TWI626037B - Virtual reality system for psychological clinical application - Google Patents

Virtual reality system for psychological clinical application Download PDF

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TWI626037B
TWI626037B TW106106433A TW106106433A TWI626037B TW I626037 B TWI626037 B TW I626037B TW 106106433 A TW106106433 A TW 106106433A TW 106106433 A TW106106433 A TW 106106433A TW I626037 B TWI626037 B TW I626037B
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treatment
patient
physiological
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virtual reality
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TW201801678A (en
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da-quan Ye
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Ye Da Quan
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Abstract

一種心理臨床應用的虛擬實境系統,包含一個虛擬實境裝置、一個生理偵測裝置,及一個伺服裝置,該伺服裝置可接收心理疾病名稱,並比對出與該心理疾病名稱對應的治療表,再將與該治療表對應的情境資料傳送至該虛擬實境裝置以供病人感受,且該伺服裝置還可在病人感受時,透過該生理偵測裝置偵測病人的生理訊號,並對該生理訊號量化分析出一個生理反應程度,且於該生理反應程度大於一特定閥值時停止施療。透過本發明的設計,在治療時,能透過該虛擬實境裝置模擬出三維空間的虛擬環境來提供病人較佳的臨場感,以更直接地刺激病人,來輔助病人融入情境。 A virtual reality system for psychological clinical application, comprising a virtual reality device, a physiological detection device, and a servo device, the servo device can receive the name of the mental illness, and compare the treatment table corresponding to the name of the mental illness And transmitting the context information corresponding to the treatment table to the virtual reality device for the patient to feel, and the servo device can also detect the physiological signal of the patient through the physiological detection device when the patient feels, and The physiological signal quantifies a degree of physiological response and stops treatment when the physiological response is greater than a certain threshold. Through the design of the present invention, the virtual reality device can simulate the virtual environment of the three-dimensional space through the virtual reality device to provide a better sense of presence for the patient to more directly stimulate the patient to assist the patient to integrate into the situation.

Description

心理臨床應用的虛擬實境系統 Virtual reality system for psychological clinical application

本發明是有關於一種心理臨床應用的設備,特別是指一種心理臨床應用的虛擬實境系統。 The invention relates to a device for psychological clinical application, in particular to a virtual reality system for psychological clinical application.

現有的心理疾病例如社交恐懼症、創傷後壓力症候群、強迫症等,往往會造成病人無法正常生活、工作,而造成病人與周遭親友的痛苦。 Existing mental illnesses such as social phobia, post-traumatic stress syndrome, obsessive-compulsive disorder, etc., often result in patients not being able to live and work normally, causing suffering for patients and their relatives and friends.

而上述心理疾病可透過心理治療來改善,例如目前強迫、壓力以及焦慮類群障礙症的治療可利用暴露治療,讓病人暴露於病人所害怕的情境下,使病人對所害怕的情境逐漸降低敏感性,以達到治療的效果,而目前暴露治療的方法主要是利用病人自行想像情境,或透過聲音及/或平面影像等來輔助病人感受情境。然而透過想像或聲音及平面影像所提供的情境感受相當有限,無法讓病人完整地融入上述情境中,因此現有的心理治療方式仍有待改善。 The above mental illness can be improved through psychotherapy. For example, the current treatment of obsessive-compulsive, stress, and anxiety disorders can use exposure therapy to expose the patient to the situation that the patient is afraid of, and gradually reduce the sensitivity of the patient to the feared situation. In order to achieve the therapeutic effect, the current method of exposure treatment is mainly to use the patient's self-imagining situation, or to assist the patient to feel the situation through sound and/or planar images. However, the situational feelings provided by imagination or sound and plane images are quite limited, and the patients cannot be fully integrated into the above situation. Therefore, the existing psychotherapy methods still need to be improved.

因此,本發明之目的,即在提供一種能輔助病人融入情境的心理臨床應用的虛擬實境系統。 Accordingly, it is an object of the present invention to provide a virtual reality system that can aid in the psychological integration of a patient into a contextual clinical application.

於是,本發明心理臨床應用的虛擬實境系統,可供輸入一個心理疾病名稱,並包含一個虛擬實境裝置、一個生理偵測裝置,及一個伺服裝置。該虛擬實境裝置用以佩戴於一個具有心理疾病之病人頭部,並可接收一個情境資料,而根據該情境資料產生一個三維空間的虛擬環境供該病人感受。該生理偵測裝置是用以偵測該病人於感受該虛擬環境期間之情緒表現所產生的生理訊號,所述生理訊號為生理電訊號、體溫及/或脈搏。該伺服裝置包括一個疾病資料庫、一個物件資料庫、一個治療單元,及一個評估單元。 Thus, the virtual reality system of the psychological clinical application of the present invention can input a mental illness name and includes a virtual reality device, a physiological detection device, and a servo device. The virtual reality device is used to wear a head of a patient with mental illness, and can receive a situational material, and generate a virtual environment of three-dimensional space according to the situational data for the patient to feel. The physiological detecting device is configured to detect a physiological signal generated by the patient during the feeling of the virtual environment, and the physiological signal is a physiological electrical signal, a body temperature, and/or a pulse. The servo device includes a disease database, an object database, a treatment unit, and an evaluation unit.

