| 研究生: |
林君翰 Chun-Han Lin |
|---|---|
| 論文名稱: | An Intelligent Virtual Reality System Integrating with Multimodal Neuro-sensing for Cue-elicited Craving of Methamphetamine Addiction |
| 指導教授: | 吳曉光 |
| 口試委員: | |
| 學位類別: |
博士 Doctor |
| 系所名稱: |
資訊電機學院 - 資訊工程學系 Department of Computer Science & Information Engineering |
| 論文出版年: | 2021 |
| 畢業學年度: | 109 |
| 語文別: | 英文 |
| 論文頁數: | 96 |
| 中文關鍵詞: | 安非他命 、虛擬現實 、腦電圖 、心電圖 、皮膚電反應 、眼球跟踪 |
| 外文關鍵詞: | Methamphetamine, virtual reality (VR), electroencephalography (EEG), electrocardiography (ECG), galvanic skin response (GSR), eye tracking |
| 相關次數: | 點閱:19 下載:0 |
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吸毒成癮一直是社會關注的焦點。它不但在社會上引起很多問題,而且影響國家和社會安全。吸毒者的年輕化顯示與毒品有關的犯罪正變得越來越嚴重。因此,如何通過治療減少吸毒者對毒品的渴望是臨床上的挑戰。雖然對海洛因成癮者有美沙酮或丁丙諾啡等藥物的減害治療方法,但對有甲基安非他命使用障礙(MUD)的成癮者並沒有藥物治療。暴露療法結合生物反饋是毒癮治療的新方法。為了誘發毒癮患者對毒癮的渴望來成功實現暴露療法所需要的環境刺激,虛擬現實(VR)扮演著重要角色。我們的研究是開發一種帶有嗅覺模擬的VR系統以誘發MUD患者對毒品渴望來進行治療。藉由結合多種傳感器的技術:例如腦電圖(ECG)、心電圖(ECG)、皮膚電反應(GSR)和眼球跟踪,用以記錄每個MUD患者在虛擬環境中的各種生理和反應行為。通過統計和機器學習的方法來評估誘發渴望的強度。根據臨床實驗,在VR刺激前和VR刺激後的統計分析結果發現,MUD患者和健康受試者的生理特徵和神經行為方面存在顯著差異。此外,應用了多種機器學習方法的結果表明,MUD患者在VR刺激前和VR刺激後之間的分類準確性高於健康受試者。綜上所述,所提出的VR系統經過驗證,可以有效地誘導MUD患者的毒品渴望。
Drug addiction has always been the focus of social attention. It not only causes a lot of problems in society, but also affects national and social security. The younger population of drug addict shows that the current situation of drug-related crimes is becoming more and more serious. Therefore, how to reduce the craving for drug addict via treatment is a challenge in clinics. While there is methadone or buprenorphine harm-reduction treatment for heroin addicts, there is no drug treatment for addicts with methamphetamine use disorder (MUD). Exposure therapy integrating with biofeedback is new method of drug addiction treatment. In order to induce the craving of drug addicts to successfully achieve the environmental stimuli required by exposure therapy, Virtual Reality (VR) plays an important role. Our research is to develop a VR system with flavor simulation to induce the drug cravings of drug addicts for MUD patients in therapy. Combined with multiple sensor technologies, such as Electroencephalography (EEG), Electrocardiography (ECG), Galvanic Skin Response (GSR), and eye tracking, to record the various physiological and reactive behaviors of each MUD patient in the virtual environment. Through statistics and machine learning method to evaluate the intensity of craving induced. According to clinical experiment, the results of statistical analysis found that there are significant differences in the physiological characteristics and neuro-behavior of MUD patients and healthy subjects between pre-VR stimulation and post-VR stimulation. Further, several machine learning methods were applied and showed that the classification accuracy between pre-VR stimulation and post-VR stimulation on MUD patients was higher than on healthy subjects. In conclusion, the proposed VR system was validated to effectively induce the drug craving in MUD patients.
[1] World Health Organization. "World Drug Report 2018," https://www.unodc.org/wdr2018/en/exsum.html.
[2] A. Lautieri. "Drug and Alcohol Withdrawal Symptoms, Timelines, and Treatment," https://americanaddictioncenters.org/withdrawal-timelines-treatments.
[3] L. Grönbladh, L. S. Öhlund, and L. M. Gunne, “Mortality in heroin addiction: impact of methadone treatment,” vol. 82, no. 3, pp. 223-227, 1990.
