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研究生:詹淑芬
研究生(外文):Shu-Fen Chan
論文名稱:述情障礙與創傷後壓力症狀對受虐青少年自傷行為預測效果之探討
論文名稱(外文):The relationship of Alexithymia and Posttraumatic Stress Symptoms with the Self-Injury Behavior of Abused Adolescence
指導教授:洪福建洪福建引用關係
指導教授(外文):Fu-Chien Hung
學位類別:碩士
校院名稱:中原大學
系所名稱:心理學研究所
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:2008
畢業學年度:96
語文別:中文
論文頁數:97
中文關鍵詞:創傷後壓力症狀述情障礙受虐青少年自傷行為
外文關鍵詞:Posttraumatic Stress SymptomsSelf-Injury BehavioralexithymiaAbused
相關次數:
  • 被引用被引用:15
  • 點閱點閱:1076
  • 評分評分:
  • 下載下載:20
  • 收藏至我的研究室書目清單書目收藏:4
述情障礙與創傷後壓力症狀對受虐青少年自傷行為預測效果之探討
摘 要
研究背景與目的:根據內政部兒童局在2007年兒少福利數據顯示國內受虐青少年共計4648人,且為歷年來創新高,而國內有關青少年受虐的心理病理及歷程的相關研究較少,受虐青少年問題,是值得被重視。童年遭受過性侵害、身體虐待者易出現自傷行為,但曾經有受虐創傷經驗的個體不一定出現自傷行為,亦即童年時期的受虐創傷經驗與自傷行為的出現雖然有關,兩者之間並非是因果關係。本研究採用情緒管理模式探討受虐青少年之自傷行為;目的為驗證青少年受虐創傷經驗與自傷行為之間的發展歷程,述情障礙對此二者的影響。

研究方法:本研究根據立意取樣方式決定參與之受試者,實驗組為收容機構之受虐青少年與社區之受虐青少年共計181人;對照組為其他創傷事件之青少年共計318人。研究工具為問卷的形式,共包含五個部份分別為:個人基本資料、「台灣版多倫多述情量表」、「情緒調節困難量表」、「自我傷害量表」、「UCLA創傷後壓力症狀量表」。
研究結果:研究結果發現在實驗組的受試者其創傷後壓力症狀嚴重度、包括再經歷症狀、迴避/麻木症狀與過度警醒症狀可顯著預測受虐青少年的自傷行為;在「述情障礙總分」與「辨識與表達情緒困難」可顯著預測自傷行為;而「辨識與表達情緒困難」在「再經歷症狀」預測自傷行為的關係中具有部份中介效果;此外,「辨識與表達情緒困難」在「過度警醒症狀」預測自傷行為的關係中具有部份中介效果。

討論:證實受虐創傷經驗之青少年創傷壓力症狀嚴重度預測自傷行為以及述情障礙預測自傷行為的關係存在,也證實述情障礙具部份中介效果。顯示受虐創傷經驗之青少年,若創傷後壓力症狀越嚴重則出現自傷行為的可能性亦越高,且自傷行為頻率會隨創傷後壓力症狀之嚴重度而增加。此外,青少年受虐創傷經驗易使他們發展出不適切的情感調節與述情障礙,當個體在辨認與描述情緒有困難時,易將這些情緒狀態轉換成行動而出現自傷行為。故受虐青少年的述情障礙程度在自傷行為中扮演重要的中介角色,因此,心理專業人員在協助此類個案時,提昇其情緒辨識與表達的能力,將可有效改善個案的心理適應。
Abstract
According to Children Bureau Ministry of Interior R.O.C (CBI) data . In 2007, it is rank top one of childhood abuse. In reality , there are only few paper study this subject in demestic, so it is worth of studying. Prior research consistently has shown a strong relation between childhood abuse and self-injury, yet it is unclear why this relation exists,This paper adapt the affect regulation model to investigate the development of childhood abuse and self-injury and alexithymia influence to both of them.
This survey consists two group for comparison.The clinical group has 181 persons who come from protective institution and community childhood abuse teenager. The nonclinical group has 318 persons who come from community for other trauma event. The survey tool is questionnaire including personal data , the Taiwan version of Toronto Alexithymia Scale-20、Difficulties in Emotion Regulation Scale、Deliberate Self-Harm Inventory 、UCLA-PTSD Reaction INDEX for DSM-IV. Tesults support a link between a history of childhood maltreatment and self-injury among dolescence and the hypothesis that alexithymia mediates this relationship.
Therefore, phycologist can effective improve patient mental adaption by enhancing the ability of mood distinguish and express while handling the case. Results of the present study potentially have important implications in terms of intervention with this vulnerable group.
目錄
第一章 緒論 1
第一節 研究動機與目的 1
第二節 名詞解釋 3
第二章 文獻探討 6
第一節 自傷行為 6
第二節 創傷經驗與自傷行為的關係 12
第三節 述情障礙對受虐青少年自傷行為的影響 20
第四節 研究架構與研究假設 27
第三章 研究方法 29
第一節 研究對象 29
第二節 研究工具 29
第三節 研究程序與資料分析 32
第四章 研究結果 36
第一節 基本人口變項與研究架構中各主要變項之關係 36
第二節 三組在各主要研究變項之相關 40
第三節 多元回歸分析結果 43
第五章 結論與建議 61
第一節 結果討論 61
第二節 研究限制與建議 65
附錄 79
附錄一 參與研究同意書 79
附錄二 衛教單張 80
附錄三 台灣版多倫多述情量表因素分析 81
附錄四 情緒調節困難量表因素分析摘要表 82
附錄五 青少年生活經驗問卷-收容機構組 83

