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系統識別號 U0026-2408201406562600
論文名稱(中文) 意見不一致性、個人-社會取向衝突、社會依賴型偏差態度及產後憂鬱症狀之關係
論文名稱(英文) The Relationships between Dyadic Dissensus, Individual-Social Orientation Conflict, Sociotropic Dysfunctional Attitudes, and Postpartum Depressive Symptoms
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) 林冠穎
研究生(英文) Kuan-Ying Lin
學號 S86001030
學位類別 碩士
語文別 中文
論文頁數 74頁
口試委員 指導教授-郭乃文
共同指導教授-柯慧貞
口試委員-謝碧玲
口試委員-林以正
中文關鍵字 意見不一致性  個人-社會取向衝突  社會依賴型  產後憂鬱症狀 
英文關鍵字 dyadic dissensus  individual-social orientation conflict  sociotropy  postpartum depressive symptoms 
學科別分類
中文摘要 研究目的
本研究旨在以臺灣產後婦女為參與者,驗證個人-社會取向衝突是否能扮演意見不一致性與產後憂鬱間的中介變項。此外,本研究也欲驗證社會依賴型偏差態度是否能扮演個人-社會取向衝突與產後憂鬱間的調節變項。
研究設計與方法
本研究資料係取自國科會計畫『產後憂鬱症之前因與後果』所蒐集之資料。本研究在婦女懷孕第三十六週時邀請婦女進入研究,填寫研究參與同意書、基本資料,以及中文版貝氏憂鬱量表及偏差態度問卷;並在產後第四個月時,邀請婦女填寫意見一致性分量表、個人-社會取向衝突量表,以及中文版貝氏憂鬱量表;資料填答齊全者共210人。
研究結果
階層迴歸分析的結果顯示,意見不一致性會透過個人-社會取向衝突的中介效果,預測產後四個月的憂鬱症狀嚴重度。此外,社會依賴型偏差態度會調節個人-社會取向衝突與產後憂鬱症狀嚴重度間的關係;個人-社會取向衝突在社會依賴型偏差態度程度為高與中時,能正向預測產後四個月的憂鬱症狀嚴重度,而在社會依賴型偏差態度為低時,個人-社會取向衝突對憂鬱症狀嚴重度則不具影響力。
結論與建議
本研究結果支持個人-社會取向衝突在意見不一致性與產後憂鬱間所扮演的中介變項角色,同時也支持社會依賴型偏差態度於個人-社會取向衝突與產後憂鬱間所扮演的調節變項角色。建議臨床工作者在接觸產後婦女時,能夠擁有對於個人-社會取向衝突以及社會依賴型特質的敏感度,並適時進行介入。
英文摘要 The present study aimed to examine the mediating role of individual-social orientation conflict in the relationship between dyadic dissensus and postpartum depressive symptoms, and to examine the interaction between individual-social orientation conflict and postpartum depressive symptoms among Taiwanese women. This study used secondary data analysis. Data were collected from the project on “Causes and Effects of Postpartum Depression, 1994-1996”. During the 36 weeks of gestation, women were invited into the study and the Beck Depression Inventory-Chinese version and Sociotropic Dysfunctional attitudes Subscale were administered to assess the prenatal depressive symptoms and sociotropic dysfunctional attitudes. At the 4th month postpartum, the Dyadic Consensus Subscale, Individual-Social Orientation Conflict Questionnaire, Sociotropic Dysfunctional attitudes Subscale, and the Beck Depression Inventory-Chinese version were administered. In the present study, 210 women completed the whole research. Results found that dyadic dissensus predicted postpartum depressive symptoms mediated through individual-social orientation conflict. In addition, the sociotropic dysfunctional attitudes moderated the effect of individual-social orientation conflict on postpartum depressive symptoms. The individual-social orientation conflict could only predict depressive symptoms among women with high and average sociotropic dysfunctional attitudes, but not in women with low sociotropic dysfunctional attitudes. These results revealed that the mediation role of individual-social orientation conflict and the moderation role of sociotropic dysfunctional attitudes were supported by present study.