[4] T. R. Kosten, C. Morgan, and H. D. Kleber, “Treatment of Heroin Addicts Using Buprenorphine,” The American Journal of Drug and Alcohol Abuse, vol. 17, no. 2, pp. 119-128, 1991/01/01, 1991.
[5] J. Du et al., “Biofeedback combined with cue-exposure as a treatment for heroin addicts,” Physiology & Behavior, vol. 130, pp. 34-39, 2014/05/10/, 2014.
[6] P. L. A. Schoenberg, and A. S. David, “Biofeedback for Psychiatric Disorders: A Systematic Review,” Applied Psychophysiology and Biofeedback, vol. 39, no. 2, pp. 109-135, 2014/06/01, 2014.
[7] G. N. Vasilev, D. Z. Alexieva, and R. Z. Pavlova, “Safety and Efficacy of Oral Slow Release Morphine for Maintenance Treatment in Heroin Addicts: A 6-Month Open Noncomparative Study,” European Addiction Research, vol. 12, no. 2, pp. 53-60, 2006.
[8] K. Holloway et al., “Effectiveness of Virtual Reality Exposure Therapy for Combat Related Post-Traumatic Stress Disorder in Active-Duty Soldiers; Preliminary Data,” Frontiers in Neuroengineering, vol. 2, 01/01, 2009.
[9] C. Qu et al., “The Effect of Priming Pictures and Videos on a Question–Answer Dialog Scenario in a Virtual Environment,” Presence: Teleoperators and Virtual Environments, vol. 22, no. 2, pp. 91-109, 2013/08/01, 2013.
[10] M. Krijn et al., “Virtual reality exposure therapy of anxiety disorders: A review,” Clinical Psychology Review, vol. 24, no. 3, pp. 259-281, 2004/07/01/, 2004.
[11] J. Wald, and S. Taylor, “Preliminary Research on the Efficacy of Virtual Reality Exposure Therapy to Treat Driving Phobia,” CyberPsychology & Behavior, vol. 6, no. 5, pp. 459-465, 2003/10/01, 2003.
[12] P. H. Oskam, "Virtual Reality Exposure Therapy (VRET) effectiveness and improvement."
[13] Emerging Technology from the arXiv. "How Data Mining Facebook Messages Can Reveal Substance Abusers," https://www.technologyreview.com/2017/05/26/151516/how-data-mining-facebook-messages-can-reveal-substance-abusers/.
[14] L. Degenhardt et al., “Estimating treatment coverage for people with substance use disorders: an analysis of data from the World Mental Health Surveys,” World Psychiatry, vol. 16, no. 3, pp. 299-307, 2017/10/01, 2017.
[15] A. I. Leshner, “Addiction Is a Brain Disease, and It Matters,” Science, vol. 278, no. 5335, pp. 45, 1997.
[16] P. J. Brown, R. L. Stout, and T. Mueller, “Substance use disorder and posttraumatic stress disorder comorbidity: Addiction and psychiatric treatment rates,” Psychology of Addictive Behaviors, vol. 13, no. 2, pp. 115-122, 1999.
[17] M. N. André Brunoni, Colleen Loo, Transcranial Direct Current Stimulation in Neuropsychiatric Disorders, p.^pp. 283, 2016.
[18] S. R. Ellis, “What are virtual environments?,” IEEE Computer Graphics and Applications, vol. 14, no. 1, pp. 17-22, 1994.
[19] B. K. Wiederhold et al., “The treatment of fear of flying: a controlled study of imaginal and virtual reality graded exposure therapy,” IEEE Transactions on Information Technology in Biomedicine, vol. 6, no. 3, pp. 218-223, 2002.
[20] A. S. Carlin, H. G. Hoffman, and S. Weghorst, “Virtual reality and tactile augmentation in the treatment of spider phobia: a case report,” Behaviour Research and Therapy, vol. 35, no. 2, pp. 153-158, 1997/02/01/, 1997.
[21] J. L. Maples-Keller et al., “The Use of Virtual Reality Technology in the Treatment of Anxiety and Other Psychiatric Disorders,” Harvard review of psychiatry, vol. 25, no. 3, pp. 103-113, May/Jun, 2017.
[22] A. Rizzo et al., “Virtual Reality Exposure Therapy for Combat-Related Posttraumatic Stress Disorder,” Computer, vol. 47, no. 7, pp. 31-37, 2014.
