廣泛性焦慮疾患的病因機制
作者: 王淳慧 (Chun-hui Wang / 6258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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東吳大學博碩士論文 etd-0130108-095541 詳細資訊心理学空间*PH;j PZR@
姓名 王淳慧 (Chun-hui Wang) 心理学空间%E8l*N*]YX.d&`T\
系所名稱 心理學系 (Department of Psychology)
1O3^-z!E.D0學位 碩士 (Master) 學年度/學期 96 學年度第 1 學期心理学空间y T3_#rv+V
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
u*j)O1NfD?:w1j ?0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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-h U7P&R-L\8`9p0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
{M rH-I4x9w9J0關鍵字(英)心理学空间~LtCx'G4jH)F.H
etiology
;h5e"O ZH?Av8b0negative believe about worry心理学空间 xhRkQ6jMt
intolerance of uncertainty心理学空间mx NM v)Z
GAD心理学空间e$qY?UaD
worry心理学空间(D$TP;zC8x
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。
zOdD0}d~ Q0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。
9anI|T(?0u#\Z/['~0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。
1AqsIcn%Y:s8j$a0貢獻:此結果除了釐清GAD的病因機制外,有助於GAD之預防、治療的衡鑑及治療方式。也就是更著重於GAD的「無法忍受不確定性」及「對擔心的負向信念」之衡鑑及處遇。
,LF9N0f)h(S@0摘要(英) Purpose: The GAD etiology proposed by Dugas and the research result had confirmed that the “intolerance of uncertainty” (IU) is a cause of GAD. There are, however, two remaining issues required to clarify. First, all previous studies used PSWQ to measure the level of worry, but PSWQ was intended to measure “excessive worry”, not GAD itself. Second, the mechanism from IU to GAD is still waited to be explored. There are two purposes of this research. First, to measure GAD by GADQ-IV, which concept fit GAD better, instead of PSWQ and to test if “analogous GAD” significantly predicted by IU. Second, to investigate if “negative believe about worry” (NBW) is the mediator between IU and GAD, thus confirms the mechanism from IU to GAD.
+c^Xi ^@ls0Methodology: Three hundred and thirty-three College students were recruited to fill out Intolerance of Uncertainty Scale, Meta-cognitions Questionnaire, and Generalized Anxiety Disorder Questionnaire. Simple regression and stepwise multiple regression were used to analyze data in accordance to Baron and Kenny’s mediator formula.心理学空间x&L&l FB)Q7tt8Hl o"L
Conclusion and discussion: (1) IU can be used to predict GAD significantly. (2) NBW plays a mediator between IU and GAD. The most important factor of NBW is “uncontrollable negative thought”.心理学空间5qB$siOE]/{
論文目次 摘要
u-Q^,@,\0第一章 緒論 …………………………………………………………… 1
Y e|1TH8Ow0第一節 研究動機與目的 …………………………………………… 1
L0Lhs}W:cD0第二節 解釋名詞 …………………………………………………… 4
rXo-Fzka elj0第二章 文獻探討 ……………………………………………………… 6心理学空间k2mQ`^%`
第一節 GAD特殊性及構成要素……………………………………… 6
)PGi^S]A/^0第二節 「無法忍受不確定性」與GAD的關係……………………… 9
d%GwP J"w"A^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心理学空间J2[t/Db!K\4t
第三章 研究目的與假設 ……………………………………………… 23
YC6`:]Q9_/e8?0第四章 研究方法 ……………………………………………………… 24心理学空间r7bdU(WFQ&@A h
第一節 研究對象…………………………………………………… 24心理学空间c+iN*y-qUn4{%`eZ*H
第二節 研究工具…………………………………………………… 26心理学空间M},W6v BW
第三節 研究設計及程序…………………………………………… 32
agnJ#s0X9X0第四節 資料分析方法……………………………………………… 32心理学空间,|?V+R)t
第五章 研究結果……………………………………………………… 34心理学空间2j%c*^j K
第一節 研究之描述統計結果……………………………………… 34心理学空间w9n$Uuv:{X
第二節 研究之推論統計結果……………………………………… 37
wB,E'X$]7mCNt*Se0Q0第六章 討論與建議…………………………………………………… 40
!}#`KQq_;zQ0第一節 討論………………………………………………………… 40
.UQd:g Ye'Lh(m9D0第二節 研究限制及未來發展……………………………………… 45心理学空间"Ech7Fn0[
第三節 結論………………………………………………………… 46心理学空间g zgt+VRs%CA
參考文獻……………………………………………………………… 47心理学空间7^ET@u._
附錄一 廣泛焦慮疾患問卷…………………………………………… 57
/E6A,c k i4L5T0附錄二 「無法忍受不確定性」量表………………………………… 58心理学空间-Jv2m9w F4Ak+`.JjO$Vb
附錄三 監控認知問卷………………………………………………… 59心理学空间}C$K9e1lP8c
圖目錄心理学空间 y6n4F@SR#Q:p7Z
圖一 研究架構圖 ……………………………………………………… 3
l!B:D r6O2M6[#hP/b0圖二 研究程序圖……………………………………………………… 32
(q kF at#O6]7u&s0表目錄心理学空间h5t'J$c;@.A
表4-1-1 性別及系別分佈表………………………………………… 25
5f\+h(OFQ:Ou0表4-2-1 「對擔心的負向信念」因素分析表……………………… 29
u{BT)GE,v+UC0表5-1-1 各變項平均數及標準差摘要……………………………… 35心理学空间_p,d5m{ TG%u
表5-1-2 各變項間相關之相關矩陣………………………………… 36
}%E D_9J9SS0表5-2-1 驗證「對擔心的負向信念」是否為中介必須變項之迴歸分析表……… 39心理学空间CN8|5b:BDf
表5-2-2 驗證「無法控制的負向思考」是否為中介必須變項之迴歸分析表…… 39心理学空间)w(J0_wqf&la
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指導教授/口試委員 * 依職稱與姓名排序
g Fdu"\/j2\X0{0張本聖 - 指導教授
0MKK/O,T qcK0王叢桂 - 口試委員
0W\oa#jvLJ*_k+h0楊建銘 - 口試委員
8K2k izv q.juo/a$Ab0繳交日期 2008-01-30心理学空间sau3DD

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