臺灣博碩士論文加值系統

隨著資訊科技的進步，網路成癮的問題也變得日益嚴重，線上遊戲與聊天室是最常造成網路成癮症的方式，並且由於生活型態的改變，上網打遊戲已經成為青少年最主要的休閒活動之一。據統計2012年臺灣國中生的網路成癮盛行率為10.9%，已知過度使用網路會導致青少年課業及人際方面的困難，然而網路成癮對青少年認知功能的實際影響，提供了解的研究卻是相當少數，因此本研究旨在探討網路遊戲成癮的國中生，其認知改變情形。另對於求學階段的國中生而言，工作記憶和注意力，是會影響課業表現的重要認知功能，同時成癮性疾患常有抑制衝動能力的問題，因此本研究欲探討的認知功能，包含工作記憶、注意力和抑制衝動功能三種。
參與者為台中市霧峰及大里地區的國一、國二學生，以柯慧貞編製之網路使用行為問卷線上遊戲分量表，進行高低風險群的分組，以2分以下作為低風險、5分以上作為高風險的切分點，共分成高風險介入組、高風險等待組以及低風險控制組。行為作業使用E-Prime撰寫的CPT-IP、N-Back以及Change Task程式，以檢測參與者之認知能力。
本研究結果發現僅男性網路遊戲成癮者，出現注意力和工作記憶運作效率變慢之狀況，此外也發現網路遊戲成癮者，在抑制衝動能力的表現較佳，顯示網路遊戲成癮可能造成認知能力的提升或缺損，未來研究可以繼續探討網路遊戲成癮者，在其它認知功能方面的改變情形與其機制。

As technology progressing, the problem of internet addiction (IA) has turned out to be more and more serious. Online game and chatting room are two major forms of IA, and the former has become one of the most popular activities among junior high school students. The IA prevalence of junior high school students in Taiwan was 10.9% in 2012. It’s well known that IA of junior high school students leads to the difficulties in academic performance and social/interpersonal relationship. Despite of the abovementioned facts, few researches are devoted to the understanding of the effects of IA on cognitive capabilities, of either adults or younger students. Because working memory (WM) and attention are important cognitive capabilities for academic performance, and deficits in impulsivity inhibition is common for people with addictive disorder. This study was aimed to understand the changes in cognitive capability among junior high school students of internet gaming addiction (IGD). The 7th and 8th grade students in Taichung were recruited as research participants, which was grouped by the performance in “Online Gaming subscale of Internet Using Behavior Scale.” The participants with scores lower than 2 were control group, and those with scores higher than 5 were either “Intervention group ” or ”Waiting list group” . Three computer programs (CPT-IP,N-Back, and Change task), written with E-Prime, were used to assess the capability. The results indicated that RT in WM and attention were longer only in male students with high risk in IGD. Besides, the students of IGD are better in impulsivity inhibition. Taken together, the effect of IGD on cognitive capabilities, either improvement or impairment, is dependent on the types of cognitive capabilities. But further study is still needed for the clarification of effects and mechanisms of IGD or other types of IA on cognitive capabilities.

中文摘要 IV
英文摘要 V
目錄 VI
表目次 IX
圖目次 X
第一章 緒論 1
第一節 研究背景 1
第二節 研究問題 2
第三節 網路成癮的定義 3
第二章 7
第一節 網路成癮和相關疾患的關係 7
第二節 注意力等認知功能 11
第三節 測量認知功能的行為作業 14
第四節 測量網路成癮之問卷 16
第五節 網路成癮者的大腦功能變化 17
第六節 網路成癮認知缺損研究現況 19
第三章 研究方法 21
第一節 實驗一之研究對象與工具 21
第二節 實驗二之研究對象與工具 26
第四章 研究結果 29
第一節 實驗一指標分析 29
第二節 實驗二指標分析 37

第五章 討論 41
第一節 結論與解釋 41
第二節 限制與未來研究方向 43
參考文獻 45
一、中文部分 45
二、英文部分 47
附錄 54
附件一 網路使用行為問卷 54

表目次
表 1 Anderson網路成癮定義 3
表 2 網路成癮的診斷標準(青少年版) 4
表 3 DSM-5網路成癮初擬診斷標準 5
表 4 DSM-5網路遊戲障礙症建議診斷標準 5
表 5 DSM-5注意力不足過動症(ADHD)的診斷標準 8
表 6 三組前測比較 29
表 7 三組後測比較 30
表 8 男性前測 31
表 9 男性後測 32
表 10 女性前測 33
表 11 高風險群前測網癮分數之相關 34
表 12 控制組前測網癮分數之相關 35
表 13 全參與者前測網癮分數之相關 36
表 14 兩組比較 37
表 15 二次分組之比較 38
表 16 等待組高風險群網癮分數相關 39


圖目次
圖 1 Baddeley的工作記憶架構 12
圖 2 N-back實驗程式 22
圖 3 CPT-IP實驗程式 23
圖 4 實驗一流程 25
圖 5 Change Task實驗程式 27

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