[23] R. Gonçalves et al., “Efficacy of virtual reality exposure therapy in the treatment of PTSD: a systematic review,” PloS one, vol. 7, no. 12, pp. e48469-e48469, 2012.
[24] P. Bordnick et al., “Virtual Reality Cue Reactivity Assessment A Comparison of Treatment- vs. Nontreatment-Seeking Smokers,” Research on Social Work Practice, vol. 23, pp. 419-425, 07/01, 2013.
[25] D. G. Y. Thompson-Lake et al., “Withdrawal Symptoms and Nicotine Dependence Severity Predict Virtual Reality Craving in Cigarette-Deprived Smokers,” Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, vol. 17, no. 7, pp. 796-802, 2015.
[26] C. Culbertson et al., “Virtual reality cue exposure therapy for the treatment of tobacco dependence,” Journal of cyber therapy and rehabilitation, vol. 5, pp. 57-64, 04/01, 2012.
[27] G. Riva et al., “Virtual reality-based experiential cognitive treatment of obesity and binge-eating disorders,” Clinical Psychology & Psychotherapy, vol. 7, no. 3, pp. 209-219, 2000/07/01, 2000.
[28] P. S. Bordnick et al., “Assessing reactivity to virtual reality alcohol based cues,” Addictive Behaviors, vol. 33, no. 6, pp. 743-756, 2008/06/01/, 2008.
[29] J. S. Lee et al., “Social pressure-induced craving in patients with alcohol dependence: application of virtual reality to coping skill training,” Psychiatry investigation, vol. 5, no. 4, pp. 239-243, 2008.
[30] C. Culbertson et al., “Methamphetamine craving induced in an online virtual reality environment,” Pharmacology, biochemistry, and behavior, vol. 96, no. 4, pp. 454-460, 2010.
[31] M. N. Kabiri, and S. Paracha, "Virtual reality intervention: A promising deterrent to children's drug addiction." pp. 530-533.
[32] D. A. Rohani, H. B. D. Sorensen, and S. Puthusserypady, "Brain-computer interface using P300 and virtual reality: A gaming approach for treating ADHD." pp. 3606-3609.
[33] S. Hertweck et al., "Brain Activity in Virtual Reality: Assessing Signal Quality of High-Resolution EEG While Using Head-Mounted Displays." pp. 970-971.
[34] L. Zhu et al., "Design and Evaluation of the Mental Relaxation VR Scenes Using Forehead EEG Features." pp. 1-4.
[35] G. H. Cattan et al., “A comparison of mobile VR display running on an ordinary smartphone with standard PC display for P300-BCI stimulus presentation,” IEEE Transactions on Games, pp. 1-1, 2019.
[36] R. Acevedo et al., “A comparison of feature extraction strategies using wavelet dictionaries and feature selection methods for single trial P300-based BCI,” Medical & Biological Engineering & Computing, vol. 57, no. 3, pp. 589-600, 2019/03/01, 2019.
[37] F. Putze, M. Scherer, and T. Schultz, “Starring into the void? Classifying Internal vs. External Attention from EEG,” in Proceedings of the 9th Nordic Conference on Human-Computer Interaction, Gothenburg, Sweden, 2016, pp. Article 47.
[38] F. Riaz et al., “EMD-Based Temporal and Spectral Features for the Classification of EEG Signals Using Supervised Learning,” IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 24, no. 1, pp. 28-35, 2016.
[39] A. Babiker, I. Faye, and A. S. Malik, "EMD-Based Feature to Detect Situational Interest in Classroom Settings Using EEG." pp. 1-5.
[40] D. Zhang et al., “A Convolutional Recurrent Attention Model for Subject-Independent EEG Signal Analysis,” IEEE Signal Processing Letters, vol. 26, no. 5, pp. 715-719, 2019.
[41] J. C. Henry, “Electroencephalography: Basic Principles, Clinical Applications, and Related Fields, Fifth Edition,” Neurology, vol. 67, no. 11, pp. 2092, 2006.
[42] "Emotiv—Brain Computer Interface Technology.," http://www.emotiv.com.
[43] "Looxid Link—Connect your mind to VR.," http://www.neurosky.com.
[44] "NeuroSky—Brainwave Sensors for Everybody.," http://www.neurosky.com.