論文目次 中文摘要 i
Abstract iii
誌謝 ix
目錄 xi
表目錄 xiv
圖目錄 xv
第一章 研究背景 1
第一節 產後憂鬱症之定義、後果,與成因 1
壹、 產後憂鬱之定義及臨床表現 1
一、 產後低潮(Postpartum blues) 1
二、 產後精神疾病(Postpartum psychosis) 1
三、 產後憂鬱(Postpartum depression) 2
貳、 產後憂鬱的流行病學研究 3
參、 產後憂鬱症的影響 4
一、 產後憂鬱於婦女本身之影響 4
二、 產後憂鬱於母嬰互動及子代之影響 5
肆、 產後憂鬱症的危險因子 6
伍、 小結 7
第二節 意見不一致性與產後憂鬱症 9
壹、 意見不一致性的定義及測量 9
貳、 意見不一致性與產後憂鬱之探討 10
參、 小結 10
第三節 個人—社會取向衝突之角色探討 13
壹、 個人取向與社會取向之探討 13
一、 個人取向與社會取向的定義及特徵 13
二、 現代華人的社會取向與個人取向之現況 14
貳、 意見不一致與個人-社會取向衝突之探討 15
參、 個人-社會取向衝突與憂鬱情緒之探討 16
肆、 小結 17
第四節 社會依賴型偏差態度之角色探討 18
壹、 偏差態度的定義與測量 18
貳、 社會依賴型偏差態度與憂鬱症狀關係之探討 20
參、 小結 22
第三節 研究目的與研究假設 24
第二章 研究方法 25
第一節 參與者 25
第二節 研究工具 26
壹、 基本資料表:人口統計學與臨床變項 26
貳、 意見一致性分量表 26
參、 個人-社會取向衝突量表 27
肆、 社會依賴型偏差態度分量表 27
伍、 中文版貝氏憂鬱量表 29
第三節 研究程序 30
第四節 統計分析 31
第三章 研究結果 32
第一節 人口統計學變項與臨床變項分析 32
第二節 相關分析 33
第三節 個人-社會取向衝突角色檢驗之多元迴歸結果 34
第四節 社會依賴型偏差態度角色檢驗之多元迴歸結果 35
第四章 討論 37
第一節 研究結果之總結 37
第二節 研究結果之解釋與討論 38
壹、 個人-社會取向衝突的中介變項角色之探討 38
貳、 社會依賴型偏差態度的調節變項角色之探討 40
參、 樣本特性與產後四個月憂鬱症狀嚴重度之結果探討 41
肆、 意見不一致性、個人-社會取向衝突、社會依賴型偏差態度,與產前及產後四個月憂鬱症狀嚴重度相關之探討 42
第三節 研究限制與未來研究方向 44
第四節 研究的應用與貢獻 46
參考文獻 48
附錄一 意見一致性分量表 63
附錄二 個人-社會取向衝突量表 64
附錄三 社會依賴型偏差態度分量表 71
附錄四 貝氏憂鬱量表 72
參考文獻 中文文獻
孔祥明 (1999)。 婆媳過招為哪樁?︰ 婆婆, 媳婦與兒子 (丈夫) 三角關係的探討。應用心理研究,4,57-96。
柯慧貞(1989)。內因性與非內因性憂鬱症在腎上腺皮質素抑制反應, 認知偏差及生活壓力上之比較(博士論文)。國立台灣大學心理學研究所,台北市。
柯慧貞(1996),產後憂鬱症致病機轉之前瞻性研究III。行政院國科會專題研究計畫成果報告,NSC85-2413-H006-001。
柯慧貞、黃耿妍、李毅達、莊麗珍 (1996)。 貝氏憂鬱量表應用於國人周產期憂鬱症篩選之適用性。中華公共衛生雜誌,15(3),208-219。
陳亭亘(2011)。傳統婚禮儀式中新娘雙文化自我的內在呈現與調適(碩士論文)。中國文化大學心理輔導學系,台北市。
陳彰惠、曾英芬、王興耀、李昭男 (1994)。產後憂鬱的盛行率和預測因子。護理研究,2(3),263-274。
陸洛 (2003)。 人我關係之界定-“折衷自我” 的現身 。本土心理學研究,20, 139-207。
陸洛、張婷婷、張妤玥 (2012)。 工作與家庭的意義對因應職家衝突的影響─ 華人雙文化自我觀之展現。本土心理學研究,37,141-189。
黃玉賢、游淑華、林梅鳳 (2009)。 從一位女性憂鬱患者的視角看罹病經驗與婆媳關係。中華心理衛生學刊,22(1),27-50。
黃莉婷、王鵬智 (2013)。 人格特質, 社會文化因素與產後憂鬱之相關研究。輔仁醫學期刊,11(2),101-112。
黃囇莉 (2001)。 身心違常: 女性自我在父權結構網中的 “迷” 途。本土心理學研究,15,3-62。
楊國樞(1993)。 中國人的社會取向: 社會互動的觀點。載於 《中國人的心理與行為: 理論與方法篇 (一九九二)》. 台北: 桂冠圖書公司。(頁 87-142)。
楊國樞 (2004)。 華人自我的理論分析與實徵研究: 社會取向與個人取向的觀點。本土心理學研究,22,11-80。
楊國樞、劉奕蘭、張淑慧、王琳 (2010)。 華人雙文化自我的個體發展階段: 理論建構的嘗試。中華心理學刊,52(2),113-132。
羅昭瑛、李錦虹、詹佳真 (2003)。 女性憂鬱症患者性别角色之內在經驗。中華心理衛生學刊,16(1),51-69。

英文文獻
Arteche, A., Joormann, J., Harvey, A., Craske, M., Gotlib, I. H., Lehtonen, A., et al. (2011). The effects of postnatal maternal depression and anxiety on the processing of infant faces. Journal of Affective Disorders, 133(1–2), 197-203.