該疾病資料庫內建有數個心理疾病名稱,及數個分別對應該等心理疾病名稱的治療表,每一個治療表包括數個訓練題。該物件資料庫內建有數個分別與該等治療表的該等訓練題對應的情境資料。該治療單元具有一個治療檢索模組,及一個施療模組,該治療檢索模組可接收該心理疾病名稱,並自該疾病資料庫中比對出與該心理疾病名稱對應的治療表,該施療模組會根據該治療表的該等訓練題依序進行施療,並在施療每一個訓練題時,自該物件資料庫中比對出與該訓練題對應的情境資料,並將該情境資料傳送至該虛擬實境裝置,以進行施療。該評估單元具有一個反應分析模組,及一個治療中止模組,該反應分析模組會於該施療模組施療每 一個訓練題時,接收該生理偵測裝置所偵測之生理訊號,並對該生理訊號進行量化分析以輸出一個代表該病人產生特定情緒表現時的生理反應程度的分數,該治療中止模組會於該生理反應程度的分數大於一特定閥值時,驅使該施療模組停止施療。 The disease database contains several mental illness names and several treatment tables corresponding to the names of mental illnesses. Each treatment form includes several training questions. The object database has a plurality of contextual data corresponding to the training questions of the treatment tables. The treatment unit has a treatment search module and a treatment module, and the treatment retrieval module can receive the name of the mental illness, and compare the treatment table corresponding to the name of the mental disease from the disease database. The module sequentially performs the treatment according to the training questions of the treatment table, and compares the situational materials corresponding to the training questions from the object database when the each training question is applied, and transmits the situation data Go to the virtual reality device for treatment. The evaluation unit has a reaction analysis module and a treatment stop module, and the reaction analysis module performs treatment on the treatment module. a training question, receiving a physiological signal detected by the physiological detecting device, and performing quantitative analysis on the physiological signal to output a score representing a degree of physiological reaction when the patient generates a specific emotional performance, the treatment stopping module When the score of the physiological response is greater than a certain threshold, the treatment module is driven to stop treatment.

本發明之功效在於:透過該伺服裝置、該虛擬實境裝置與該生理偵測裝置的搭配設計,在進行治療時,也能方便醫生根據病人的心理疾病名稱檢索出對應的治療表,並能模擬出三維空間的虛擬環境,以較佳地達到暴露療法的效果。 The effect of the invention is that through the matching design of the servo device, the virtual reality device and the physiological detecting device, when the treatment is performed, the doctor can also conveniently retrieve the corresponding treatment table according to the patient's mental disease name, and can Simulate a virtual environment in three dimensions to better achieve the effects of exposure therapy.

1‧‧‧虛擬實境裝置 1‧‧‧virtual reality device

2‧‧‧生理偵測裝置 2‧‧‧Physical detection device

3‧‧‧輸入裝置 3‧‧‧Input device

4‧‧‧拾音裝置 4‧‧‧Acquisition device

5‧‧‧顯示裝置 5‧‧‧Display device

6‧‧‧操作裝置 6‧‧‧Operating device

7‧‧‧伺服裝置 7‧‧‧Servo

71‧‧‧即時通訊單元 71‧‧‧ Instant messaging unit

72‧‧‧疾病資料庫 72‧‧‧ disease database

73‧‧‧物件資料庫 73‧‧‧ Object database

74‧‧‧測驗單元 74‧‧‧test unit

741‧‧‧量表檢索模組 741‧‧‧Scale Search Module

742‧‧‧施測模組 742‧‧‧Test module

75‧‧‧治療單元 75‧‧‧ treatment unit

751‧‧‧治療檢索模組 751‧‧‧Treatment Search Module

752‧‧‧施療模組 752‧‧‧ treatment module

76‧‧‧評估單元 76‧‧‧Evaluation unit

761‧‧‧反應分析模組 761‧‧‧Reaction Analysis Module

762‧‧‧回應分析模組 762‧‧‧Response analysis module

763‧‧‧病況分析模組 763‧‧‧ condition analysis module

764‧‧‧治療中止模組 764‧‧‧ treatment suspension module

81~85‧‧‧步驟 81~85‧‧‧Steps

91~93‧‧‧步驟 91~93‧‧‧Steps

本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中:圖1是一個示意圖,說明本發明心理臨床應用的虛擬實境系統的一個實施例;圖2是一個功能方塊圖,說明該實施例的系統架構;圖3是一個步驟流程圖,說明該實施例用於測驗的使用過程;及圖4是一個步驟流程圖,說明該實施例用於治療的使用過程。 Other features and effects of the present invention will be apparent from the following description of the drawings, wherein: FIG. 1 is a schematic diagram illustrating an embodiment of a virtual reality system for psychosocial applications of the present invention; a functional block diagram illustrating the system architecture of the embodiment; FIG. 3 is a flow chart showing the use of the test for the test; and FIG. 4 is a flow chart showing the use of the embodiment for the treatment. .

參閱圖1與圖2,本發明心理臨床應用的虛擬實境系統之一個實施例,適用於供醫生對具有心理疾病之病人進行測驗或治療,並包含一個虛擬實境裝置1、一個生理偵測裝置2、一個輸入裝置3、一個拾音裝置4、一個顯示裝置5、一個操作裝置6,及一個伺服裝置7。 Referring to FIG. 1 and FIG. 2, an embodiment of the virtual reality system for psychological clinical application of the present invention is suitable for a doctor to test or treat a patient with mental illness, and includes a virtual reality device 1 and a physiological detection. The device 2, an input device 3, a sound collecting device 4, a display device 5, an operating device 6, and a servo device 7.

