Abstract

Driving phobia is a widespread anxiety disorder in modern society. Driving phobia disorders often cause difficulties in people’s professional and social activities. A growing trend for treating driving phobia is to apply virtual reality exposure therapy (VRET). We refined the system’s performance based on the previous research publication and have conducted a VRET pre-test research study with treatment and control group subjects to demonstrate the effectiveness of VRET. Some systemic problems were discovered in the first published experiment. For example, the experimental process and the virtual reality (VR) driving scenarios had to be modified to reflect realistic scenarios causing the fear of driving. These issues were identified and improvements made and verified in this research. A total of 130 subjects completed the driving behavior survey. Thirty subjects were randomly drawn from the subjects with high driving fear questionnaire scores and were invited to participate in the treatment experiments. The latest research presents the refined VRET for driving phobia disorders, including the revised system framework, the main modules and integration, and the subjects’ biodata collection, management, and analysis. The experiment results provide strong evidence that the refined VRET design helps subjects overcome driving phobias. The subjects’ subjective distress and fear of driving are reduced significantly through the implementation of VRET.

Highlights

  • Severe motor vehicle crashes are one of the most frequent traumas experienced in the United States (US) [1]

  • The results indicated significant reductions in post-trauma symptoms involving reexperiencing, avoidance, and emotional numbing, and virtual reality exposure therapy (VRET) was successfully used in the treatment of post-traumatic stress disorder (PTSD) following road accidents [5]

  • The result of the questionnaire design, which relates to driving in specific environments (Q33~Q39), shows that there are no significant differences between the treatment group (TG) post-treatment scores and the control group (CG) scores

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Summary

Introduction

Severe motor vehicle crashes are one of the most frequent traumas experienced in the United States (US) [1]. In 2018, the number of motor vehicle crashes exceeded 6.7 million in the US and about 2.7 million people reported injuries in the traffic accidents [2]. According to a National Institute of Mental Health (NIMH) study, about 39% of the motor vehicle accident (MVA) survivors met DSM-III-R criteria for post-traumatic stress disorder (PTSD). The type of PTSD that is caused by MVAs is known as a driving phobia disorder. Driving phobia is very common and the level of fear may range from mild to severe. Some patients are only afraid of specific driving conditions, while some cannot bear to sit behind the steering wheel of a motor vehicle

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