Association, A. P. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR®: American Psychiatric Pub.
Association, A. P. (2013). The Diagnostic and Statistical Manual of Mental Disorders: DSM 5: bookpointUS.
Bakhshani, N. (2007). Role of personality styles (sociotropy/autonomy) and moderating effects of social support in clinically depressed patients. Journal of Medical Sciences, 7, 106-110.
Bartelstone, J. H., & Trull, T. J. (1995). Personality, Life Events, and Depression. Journal of personality assessment, 64(2), 279-294.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects (Vol. 32): University of Pennsylvania Press.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. Oxford, England: International Universities Press.
Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. Treatment of depression: Old controversies and new approaches, 265-290.
Beck, A. T., Brown, G., Steer, R. A., & Weissman, A. N. (1991). Factor analysis of the Dysfunctional Attitude Scale in a clinical population. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3(3), 478-483.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emer, G. (1979). Cognitive therapy of depression: Guilford Press.
Beck, C. T. (2001). Predictors of postpartum depression: An update. Nursing Research, 50(5), 275-285.
Beck, R., Taylor, C., & Robbins, M. (2003). Missing home: Sociotropy and autonomy and their relationship to psychological distress and homesickness in college freshmen. Anxiety, Stress and Coping, 16(2), 155-166.
Bloch, M., Rotenberg, N., Koren, D., & Klein, E. (2005). Risk factors associated with the development of postpartum mood disorders. Journal of Affective Disorders, 88(1), 9-18.
Brockington, I. F., Cernik, K. F., Schofield, E. M., Downing, A. R., Francis, A. F., & Keelan, C. (1981). Puerperal psychosis: phenomena and diagnosis. Archives of General Psychiatry, 38(7), 829-833.
Chan, S. W. C., Levy, V., Chung, T. K. H., & Lee, D. (2002). A qualitative study of the experiences of a group of Hong Kong Chinese women diagnosed with postnatal depression. Journal of Advanced Nursing, 39(6), 571-579.
Clark, D., Beck, A., & Brown, G. (1992). Sociotropy, Autonomy, and life event perceptions in dysphoric and nondysphoric individuals. Cognitive Therapy and Research, 16(6), 635-652.
Coates, A., Schaefer, C., & Alexander, J. (2004). Detection of postpartum depression and anxiety in a large health plan. The Journal of Behavioral Health Services and Research, 31(2), 117-133.
Cox, J. L. (1996). Perinatal mental disorder--A cultural approach. International Review of Psychiatry, 8(1), 9-16.
Cutrona, C. E., & Troutman, B. R. (1986). Social Support, Infant Temperament, and Parenting Self-Efficacy: A Mediational Model of Postpartum Depression. Child Development, 57(6), 1507-1518.
Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior and Development, 33(1), 1-6.
Field, T. M. (1984). Early interactions between infants and their postpartum depressed mothers. Infant Behavior and Development, 7(4), 517-522.
Field, T. M., Sandberg, D., Garcia, R., Vega-Lahr, N., Goldstein, S., & Guy, L. (1985). Pregnancy problems, postpartum depression, and early mother–infant interactions. Developmental Psychology, 21(6), 1152-1156.
Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: a systematic review of prevalence and incidence. Obstetrics and Gynecology, 106(5), 1071-1083.