表2-1-1 自傷功能模式…………………………………………………………9
表3-2-1 自傷行為程度的次數分配表…………………………………………32
表4-1-1 人口變項描述性資料…………………………………………………36
表4-1-2 性別人口變項卡方考驗………………………………………………37
表4-1-3 國、高中人口變項卡方考驗…………………………………………37
表4-1-4 年齡變項之變異數分析………………………………………………37
表4-1-5 三組在創傷後壓力症狀嚴重度之變異數分析………………………38
表4-1-6 三組在述情障礙之變異數分析………………………………………39
表4-1-7 三組在自傷行為程度之變異數分析…………………………………39
表4-2-1 受虐創傷組各測驗相關分析…………………………………………41
表4-2-2 其他創傷社區組各測驗相關分析……………………………………42
表4-3-1 創傷後壓力症狀嚴重度預測自傷行為程度之階層迴歸,檢驗述情障
礙之中介效果…………………………………………………………45
表4-3-2 再經歷症狀預測自傷行為程度之階層迴歸,檢驗述情障礙之中介
效果……………………………………………………………………46
表4-3-3 迴避/麻木症狀預測自傷行為程度之階層迴歸,檢驗述情障礙之中
介效果…………………………………………………………………47
表4-3-4 過度警醒症狀預測自傷行為程度之階層迴歸,檢驗述情障礙之中介
效果……………………………………………………………………48
表4-3-5 創傷後壓力症狀嚴重度預測自傷行為程度之階層迴歸,檢驗辨識與
表達情緒困難之中介效果……………………………………………49
表4-3-6再經歷症狀預測自傷行為程度之階層迴歸,檢驗辨識與表達情緒困
難之中介效果…………………………………………………………50
表4-3-7 迴避/麻木症狀預測自傷行為程度之階層迴歸,檢驗辨識與表達情
緒困難之中介效果……………………………………………………51
表4-3-8 過度警醒症狀預測自傷行為程度之階層迴歸,檢驗辨識與表達情緒
困難之中介效果………………………………………………………52
表4-3-9 創傷後壓力症狀嚴重度預測自傷行為程度之階層迴歸,檢驗述情障
礙之中介效果…………………………………………………………53
表4-3-10再經歷症狀預測自傷行為之階層迴歸,檢驗述情障礙之中介效果54
表4-3-11迴避/麻木症狀預測自傷行為程度之階層迴歸,檢驗述情障礙之中
介效果…………………………………………………………………55
表4-3-12過度警醒症狀預測自傷行為程度之階層迴歸,檢驗述情障礙之中
介效果…………………………………………………………………56
表4-3-13創傷後壓力症狀嚴重度預測自傷行為程度之階層迴歸,檢驗辨識
與表達情緒困難之中介效果…………………………………………57
表4-3-14再經歷症狀預測自傷行為程度之階層迴歸,檢驗辨識與表達情緒
困難之中介效果………………………………………………………58
表4-3-15迴避/麻木症狀預測自傷行為程度之階層迴歸,檢驗辨識與表達情
緒困難之中介效果……………………………………………………59
表4-3-16過度警醒症狀預測自傷行為程度之階層迴歸,檢驗辨識與表達情
緒困難之中介效果……………………………………………………60
表5-1-1 創傷後壓力症狀嚴重度預測自傷程度時,述情障礙之中介效果摘要
表………………………………………………………………………61
圖目錄
圖 2-4-1 研究架構………………………………………………………………28
圖 4-3-1 中介變項路徑分析圖…………………………………………………43
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林育臣、陳展航 (2006)。《綜合醫院非精神科門診病患情感表達不能特質》。台灣精神醫學,20, 4, 272-278。
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