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研究生:黃家緯
研究生(外文):Huang Chia Wei
論文名稱:負向情緒調節在後設憂慮與病態憂慮間的中介與調節角色
論文名稱(外文):The Mediating and Moderating Role of Negative Emotion Regulation between Metacognitive Worry and Pathological Worry
指導教授:李錦虹李錦虹引用關係
學位類別:碩士
校院名稱:輔仁大學
系所名稱:臨床心理學系碩士班
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:2010
畢業學年度:98
語文別:中文
論文頁數:118
中文關鍵詞: 病態性憂慮 後設憂慮 後設認知 情緒調節
外文關鍵詞:pathological worrymeta-cognitive beliefs about worrymeta-cognitionemotion regulation
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研究目的:Wells (2005)主張:個體對憂慮的後設認知信念包括正向與負向兩種,這兩種信念會驅動焦慮症患者產生重複且難以控制的思考活動,對於疾病的發展與維持,均扮演著舉足輕重的角色。然此理論仍有兩處尚待釐清:首先,憂慮正向信念與病態性憂慮之關係的研究結果並不一致;其次,從憂慮負向信念至病態性憂慮之間的發展機轉尚未被充分探討。「負向情緒調節」強調個體對其情緒採取不適當的調整策略,與兩種憂慮信念和病態性憂慮,都具有密切的理論關聯性。本研究因此納入「負向情緒調節」概念,以探究「負向情緒調節」對「憂慮正向信念」預測「病態性憂慮」的調節效果;以及「負向情緒調節」對「憂慮負向信念」預測「病態性憂慮」的中介效果。
研究方法:本研究採便利取樣,以259名大學生為樣本,進行問卷發放。研究工具包括: 測量個體對自身想法的「監控認知問卷」(MCQ-30),測量負向情緒調節策略的「情緒調節困難量表」(DERS),測量個體病態性憂慮頻率與程度的「賓州憂慮量表」(PSWQ)。透過驗證性因素分析、回歸分析與結構模型方程式等主要統計方式,探討(1)MCQ-30與DERS的穩定性與準確性:(2)MCQ-30與DERS對病態性憂慮的預測力與區辨力,以及;(3)「負向情緒調節」在憂慮信念至病態性憂慮歷程中所扮演的角色。
結果與討論:(1)MCQ-30與DERS具有適當的信度與良好的建構效度;(2)MCQ-30的分量表中,僅「對擔心的正向信念」與「對無法控制及危險的憂慮抱持負向信念」兩分量表,可以顯著預測病態性憂慮;(3)DERS的總得分能顯著區分正常與病態性憂慮組;(4)「負向情緒調節」於「憂慮正向信念」預測病態性憂慮無調節效果;「負向情緒調節」於「憂慮負向信念」預測病態性憂慮有部分中介效果。本研究結果支持了情緒調節在病態性憂慮上的重要角色,期待能深化對病態性憂慮的心理病理分析,並對日後的衡鑑與處遇有所助益。
Purpose: Wells (2005) proposed that meta-cognitive beliefs of worry include positive and negative beliefs. Moreover, these two beliefs could drive the repetitive and uncontrollable thoughts of anxious patients and they also played important roles in the development and maintenance of mental illness. However, two remaining issues require clarification in the theory mentioned above: First, the results of the relationships between positive beliefs about worry and pathological worry are inconsistent. Second, the developmental mechanism that Wells addressed from negative beliefs about worry to pathological worry had not been fully discussed. The concept of ‘‘negative emotion regulation’’ focused on inappropriate emotion regulation strategies, and were related to two beliefs about worry and pathological worry, theoretically. Therefore, the concept of ‘‘negative emotion regulation’’ was included to investigate whether ‘‘negative emotion regulation’’ was a moderator of ‘‘positive beliefs about worry’’ which predicted ‘‘pathological worry;and whether ‘‘negative emotion regulation’’ was a mediator of ‘‘negative beliefs about worry’’ which predicted ‘‘pathological worry.
Methodology: Two hundred and fifty-nine university students were recruited to fill out the questionnaires. There were three tools in this research: the measurement of beliefs about one’s own thoughts(MCQ-30), the measurement of negative emotion regulation strategies(DERS), and the measurement of frequency and levels of pathological worry(PSWQ).The data were analyzed through confirmatory factor analysis, stepwise multiple regression, and structural equation modeling, which focus on discussing (1) the stability and accuracy of MCQ-30 and DERS﹔(2) the prediction and discriminant validity of MCQ-30 and DERS to pathological worry﹔(3) the role of ‘‘negative emotion regulation’’ in the process through the beliefs about worry to pathological worry.
Conclusion and discussion: (1) The reliability and construct validity of MCQ-30 and DERS have been supported adequately. (2) Only two sub-scales of MCQ-30(‘‘Positive beliefs about worry’’ and ‘‘Beliefs about uncontrollability/Danger’’ ) could predict pathological worry significantly. (3) The total scores of ‘‘DERS’’ could discriminate the normal from pathological group significantly. (4) ”Negative emotion regulation’’ was not a moderator of ‘‘positive beliefs about worry’’ to predict pathological worry, and ‘‘negative emotion regulation’’ was a partial mediator of ‘‘negative beliefs about worry’’ to predict pathological worry. The result of this research supported the theory that emotional regulation plays an important role in pathological worry. We also hoped to understand patholigcal worry more deeply, and the research results were good for the assessment and treatment of pathological worry in the future.
目錄
致謝 I
中文摘要 II
Abstract III
目 錄 V
表目錄 VII
圖目錄 VIII
緒論 IX
第一章 文獻探討 1
第一節 憂慮定義及現象 1
第二節 憂慮的病理模式 3
第三節 後設認知 9
第四節 病態性憂慮後設認知模式 14
第五節 情緒調節理論 22
第六節 未來研究方向 31
第二章 研究目的與研究假設 32
第三章 研究方法 39
第一節 研究對象 39
第二節 研究工具 40
第三節 研究程序 43
第四節 資料分析 45
第四章 研究結果 46
第一節 正式研究之描述性統計結果 46
第二節 MCQ-30、DERS之驗證性因素分析結果 51
第三節 DERS二階因素模型之驗證性因素分析結果 57
第四節 DERS區辨正常及病態憂慮組之結果分析 63
第五節 MCQ-30分量表預測PSWQ之結構模型方程式結果 64
第六節 「負向情緒調節」調節「憂慮正向信念」預測病態憂慮結果 67
第七節 「負向情緒調節」中介「憂慮負向信念」預測病態憂慮之研究結果 69
第五章 討論與建議 72
第一節 討論 72
第二節 研究限制與未來展望 83
參考文獻 86
中文部分 86
英文部分 86
附錄一 監控認知問卷(MCQ-30) 98
附錄二 情緒調節困難量表(DERS) 99
附錄三 賓州憂慮量表(PSWQ) 101
附錄四 保密同意書與受試者基本資料 102
附錄五 MCQ-30各分量表內容 103
附錄六 DERS各分量表內容 105
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