Gotlib, I. H. (1984). Depression and general psychopathology in university students. Journal of Abnormal Psychology, 93(1), 19.
Gotlib, I. H., Whiffen, V. E., Wallace, P. M., & Mount, J. H. (1991). Prospective investigation of postpartum depression: Factors involved in onset and recovery. Journal of Abnormal Psychology, 100(2), 122-132.
Gratch, L. V., Bassett, M. E., & Attra, S. L. (1995). The Relationship of gender and ethnicity to Self-silencing and depression among college students. Psychology of Women Quarterly, 19(4), 509-515.
Grazioli, R., & Terry, D. J. (2000). The role of cognitive vulnerability and stress in the prediction of postpartum depressive symptomatology. The British Journal of Clinical Psychology, 39, 329-347.
Halbreich, U., & Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Journal of Affective Disorders, 91(2–3), 97-111.
Kendell, R. E., Chalmers, J. C., & Platz, C. (1987). Epidemiology of puerperal psychoses. The British Journal of Psychiatry, 150(5), 662-673.
Kerstis, B., Engstrom, G., Sundquist, K., Widarsson, M., & Rosenblad, A. (2012). The association between perceived relationship discord at childbirth and parental postpartum depressive symptoms: a comparison of mothers and fathers in Sweden. Upsala Journal of Medical Sciences, 117(4), 430-438.
Kim, E. (2012). Marital adjustment and depressive symptoms in Korean Americans. Issues in Mental Health Nursing, 33(6), 370-376.
Ko, H. C., Lu, R. B., & Ko, Y. H. (1990). Cognitive dysfunction in melancholia and non-melancholia prior to and following medication therapy. Taiwanese Journal of Psychiatry, 4, 129-136.
Kwon, S.-M., & Oei, T. P. (1994). The roles of two levels of cognitions in the development, maintenance, and treatment of depression. Clinical Psychology Review, 14(5), 331-358.
Kwon, S.-M., & Oei, T. S. (1992). Differential causal roles of Dysfunctional Attitudes and Automatic Thoughts in depression. Cognitive Therapy and Research, 16(3), 309-328.
Lee, D. T. S., Yip, A. S. K., Leung, T. Y. S., & Chung, T. K. H. (2004). Ethnoepidemiology of postnatal depression: Prospective multivariate study of sociocultural risk factors in a Chinese population in Hong Kong. The British Journal of Psychiatry, 184(1), 34-40.
Locke, H. J., & Wallace, K. M. (1959). Short marital-adjustment and prediction tests: Their reliability and validity. Marriage and Family Living, 21, 251-255.
Masih, S., Spence, S. H., & Oei, T. P. S. (2006). Sociotropic and Autonomous Personality and Stressful Life Events as Predictors of Depressive Symptoms in the Postpartum Period. Cognitive Therapy and Research, 31(4), 483-502.
Mazure, C. M., Maciejewski, P. K., Jacobs, S. C., & Bruce, M. L. (2002). Stressful life events interacting with cognitive/personality styles to predict late-onset major depression. The American journal of geriatric psychiatry, 10(3), 297-304.
Morse, J. Q., & Robins, C. J. (2005). Personality–life event congruence effects in late-life depression. Journal of Affective Disorders, 84(1), 25-31.
Murray, L., Arteche, A., Fearon, P., Halligan, S., Goodyer, I., & Cooper, P. (2011). Maternal Postnatal Depression and the Development of Depression in Offspring Up to 16 Years of Age. Journal of the American Academy of Child and Adolescent Psychiatry, 50(5), 460-470.
Nonacs, R., & Cohen, L. S. (1998). Postpartum mood disorders: diagnosis and treatment guidelines. Journal of Clinical Psychiatry, 59(2), 34-40.
Nylen, K. J., O'Hara, M. W., Brock, R., Moel, J., Gorman, L., & Stuart, S. (2010). Predictors of the longitudinal course of postpartum depression following interpersonal psychotherapy. Journal of consulting and clinical psychology, 78(5), 757-763.
O'Hara, M. W. (1986). Social support, life events, and depression during pregnancy and the puerperium. Archives of General Psychiatry, 43(6), 569-573.
O'Hara, M. W. (1995). Postpartum depression: Causes and consequences: Springer-Verlag New York.
O'Hara, M. W. (2009). Postpartum depression: what we know. Journal of Clinical Psychology, 65(12), 1258-1269.
