廣泛性焦慮疾患的病因機制
作者: 王淳慧 (Chun-hui Wang / 6270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
www.psychspace.com心理学空间网

@F P U\ g0東吳大學博碩士論文 etd-0130108-095541 詳細資訊
/DA1vcIC0姓名 王淳慧 (Chun-hui Wang) 心理学空间n3cGu'vt2wH
系所名稱 心理學系 (Department of Psychology)心理学空间-A8uQO;ae g]
學位 碩士 (Master) 學年度/學期 96 學年度第 1 學期心理学空间2M? A][7R
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
p&R$WZ4v0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’
:qRxY/]!{y)J0論文名稱(其他) none心理学空间B]Ck0cv*nV
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%j l6e&@;qd0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
/J zI_;v0關鍵字(英)
Sx1|4J/cPv0etiology心理学空间 o vPq{]^{'A
negative believe about worry心理学空间B\BjqY8l
intolerance of uncertainty
/`8z~dI!p%y"p._,]1]e0GAD心理学空间%]QZ}Qo
worry
8}"`ML3j-iu`%]#|D0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。
R Gi.X:Li0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。
6q d llWiW0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。
(QX r|9GP5^@s+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。
%b,D/[}W:r0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.心理学空间{u.I0?s \-jEC/L*R(|
Methodology: 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.
5]Hw;OZa L1^:VT0Conclusion 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U9V*eW6s7yx
論文目次 摘要心理学空间[u[W?l6d H
第一章 緒論 …………………………………………………………… 1
lCF3Z4\x9Y0第一節 研究動機與目的 …………………………………………… 1心理学空间5XoE;V)S_+y lJ4p
第二節 解釋名詞 …………………………………………………… 4心理学空间 B/^r+a)~0e
第二章 文獻探討 ……………………………………………………… 6
$OU\&Fu0第一節 GAD特殊性及構成要素……………………………………… 6心理学空间AG{ m,sY-x
第二節 「無法忍受不確定性」與GAD的關係……………………… 9
9zp0a%f _Ke E0第三節 GAD病因機制的中介必須變項:「對擔心的負向信念」… 17
c%Q0yC;VZ0第三章 研究目的與假設 ……………………………………………… 23
;nP:FurKJ;E0第四章 研究方法 ……………………………………………………… 24
3};pdV#O2b5C1mk0第一節 研究對象…………………………………………………… 24心理学空间!n)Z]"D+_w;G
第二節 研究工具…………………………………………………… 26心理学空间ON;e J,LEL+a
第三節 研究設計及程序…………………………………………… 32心理学空间U&y]+d8q.k%KRm
第四節 資料分析方法……………………………………………… 32心理学空间L)g6o_1@4nm"p`5H?
第五章 研究結果……………………………………………………… 34
!i H+CU)|4Y:kZF0第一節 研究之描述統計結果……………………………………… 34
9pE9L&Ke)\,W9A w,V0第二節 研究之推論統計結果……………………………………… 37心理学空间0Nb%~? B
第六章 討論與建議…………………………………………………… 40
T1KxCA0第一節 討論………………………………………………………… 40心理学空间-G S3X H@I
第二節 研究限制及未來發展……………………………………… 45
!E/s%tL,Z5S0第三節 結論………………………………………………………… 46心理学空间w4I T9KtsMt
參考文獻……………………………………………………………… 47
a%?Vs$d8| B-TC jp0附錄一 廣泛焦慮疾患問卷…………………………………………… 57
vP*fU5f0附錄二 「無法忍受不確定性」量表………………………………… 58心理学空间0_ X,m0tLF8\t`c
附錄三 監控認知問卷………………………………………………… 59
g;G XZa0圖目錄心理学空间&_q;U Kio
圖一 研究架構圖 ……………………………………………………… 3心理学空间0n:r;`y!Dis
圖二 研究程序圖……………………………………………………… 32心理学空间8i"@8HT6HM8L
表目錄
Pc0M3mCZ0表4-1-1 性別及系別分佈表………………………………………… 25心理学空间+`M/f%kcw w
表4-2-1 「對擔心的負向信念」因素分析表……………………… 29
,J B\:O0u(V3C t&k0表5-1-1 各變項平均數及標準差摘要……………………………… 35
+bZcN K;v$_#wz0表5-1-2 各變項間相關之相關矩陣………………………………… 36心理学空间M f_cJ1p6T
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&Ob;lA:bC!b8g
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
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