廣泛性焦慮疾患的病因機制
作者: 王淳慧 (Chun-hui Wang / 6275次阅读 时间: 2011年7月08日
来源: 東吳大學博碩士論文 标签: 焦虑 广泛性焦虑 负向信念
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we#c:P/P0東吳大學博碩士論文 etd-0130108-095541 詳細資訊心理学空间DIp%N3j xN
姓名 王淳慧 (Chun-hui Wang) 
(]#_`9Jb8gM0系所名稱 心理學系 (Department of Psychology)心理学空间5@S3J#d.k7}$A
學位 碩士 (Master) 學年度/學期 96 學年度第 1 學期心理学空间/O)]E:r] S5k$On)\
論文名稱 廣泛性焦慮疾患的病因機制:「無法忍受不確定性」、「對擔心的負向信念」與「廣泛性焦慮疾患」間關係的探討
1P3av_RAe:us0論文名稱(英) The Pathological Mechanism of Generalized Anxiety Disorder: The Exploration of Relations among ‘Intolerance of Uncertainty’, ‘Negative Beliefs about Worry’, and ‘Generalized Anxiety Disorder’
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關鍵字(中) 病因 對擔心的負向信念 無法忍受不確定性 廣泛性焦慮疾患 擔心
,x)i"oa*I b(a6m2b0關鍵字(英)心理学空间&^xH-|L/P
etiology
!c,iVb g3|0negative believe about worry
q T5P Gdc[?y0intolerance of uncertainty
gfO*@\#eY0GAD心理学空间MYG5V0A5J/I`*Y
worry心理学空间!f` un$V{
摘要(中) 研究目的: Dugas等人所提出的廣泛性焦慮疾患(GAD)之成因理論及實證研究都支持「無法認受不確定性」會導致GAD。但此理論仍有兩個問題有待釐清:第一、過去相關研究都是以賓州憂慮問卷(PSWQ)來測量GAD,而PSWQ只能測得「過多或過度擔心」,並不能等同於GAD。第二、Dugas並未探討「無法認受不確定性」導致GAD的機制。因此,本研究目的有二:第一、以測量GAD的廣泛焦慮疾患問卷(GADQ-IV)取代PSWQ,以檢驗「無法忍受不確定性」是否可顯著預測「類GAD」。第二,探討「對擔心的負向的信念」是否為「無法忍受不確定性」到GAD的中介必須變項,以確認「無法忍受不確定性」至GAD的機制。心理学空间Hw0lI9p
研究方法:本研究採橫斷式研究,以「無法忍受不確定性」量表、監控認知問卷及廣泛焦慮疾患問卷收集資料,研究對象為大學生,有效樣本共333位,資料分析方法以簡單線性及階層式多元回歸分析為主。心理学空间8PVe!\4d"@/p
結果與討論:(1)「無法忍受不確定性」可顯著預測GAD。(2)「對擔心的負向信念」在「無法忍受不確定性」到GAD的歷程中的確扮演著中介必須變項角色,且以「無法控制的負向思考」為「對擔心的負向信念」中最具關鍵性的因素。
#G4QJH6v?,S0貢獻:此結果除了釐清GAD的病因機制外,有助於GAD之預防、治療的衡鑑及治療方式。也就是更著重於GAD的「無法忍受不確定性」及「對擔心的負向信念」之衡鑑及處遇。心理学空间,Ev+V4B/o:k?i
摘要(英) Purpose: The GAD etiology proposed by Dugas and the research result had confirmed that the “intolerance of uncertainty” (IU) is a cause of GAD. There are, however, two remaining issues required to clarify. First, all previous studies used PSWQ to measure the level of worry, but PSWQ was intended to measure “excessive worry”, not GAD itself. Second, the mechanism from IU to GAD is still waited to be explored. There are two purposes of this research. First, to measure GAD by GADQ-IV, which concept fit GAD better, instead of PSWQ and to test if “analogous GAD” significantly predicted by IU. Second, to investigate if “negative believe about worry” (NBW) is the mediator between IU and GAD, thus confirms the mechanism from IU to GAD.
