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研究生:翁嘉駿
研究生(外文):WONG, JIA-JYUN
論文名稱:國中生網路成癮與自我傷害之共病機制探討
論文名稱(外文):Comorbidity Mechanism of Internet Addiction and Self-harm in Junior High School Students
指導教授:柯慧貞柯慧貞引用關係
指導教授(外文):KO, HUEI-CHEN
口試委員:柯慧貞游森期張勻銘
口試委員(外文):KO, HUEI-CHENYOU, SEN-JIZHANG, YUN-MING
口試日期:2016-07-28
學位類別:碩士
校院名稱:亞洲大學
系所名稱:心理學系
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:2016
畢業學年度:105
語文別:中文
論文頁數:66
中文關鍵詞:網路成癮自我傷害上網正向預期自我傷害正向預期五因素性格
外文關鍵詞:Internet addictionself-harmInternet use expectancyself-harm outcome expectancyFive-Factors model of personality
相關次數:
  • 被引用被引用:2
  • 點閱點閱:952
  • 評分評分:
  • 下載下載:157
  • 收藏至我的研究室書目清單書目收藏:1
一、研究背景:
「網路成癮」與「自我傷害」皆為近年來重要的青少年行為問題,且造成青少年身心健康與生活適應的負面影響;而研究指出網路成癮與自我傷害呈顯著相關,但其共病機制未明,故本研究在文獻回顧後,建構出國中生網路成癮與自我傷害之可能共病機制,再以結構方程模式進行驗證。

二、研究目的:
(一)針對網路成癮與自我傷害共病之三種可能機制假設,進行驗證;三種假設分別為「網路成癮與自我傷害具有共同病理因子(脆弱性格:高神經質、低親和性及低嚴謹性)」、「網路成癮預測自我傷害」及「自我傷害預測網路成癮」。
(二)建構性格因子及認知因子在網路成癮與自我傷害病理機制之路徑並加以驗證,本研究假設脆弱性格可直接預測網路成癮與自我傷害嚴重程度,同時可以透過上網正向預期之中介預測網路成癮、透過自傷正向預期之中介預測自我傷害嚴重程度;上網正向預期可預測網路成癮程度;自我傷害正向預期可預測自我傷害嚴重程度。

三、研究方法:
本研究使用柯慧貞教授主持之「應用互動式情境遊戲與故事敘說數位平台於青少年衝突管理與情緒管理技巧訓練之成效:自傷與霸凌行為之預防( NSC100-2632-S-468-001-MY3)」計劃所蒐集資料庫之部份資料。
(一)研究對象:針對資料庫中同時完成網路成癮與自我傷害評估樣本644名資料加以分析,刪除無效樣本,有效樣本共601名,285名男生、316名女生。
(二)研究工具:個人資料表、中文網路成癮量表修訂版、上網正向預期量表、自我傷害量表、自我傷害行為結果正向預期問卷、五大性格量表簡版。

四、研究結果
(一)網路成癮與自我傷害之共病機制以「網路成癮與自我傷害具有共同病理因子」之模式為最佳模式,此模式顯示:脆弱性格:高神經質、低親和性及低嚴謹性為網路成癮與自我傷害之共同因子。
(二)網路成癮與自我傷害病理機制假設上,結果顯示假設模式具備良好的模式適配度;此模式顯示:(1)脆弱性格可直接預測網路成癮程度,並可透過上網正向預期中介預測網路成癮程度;(2) 脆弱性格可直接預測自我傷害嚴重程度,並可透過自傷正向預期中介預測自我傷害嚴重程度;(3)上網正向預期可預測網路成癮程度;(4)自我傷害正向預期可預測自我傷害嚴重程度。

五、結論與建議
本研究結果支持脆弱性格(高神經質、低親和性及低嚴謹性)為網路成癮與自我傷害之共病因子之共病機制;研究結果證實上網正向預期為脆弱性格預測網路成癮之中介角色,而自傷正向預期為脆弱性格預測自我傷害之中介角色。而本研究採橫斷研究,建議未來研究可以縱貫方式,以確認變項間之因果關係;另本研究在網路成癮上僅針對網路使用進行探討,未來研究可加以探討不同類型網路成癮之特性;此外,未來研究也可探討其他變項,如社會影響、在網路成癮、自我傷害、性格及認知因素病理模式中的角色;另未來研究也可驗證教導適切上網或正向預期,與發展適當情緒調節與衝動控制技巧介入方式之成效。

【Introduction】
Both Internet addiction (IA) and self-harm are growing adolescents’ behavior problems in recent years. Previous studies have reported the comorbidity of IA and self-harm, but the comorbidity mechanisms remain unclear.

【Aims】
This study was aimed to investigate the comorbidity mechanisms of IA and Self-harm, by examining whether vulnerable personality traits would increase the risks for IA mediated through the Internet outcome expectancy as well as heightened the risks for self-harm mediated via the self-harm outcome expectancy among junior high school students.

【Methodology】
The cross-sectional design was taken. The participants were 601 junior high school students in Tainan, including 285 males and 316 females. All participate completed the Chen Internet Addiction Scale, Self-Harm Behavior Questionnaire, Internet Positive Outcome Expectancies Questionnaire, Self-injury Positive Outcome, and Expectancies Questionnaire, Shortened Chinese version of FFI. Data analysis was performed by using SPSS version 20.0, Structural Equation Modeling (SEM) was used to evaluate the hypothesized model for comorbidity mechanism of IA and self-harm.

