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系統識別號 U0026-0702201415374600
論文名稱(中文) 希望支持團體對婚姻暴力倖存婦女希望、復原力及憂鬱之成效
論文名稱(英文) Effects of hope support group on hope, resilience, and depression for the women survivors of intimate partner violence
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 102
學期 1
出版年 103
研究生(中文) 侯玟里
研究生(英文) Wen-Li Hou
學號 TA8951068
學位類別 博士
語文別 中文
論文頁數 99頁
口試委員 指導教授-徐畢卿
共同指導教授-柯乃熒
召集委員-蔣欣欣
口試委員-林明傑
口試委員-葉宗烈
中文關鍵字 希望支持團體  希望  復原力  憂鬱  婚姻暴力 
英文關鍵字 hope support group  hope  resilience  depression  intimate partner violence 
學科別分類
中文摘要 長期遭受婚姻暴力的婦女,即使已離開暴力關係,其心理健康狀況仍會受到不同程度影響,進而影響婦女的生活品質與社會適應。然而,對於改善婚姻暴力倖存婦女心理健康的介入措施闕如。
本研究旨在探討希望支持團體對婚姻暴力倖存婦女的希望、復原力及憂鬱之改善成效。採立意取樣招募南部地區已離開婚姻暴力至少一年的受虐婦女為研究樣本來源。研究設計採類實驗研究設計,根據個案的意願與時間的配合性,分實驗組與對照組;實驗組接受以希望理論為基礎所設計的團體介入方案,為期八週,每週一次,每次約90分鐘。對照組沒有接受介入措施。研究評量工具包含:個人基本資料問卷、希望狀態量表、復原力量表以及台灣人憂鬱問卷。兩組在團體介入前、團體結束時與團體結束後一個月進行問卷調查,以評量團體介入之立即效果與延宕效果,有效樣本共24人(實驗組8人,對照組16人)。所得資料經輸入電腦,以SPSS for window 17.0統計軟體,進行描述性統計、卡方檢定、曼-惠特尼U 檢定、魏可遜符號-等級檢定以及雙因子混合設計變異數分析進行推論性統計分析。研究結果顯示兩組在基本資料和前測的依變項(希望、復原力及憂鬱)都沒有顯著差異。在接受八次希望支持團體介入後,兩組在不同的測量時段下,憂鬱的前測和後測(平均數差為4.719,p< 0.05)、前測和後後測(平均數差為5.281,p< 0.005)比較,均達統計上顯著差異水準,顯示希望支持團體對改善憂鬱有立即效果與延宕效果。在兩組比較上,僅希望的路徑次量表達到統計上顯著差異。雖然在希望和復原力測量上未達統計上顯著差異,但在後後測平均分數皆比前測得分高,有改善趨勢。
本研究結果可以幫助了解希望支持團體對婚姻暴力倖存婦女之希望、復原力及憂鬱之改善成效,並對臨床實務、專業教育以及未來研究提供相關建議。
英文摘要 Objectives: To examine the effects of an 8-week hope-theory-based group intervention on hope, resilience, and depression in Taiwanese female victims of intimate partner violence (IPV).
Methods: A two-group, quasi-experimental design with repeated measures was used. Twenty-nine participants were recruited from a Domestic Violence and Sexual Assault Prevention Center and a Women’s Association that provides support services to abused women in southern Taiwan. The experimental group (n = 10) was given 8 weeks of hope-theory-based group intervention; the comparison group (n = 19) had no intervention. Participants chose which group they were in. The effects of the intervention on the participants’ hope, resilience, and depression were compared at baseline, at 2 months, and at 3 months. A demographic questionnaire, the Adult State Hope Scale, the Wagnild & Young Resilience Scale for adults, and the Taiwanese Depression Questionnaire were used in this study. Data were analyzed using Chi-square, Mann-Whitney U, and Wilcoxon signed-rank tests, and a two-way mixed-design ANOVA.
Results: Two experimental-group participants and 3 comparison-group participants quit the study; thus, data from 24 participants were analyzed. Depression scores were significantly lower in the experimental group after the intervention. Compared with the comparison group, only pathway of hope subscales were significantly different. Despite nonsignificant differences in the measurement of hope and resilience, the 3-month follow-up scores were higher than the baseline scores, which showed an improvement trend.
Conclusions: A hope support group specially designed for female victims of IPV effectively reduced symptoms of depression.
論文目次 中文摘要 Ⅰ
英文延伸摘要 Ⅱ
誌謝 Ⅴ
目錄 Ⅶ
表目錄 Ⅸ
圖目錄 Ⅹ
第壹章 緒 論 1
第一節 研究背景與動機 1
第二節 研究目的與問題 4
第三節 研究假設 4
第四節 名詞定義 5
第貳章 文獻查證 8
第一節 受虐婦女的憂鬱 8
第二節 復原力 14
第三節 支持團體:以希望理論為導向 18
第參章 研究方法 29
第一節 研究架構 29
第二節 研究設計 29
第三節 研究對象 31
第四節 研究工具 31
第五節 研究步驟 37
第六節 研究倫理 40
第七節 資料處理與統計分析 40
第肆章 研究結果 42
第一節 研究對象特性 44
第二節 希望支持團體對婚姻暴力倖存婦女希望之成效. 53
第三節 希望支持團體對婚姻暴力倖存婦女復原力之成效. 55
第四節 希望支持團體對婚姻暴力倖存婦女憂鬱之成效 58
第伍章 討論 64
第一節 希望支持團體對婚姻暴力倖存婦女希望之成效分析 64
第二節 希望支持團體對婚姻暴力倖存婦女復原力之成效分析 68
第三節 希望支持團體對婚姻暴力倖存婦女憂鬱之成效分析 69
第陸章 結論、研究限制與建議 71
第一節 結論 71
第二節 研究限制與建議 71
參考文獻 73
一、中文部份 73
二、英文部份 75
附錄 83
附錄一 研究量表 83
附錄二 量表使用同意書 89
附錄三 翻譯-反轉翻譯專家名單 93
附錄四 人體試驗委員會同意臨床試驗證明書 94
附錄五 參與研究同意書 97