,fy-gIk*aP0Methodology: Three hundred and thirty-three College students were recruited to fill out Intolerance of Uncertainty Scale, Meta-cognitions Questionnaire, and Generalized Anxiety Disorder Questionnaire. Simple regression and stepwise multiple regression were used to analyze data in accordance to Baron and Kenny’s mediator formula.
b9So?+v ~+f0Conclusion and discussion: (1) IU can be used to predict GAD significantly. (2) NBW plays a mediator between IU and GAD. The most important factor of NBW is “uncontrollable negative thought”.心理学空间9Q)SJ i%neIo5p z
論文目次 摘要
o+BY/y }0第一章 緒論 …………………………………………………………… 1心理学空间;xu,eq{$V}5S
第一節 研究動機與目的 …………………………………………… 1心理学空间9Vq [*eE7t]
第二節 解釋名詞 …………………………………………………… 4心理学空间"N J/wv?4u g^
第二章 文獻探討 ……………………………………………………… 6心理学空间2^(KpM"^2U:@-P]
第一節 GAD特殊性及構成要素……………………………………… 6
z'|2A#w yKa0第二節 「無法忍受不確定性」與GAD的關係……………………… 9
zU mf-U I2{0第三節 GAD病因機制的中介必須變項:「對擔心的負向信念」… 17
cx&h(eED(NRs0第三章 研究目的與假設 ……………………………………………… 23心理学空间B%d`D`N
第四章 研究方法 ……………………………………………………… 24心理学空间2^NM$I+j&e
第一節 研究對象…………………………………………………… 24
~ V? k&GTs2b@0第二節 研究工具…………………………………………………… 26心理学空间4V&N5N~.J5]:d2c
第三節 研究設計及程序…………………………………………… 32心理学空间R%s#w4Iv a$A QG
第四節 資料分析方法……………………………………………… 32心理学空间1Gz#n'a#U{(v!j6vt7H
第五章 研究結果……………………………………………………… 34心理学空间m/]b:Epo
第一節 研究之描述統計結果……………………………………… 34心理学空间4_/|A8k\QU.dm
第二節 研究之推論統計結果……………………………………… 37心理学空间_uaZ7A+V [-n J_+M p
第六章 討論與建議…………………………………………………… 40
&CU RxlO0第一節 討論………………………………………………………… 40
*q5Y;D~ H;@:{ |t0第二節 研究限制及未來發展……………………………………… 45
;Q.A RjV0Z/v0第三節 結論………………………………………………………… 46
*k d(s)MY+?0參考文獻……………………………………………………………… 47心理学空间?+a&r,[ k0CRdRq)m
附錄一 廣泛焦慮疾患問卷…………………………………………… 57
&k5l,Z2_;l z0附錄二 「無法忍受不確定性」量表………………………………… 58心理学空间 Fk(xC0J-[ ?
附錄三 監控認知問卷………………………………………………… 59
2L v,eTk0圖目錄心理学空间T+Xx*f s!~ Vo:[
圖一 研究架構圖 ……………………………………………………… 3
!LsrDw lW9D-G0圖二 研究程序圖……………………………………………………… 32心理学空间7_ H biC
表目錄
k9eIulJ0表4-1-1 性別及系別分佈表………………………………………… 25
M4\-a})B({:]gU0表4-2-1 「對擔心的負向信念」因素分析表……………………… 29心理学空间 hM,q/T%uq
表5-1-1 各變項平均數及標準差摘要……………………………… 35
P\4fjnwo0表5-1-2 各變項間相關之相關矩陣………………………………… 36心理学空间Y_zm;Y ffR2f
表5-2-1 驗證「對擔心的負向信念」是否為中介必須變項之迴歸分析表……… 39心理学空间'OJ]!w'^_$[
表5-2-2 驗證「無法控制的負向思考」是否為中介必須變項之迴歸分析表…… 39心理学空间,O)HF#ra7|Z$I
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E4X7v P7ZWk9@D s Gx0指導教授/口試委員 * 依職稱與姓名排序
,ZJ L4@dh0張本聖 - 指導教授
rfVqc N1u1m0王叢桂 - 口試委員
m"B.UT C%K$?JR,F9]0楊建銘 - 口試委員
E-p$RkL"L0繳交日期 2008-01-30

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