該虛擬實境裝置1訊號連接該伺服裝置7,用以佩戴於一個病人頭部並可接收一個情境資料,且根據該情境資料產生一個供該病人感受的虛擬環境。該虛擬環境是透過虛擬技術(Virtual Reality,VR)模擬出三維空間的虛擬影像及聲音,來影響病人的視覺與聽覺,而達到身歷其境的感受,由於該虛擬實境裝置1產生虛擬環境的技術並非本發明之重點,故在此不再詳述。 The virtual reality device 1 is connected to the servo device 7 for being worn on a patient's head and receiving a contextual material, and generating a virtual environment for the patient to feel based on the contextual data. The virtual environment simulates the virtual image and sound of the three-dimensional space through virtual reality (VR) to affect the patient's vision and hearing, and achieves the immersive experience, because the virtual reality device 1 generates a virtual environment. Technology is not the focus of the present invention and will not be described in detail herein.

在本實施例中,該生理偵測裝置2訊號連接該伺服裝置7,可透過數個貼附固定於病人體表肌膚的感測電極,來量測病人的心電訊號、腦波訊號與肌電訊號等生理訊號,並對該生理訊號進行前處理,包括濾除雜訊之濾波處理、訊號放大處理,以及類比轉數位處理等,但實施上不以上述訊號處理為限。另外,該生理偵測裝置2還可設計成能量測體溫,皮膚導電度、呼吸速率與脈搏等生理訊號,但不以上述內容為限。 In this embodiment, the physiological detecting device 2 is connected to the servo device 7 to measure the patient's electrocardiogram, brain wave signal and muscle through a plurality of sensing electrodes attached to the skin of the patient's body surface. Physiological signals such as electrical signals, and pre-processing the physiological signals, including filtering of noise filtering, signal amplification processing, and analog-to-digital processing, but the implementation is not limited to the above signal processing. In addition, the physiological detecting device 2 can also be designed to measure physiological temperature, skin conductivity, respiratory rate and pulse physiological signals, but not limited to the above.

該輸入裝置3訊號連接該伺服裝置7,並可供病人操作輸入一個回答資料,而將該回答資料傳送至該伺服裝置7,實施上 該輸入裝置3也可訊號連接該虛擬實境裝置1,並透過該虛擬實境裝置1將回答資料傳送至該伺服裝置7。該輸入裝置3實施上可為虛擬實境控制手套、觸控面板、語音辨識模組、眼動追蹤技術、滑鼠、鍵盤或為可供按壓的按鈕等,但不以上述內容為限。 The input device 3 is connected to the servo device 7 and can be used by the patient to input an answer data, and the answer data is transmitted to the servo device 7, and implemented. The input device 3 can also be connected to the virtual reality device 1 by means of a signal, and the answer data can be transmitted to the servo device 7 via the virtual reality device 1. The input device 3 can be implemented as a virtual reality control glove, a touch panel, a voice recognition module, an eye tracking technology, a mouse, a keyboard, or a button that can be pressed, but is not limited to the above.

該拾音裝置4、該操作裝置6與該顯示裝置5皆訊號連接該伺服裝置7,用來供醫生操作使用該伺服裝置7。該拾音裝置4為一般的麥克風,可對醫生所發出的聲音進行拾音,並輸出一個聲音訊號至該伺服裝置7。該操作裝置6為一般的滑鼠、鍵盤及/或觸控面板等,以供醫生點選操作輸入資料。該顯示裝置5為一般的螢幕、或與該操作裝置6整合成觸控螢幕等,以顯示出一個使用者介面供醫生觀看。 The sound collecting device 4, the operating device 6 and the display device 5 are all connected to the servo device 7 for use by the doctor to operate the servo device 7. The sound collecting device 4 is a general microphone for picking up sounds emitted by a doctor and outputting an audio signal to the servo device 7. The operating device 6 is a general mouse, keyboard and/or touch panel, etc., for the doctor to select and operate the input data. The display device 5 is a general screen or integrated with the operating device 6 into a touch screen or the like to display a user interface for viewing by a doctor.

該伺服裝置7為電腦或者遠端伺服器,並包括一個即時通訊單元71、一個疾病資料庫72、一個物件資料庫73、一個測驗單元74、一個治療單元75,及一個評估單元76。 The servo device 7 is a computer or a remote server, and includes an instant messaging unit 71, a disease database 72, an object database 73, a test unit 74, a treatment unit 75, and an evaluation unit 76.

該即時通訊單元71可將該拾音裝置4所輸出的聲音訊號發送至該虛擬實境裝置1,並透過該虛擬實境裝置1將該聲音訊號播放給該病人聽取。 The instant messaging unit 71 can send the audio signal output by the sound collecting device 4 to the virtual reality device 1 and play the sound signal to the patient through the virtual reality device 1.

該疾病資料庫72內建有數個心理疾病名稱、數個分別對應該等心理疾病名稱的評定量表,及數個分別對應該等心理疾病 名稱的治療表。該心理疾病名稱例如社交恐懼症、創傷後壓力症候群或懼曠症等,不以上述內容為限。 The disease database 72 has several mental illness names, several rating scales corresponding to the names of mental illnesses, and several corresponding mental illnesses. The name of the treatment table. The name of the mental illness such as social phobia, post-traumatic stress syndrome or fear disorder is not limited to the above.