表目錄

表2-1 希望構成要素與憂鬱診斷標準之關係 11
表2-2 團體發展階段的任務與領導者的角色 20
表3-1 研究設計 29
表3-2 『希望支持團體』單元目標與活動內容摘要 36
表4-1 實驗組與對照組基本資料之差異性分析 47
表4-2 實驗組與對照組前測之希望、復原力及憂鬱之差異性分析 51
表4-3 實驗組經八週團體介入前後與對照組希望、復原力及憂鬱各構面得分
情形 52
表4-4 實驗組經八週團體介入前後與對照組之希望總量表及其次量表之差異
性分析 57
表4-5 兩組憂鬱和復原力之混合設計雙因子變異數分析摘要表 59
表4-6 參加希望支持團體成員的基本資料與出席狀況 61
表4-7 實驗組個別研究對象的依變項之前測、後測及後後測分數 62
表4-8 對照組個別研究對象的依變項之前測、後測及後後測分數 63


圖目錄

圖2-1 希望理論中路徑與效能目標導向思考之前推機制與回饋功能 25
圖3-1 本研究架構 29
圖3-2 研究過程 39
圖4-1 前驅研究收案流程 43
圖4-2 本研究﹙第二次團體﹚收案流程 46
圖4-3 兩組希望量表總分之平均數剖面圖 53
圖4-4 兩組希望次量表(路徑思考和動力思考)前測、後測及後後測之變化趨
勢圖 54
圖4-5 兩組復原力量表總分之平均數剖面圖 55
圖4-6 兩組復原力次量表(個人能力、接受自我和生命)前測、後測及後後測
之變化趨勢圖 56
圖4-7 兩組憂鬱量表總分之平均數剖面圖 58
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