP Congress: 506-508.
[22] Botella, C., R. M. Banos, et al. (2000). "Virtual Reality in the Treatment of Claustrophobic Fear : A Controlled, Multiple-Baseline Design." Behavior Therapy 31(3): 583-595.
[23] Botella, C., R. M. Banos, et al. (1998). "Virtual reality treatment of claustrophobia : a case report." Behaviour Research and Therapy 36(2): 239-246.
[24] Garcia-Palacios, A., H. Hoffman, et al. (2002). "Virtual reality in the treatment of spider phobia: a controlled study." Behaviour Research and Therapy 40(9): 983-993.
[25] Foa, E. B. and M. J. Kozak (1986). "Emotional Processing of Fear: Exposure to Corrective Information." Psychological Bulletin 99(1): 20-35.
[26] Coelho, C. M., A. M. Waters, et al. (2009). "The use of virtual reality in acrophobia research and treatment." Journal of Anxiety Disorders 23(5): 563-574.
[27] Nelissen, I., P. Muris, et al. (1995). "Computerized exposure and in vivo exposure treatments of spider fear in children : Two case reports." Journal of Behavior Therapy and Experimental Psychiatry 26(2): 153-156.
[28] Hunt, M. and M. Fenton (2007). "Imagery rescripting versus in vivo exposure in the treatment of snake fear." Journal of Behavior Therapy and Experimental Psychiatry 38(4): 329-344.
[29] Hunt, M., L. Bylsma, et al. (2006). "The role of imagery in the maintenance and treatment of snake fear." Journal of Behavior Therapy and Experimental Psychiatry 37(4): 283-298.
[30] Wolitzky, K. B. and M. J. Telch (2009). "Augmenting In Vivo Exposure With Fear Antagonistic Actions : A Preliminary Test." Behavior Therapy 40(1): 57-71.
[31] Botella, C., J. Breton-Lopez, et al. (2011). "Treating cockroach phobia using a serious game on a mobile phone and augmented reality exposure: A single case study." Computers in Human Behavior 27(1): 217-227.
[32] Antley, A. and M. Slater (2011). "The Effect on Lower Spine Muscle Activation of Walking on a Narrow Beam in Virtual Reality." IEEE TRANSACTIONS ON VISUALIZATION AND COMPUTER GRAPHICS 17(2).
[33] Juan, M. C. and D. Perez (2010). "Using augmented and virtual reality for the development of acrophobic scenarios. Comparison of the levels of presence and anxiety." Computers & Graphics 34(6): 756-766.
[34] Botella, C., M. Juan, et al. (2005). "Mixing realities? An application of augmented reality for the treatment of cockroach phobia." Cyberpsychology & Behavior 8(2): 162-171.
[35] Botella, C., J. Breton-Lopez, et al. (2010). "Treating Cockroach Phobia With Augmented Reality." Behavior Therapy 41(3): 401-413.
[36] Krijn, M., P. M. G. Emmelkamp, et al. (2004). "Treatment of acrophobia in virtual reality : The role of immersion and presence." Behaviour Research and Therapy 42(2): 229-239.
[37] Juan, M. C. and D. Perez (2009). "Comparison of the levels of presence and anxiety in an acrophobic environment viewed via HMD or CAVE." Presence:Teleoperators and Virtual Environment 18(3): 232-248.
[38] Kleiger, R., J. Miller, et al. (1987). "Decreased heart rate variability and its association with increased mortality after acute myocardial infarction." Am J Cardiol 59(4): 256-262.
[39] J T Bigger, J., J. L. Fleiss, et al. (1992). "Frequency domain measures of heart period variability and mortality after myocardial infarction." Circulation 85(1): 164-171.
[40] Schwartz, P. J. and E. Vanoli (1981). "Cardiac arrhythmias elicited by interaction between acute myocardial ischemia and sympathetic hyperactivity : a new experimental model for the study of antiarrhythmic drugs." Journal of cardiovascular pharmacology 3(6): 1251-1259.
[41] Vaseghi, M. and K. Shivkumar (2008). "The Role of the Autonomic Nervous System in Sudden Cardiac Death." Progress in Cardiovascular Diseases 50(6): 404-419.
[42] ESC/NASPE, T. f. (1996). "Heart rate variability,stabdards of measurement,physiological interpretation,and clinical use." Circulation 93(5): 1043-1065.
[43] Venkatesh, V. and F. D. Davis (2000). "A Theoretical Extension of the Technology Acceptance Model : Four Longitudinal Field Studies." Management Science 46(2): 186-204.
[44] Heeter, C. (1992). "Being there : the subjective experience of presence." Presence : Teleoperators and Virtual Environments 1(2).
[45] Witmer, B. G. and M. J. Singer (1998). "Measuring presence in virtual environments : a presence questionnaire." Presence : Teleoperators and Virtual Environments 7(3): 225-240.
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