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研究生:吳承勳
研究生(外文):WU, Chen-Hsun
論文名稱:青少年憂鬱史與進入成人期憂鬱情形之相關探討
論文名稱(外文):The Relationship between Adolescents Depression History and Young Adults Mental Health
指導教授:林富宮林富宮引用關係
指導教授(外文):Lin, Fu Gong
口試委員:董和銳周雨青林富宮
口試委員(外文):Tung, Ho JuiChou, Yu ChingLin, Fu Gong
口試日期:2013-05-17
學位類別:碩士
校院名稱:國防醫學院
系所名稱:公共衛生學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:107
中文關鍵詞:青少年年輕成人憂鬱
外文關鍵詞:Adolescentyoung adultdepression
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研究背景:近年來憂鬱發生的年齡層逐漸下降,青少年的憂鬱情緒受到重視。世界衛生組織預估到2030年,全世界約有3%人口罹患憂鬱症。過去許多研究已使用橫斷性研究探討各時期的危險因子對青少年或成年早期的心理健康影響,但較少研究使用世代追蹤研就來探討分析。因此本研究以世代追蹤資料庫來進行分析研究。
研究目的:為瞭解青少年時期憂鬱情緒對成年早期心理健康的危險性。
研究方法:本研究以台灣青少年成長歷程資料庫為研究對象,分別從國一及國三兩個世代追蹤9年共6波的問卷資料來分析。以羅吉斯迴歸分析成人早期憂鬱情緒與各時期相關危險因子之間的關係。
研究結果:結果發現青少年憂鬱時點越接近成年早期,其對成年早期的憂鬱情緒影響越大(國三:OR=1.82, 95%CI=1.36-2.45, p<0.001)(高三:OR=4.95, 95%CI=3.77-6.51, p<0.001)。另外發現青少年期有長期憂鬱(OR=8.68, 95%CI=5.84-12.91, p<0.001)對於成年早期的影響危險性高於青少年期有短期憂鬱(OR=3.36, 95%CI=2.57-4.41, p<0.001)。
研究結論:成年早期的憂鬱情緒是會受到青少年時期憂鬱的影響,建議及早預防以利降低日後憂鬱情緒的發生。
關鍵字:憂鬱、青少年、成年早期、心理健康

Background:
The average age of depression occurrence in adolescent is getting lower in recent years, and WHO announced that In 2002, unipolar depression accounted for 4.5% of all DALYs. Depression in adolescents becomes one important issue. There are a lot of cross-sectional studies of adolescent depression, but not as many in cohort studies. In this study, cohort study design was used to explore the depression risks in the adolescent development when grow up.
Aim:
To understand how adolescent depression status effect young adult mental health.
Method:
This study is based on Taiwan Youth Project(TYP) data bank. The data set included 9 year follow up in 2 cohorts. Logistic regression was adapted to analysis the association between adolescent depression history and young adult mental health.
Result:
The onset time of depression occurring in adolescent is critical for young adults (3rd grade in junior high: OR=1.82, 3rd grade in high school: OR=4.95). And persistence depression during adolescent is found with higher risk than episodic depression during adolescent for the adult depression (persistence: OR=8.68, episodic: OR=3.36)
Conclusion:
Early prevention in adolescent depression is important and might reduce young adult depression occurrence.

Key word: depression, adolescent, young adult, mental health

中文摘要......... I
Abstract........II
總目錄........... III
第一章 緒論............ 1
第一節、研究背景及動機...... 1
第二節、研究目的...........5
第三節、名詞定義...........6
第二章 文獻探討.........7
第一節、憂鬱的定義與診斷......7
第二節、憂鬱症狀...........9
第三節、憂鬱相關危險因子探討..10
一、青少年性別與憂鬱.........11
二、家庭因素與憂鬱.........11
三、學校因素與憂鬱.........14
四、行為改變與憂鬱.........15
第四節、症狀檢核表短版切點探討...17
第五節、其他相關測量工具.........24
第三章 研究材料與方法.........27
第一節、研究架構.........27
第二節、研究對象.........29
第三節、研究樣本.........32
第四節、研究假說.........33
第五節、統計方法.........34
第四章 研究結果.......35
第一節、J3研究對象之基本人口學變項..35
第二節、J1研究對象之基本人口學變項..37
第三節、J1及J3合併後研究對象之基本人口學變項...39
第四節、J1&J3合併後最後納入分析組基本人口學分佈..41
第五節、J1及J3世代三個時期分析組與排除組組成性質比較...42
第六節、不同變項分別對各時期青少年影響...43
第七節、各時期青少年憂鬱情況與變項校正後之關係...47
第八節、各時期危險因子與大二時期憂鬱情況之關係...49
第五章 討論................51
第一節、影響各時期青少年憂鬱因子_橫斷性分析.....51
第二節、各時期青少年憂鬱危險因子探討...........52
第三節、青少年各時期憂鬱情況以及憂鬱史對年輕成年憂鬱情緒之預測分析...57
第六章 結論與建議....58
第一節、結論...........58
第二節、建議...........60
第三節、研究限制........62
參考文獻...............81
附件..................92
操作型定義.............92
SCL-16R憂鬱量表........94
90項症狀自評量表(SCL-90)身心適應問題量表...........95
英文版 SCL-90-R量表...........98

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1. 王文中, & 吳齊殷. (2003). 縱貫性研究中度量化的一些議題: 以症狀檢核表 SCL-90-R 為例. 中華心理衛生學刊, 16(3), 1-30.
2. 王文秀. (1987). 高中同儕輔導員訓練及同儕團體輔導之應用效果研究. 國立台灣師範大學教育心理學系,教育心理學報, 20, 205-228.
3. 周玉慧, & 吳齊殷. (2001). 教養方式、親子互動與青少年行為:親子知覺的相對重要性. 人文及社會科學集刊, 13(4), 439-476.
4. 周思源, 李玫姿, 梁文敏, 郭憲華, 張麗惠, 賴璟賢, . . . 郭憲文. (2006). 臺灣地區在校青少年吸菸、喝酒及嚼食檳榔與藥物使用之盛行率. 中臺灣醫學科學雜誌社, 11(3).
5. 林耀盛, 李仁宏, & 吳英璋. (2006). 雙親教養態度、家庭功能與青少年憂鬱傾向關係探討. 臨床心理學刊, 第三卷(第一期), 35-45.
6. 徐畢卿, 羅文倬, & 龍佛衛. (1999). 雙親教養態度量表中文版之信效度研究. 護理研究, 7(5), 479-489.
7. 章英華, 薛承泰, & 黃毅志. (1996). 教育分流與社會經地位: 兼論: 對技職教育改革的政策意涵: 行政院教育改革審議委員會.
8. 陳淑真, 王淑珍, 李淑桂, & 周明智. (2004). 國中學生吸菸行為及其相關因素之探討. 中山醫學雜誌, 15(2), 119-136.
9. 陳毓文. (2004). 少年憂鬱情緒的危險與保護因子之相關性研究. 中華心理衛生學刊, 17(4), 67-95.
10. 黃曉瑜, 吳肖琪, & 陳李綢. (2008). 高中職學生憂鬱情緒與父母失業及其他相關因素. 長庚科技學刊, 8, 97-114.
 
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