接受與承諾治療結合ChatGPT對脊髓損傷者之應用

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陳臻(CHEN CHEN) 查詢紙本館藏

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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)

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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

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指導教授

沈建文(Shen, Chien-wen)

審核日期

2024-9-11

推文