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研究生:劉培鈴
研究生(外文):Pei-ling Liu
論文名稱:母親的憂鬱症與焦慮症對其十四個月幼兒依附型態之影響
論文名稱(外文):Fourteen-month Infant-Mother Attachment in Mothers with Depression、Anxiety and Mixed Anxiety-Depression
指導教授:柯慧貞柯慧貞引用關係
指導教授(外文):Huei-Chen Ko
學位類別:碩士
校院名稱:國立成功大學
系所名稱:行為醫學研究所
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:2002
畢業學年度:90
語文別:中文
論文頁數:92
中文關鍵詞:親子依附陌生情境測量解組型依附母親的憂鬱與焦慮症阻抗型依附
相關次數:
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目的: 以Ainsworth的陌生情境測量探討母親的單純憂鬱症(憂鬱組)、單純焦慮症(焦慮組)及具有焦慮症與憂鬱症(混合組)婦女與其14個月幼兒間之親子依附型態之分佈差異。
方法:針對國科會研究計畫「產後憂鬱症之前因與後果」研究所搜集210對媽媽-嬰幼兒的陌生情境錄影帶,依據Ainsworth的依附計分和分類及Main和Solomon的解組型計分準則(Disorganized/ Disoriented classification scheme)評估其依附品質和型態。將所有媽媽經SADS-L確立診斷後分為憂鬱組、焦慮組、混合組及正常組四組,並以χ2 檢驗四組媽媽與其幼兒在依附型態上分佈的差異。
結果:1.我國十四個月幼兒一般正常樣本依附型態比例分佈為18位(24.7%)逃避型、43位(58.9%)安全型、8位(11%)阻抗型及4位(5.5%)解組型。2. 母親終生診斷四組在依附品質(安全型和不安全型)上達顯著差異;正常組在安全依附上顯著高於憂鬱組和混合組,而疾病組之間安全型依附品質未達顯著差異。3.母親終生診斷四組在依附型態(安全型、阻抗型、逃避型及解組型)上,僅混合組與正常組之間達顯著差異;混合組有較高的阻抗型和解組型依附。
討論:1.在幼兒依附型態分佈結果相似於蘇建文(民90)的研究結果,安全型依附最多,其次為逃避型和阻抗型;而本研究增加解組型依附分類後更清楚的分出我國依附類型的分佈且符合Van Ijzendroon(1999)所提出的標準分配。此外,在對Ainsworth的計分方式進行統計分析後再度驗證蘇建文(民90)研究結果顯示「陌生情境測量」在我國具有適用性。2本研究考慮了憂鬱和焦慮共病的可能,發現母親的單純憂鬱症和混合焦慮之憂鬱症會比正常組有較多的不安全親子依附。在母親的單純焦慮症上,未有比正常組較多的不安全型依附,但當焦慮與憂鬱共病時則明顯有較多不安全依附的形成,尤其是較高的阻抗型和解組型依附。所以,當母親有焦慮和憂鬱共病時會增加其不安全依附形成的可能,值得我們關心和預防,且在未來宜進一步追蹤這些幼兒未來的發展,並探討母親憂鬱與焦慮影響其發展之機制。
目 錄
第一章 緒論 6
第一節 依附理論與依附的測量 7
一、 依附理論 7
(一) 行為控制系統 8
(二) 內在運作模式 8
(三) 目標調整行為系統 9
(四) 依附的發展 9
二、 依附的測量與分類 10
(一) 嬰幼兒依附測量及其分類延革 11
1.「陌生情境測量」方法 11
2.Ainsworth的依附分類 12
3.依附分類的延革—解組型依附的產生 13
4.評分者信度 17
(二) 學齡前依附測量及其分類 18
1.觀察測量法 18
(1) Q-set 18
(2) 六歲依附測量法 19
2.符號表徵測量法 19
(三) 成人依附測量法及其分類 20
1.人際關係量表 20
2.成人依附晤談法(AAI) 20
第二節 母親的憂鬱與焦慮對親子依附的影響 21

一、 母親的憂鬱對親子依附的影響 22
二、 母親的焦慮對親子依附的影響 25
三、 母親的憂鬱與焦慮共病對親子依附的影響 26
第三節 回顧與評析 28
第四節 研究目的 30
第二章 研究方法 30
第一節 樣本 30
第二節 研究工具 31
第三節 研究程序 38
第四節 資料分析 39
第三章 研究結果 41
第一節 受試者的基本人口統計學與社會資料分析 41
第二節 「陌生情境測量」的計分結果分析 44
第三節 母親的憂鬱症、焦慮症及混合症與親子依附之關係 46
第四章 討論 48
第一節 本研究之主要發現與解釋 48
第二節 本研究的限制與未來進一步研究建議 56
第三節 本研究之貢獻與應用 58
參考文獻 78
附錄一 男嬰幼兒在依附分類與次分類的分佈 90
附錄二 女嬰幼兒在依附分類與次分類的分佈 91
附錄三 不同幼兒性別在各組依附分類的人數分佈 92
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