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研究生:蔡知圃
研究生(外文):Chih-Pu Tsai
論文名稱:慢性思覺失調症病患的臺灣版冷漠評估量表、國際情緒圖片系統、日本人和白種人臉部表情辨識測驗以及中文版人際反應性指標量表的常模研究
論文名稱(外文):A normative study of Taiwanese Version of Apathy Evaluation Scale, International Affective Pictures System, Japanese and Caucasian Facial Expression of Emotion, and Chinese Version of International Reactivity Index in chronic schizophrenic patients in Taiwan.
指導教授:蔣世光蔣世光引用關係
指導教授(外文):Shih-Kuang Chiang
學位類別:碩士
校院名稱:國立東華大學
系所名稱:諮商與臨床心理學系
學門:社會及行為科學學門
學類:心理學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
論文頁數:122
中文關鍵詞:思覺失調症社會認知動機臉部表情情緒刺激同理台灣版冷漠評估量表國際情緒圖片系統日本人與白種人臉部表情辨識測驗中文版人際反應性指標量表
外文關鍵詞:schizophreniasocial cognitionmotivationfacial expressionemotional stimuliempathyTAESIAPSJACFEEC-IRI
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國內過去的研究對於思覺失調症的認知缺損,缺乏評估病患社會認知能力的可信賴判斷指標,本研究目的為建立臺灣地區思覺失調症病患缺損社會認知領域的大樣本常模。研究的社會認知領域包括:動機、臉部表情辨識能力、社會情境下情緒刺激的評價與感知能力、同理能力。研究對象為臺灣東部和南部各一家醫院中被診斷為思覺失調症之病患,整體參與者共147位,91位男性與56位女性。使用的四項心理測驗工具分別為:台灣版冷漠評估量表、國際情緒圖片系統、日本人和白種人臉部表情辨識測驗和中文版人際反應性指標量表,並以描述性統計、相關性考驗與回歸分析的統計方式對資料進行處理。主要研究結果為:(1)臺灣版冷漠評估量表和教育年數無顯著關係,而性別、年齡僅和行為性冷漠達顯著。(2)國際情緒圖片系統中,思覺失調症病患在面對正向情緒刺激時,可感受到符合刺激的愉悅度,但喚醒度不像一般人一樣存在著與愉悅度的正相關。(3)日本人和白種人臉部表情辨識測驗發現思覺失調症病患對害怕的判斷正確率最低。(4)中文版人際反應性指標量表發現女性思覺失調症病患在想像、同理關心、情緒性同理,以及整體同理的表現高於男性思覺失調症病患。
In the past domestic research, we lack of social cognitive impairment tools in schizophrenia. This study attempted to establish large sample normative data for social cognitive impairment of schizophrenia in Taiwan. Social cognition in this research include: motivation, emotion recognition, valence and arousal in social situation of emotional stimuli, empathy. There are 147 patients with schizophrenia in total, including 91 males and 56 females in one eastern and one southern Taiwan hospitals. The psychological assessment tools including: Taiwanese Version of Apathy Evaluation Scale (TAES), International Affective Pictures System (IAPS), Japanese and Caucasian Facial Expression of Emotion (JACFEE), and Chinese Version of International Reactivity Index (C-IRI). The data were examined by descriptive statistics, correlation and regression. The main results were: (1) No significant relationship between participants’ education and TAES. Apathy of observable activity was significantly with participants’ sex and age. (2) The participants had pleasure to positive emotional stimuli in IAPS, but unlike normal people, participants didn’t have positive correlated with pleasure and arousal to positive emotional stimuli. (3) Fear emotion was least well recognized in JACFEE. (4) In T-IRI, significant differences between males and females were found in half of the subscales, which women display significantly higher scores in fantasy, empathic, concern, emotional empathy, and full-scale than men.
致謝 I
中文摘要 III
英文摘要 V
目錄 VII
表次 IX
圖次 XI
第一章 緒論 1
第二章 文獻探討 3
  第一節 思覺失調症與社會認知 3
    一、思覺失調症和認知缺損 3
    二、思覺失調症的社會認知和神經認知 5
    三、社會認知定義與相關研究 6
    四、本研究探討之社會認知功能領域 8
  第二節 思覺失調症與動機 10
    一、冷漠和精神疾病 10
    二、思覺失調症的負性症狀與冷漠研究 10
    三、冷漠評估量表 12
    四、臺灣版冷漠評估量表 13
五、冷漠的相關人口變項 13
  第三節 思覺失調症與社會情境下的情緒刺激反應 15
    一、思覺失調症的情緒缺損研究 15
    二、國際情緒圖片系統 16
    三、國際情緒圖片系統在臺灣臨床心理學的研究 18
四、情緒刺激反應的相關人口變項 19
  第四節 思覺失調症與臉部表情辨識能力 21
    一、臉部表情辨識的重要性 21
    二、思覺失調症的臉部表情辨識能力 22
    三、日本人和白種人臉部表情辨識測驗 24
    四、國內外研究比較 26
五、臉部表情辨識能力的相關人口變項 27
  第五節 思覺失調症與同理能力 29
    一、同理心的功能與定義 29
    二、人際反應性指標量表 30
    三、中文版人際反應性指標量表 31
四、同理能力的相關人口變項 31
  第六節 研究問題與假設 34
第三章 研究方法 35
  第一節 研究樣本 35
  第二節 研究工具 36
  第三節 研究程序與資料分析 40
第四章 研究結果 41
  第一節 臺灣版冷漠評估量表 41
  第二節 國際情緒圖片系統 45
  第三節 日本人與白種人臉部表情辨識測驗 54
  第四節 中文版人際反應指標量表 61
第五章 研究討論 67
  第一節 研究結果討論 67
  第二節 常模適用性與限制 72
  第三節 研究貢獻、限制與未來研究建議 73
參考文獻 75
附錄 99

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