在本實施例中,每一個心理疾病名稱可與數個評定量表對應,且每一個評定量表包括數個測驗題,而每一個測驗題是根據該評定量表所對應的心理疾病名稱所設計出來。例如,對應社交恐懼症之評定量表的測驗題可分別針對不同群體或不同性別的壓力源設計而成;對應創傷後壓力症候群之評定量表的測驗題可針對不同場景或不同事件的壓力源設計而成;對應懼曠症之評定量表的該等測驗題可針對不同場景的壓力源設計而成。實施上該等評定量表也可由醫生自行設計,不以上述內容為限。 In this embodiment, each mental illness name may correspond to a plurality of rating scales, and each rating scale includes a plurality of quiz questions, and each quiz is based on the name of the mental illness corresponding to the rating scale. Designed out. For example, the test questions corresponding to the rating scale of social phobia can be designed for stressors of different groups or different genders; the test questions corresponding to the rating scale of post-traumatic stress syndrome can be used for stressors of different scenes or different events. Designed; these test questions for the rating scale for fear of sorrow can be designed for pressure sources in different scenarios. The implementation of these rating scales can also be designed by the doctor, not limited to the above.

在本實施例中,每一個心理疾病名稱可與數個治療表對應,且每一個治療表包括數個訓練題,而每一個訓練題是根據該治療表所對應的心理疾病名稱所設計出來。例如,對應社交恐懼症之治療表的訓練題可分別針對不同群體或不同性別之壓力源的治療方法設計而成;對應創傷後壓力症候群之治療表的訓練題可針對不同場景或不同事件之壓力源的治療方法設計而成;對應懼曠症之治療表的訓練題可針對不同場景之壓力源的治療方法設計而成等,實施上該等治療表也可由醫生自行設計,不以上述內容為限。 In this embodiment, each mental illness name may correspond to a plurality of treatment tables, and each treatment table includes a plurality of training questions, and each training question is designed according to the name of the mental illness corresponding to the treatment table. For example, the training questions corresponding to the social phobia treatment table can be designed for different groups or different genders of stress sources; the training questions corresponding to the post-traumatic stress syndrome treatment table can be applied to different scenes or different events. The treatment method of the source is designed; the training questions corresponding to the treatment table of fear of sputum can be designed according to the treatment methods of the stress sources of different scenes, etc., and the treatment forms can also be designed by the doctor, and the above contents are not limit.

該物件資料庫73內建有數個分別與該等評定量表之該等測驗題對應的情境資料,及另外數個分別對應該等治療表之該等 訓練題的情境資料。每一個情境資料包含可建立該虛擬環境的影像檔及/或聲音檔等資料,例如影像檔能建立出例如交通工具、人群、密閉空間或教室等虛擬環境,該聲音檔能建立例如人群講話聲或交通工具聲等聲音。 The object database 73 has a plurality of situational materials respectively corresponding to the test questions of the rating scales, and a plurality of other corresponding treatment tables respectively Situational information for training questions. Each contextual material includes information such as image files and/or sound files that can be created in the virtual environment. For example, the image file can create a virtual environment such as a vehicle, a crowd, a confined space, or a classroom, and the sound file can establish, for example, a crowd speech. Or sounds such as vehicle sounds.

該測驗單元74具有一個量表檢索模組741,及一個施測模組742。該量表檢索模組741可接收該心理疾病名稱,並自該疾病資料庫72中比對出與該心理疾病名稱對應的評定量表。該施測模組742會逐個施測該評定量表的每一個測驗題,並在施測每一個測驗題時,自該物件資料庫73中比對出與該測驗題對應的情境資料,且將該情境資料傳送至該虛擬實境裝置1。 The test unit 74 has a gauge search module 741 and a test module 742. The gauge search module 741 can receive the mental illness name and compare the rating scale corresponding to the mental illness name from the disease database 72. The test module 742 applies each test question of the rating scale one by one, and compares the situation data corresponding to the test question from the object database 73 when each test question is applied, and The context data is transmitted to the virtual reality device 1.

該治療單元75具有一個治療檢索模組751,及一個施療模組752,該治療檢索模組751可接收一個心理疾病名稱,並自該疾病資料庫72中比對出與該心理疾病名稱對應的治療表,該施療模組752會逐個施療該治療表的該等訓練題,並在施療每一個訓練題時,自該物件資料庫73中比對出與該訓練題對應的情境資料,且將該情境資料傳送至該虛擬實境裝置1。 The treatment unit 75 has a treatment search module 751 and a treatment module 752. The treatment retrieval module 751 can receive a mental illness name and compare the name corresponding to the mental illness from the disease database 72. a treatment table, the treatment module 752 applies the training questions of the treatment table one by one, and compares the situational materials corresponding to the training questions from the object database 73 when each training question is applied, and The context data is transmitted to the virtual reality device 1.

該評估單元76具有一個反應分析模組761、一個回應分析模組762、一個病況分析模組763,及一個治療中止模組764。 The evaluation unit 76 has a reaction analysis module 761, a response analysis module 762, a condition analysis module 763, and a treatment stop module 764.

該反應分析模組761可於該施測模組742施測每一個測驗題時,接收該生理偵測裝置2所偵測之生理訊號,並對該生理 訊號量化分析輸出一個代表特定分數的生理反應程度。舉例來說,若該反應分析模組761所接收的生理訊號為心電訊號,該反應分析模組761可偵測心電訊號的RR區間(R-R interval)計算出心率,在頻域下分析心率可利用快速傅立葉轉換(fast Fourier transformation,FFT)進行展開,而各別頻帶區域下的功率可做為指標,例如低頻功率的大小可視為交感神經功能的指標,高頻功率的大小可視為副交感神經功能的指標,而低頻與高頻的功率比則可以用評估交感-副交感神經的調控狀況,透過上述指標可將病人的緊張或害怕程度由低到高分成不同分數的生理反應程度。 The reaction analysis module 761 can receive the physiological signal detected by the physiological detecting device 2 when the testing module 742 tests each test question, and the physiological signal detected by the physiological detecting device 2 The signal quantification analysis outputs a degree of physiological response that represents a particular score. For example, if the physiological signal received by the reaction analysis module 761 is an electrocardiogram signal, the reaction analysis module 761 can detect the heart rate of the RR interval of the ECG signal and analyze the heart rate in the frequency domain. Fast Fourier transformation (FFT) can be used for expansion, and the power in each frequency band region can be used as an indicator. For example, the magnitude of low frequency power can be regarded as an indicator of sympathetic function, and the magnitude of high frequency power can be regarded as parasympathetic nerve. Functional indicators, while the low-frequency and high-frequency power ratio can be used to assess the sympathetic-parasympathetic regulation, through which the patient's nervousness or fear can be divided into different levels of physiological response.

