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研究生:張雅萍
研究生(外文):Ya-Ping Chang
論文名稱:探討青少年體位、課業表現、飲食與憂鬱情緒之相關性
論文名稱(外文):The study of the relationship among adolescents’ dietary behavior, school performance, and depressive mood
指導教授:楊淑惠楊淑惠引用關係
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:保健營養學研究所
學門:醫藥衛生學門
學類:營養學類
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:68
中文關鍵詞:飲食行為青少年憂鬱情緒
外文關鍵詞:dietary behavioradolescentdepressive mood
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聯合國世界衛生組織(World health organization, WHO)將憂鬱症,癌症與愛滋病為二十一世紀的三大病症。這三大疾病危害人類的身心健康。均衡與足夠的營養素可以維持生命健康與完好(well-being),憂鬱情緒會造成飲食障礙。而飲食行為異常的病因亦需考慮多層面如社會文化、心理及生物學等許多交錯影響的因子。董氏基金會調查指出台北市青少年中15.3%的人每天都會感到憂鬱(董氏基金會,2004)。研究目的是在了解探討,台灣地區青少年憂鬱情緒的發生與飲食型態、營養狀況、體位及課業表現間的相關性。本研究於2007年間,在四個地區各選擇學區的一所國中7-8年級學生為研究對象,研究共有二階段,第一階段共628人,進行自填問卷收集影響憂鬱情緒相關因子;第二階段共64人,進一步分析血液及飲食攝取量對憂鬱情緒影響。結果有602份有效問卷,分析得飲食中魚類、海鮮、蔬菜與憂鬱情緒4分位分組間卡方值分析結果有呈現顯著負相關。第二部分有效受試者飲食資料中(N=56),在憂鬱情緒積分得分最高組別脂肪攝取佔熱量的百分比、膽固醇及纖維攝取量顯著低於憂鬱情緒積分得分最低組別,而課業成績表現與憂鬱情緒分組間有顯著性差異。課業表現是直接影響青少年憂鬱情緒的影響因子之一,但是不均衡的飲食型態,如:飲食中魚類、海鮮、蔬菜攝取偏好,對憂鬱情緒有顯著負相關存在,及建議攝取範圍內較低脂肪及膽固醇攝取情況也會影響憂鬱情緒發生。
According to the World Health Organization (WHO) proposed that, depression, AIDS, cancer are the 21th century disease which harm human healthy. Adequate and balanced nutrients maintain a healthy and wellbeing life, and depressive mood influence eating behavior. Dietary behavior is a complicated and interacted process of physiological, psychological and environmental factors. Unbalanced diet can influence psychology, nervous status and brain function. 15.3% of Taipei adolescent have experienced of depression everyday(Tung’s foundation, 2004). The aim of this study is to find out whether dietary behavior is a factor of living behavior and academic performance in adolescents through a 4-areas study in 2007, will be recruited from junior high school students from 7-8 grade. There were 2 phases in this study. Phase 1, total 628 subjects were completed self-report questionnaire where were analyzed depressive mood related factors. Phase 2, 64 subjects were recruited to analysis subjects’ diet and blood sample, determined dietary intake , blood nutrition status and depressive mood relationships. Result the achieved samples (n=602), showed that the top depressive mood scores quartile were negatively related to seafood, fish, vegetable in first screen questionnaire by Chi-square analysis. 56 completed subjects showed that, dietary fat and cholesterol intake were significantly lower in most depressive mood scores group compared to lowest group in phase 2. Conclusions: School performance was a possible factor that influenced adolescent depressive mood. Inadequate eating behaviors such as: fish, seafood, vegetable were mild influenced depressive mood negatively. There was lower dietary fat and cholesterol intake that were in recommended dietary allowance were influenced depressive mood significantly.
目 錄
頁 數
誌 謝 ........................... Ⅰ
中文摘要 ........................... Ⅱ
英文摘要 ........................... Ⅳ
目 錄 ............................ V
表目錄 ............................ VII
圖目錄 ............................. VIII
第一章 緒論.......................................1
第二章 文獻回顧...................................3
第一節 青少年憂鬱現況.........................3
(一) 青少年憂鬱發生率...............3
(二) 情緒行為相關體型、飲食、生理數
值.............................3
(三) 情緒影響進食模式...............5
第二節 憂鬱情緒相關因子分析................. 7
(一) 學校課業因素.............. 7
VII
(二) 性別體位影響因素................ 8
(三) 憂鬱情緒與飲食相關性.............9
第三章 研究目的...................................... 11
第一節 研究目的............................ 11
第二節 研究架構.............................12
第三節 研究流程.............................13
第四章 材料與方法................................... 14
第一節 受試者條件.......................... 14
第二節 問卷收集............................ 15
第三節 體位、血壓測量.......................18
第四節 血液取樣與生化分析.................. 18
第五章 統計分析............................... 21
第六章 結果與討論............................... 22
第一節 受試者特質............................22
第二節 受試者現況分析.........................22
(一) 受試者體型滿意度與憂鬱情況分析....22
(二) 受試者過去減重經驗與憂鬱情況分析. 23
(三) 受試者課業與憂鬱情況分析......... 25
第三節 飲食習慣與憂鬱情緒分析..................26
VIII
(一)受試者外食與憂鬱情況分析........... 26
(二)憂鬱情緒與飲食喜好.................. 27
(三)受試者飲食與憂鬱情況分析............ 28
(四)受試者生理狀況與憂鬱情況分析.........30
第七章 結論......................................31
第八章 參考資料................................. 32
英文部份.................................... 32
中文部份.....................................36
附錄一 人體試驗志願書...............................51
附錄二 董氏基金會同意函.............................52
附錄三 問卷.........................................53
附錄四 問卷專家效度審查專家名單......................58
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中文部份
王淑莉(1995)青少年的情緒問題研究與對策 第43-47頁 合記圖書出版社 台北
王瑞蓮、蕭寧馨(2003)台灣營養調查NAHSIT 1993-1996之飲食六大類食物變化性 中華營誌 ; 28 : 1-10
內政部主計處(1999)台灣地區少年身心狀況調查
周桂如(2002)兒童與青少年憂鬱症 護理雜誌 49: 16-23
吳齊殷(1999)青少年併發性偏差行為的起因研究 中央研究院社會研究所台北
郭月霞、曾美智、吳佳璇、李明濱、黃士懿(2003) 重度憂鬱症患者的營養素攝取 中華營誌 ; 28 : 75
陳錦宏、陳億倖、陳俊鶯、薛素霞、邵文娟、王姿乃、陳宏、陳快樂(2008)青少年自殺意念與自殺未遂之相關因子研究 台灣精神醫學 22:57-66
馮觀富(2005)情緒心理學 第308-310頁 心理出版社股份有限公司 台北
董氏基金會(2004)大台北地區在學青少年對憂鬱與憂鬱症認知現況調查
賴靖薇、魏燕蘭、于漱(2002)青少年異常飲食行為傾向與內外控人格特質之相關研究 陽明大學 台北
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