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系統識別號 U0026-0709201010391600
論文名稱(中文) 台灣大學生逃避/情緒失調因應型態 調節負向生活事件對憂鬱症狀的影響: 一年追蹤研究
論文名稱(英文) The coping styles of avoidance/emotional dysregulation moderate the effect of negative life events on depressive symptoms among college students in Taiwan: one year follow-up
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 98
學期 2
出版年 99
研究生(中文) 胡曉雯
研究生(英文) Hsiao-Wen Hu
學號 s8696105
學位類別 碩士
語文別 中文
論文頁數 63頁
口試委員 指導教授-柯慧貞
口試委員-陳秀蓉
口試委員-鄭中平
中文關鍵字 逃避/情緒失調因應型態  負向生活事件  憂鬱症狀 
英文關鍵字 Avoidance/emotional dysregulation coping  Negative life events  Depressive symptoms 
學科別分類
中文摘要 研究背景 憂鬱症狀會影響一個人的情緒、認知、生理與行為方面的各種表現,也是預測自殺行為中,最具解釋力與最重要的預測因子。研究指出國內外大學生憂鬱症狀的盛行率達14.8%,顯示憂鬱問題在國內外大學生中有相當程度的嚴重性,因此本研究針對大學生憂鬱症狀的相關預測因子及相關因素作研究。過去研究顯示負向生活事件對於憂鬱症狀的影響結果不一致,而逃避/情緒失調因應型態可能扮演著調節變項的角色。
研究目的與假設 本研究的目的即在調查國內大學生之逃避/情緒失調因應與負向生活事件對憂鬱症狀的影響機制,以期望能作為日後制定大學生憂鬱症狀防治措施之參考。本研究假設逃避/情緒失調因應可調節負向生活事件對憂鬱症狀的影響。
研究方法 (1)參與者:使用分層叢集抽樣方式,在南部地區大專院校中抽出14間學校。本研究在第一年回收3,743份問卷,回收率為72.9%,其中可追蹤人數為3,246人,次年回收1,532份,回收率為47.02%。完成本研究使用的所有問卷之人數為1,267人。(2)研究工具:個人資料表、柯氏憂鬱量表、壓力因應量表、生活事件量表。(3)研究程序:本研究為一年縱貫性大樣本研究,分別在2003年(T1)與2004年(T2)11月開始為期六週進行問卷施測(4)資料分析:由描述性統計分析樣本特性;以多元階層迴歸分析以及t-test來分析逃避/情緒取向因應調節負向生活事件對憂鬱症狀的預測效果。
研究結果 結果顯示控制了T1的憂鬱症狀後,T1逃避/情緒失調因應可調節T1負向生活事件和T2負向生活事件對T2憂鬱症狀的影響。進一步將T1逃避/情緒失調因應代入高、中、低分的情形,發現T1負向生活事件和T2負向生活事件對T2憂鬱症狀的預測效果最高的為T1逃避/情緒失調因應高分的情形,其次為中分的情形,最低為低分的情形。
結論與建議 本研究利用縱貫式大樣本資料,發現大學生的逃避/情緒失調因應可調節負向生活事件對憂鬱症狀的影響。這個結果解釋了為何過去研究發現負向生活事件對憂鬱症狀影響的結果會出現不一致,亦即有時負向生活事件不一定會造成憂鬱症狀,本研究證實了逃避/情緒失調因應扮演重要的角色。本研究發現對於高度使用逃避/情緒失調因應的大學生而言,其遭遇越多負向生活事件,則可預測未來越多的憂鬱症狀,因此對這群學生來說,其負向生活事件可以預測憂鬱症狀;而少用逃避/情緒失調因應的大學生族群,其遭遇負向生活事件,亦不會導致未來的憂鬱症狀。在臨床貢獻性上,未來可針對壓力因應方式進行個別介入與治療,改善個體之壓力因應技巧,減少負向生活事件其對憂鬱症狀的影響效果。
英文摘要 This study examined whether avoidance/emotional dysregulation coping moderated the effect of negative life events (NLE) on depressive symptoms using a longitudinal design. 1,267 college students (62.2 % female) were recruited in 2003(T1) and 2004(T2). Each participant completed self-reported measures including the Ko Depression Inventory, Life Event Questionnaire, and Coping Styles Inventory, for both time periods. Hierarchical multiple regression analyses showed that T1 avoidance/emotional dysregulation coping moderated the impact of T1 NLE and T2 NLE on T2 depressive symptoms. Further analyses indicated that the predictive effect of T1 NLE or T2 NLE for T2 depressive symptoms was lowest for low-level avoidance/emotional dysregulation coping, followed by mid- and high-level, suggesting that less use of avoidance/emotional dysregulation coping would decrease the impact of negative life events on depressive symptoms among college students.
論文目次 中文摘要....................................................I
Abstract.................................................III
誌謝.......................................................IV
表目錄....................................................VI
圖目錄....................................................VI
附錄目錄..................................................VII
第一章 研究背景
第一節 研究大學生憂鬱症狀的重要性.........................1
第二節 負向生活事件與憂鬱症狀的關係.......................3
第三節 負向生活事件、壓力因應型態與憂鬱之間的關係...........5
第四節 研究目的與假設..................................11
第二章 研究方法
第一節 研究參與者......................................12
第二節 研究工具........................................13
第三節 研究程序........................................15
第四節 統計分析........................................16
第三章 研究結果
第一節 基本人口變項與各量表得分..........................17
第二節 各研究變項之相關矩陣.................................18
第三節 逃避/情緒失調因應調節負向生活事件對憂鬱症狀的影響效果........................................................19
第四章 討論
第一節 本研究之主要發現與解釋...............................21
第二節 研究限制............................................24
第三節 結論與建議..........................................25
第五章 參考文獻............................................27
表目錄
表1.『追蹤有效阻』與『未追蹤或排除組』在基本人口學變項及各量表得分分析……………………………………………………………………………………35
表2. 兩年憂鬱症狀、負向生活事件、因應型態之相關矩陣…………………36
表3. .階層迴歸表:T1逃避/情緒失調因應與T1負向生活事件之交互作用預測T2憂鬱症狀…………………………………………………………………………37
表4. 階層迴歸表:T1逃避/情緒失調因應與T2負向生活事件之交互作用預測T2憂鬱症狀…………………………………………………………………………39
圖目錄
圖1. 比較T1逃避/情緒失調因應高、中、低分三種情形之T1負向生活事件和T2憂鬱症狀的關係...........................................41
圖2. 比較T1逃避/情緒失調因應高、中、低分三種情形之T2負向生活事件和T2憂鬱症狀的關係...........................................42
附錄目錄
附錄一、同意書.............................................43
附錄二、個人基本資料表......................................44
附錄三、柯氏憂鬱量表........................................49
附錄四、生活事件量表........................................55
附錄五、壓力因應量表........................................59
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