該回應分析模組762可於該施測模組742施測每一個測驗題時,接收該回答資料,並根據該測驗題與所接收之回答資料分析出一個回應程度。舉例來說,其中一個測驗題會在該虛擬實境裝置1顯示出一個隧道內的虛擬環境,並要求病人選取對隧道內的害怕或緊張程度,該回應分析模組762可根據病人的回答資料分析病人對該隧道緊張或害怕程度,並由低到高分成不同分數的回應程度。 The response analysis module 762 can receive the answer data when the test module 742 tests each test question, and analyze a response level according to the test question and the received answer data. For example, one of the quizzes will display a virtual environment within the tunnel in the virtual reality device 1 and ask the patient to select a degree of fear or tension within the tunnel. The response analysis module 762 can respond to the patient's answer data. Analyze the patient's level of tension or fear of the tunnel and divide it from low to high into different levels of response.

該病況分析模組763可根據每一個測驗題下的所得到的生理反應程度與回應程度來進行分析,以分析輸出一個病況程度,由於在施測時,其中數個測驗題會要求病人輸入回答資料,而不偵測病人的生理訊號;其中另數個測驗題不會要求病人輸入回答 資料,而僅偵測病人的生理訊號;其中又數個測驗題會同時要求病人輸入回答資料,並偵測病人的生理訊號。該病況分析模組763會將每一個測驗題施測時所得到生理反應程度與回應程度之其中一個做為該測驗題的得分,並將該等測驗題的得分加總得到該病況程度。 The condition analysis module 763 can analyze according to the degree of physiological response and the degree of response obtained under each test question to analyze the degree of output of a condition, because several test questions require the patient to input an answer during the test. Data, without detecting the patient's physiological signals; several other test questions will not ask the patient to enter an answer The data is only detected by the patient's physiological signal; several of the test questions will also ask the patient to input the answer data and detect the patient's physiological signal. The condition analysis module 763 regards one of the physiological response degree and the response degree obtained when each test question is measured as the score of the test question, and sums the scores of the test questions to obtain the degree of the condition.

需要說明的是,針對同時要求病人輸入回答資料與偵測病人的生理訊號的測驗題,該病況分析模組763會將測出的生理反應程度與回應程度平均,以做為該測驗題的得分,當然若該測驗題所測出的生理反應程度與回應程度差異過大,代表病人的回答可能不準確,該病況分析模組763還會輸出該次施測的可信度較低的警告。 It should be noted that, for the test question that requires the patient to input the answer data and detect the physiological signal of the patient, the condition analysis module 763 averages the measured physiological reaction degree and the response degree as the score of the test question. Of course, if the degree of physiological response measured by the test question is too different from the degree of response, the patient's response may be inaccurate, and the condition analysis module 763 also outputs a warning that the test is less reliable.

而在本實施例中,該等測驗題是針對不同的壓力源進行設計,而會分成不同的測驗題組,來測試病人對於不同壓力源的反應。以對應該懼曠症的評定量表來舉例,例如其中一個測驗題組的該等測驗題是針對擁擠人群;其中另一個測驗題組的該等測驗題是針對隧道內;其中又一個測驗題組的該等測驗題是針對密閉寢室。該病況分析模組763會對每一個測驗題組分別進行加總,以得到不同壓力源的病況程度。 In the present embodiment, the test questions are designed for different pressure sources, and are divided into different test questions to test the patient's response to different pressure sources. For example, the rating scale for fear of snoring is used. For example, one of the quiz questions is for crowds; the other quiz is for the tunnel; one of the quizzes The group's quiz questions are for closed rooms. The condition analysis module 763 sums each test question group separately to obtain the degree of disease of different pressure sources.

該治療中止模組764於該施測模組742進行施測,或該施療模組752進行施療時,若該反應分析模組761所分析出的生理 反應程度大於一特定閥值時,會驅使該施測模組742停止施測,或驅使該施療模組752停止施療。 The treatment interruption module 764 is applied to the measurement module 742, or the treatment module 761 performs the treatment, if the reaction analysis module 761 analyzes the physiological When the degree of reaction is greater than a certain threshold, the test module 742 is driven to stop the test or the treatment module 752 is stopped.

本發明心理臨床應用的虛擬實境系統,在使用前會先讓病人戴上該虛擬實境裝置1,並貼附該生理偵測裝置2的該等感測電極,以下是以該病人所患的疾病為懼曠症為例來方便說明,該心理臨床應用的虛擬實境系統可分為測驗與治療兩種用途。 The virtual reality system of the psychological clinical application of the present invention first allows the patient to wear the virtual reality device 1 and attach the sensing electrodes of the physiological detecting device 2 before use, the following is caused by the patient The disease is a case of fear of snoring, and the virtual reality system of the psychological clinical application can be divided into two purposes: test and treatment.