[45] J. Bu et al., “Low-Theta Electroencephalography Coherence Predicts Cigarette Craving in Nicotine Addiction,” Frontiers in psychiatry, vol. 10, pp. 296-296, 2019.
[46] D. De Ridder et al., “The brain, obesity and addiction: an EEG neuroimaging study,” Scientific Reports, vol. 6, no. 1, pp. 34122, 2016/09/23, 2016.
[47] L. A. Holcomb et al., “Neural oscillatory dynamics of inhibitory control in young adult binge drinkers,” Biological Psychology, vol. 146, pp. 107732, 2019/09/01/, 2019.
[48] S. H. Lee et al., “Quantitative electroencephalographic (qEEG) correlates of craving during virtual reality therapy in alcohol-dependent patients,” Pharmacology Biochemistry and Behavior, vol. 91, no. 3, pp. 393-397, 2009/01/01/, 2009.
[49] F. Shahmohammadi et al., “Neural Correlates of Craving in Methamphetamine Abuse,” Basic and clinical neuroscience, vol. 7, no. 3, pp. 221-230, 2016.
[50] I. Akira et al., “P300 component of event-related potentials in methamphetamine psychosis and schizophrenia,” Progress in Neuro-Psychopharmacology and Biological Psychiatry, vol. 18, no. 3, pp. 465-475, 1994/05/01/, 1994.
[51] T. F. Newton et al., “Association between quantitative EEG and neurocognition in methamphetamine-dependent volunteers,” Clinical Neurophysiology, vol. 115, no. 1, pp. 194-198, 2004/01/01/, 2004.
[52] H. Khajehpour et al., “Disrupted resting-state brain functional network in methamphetamine abusers: A brain source space study by EEG,” PLOS ONE, vol. 14, no. 12, pp. e0226249, 2019.
[53] H. Khajehpour et al., “Computer-aided classifying and characterizing of methamphetamine use disorder using resting-state EEG,” Cognitive Neurodynamics, vol. 13, no. 6, pp. 519-530, 2019/12/01, 2019.
[54] H. Tan et al., “Drug-related Virtual Reality Cue Reactivity is Associated with Gamma Activity in Reward and Executive Control Circuit in Methamphetamine Use Disorders,” Archives of Medical Research, vol. 50, no. 8, pp. 509-517, 2019/11/01/, 2019.
[55] E. D. Paratz, N. J. Cunningham, and A. I. MacIsaac, “The Cardiac Complications of Methamphetamines,” Heart, Lung and Circulation, vol. 25, no. 4, pp. 325-332, 2016/04/01/, 2016.
[56] H. Yanik et al., "Determination of drug activity on pulmonary arterial hypertension using frequency-domain analysis of measured ECG signals." pp. 1-4.
[57] A. I. Hernandez et al., “Real-time ECG transmission via Internet for nonclinical applications,” IEEE Transactions on Information Technology in Biomedicine, vol. 5, no. 3, pp. 253-257, 2001.
[58] H. Li et al., “Hilbert-Huang Transform for Analysis of Heart Rate Variability in Cardiac Health,” IEEE/ACM Transactions on Computational Biology and Bioinformatics, vol. 8, no. 6, pp. 1557-1567, 2011.
[59] Y. Liu, and C. Jiang, “Recognition of Shooter’s Emotions Under Stress Based on Affective Computing,” IEEE Access, vol. 7, pp. 62338-62343, 2019.
[60] L. Santamaria-Granados et al., “Using Deep Convolutional Neural Network for Emotion Detection on a Physiological Signals Dataset (AMIGOS),” IEEE Access, vol. 7, pp. 57-67, 2019.
[61] M. S. Mahmud et al., "Automatic Detection of Opioid Intake Using Wearable Biosensor." pp. 784-788.
[62] S. D. Silva et al., "A Rule-Based System for ADHD Identification using Eye Movement Data." pp. 538-543.
[63] K. S. Lohan et al., “Toward Improved Child–Robot Interaction by Understanding Eye Movements,” IEEE Transactions on Cognitive and Developmental Systems, vol. 10, no. 4, pp. 983-992, 2018.
[64] D. Cyranoski, “Chinese health app arrives,” Nature, vol. 541, no. 7636, pp. 141-142, 2017 Jan 12, 2017.
[65] Q. Zhang et al., “A GPU-based residual network for medical image classification in smart medicine,” Information Sciences, vol. 536, pp. 91-100, 2020/10/01/, 2020.
