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系統識別號 U0026-0107201418511700
論文名稱(中文) 提升執行功能之神經心理團體治療於高身心症狀抱怨青少女之預防效果
論文名稱(英文) The Preventive Effects of Neuropsychotherapy Group of Executive Function Training for Girl Adolescents with High Subjective Health Complaints
校院名稱 成功大學
系所名稱(中) 行為醫學研究所
系所名稱(英) Institute of Behavioral Medicine
學年度 102
學期 2
出版年 103
研究生(中文) 黃睿謙
研究生(英文) Jui-Chien Huang
學號 S86001056
學位類別 碩士
語文別 中文
論文頁數 112頁
口試委員 指導教授-郭乃文
口試委員-董旭英
口試委員-葉光輝
中文關鍵字 神經心理治療  自我監控  高身心症狀抱怨 
英文關鍵字 neuropsychotherapy  self-monitoring  Subjective Health Complaints 
學科別分類
中文摘要 目的:高身心症狀抱怨與注意力控制缺乏彈性具有相關,為青少女中常見的身心健康問題。本研究旨在討論以神經心理治療團體介入後對缺乏彈性的注意力控制、身心健康狀態以及生活適應的改善。
方法:受試者為41位身心篩檢為二級高風險之青少女,於篩檢後隨機分派至兩組,實驗組(n = 11)接受為期八週,每週兩小時之提升執行功能之神經心理團體治療,控制組(n = 30)則等待未有介入。兩組於學期初、學期末以及一個月後進行問卷測量,包括身心生活適應量表、一般性自我效能、執續思考問卷、日常生活注意力功能以及執行功能行為量表。
結果:二級母群體自然變動方面,高身心症狀抱怨者於一年後之身心症狀抱怨數和心理症狀自評皆有顯著下降,校園三級預防篩檢則有66.5%返回一級、26.3%維持二級,以及7.2%加重為三級。團體療效方面,實驗組與控制組的身心症狀抱怨數皆顯著下降,但實驗組於各個指標之效果量普遍大於控制組,自我監控指標上,實驗組皆為中高程度,控制組僅有低度以下。
結論:雖然本研究樣本數尚少,但此一治療團體能大幅度地提升青少女之自我監控功能、身心健康狀態以及生活適應。此外,此治療團體能避免二級高風險群體加重至三級。
英文摘要 This study aims at developing an effective neuropsychotherpy program for female adolescents with high subjective health complaints. Participants were randomly assigned to the experiment group and control group. The index of executive function, mental health, and life adaptation of the experiment group was better than the control group in the post-test and follow-up. This program can improve the executive function, mental health, and life adaptation of female adolescents with high subjective health complaints.
論文目次 目錄
第壹章 緒論 1
第一節、身心症狀抱怨之探討 1
一、身心症狀抱怨於青少年的盛行率與影響 1
二、高身心症狀抱怨之成因探討 3
三、高身心症狀抱怨與執續認知假設 6
第二節、執行功能與身心症狀抱怨 9
一、執行功能定義與前額葉 9
二、執行功能於身心症狀抱怨之角色 12
第三節、高身心症狀抱怨者之神經心理治療 16
一、高身心症狀抱怨青少女的執行功能訓練成效 16
二、神經心理治療之定義 17
三、執行功能之注意力監控與轉換之訓練策略與其成效 18
第四節、研究動機與問題假設 21
一、研究動機與目的 21
二、研究問題假設 21
第貳章 研究方法 23
第一節、研究設計與流程 23
一、心理測驗資料庫之資料分析 23
二、神經心理團體之研究設計 24
第二節、研究對象 27
一、母群體資料:心理測驗資料庫 27
二、受試者篩選與招募 28
三、受試者分派結果 29
第二節、研究工具 30
一、問卷工具 30
二、治療工具:強化自我監控功能之放鬆訓練團體方案 38
第四節、統計分析 45
第參章 結果 47
第一節、二級母群體之自然變動 47
一、三級預防人數比例於一年間之自然變動 47
二、二級母群體之身心生活適應量表指標在一年間的自然變動 47
第二節、研究參與者基本資料 51
一、招募組與非招募組之基本資料 51
二、實驗組與控制組之基本資料 54
第三節、團體神經心理治療成效分析 57
一、以原始分數進行療效分析 57
二、以百分等級進行療效分析 65
三、以三級人數比例分析 73
第四節、團體療效歷程分析 75
第肆章 討論 77
第一節、強化高身心症狀抱怨者之執行功能的神經心理治療療效結果分析 77
第二節、提升執行功能於改善身心症狀抱怨之療效探討 80
第三節、二級預防之效果探討 84
第四節、研究限制 86
第五節、研究貢獻與未來展望 87
參考文獻 88
附錄一、問卷工具 102
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