參閱圖1、圖2與圖3,首先說明測驗的使用過程,主要可分成以下步驟: Referring to Figure 1, Figure 2 and Figure 3, the use of the test is first described, which can be mainly divided into the following steps:

步驟81:檢索評定量表。醫生透過該操作裝置6操作啟動該測驗單元74,並輸入一個對應該病人的心理疾病名稱例如懼曠症至該伺服裝置7,該測驗單元74會自該疾病資料庫72中比對出對應該心理疾病名稱的評定量表,並將該等評定量表顯示於該顯示裝置5。 Step 81: Retrieve the rating scale. The doctor activates the test unit 74 through the operation device 6, and inputs a mental illness name corresponding to the patient, such as fear of phobia, to the servo device 7. The test unit 74 matches the disease database 72. A rating scale for the name of the mental illness, and the rating scale is displayed on the display device 5.

步驟82:透過虛擬環境測驗。醫生操控該操作裝置6來點選適合的評定量表,該測驗單元74會逐個施測點選之評定量表的每一個測驗題。在施測每一個測驗題時,該測驗單元74自該物件資料庫73中比對出與該測驗題所對應的情境資料,並將該情境資料傳送至該虛擬實境裝置1以供該病人感受。 Step 82: Pass the virtual environment test. The doctor manipulates the operating device 6 to select a suitable rating scale, and the testing unit 74 applies each of the test questions of the selected rating scale one by one. When testing each test question, the test unit 74 compares the situation data corresponding to the test question from the object database 73, and transmits the situation data to the virtual reality device 1 for the patient. Feel.

具體來說,該測驗單元74可傳送一個能建立擁擠人群之影像與吵雜聲的情境資料至該虛擬實境裝置1,由於該虛擬環境 所帶來的臨場感能讓病人完全沉浸於其中,而能更直接地引發病人焦慮、害怕與恐慌的心理。 Specifically, the test unit 74 can transmit a situational material that can create images and noises of a crowd of people to the virtual reality device 1 due to the virtual environment. The sense of presence can make the patient fully immersed in it, and can directly lead to the patient's anxiety, fear and panic.

步驟83:發出醫生詢問。在病人感受該虛擬環境時,醫生透過該拾音裝置4將聲音傳送至該虛擬實境裝置1來詢問病人,例如,醫生可根據該測驗題詢問病人:「你現在的感受是,選項1.不緊張、選項2.輕微緊張、選項3.普通緊張、選項4.非常緊張?」,且該虛擬實境裝置1可根據該情境資料將選項1至4顯示於該虛擬環境中。另外實施上,醫生也可不發聲詢問,而直接由該虛擬實境裝置1將上述詢問內容以文字方式顯示於該虛擬環境,不以本實施例為限。 Step 83: Issue a doctor's inquiry. When the patient feels the virtual environment, the doctor transmits the sound to the virtual reality device 1 through the sound collecting device 4 to inquire the patient. For example, the doctor can ask the patient according to the test question: "What you feel now is, option 1. Not nervous, option 2. slight tension, option 3. normal tension, option 4. very nervous?", and the virtual reality device 1 can display options 1 to 4 in the virtual environment based on the context data. In addition, the doctor may display the content of the inquiry in the virtual environment directly by the virtual reality device 1 without vocal inquiry, and is not limited to the embodiment.

步驟84:接收病人回饋:病人可根據所感受到的虛擬環境與醫生的詢問,透過該輸入裝置3來輸入回答資料,該測驗單元74接收到該回答資料時,會根據該測驗題與所接收之回答資料分析出一個回應程度,同時,該測驗單元74也會接收到該生理偵測裝置2所偵測之該病人的生理訊號,並對該生理訊號量化分析輸出一個生理反應程度。 Step 84: Receiving patient feedback: the patient can input the answer data through the input device 3 according to the perceived virtual environment and the doctor's inquiry, and the test unit 74 receives the answer data according to the test question and the received question. The answering data analyzes a degree of response. At the same time, the testing unit 74 also receives the physiological signal of the patient detected by the physiological detecting device 2, and outputs a physiological reaction degree to quantitatively analyze the physiological signal.

具體來說,若病人對吵雜人群的虛擬環境感到相當不舒服,則可透過觸碰面板來點選擇選項4,該測驗單元74會根據回答資料為選項4,且該測驗題的選項4為非常緊張,分析出該回應程度為4分,同時,該測驗單元74也會接收到該生理偵測裝置2所偵 測之該病人的心電訊號,而對病人的心電訊號進行頻域上的分析,並得到病人的生理狀態為非常緊張,進而分析出該生理反應程度為4分,如此即完成一個測驗題的測驗。接著,再回到步驟82進行下一個測驗題,並重複執行步驟82到步驟84,直到該評定量表的該等測驗題皆施測完成。 Specifically, if the patient feels quite uncomfortable with the virtual environment of the noisy crowd, the option panel 4 can be selected through the touch panel, the test unit 74 will select option 4 according to the answer data, and option 4 of the test question is Very nervous, analyzing the response level to 4 points, at the same time, the test unit 74 will also receive the detection by the physiological detection device 2 The patient's ECG signal is measured, and the patient's ECG signal is analyzed in the frequency domain, and the patient's physiological state is very nervous, and then the physiological response level is analyzed to be 4 points, thus completing a test question. Quiz. Next, return to step 82 for the next test question, and repeat steps 82 through 84 until the test questions of the rating scale are all completed.