[66] F. S. Collins, and H. Varmus, “A New Initiative on Precision Medicine,” New England Journal of Medicine, vol. 372, no. 9, pp. 793-795, 2015/02/26, 2015.
[67] S. J. Aronson, and H. L. Rehm, “Building the foundation for genomics in precision medicine,” Nature, vol. 526, no. 7573, pp. 336-342, 2015/10/01, 2015.
[68] Z. Liu et al., “An adaptive deep learning model to differentiate syndromes of infectious fever in smart medicine,” Future Generation Computer Systems, vol. 111, pp. 853-858, 2020/10/01/, 2020.
[69] S. Tian et al., “Smart healthcare: making medical care more intelligent,” Global Health Journal, vol. 3, no. 3, pp. 62-65, 2019/09/01/, 2019.
[70] A. A. Boni, “Innovation Challenges and Opportunities in Biopharma, MedTech, Digital Medicine, and Their Emerging Convergence: User & Patient Centric Applications in the “Pharma 3.0 Business Model Paradigm”: Research and Regulation,” Journal of Commercial Biotechnology, vol. 24, no. 1, Jan 2018, 2018.
[71] "BrainVision V-Amp," http://www.hanix.net/En/Phone/Products/info/id/91.html.
[72] C. S. Carver, T. L. J. J. o. p. White, and s. psychology, “Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: the BIS/BAS scales,” vol. 67, no. 2, pp. 319, 1994.
[73] S. J. Catanzaro, and J. J. J. o. p. a. Mearns, “Measuring generalized expectancies for negative mood regulation: Initial scale development and implications,” vol. 54, no. 3-4, pp. 546-563, 1990.
[74] C. Spielberger et al., Manual for the State-Trait Anxiety Inventory (Form Y1 – Y2), 1983.
[75] M. A. Uusitalo, and R. J. Ilmoniemi, “Signal-space projection method for separating MEG or EEG into components,” Medical and Biological Engineering and Computing, vol. 35, no. 2, pp. 135-140, 1997/03/01, 1997.
[76] G. Stenberg, “Personality and the EEG: Arousal and emotional arousability,” Personality and Individual Differences, vol. 13, no. 10, pp. 1097-1113, 1992/10/01/, 1992.
[77] A. J. Jasinska et al., “Factors modulating neural reactivity to drug cues in addiction: A survey of human neuroimaging studies,” Neuroscience & Biobehavioral Reviews, vol. 38, pp. 1-16, 2014/01/01/, 2014.
[78] T. Demiralp et al., “DRD4 and DAT1 Polymorphisms Modulate Human Gamma Band Responses,” Cerebral Cortex, vol. 17, no. 5, pp. 1007-1019, 2007.
[79] G. G. Knyazev, “Motivation, emotion, and their inhibitory control mirrored in brain oscillations,” Neuroscience & Biobehavioral Reviews, vol. 31, no. 3, pp. 377-395, 2007/01/01/, 2007.
[80] T. D. Parsons, and C. G. Courtney, “Interactions Between Threat and Executive Control in a Virtual Reality Stroop Task,” IEEE Transactions on Affective Computing, vol. 9, no. 1, pp. 66-75, 2018.
[81] F. Mokhayeri, and M. Akbarzadeh-T, "Mental Stress Detection Based on Soft Computing Techniques." pp. 430-433.
[82] F. Mokhayeri, M. Akbarzadeh-T, and S. Toosizadeh, "Mental stress detection using physiological signals based on soft computing techniques." pp. 232-237.
[83] Z. Jing et al., "Realization of stress detection using psychophysiological signals for improvement of human-computer interactions." pp. 415-420.
[84] P. Ren et al., "Affective assessment of computer users based on processing the pupil diameter signal." pp. 2594-2597.
[85] L. A. Torres-Salomao, M. Mahfouf, and E. El-Samahy, "Pupil diameter size marker for incremental mental stress detection." pp. 286-291.
[86] D. J. Ewing et al., “Twenty four hour heart rate variability: effects of posture, sleep, and time of day in healthy controls and comparison with bedside tests of autonomic function in diabetic patients,” British Heart Journal, vol. 65, no. 5, pp. 239, 1991.
[87] M. Malik, “Heart rate variability: Standards of measurement, physiological interpretation, and clinical use,” Circulation, vol. 93, pp. 1043-1065, 03/01, 1996.