Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2025; 13(26): 100363
Published online Sep 16, 2025. doi: 10.12998/wjcc.v13.i26.100363
Effects of driving simulator intervention on post-traumatic stress disorder symptoms after traffic accidents: A single-subject study
Hye-Won Jeong, Ji-Won Jung, Sang-Hyuk Jang, Dong-Yoon Kim, Ji-Young Lee, Jong-Sik Jang
Hye-Won Jeong, Ji-Young Lee, Jong-Sik Jang, Department of Occupational Therapy, Kangwon National University, Samcheok 25949, Gangwon, South Korea
Ji-Won Jung, Sang-Hyuk Jang, Department of Occupational Therapy, Wholere Hospital, Goyang 10585, South Korea
Dong-Yoon Kim, Department of Occupational Therapy, Pogeunhan Hospital, Seoul 01128, South Korea
Author contributions: Jeong HW, Jang JS designed research; Jung JW, Jang SH performed research; Jeong HW analyzed data; Lee JY, Kim DY, Jang JS wrote the paper.
Institutional review board statement: This study was approved by the Bioethics Committee (KWNUIRB-2023-05-005-002).
Informed consent statement: After explaining the research procedure to the study participants and obtaining their consent, the study was conducted.
Conflict-of-interest statement: All authors declare that they have no competing interests.
Data sharing statement: The datasets generated during or analyzed during the current study are available from the corresponding author on reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jong-Sik Jang, PhD, Associate Professor, Department of Occupational Therapy, Kangwon National University, 346 Hwangjo-gil, Dogye-eup, Samcheok-si, Gangwon-do, Samcheok 25949, Gangwon, South Korea. js_ot@kangwon.ac.kr
Received: August 22, 2024
Revised: November 21, 2024
Accepted: June 3, 2025
Published online: September 16, 2025
Processing time: 335 Days and 4.9 Hours
Abstract
BACKGROUND

Although exposure therapy is a proven treatment for post-traumatic stress disorder (PTSD), empirical research is difficult due to ethical issues. Recently, virtual reality-based content that can provide space and time similar to reality for exposure therapy techniques is increasing.

AIM

To examine exposure therapy using driving simulations in patients with PTSD due to traffic accidents with PTSD symptoms.

METHODS

The intervention was provided to two individuals who experienced PTSD symptoms after a traffic accident using a driving simulator. Among the single-subject experimental designs, the ABA (baseline-intervention-baseline) design was used, and the PTSD checklist and brain wave frequency were used to measure the results.

RESULTS

In all participants, the standard category departure time of the electroencephalogram decreased from baseline, and PTSD symptoms decreased after the intervention.

CONCLUSION

These results suggest the potential use of a driving simulator as an exposure treatment tool for PTSD.

Keywords: Post-traumatic stress disorder; Driving simulation; Single-subject design; Brain wave

Core Tip: This study suggest the potential of using a driving simulator as an exposure treatment tool for in patients with post-traumatic stress disorder (PTSD) due to traffic accidents with PTSD symptoms.