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研究生:林淑瑜
研究生(外文):Shu-Yu Lin
論文名稱:母親的憂鬱症、焦慮症及兒童的性別對學齡前兒童的注意缺失及過動問題之影響
論文名稱(外文):The Effect of Maternal Depression and Anxiety and Gender on Inattentive and Hyperactive Problems of Preschool Children
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:69
中文關鍵詞:憂鬱症焦慮症注意缺失過動
外文關鍵詞:hyperactiveinattentionanxietydepression
相關次數:
  • 被引用被引用:33
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  • 評分評分:
  • 下載下載:693
  • 收藏至我的研究室書目清單書目收藏:11
研究目的:比較母親的憂鬱症、焦慮症及共病與兒童的性別及其交互作用對孩童的注意缺失與過動問題的影響;方法:利用國科會計劃「產後憂鬱症之前因與後果」所收集的413名婦女,含單純憂鬱症組59名,單純焦慮症組124名,憂鬱混合焦慮症組71名,正常控制組159名,並以長期追蹤的方式,定期以SADS-L對母親進行身心健康的晤談診斷,並於小朋友5歲半至6歲半時,以自編的兒童行為量表來評估其注意缺失與過動問題,其中20名單純憂鬱組兒童(13男,7女)、68名單純焦慮症組的兒童(30男,38女)、31名憂鬱混合焦慮症組兒童(13男,18女)與78名控制組兒童(41男,37女)參與本研究。結果:(1)以母親的症狀組別與兒童性別所形成的二因子變異數分析進行探討,結果發現在兒童的注意缺失問題上,母親的終生診斷與兒童的性別沒有交互作用,兒童性別的主要效果也不顯著,但母親終生診斷的主要效果則達顯著。經Tukey事後比較發現,憂鬱混合焦慮症組母親的小孩明顯較憂鬱症母親的小孩嚴重。在過動問題上,母親的終生診斷與兒童性別沒有交互作用,且母親終生診斷的主要效果也不顯著,但兒童性別在過動問題上的主要效果達顯著,即男生在過動問題上明顯較女生嚴重;(2)將母親分成有憂鬱症組(含單純憂鬱症組與混合組)與無憂鬱症組(含單純焦慮症組與控制組),以母親的症狀組別與兒童性別所形成的二因子變異數分析進行探討,結果發現在注意缺失問題上,母親的終生診斷與兒童性別的交互作用不顯著,且母親的終生診斷與兒童性別的主要效果亦不顯著;在過動問題上,母親的終生診斷與兒童性別的交互作用不顯著,且母親的終生診斷的主要效果亦不顯著,但兒童性別在過動問題的主要效果達顯著,即男生在過動問題上明顯較女生嚴重;(3)將母親分成具焦慮症組(含單純焦慮症組與混合組)與未具焦慮症組(含單純憂鬱組與控制組),以母親的症狀組別與兒童性別所形成的二因子變異數分析進行探討,結果發現,在注意缺失問題上,母親的終生診斷與兒童性別的交互作用不顯著,兒童性別的主要效果亦不顯著,但母親的終生診斷的主要效果則達顯著,即焦慮症母親的小孩在注意缺失問題上較母親沒有焦慮症的小孩要嚴重;在過動問題上,母親的終生診斷與兒童性別的交互作用不顯著,且母親的終生診斷的主要效果亦不顯著,但兒童性別在過動問題的主要效果達顯著,即男生在過動問題上明顯較女生嚴重;結論:學齡前兒童的注意缺失問題是與母親的焦慮症有關,但與母親的憂鬱症無關,而過去研究亦認為焦慮症與ADHD享有某種程度的遺傳因素,且高達20﹪ADHD兒童在日後會發展出焦慮症,推測焦慮症母親透過遺傳,影響下一代的注意缺失問題。另外,本研究發現男女在過動問題上的差異早在學齡前就已出現了。
第一章緒論……………………………………………………………………….1
第一節注意力缺失/過動疾患的症狀、亞型、盛行率、影響及成因……1
第二節母親的憂鬱症與兒童ADHD的關係………………….…..………7
第三節母親的焦慮症與兒童ADHD的關係………………….…………10
第四節憂鬱症與焦慮症的共病現象………………………….………….12
第五節性別與ADHD的關係………………………………….…………13
第六節研究目的……………………………………………….………….15
第二章研究方法………………………………………………………………..19
第一節注意力缺失/過動量表的編製…………………………………….19
第二節研究方法…………………………………………………………..23
第三章結果……………………………………………………………………..27
第一節受試者的基本人口學統計與社會資料分析……………………..27
第二節量表之效度考驗…………………………………………………..29
第三節母親的憂鬱症、焦慮症與兒童注意缺失及過動問題的關係…..30
第四節母親的憂鬱症與兒童注意缺失及過動問題的關係……………..31
第五節母親的焦慮症與兒童注意缺失及過動問題的關係……………..32
第六節性別與兒童注意缺失及過動問題的關係………………………..33
第四章討論……………………………………………………………………..52.