【Results】
SEM results revealed that vulnerable personality traits directly and indirectly predicted the severity of IA, mediated through Internet outcome expectancy, and self-harm, mediated by self-harm outcome expectancy, respectively. The fitness of the model was adequate, and was able to explain 29.0% of the variance to IA and 33.6% of the variance to self-harm.

【Conclusions and imprecations】
Personality vulnerabilities may be the common etiology factor for both IA and self-harm, promoting the development of IA through Internet outcome expectancy and facilitating the risks for self-harm via self-harm outcome expectancy among adolescents.
The results suggest for the prevention of IA and self-harm among junior high school students, mental health workers could consider to use vulnerable personality traits screening measures for identifying high risk groups. The results also provide a direction for designing cognitive-behavioral interventions in training effective emotion regulation and impulse control skills, as well as in decisional balancing strategies for cost-benefit of risky and healthy behaviors.

目錄
摘要 ii
英文摘要 iv
目錄 vi
表目次 ix
圖目次 x
第一章 緒論 1
第一節 國中生網路使用與自我傷害之現況 1
第二節 國中生網路成癮及其盛行率 2
一、 網路成癮之定義 2
二、 網路成癮之評估 3
三、 網路成癮之盛行率 4
四、 網路成癮之後果 4
第三節 國中生自我傷害行為及其盛行率 6
一、 自我傷害之定義 6
二、 自我傷害之評估 6
三、 自我傷害之盛行率 7
四、 自我傷害之後果 7
第四節 網路成癮與自我傷害之關聯性 8
第五節 網路成癮與自我傷害共病機制探討 9
一、 網路成癮與自我傷害之三種可能共病機制 9
二、 網路成癮與自我傷害病理機制之探討 10
(一) 五大性格因素 10
(二) 五大性格因素與網路成癮 11
(三) 五大性格因素與自我傷害 12
三、 認知因素為網路成癮與自我傷害特異病理因子探討 17
(一) 社會學習理論 17
(二) 上網正向預期與網路成癮 17
(三) 自我傷害正向預期與自我傷害 17
(四) 性格、上網正向預期與網路成癮 18
(五) 性格、自傷正向預期與自我傷害 19
四、 總結 20
五、 研究目的與假設 22
第二章 研究方法 23
第一節 研究參與者 23
第二節 研究工具 24
一、 個人資料表 24
二、 中文網路成癮量表修訂版 24
三、 上網正向預期量表 24
四、 自我傷害量表 25
五、 自我傷害行為結果正向預期問卷 25
六、 五大性格量表簡版 26
第三節 研究程序 27
第四節 研究分析 28
第三章 研究結果 30
第一節 研究對象之抽樣結果 30
第二節 研究變項之相關 33
第三節 網路成癮與自我傷害之共病機制驗證 35
第四節 網路成癮、自我傷害、上網正向預期、自我傷害正向預期及性格因素整合病理模式驗證 40
一、 假設模式之基本適配度驗證 40
二、 假設模式之整體適配度驗證 43
三、 濳在變項間的效果 45
(一) 模式濳在變項間的直接效果 45
(二) 模式濳在變項間的間接效果 45
第四章 結論與討論 47
第一節 樣本基本資料分析探討 47
第二節 各變項與自傷行為之相關分析探討 47
第三節 網路成癮與自我傷害共病機制之探討 49
第四節 網路成癮、自我傷害、上網正向預期、自我傷害正向預期及脆弱性格整合病理模式 51
第五節 研究限制與未來研究方向 53
第六節 研究貢獻 55
中文參考文獻 56
英文參考文獻 58

表目次
表3-1有效樣本之結構 31
表3-2有效樣本在網路成癮與自我傷害之比率 32
表3-3:測量變項之相關表 34
表3-4:網路成癮與自我傷害三種共病機制之模式適配度 36
表3-5國中生網路成癮及自我傷害整合病理模式估計參數之顯著性考驗及標準化效果值 41
表3-6:整合病理模式之ML法與Bollen-Stine法理論模型適配度指標 44
表3-7整合病理模型之標準化效果量 46

圖目次
圖1- 1:網路成癮與自我傷害具共同病理因子之共病機制圖 9
圖1- 2:網路成癮與自我傷害互為直接因果關係之共病機制 9
圖1- 3高神經質、低親和性、低嚴謹性為網路成癮與自我傷害行為共同風險因子 14
圖1- 4網路成癮與自我傷害具因果關係,為網路成癮可以預測自我傷害 15
圖1- 5網路成癮與自我傷害具因果關係,自我傷害可以預測網路成癮 16
圖1- 6國中生網路成癮與自我傷害整合病理模式 21
圖3- 1共同病理因子模式之路徑圖 37
圖3- 2因果模式一 (網癮可預測自傷)之路徑圖 38
圖3- 3因果模式二 (自傷可預測網癮)之路徑圖 39
圖3- 4網路成癮、自我傷害、上網正向預期、自傷正向預期及性格因素整合病理模式 42




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