O'Hara, M. W., & McCabe, J. E. (2013). Postpartum Depression: Current Status and Future Directions. Annual Review of Clinical Psychology, 9(1), 379-407.
O'Hara, M. W., Neunaber, D. J., & Zekoski, E. M. (1984). Prospective study of postpartum depression: Prevalence, course, and predictive factors. The Journal of Abnormal Psychology, 93(2), 158-171.
O'Hara, M. W., Rehm, L. P., & Campbell, S. B. (1983). Postpartum Depression: A Role for Social Network and Life Stress Variables. Journal of Nervous & Mental Disease, 171(6), 336-341.
O'Hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression--a meta-analysis. International Review of Psychiatry, 8(1), 37-54.
O'Hara, M. W., Zekoski, E. M., Philipps, L. H., & Wright, E. J. (1990). Controlled prospective study of postpartum mood disorders: Comparison of childbearing and nonchildbearing women. The Journal of Abnormal Psychology, 99(1), 3-3-15.
Olinger, L. J., Kuiper, N., & Shaw, B. (1987). Dysfunctional attitudes and stressful life events: An interactive model of depression. Cognitive Therapy and Research, 11(1), 25-40.
Oliver, J. M., & Baumgart, E. (1985). The Dysfunctional Attitude Scale: Psychometric properties and relation to depression in an unselected adult population. Cognitive Therapy and Research, 9(2), 161-167.
Philipps, L. H., & O'Hara, M. W. (1991). Prospective study of postpartum depression: 41⁄2-year follow-up of women and children. The Journal of Abnormal Psychology, 100(2), 151-155.
Pitt, B. (1973). `Maternity Blues'. The British Journal of Psychiatry, 122(569), 431-433.
Pruchno, R., Burant, C., & Peters, N. D. (1994). Family mental health: Marital and parent-child consensus as predictors. Journal of Marriage and the Family, 747-758.
Radloff, L. S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied psychological measurement, 1(3), 385-401.
Righetti-Veltema, M., Conne-Perréard, E., Bousquet, A., & Manzano, J. (2002). Postpartum depression and mother–infant relationship at 3 months old. Journal of Affective Disorders, 70(3), 291-306.
Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry, 26(4), 289-295.
Robins, C. J. (1990). Congruence of personality and life events in depression. Journal of Abnormal Psychology, 99(4), 393-397.
Robins, C. J., & Block, P. (1988). Personal vulnerability, life events, and depressive symptoms: A test of a specific interactional model. Journal of Personality and Social Psychology, 54(5), 847-852.
Roomruangwong, C., & Epperson, C. N. (2011). Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomedicine, 5(2), 179-193.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38(1), 15-28.
Stuart, S., Couser, G., Schilder, K., O'HARA, M. W., & Gorman, L. (1998). Postpartum anxiety and depression: onset and comorbidity in a community sample. The Journal of nervous and mental disease, 186(7), 420-424.
Swendsen, J. D., & Mazure, C. M. (2000). Life Stress as a Risk Factor for Postpartum Depression: Current Research and Methodological Issues. Clinical Psychology: Science and Practice, 7(1), 17-31.
Teng, H. W., Hsu, C. S., Shih, S. M., Lu, M. L., Pan, J. J., & Shen, W. W. (2005). Screening postpartum depression with the Taiwanese version of the Edinburgh Postnatal Depression Scale. Comprehensive Psychiatry, 46(4), 261-265.
Warmerdam, L., van Straten, A., Jongsma, J., Twisk, J., & Cuijpers, P. (2010). Online cognitive behavioral therapy and problem-solving therapy for depressive symptoms: Exploring mechanisms of change. Journal of behavior therapy and experimental psychiatry, 41(1), 64-70.
Weissman, A. N., & Beck, A. T. (1978). Development and Validation of the Dysfunctional Attitude Scale: A Preliminary Investigation. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy.
Yang, K. S. (1996). The psychological transformation of the Chinese people as a result of societal modernization. In M. H. Bond (Ed.), The handbook of Chinese psychology (pp. 479-498). New York: Oxford University.
Zelkowitz, P. (2004). Factors Associated with Depression in Pregnant Immigrant Women. Transcultural Psychiatry, 41(4), 445-464.
Zelkowitz, P., & Milet, T. H. (1996). Postpartum psychiatric disorders: Their relationship to psychological adjustment and marital satisfaction in the spouses. Journal of Abnormal Psychology, 105(2), 281-285.
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