第一節本研究之主要發現與解釋………………………………………..52
第二節研究的限制與未來進一步的研究………………………………..56
第三節本研究之應用……………………………………………………..57
第五章參考文獻………………………………………………………………..59
附錄一……………………………………..……………………………………....68

表目錄
表2-1 各診斷準則與所對應之題號……………………………….……….……21
表2-2 問卷之內部一致性、再測信度與評分者間一致性(原始分數)..……22
表2-3 問卷之內部一致性、再測信度與評分者間一致性(轉換後之分數)..22
表3-1 413位婦女的追蹤情形……………………………………………..…….34
表3-2 有追蹤者與未追蹤者在母親教育年數、母親年齡及兒童年齡之比較…34
表3-3 有追蹤者與未追蹤者之兒童性別比例之比較…………………….….…35
表3-4 四組受試者在母親年齡、兒童年齡及母親教育年數上之比較…………35
表3-5 四組受試者在男女兒童比例、接觸頻率及家庭收入程度的比較….…36
表3-6 憂鬱組與非憂鬱組在母親教育年數、母親年齡及兒童年齡上的比較…37
表3-7 憂鬱組與非憂鬱組在男女兒童比例、接觸頻率及家庭收入的比較……38
表3-8 焦慮組與非焦慮組個案在母親教育年數、母親年齡及兒童年齡上的比較………………………………………39
表3-9 焦慮症組與非焦慮症組在男女兒童比例、接觸頻率及家庭收入的比較..40
表3-10 男女生在兒童年齡、母親年齡及母親教育年數上的比較………………41
表3-11 男女在家庭收入程度與接觸頻率的比較……………………………..…42
表3-12 各題在此兩因素上的負荷量(原始分數)……………………….….…43
表3-13 各題在此兩因素上的負荷量(轉換後之分數)………………….….…44
表3-14 四組受試者在注意力問題上的比較…………………………………..…45
表3-15 四組受試者在過動-易衝動問題上的比較……………………..….….…45
表3-16 四組兒童在各注意缺失及過動問題的盛行率比較…………………….46
表3-17 男女憂鬱症組的兒童在注意力問題上之比較…………………….……47
表3-18 男女憂鬱症組的兒童在過動問題上之比較……………………….……48
表3-19 憂鬱症組與無憂鬱症組在各注意缺失及過動問題的盛行率比較….…49
表3-20 男女焦慮症組的兒童在注意力問題上之比較……………………….…49
表3-21 男女焦慮症組的兒童在過動問題上之比較………………………….…49
表3-22 焦慮症組與無焦慮症組在各注意缺失及過動問題的盛行率比較….…50
表3-23 男女兒童在各注意缺失及過動問題的盛行率比較………………….…51
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