步驟85:分析病況程度。該評估單元76可根據該等測驗題施測後所得到的生理反應程度與回應程度來分析出該病況程度。具體來說,該等測驗題可依照擁擠人群、隧道內與密閉寢室三種壓力源分成三組測驗題組,該評估單元76可針對該等測驗題組,分別加總計算出該病人對於擁擠人群的病況程度為10分、隧道內的病況程度為8分、密閉寢室的病況程度為5分,並將該等病況程度顯示於該顯示裝置5,以讓醫生就能快速了解病人罹患懼曠症的嚴重度,且醫生也可將上述病況程度進行記錄,以做為研究,或者與日後再次測驗所得到的病況程度進行比較,來了解治療是否有療效。 Step 85: Analyze the extent of the condition. The evaluation unit 76 can analyze the degree of the condition according to the degree of physiological reaction and the degree of response obtained after the test questions are measured. Specifically, the test questions can be divided into three groups of test questions according to three pressure sources: a crowded person, a tunnel and a closed bedroom, and the evaluation unit 76 can add a total for the test group to calculate the patient's participation in the crowd. The degree of disease is 10 points, the degree of disease in the tunnel is 8 points, and the degree of disease in the closed bedroom is 5 points, and the degree of the condition is displayed on the display device 5, so that the doctor can quickly understand the suffering of the patient. Severity, and doctors can also record the extent of the above conditions as a study, or compare with the degree of disease obtained in the future test to see if the treatment is effective.

參閱圖1、圖2與圖4,接下來說明治療的使用過程,主要可分成以下步驟: Referring to Figures 1, 2 and 4, the following describes the use of the treatment, which can be mainly divided into the following steps:

步驟91:檢索治療表。醫生透過該操作裝置6操作啟動該治療單元75,並輸入一個對應該病人的心理疾病名稱例如懼曠症至該伺服裝置7,該治療單元75會自該疾病資料庫72中比對出對應該心理疾病名稱的治療表,並將該等治療表顯示於該顯示裝置5, 例如該等治療表可為針對密閉寢室的治療表、針對隧道內的治療表,與針對擁擠人群的治療表。 Step 91: Retrieve the treatment list. The doctor activates the treatment unit 75 through the operation device 6, and inputs a mental illness name corresponding to the patient, such as fear of phobia, to the servo device 7, and the treatment unit 75 matches the disease database 72. a treatment list of mental illness names, and the treatment tables are displayed on the display device 5, For example, the treatment tables may be a treatment table for a closed bedroom, a treatment table for a tunnel, and a treatment list for a crowded person.

步驟92:透過虛擬環境治療。醫生根據病人所測驗出來的病況程度操控該操作裝置6來點選適合的治療表,該治療單元75會逐個施療點選之治療表的每一個訓練題。在施療每一個訓練題時,該治療單元75自該物件資料庫73中比對出與該訓練題所對應的情境資料,並將該情境資料傳送至該虛擬實境裝置1以供該病人感受。 Step 92: Treatment through a virtual environment. The doctor controls the operating device 6 according to the degree of the condition tested by the patient to select a suitable treatment table, and the treatment unit 75 will treat each training question of the selected treatment table one by one. When each training question is applied, the treatment unit 75 compares the situation data corresponding to the training question from the object database 73, and transmits the situation data to the virtual reality device 1 for the patient to feel .

具體來說,由於該病人對密閉寢室的病況程度較低,因此醫生可先選擇針對密閉寢室的治療表來進行施療,該治療單元75施療點選之治療表的訓練題時,會傳送一個能建立密閉寢室之影像的情境資料至該虛擬實境裝置1,透過虛擬環境所帶來的臨場感能將病人暴露於該虛擬環境下,而達到暴露療法的效果。 Specifically, since the patient has a low degree of condition in the closed bedroom, the doctor may first select a treatment table for the closed bedroom to perform the treatment, and the treatment unit 75 transmits a training question when the selected treatment table is selected. The contextual information of the image of the closed bedroom is established to the virtual reality device 1, and the presence of the virtual environment can expose the patient to the virtual environment to achieve the effect of the exposure therapy.

步驟93:發出醫生引導。在病人感受該虛擬環境時,醫生透過該拾音裝置4將聲音傳送至該虛擬實境裝置1來引導病人放鬆,例如引導病人呼吸的節奏,或者引導病人觀看虛擬實境。接著,回到步驟92進行下一個訓練題,並重複執行步驟92到93,當所選的評定量表的該等測驗題皆施療完成後,醫生可再操控該操作裝置6來點選針對隧道內的治療表,而在針對隧道內的治療表的該等訓練題施療完成後,再操控該操作裝置6來點針對擁擠人潮的治 療表,以讓病人逐步面對更害怕的場景,如此能達到循序漸進,並以分層、分次的方式讓病人逐步減輕焦慮感。 Step 93: Issue a doctor's guide. When the patient feels the virtual environment, the doctor transmits the sound to the virtual reality device 1 through the sound pickup device 4 to guide the patient to relax, such as guiding the rhythm of the patient's breathing, or guiding the patient to view the virtual reality. Then, returning to step 92 for the next training question, and repeating steps 92 to 93, when the test questions of the selected rating scale are all treated, the doctor can control the operating device 6 to click on the tunnel. The treatment table inside, and after the treatment of the training questions for the treatment table in the tunnel is completed, the operation device 6 is operated to point to the treatment of crowded people. The treatment table, in order to let the patient gradually face the scene of more fear, so that it can achieve gradual progress, and gradually relieve the anxiety of the patient in a layered and divided manner.

值得一提的是,在進行治療或測驗的過程中,若病人過於焦慮或緊張,而使該評估單元76所分析出的生理反應程度大於該特定閥值時,該評估單元76會驅使該測驗單元74停止測驗,或驅使該治療單元75停止治療,藉此能達到自動保護病人的效果。 It is worth mentioning that during the course of treatment or testing, if the patient is too anxious or nervous, and the degree of physiological reaction analyzed by the evaluation unit 76 is greater than the specific threshold, the evaluation unit 76 will drive the test. Unit 74 stops the test or drives the treatment unit 75 to stop treatment, thereby achieving the effect of automatically protecting the patient.

綜上所述,本發明心理臨床應用的虛擬實境系統,透過該伺服裝置7、該虛擬實境裝置1與該生理偵測裝置2的搭配設計,在醫生對病人進行評定時,能方便醫生根據病人的心理疾病名稱檢索出對應的評定量表,並能模擬出三維空間的虛擬環境來提供病人較佳的臨場感,以更直接地刺激病人,最後再根據病人的生理訊號標準化地計算出病人的病況程度;另外,在醫生對病人進行治療時,也能方便醫生根據病人的心理疾病名稱檢索出對應的治療表,並能模擬出三維空間的虛擬環境,以較佳地達到暴露療法的效果。此外,在進行治療或測驗的過程中,該伺服裝置7還能透過該生理偵測裝置2隨時監控病人的生理訊號,並在病人過於焦慮或緊張時,自動停止測驗或治療,以提高使用安全性,故確實能達成本發明之目的。 In summary, the virtual reality system of the psychological clinical application of the present invention can facilitate the doctor when the doctor evaluates the patient through the matching design of the servo device 7, the virtual reality device 1 and the physiological detecting device 2. According to the patient's mental illness name, the corresponding rating scale is retrieved, and the virtual environment of the three-dimensional space can be simulated to provide a better sense of presence for the patient to more directly stimulate the patient, and finally calculate according to the physiological signal of the patient. The degree of the patient's condition; in addition, when the doctor treats the patient, it is also convenient for the doctor to retrieve the corresponding treatment form according to the patient's mental illness name, and can simulate the virtual environment of the three-dimensional space to better achieve the exposure therapy. effect. In addition, during the process of performing the treatment or the test, the servo device 7 can also monitor the physiological signal of the patient at any time through the physiological detecting device 2, and automatically stop the test or treatment when the patient is too anxious or nervous, so as to improve the safety of use. Sexuality, it is indeed possible to achieve the object of the present invention.

惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明 書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。 However, the above description is only for the embodiments of the present invention, and the scope of the present invention cannot be limited thereto, and the scope and patent description of the patent application according to the present invention. The simple equivalent changes and modifications made by the contents of the book are still within the scope of the invention patent.

Claims (1)

一種心理臨床應用的虛擬實境系統,可供輸入一個心理疾病名稱,並包含:一個虛擬實境裝置,用以佩戴於一個具有心理疾病之病人頭部,並可接收一個情境資料,而根據該情境資料產生一個三維空間的虛擬環境供該病人感受;一個生理偵測裝置,用以偵測該病人於感受該虛擬環境期間之情緒表現所產生的生理訊號,所述生理訊號為生理電訊號、體溫及/或脈搏;及一個伺服裝置,包括,一個疾病資料庫,內建有數個心理疾病名稱,及數個分別對應該等心理疾病名稱的治療表,每一個治療表包括數個訓練題,一個物件資料庫,內建有數個分別與該等治療表的該等訓練題對應的情境資料,一個治療單元,具有一個治療檢索模組,及一個施療模組,該治療檢索模組可接收該心理疾病名稱,並自該疾病資料庫中比對出與該心理疾病名稱對應的治療表,該施療模組會根據該治療表的該等訓練題依序進行施療,並在施療每一個訓練題時,自該物件資料庫中比對出與該訓練題對應的情境資料,並將該情境資料傳送至該虛擬實境裝置,以進行施療,及一個評估單元,具有一個反應分析模組,及一個治療中止模組,該反應分析模組會於該施療模組施療 每一個訓練題時,接收該生理偵測裝置所偵測之生理訊號,並對該生理訊號進行量化分析以輸出一個代表該病人產生特定情緒表現時的生理反應程度的分數,該治療中止模組會於該生理反應程度的分數大於一特定閥值時,驅使該施療模組停止施療。 A virtual reality system for psychological clinical application, which can input a mental illness name and includes: a virtual reality device for wearing a head of a patient with mental illness and receiving a situational material according to the The contextual data generates a virtual environment in a three-dimensional space for the patient to feel; a physiological detection device for detecting a physiological signal generated by the patient during the feeling of the virtual environment, the physiological signal being a physiological electrical signal, Body temperature and / or pulse; and a servo device, including a disease database, built in a number of mental illness names, and a number of treatment tables corresponding to the name of the mental illness, each treatment table includes several training questions, An object database having a plurality of contextual data respectively corresponding to the training questions of the treatment forms, a treatment unit having a treatment retrieval module, and a treatment module, the treatment retrieval module receiving the a name for a mental illness, and a treatment table corresponding to the name of the mental illness is compared from the disease database, the application The treatment module will sequentially perform the treatment according to the training questions of the treatment table, and when each training question is applied, the situation data corresponding to the training question is compared from the object database, and the situation data is Transfer to the virtual reality device for treatment, and an evaluation unit having a reaction analysis module and a treatment stop module, the reaction analysis module will be treated in the treatment module Receiving a physiological signal detected by the physiological detecting device for each training question, and performing quantitative analysis on the physiological signal to output a score representing a physiological reaction degree of the patient when generating a specific emotional expression, the treatment stopping module When the score of the physiological response is greater than a certain threshold, the treatment module is driven to stop treatment.
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