(3.235.11.178) 您好!臺灣時間:2021/03/07 07:41
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:邱傑麟
研究生(外文):Jie-Lin Ciou
論文名稱:臺灣性別少數族群之預期性污名、性別角色與情緒調節對生活品質與心理症狀之影響
論文名稱(外文):The Influence of Anticipated Stigma, Gender Role, and Emotional Regulation on Quality of Life and Psychological Symptoms of Gender Minority Group in Taiwan
指導教授:陳淑惠陳淑惠引用關係
口試委員:顏正芳李怡青
口試日期:2019-06-27
學位類別:碩士
校院名稱:國立臺灣大學
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:2019
畢業學年度:107
語文別:中文
論文頁數:95
中文關鍵詞:性別少數族群預期性污名雙性化反芻少數族群壓力模式
DOI:10.6342/NTU201901915
相關次數:
  • 被引用被引用:0
  • 點閱點閱:101
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:2
前言:過去研究指出預期性污名為性別少數族群之重大壓力源之一,卻少有研究探討此族群之預期性污名及其對心理健康後果之影響。探討不同族群於心理健康後果之表現、不同人際關係來源之預期性污名與情感調節如何影響性別少數族群之心理健康為本研究重點。目的:藉檢驗不同人際關係來源之預期性污名、情感調節策略、性別角色傾向,瞭解性別少數族群可能之少數族群壓力模式,以思索未來臨床可能介入途徑。方法:本研究採617名成人為樣本,異性戀與性別少數族群各佔311名與306名。首先,以兩隨機分派之同質次樣本交叉驗證中文版反應風格量表短版與中文版正負向性別角色量表的心理計量特性與因素結構。再者,檢驗不同性傾向、性別角色間於心理健康程度之差異。最後檢驗性別少數族群之不同人際來源之預期性污名、反芻反應風格對心理健康後果之影響,並驗證本研究提出之序列中介模式,探索不同親疏關係之預期性污名對社會關係品質與心理症狀之影響。結果:(1)中文版反應風格量表短版與中文版正負向性別角色量表皆具良好心理計量特性。(2)相對於異性戀組與同性戀組,雙性戀組呈現較差之心理健康結果。(3)正向性別角色具較高之生活品質水準;負向雙性化與負向女性化具較高程度的苦惱自責式反芻,且有較多心理症狀。(4)不論預期性污名來源,苦惱自責式反芻可顯著正向預測心理症狀。(5)朋友、親戚及職場之預期性污名可顯著正向預測社交互動焦慮症狀。(6)家人之預期性污名、社會關係品質在親戚之預期性污名與心理症狀間具序列中介效果。討論:探討華人社會下不同族群於心理健康指標之差異來源,與不同人際來源之預期性污名、反芻反應風格對於性別少數族群之影響。最後,說明研究結果在臨床應用上的啟發,與未來可行介入途徑與研究方向。
Introduction: Previous research points out that anticipated stigma is one of the major stressors of the gender minority group, but few studies have investigated the anticipated stigma and its influences on mental health outcomes of gender minority group. The study focused on mental health outcomes of different gender preference groups, and examined the differences of anticipated stigma emerged from different relationships and explored how emotional regulation strategies influence mental health of the gender minorities. Purpose: By testing the anticipated stigma from different interpersonal relationships, emotional regulation strategies, and gender role tendency, the present study aimed to realize the possible minority stress model of the gender minorities in order to provide possible ways for clinical intervention. Methods: The present study recruited 617 adults, with 311 heterosexuals and 306 gender minorities. First, the study used two equivalent and randomized subsamples to cross validate the psychometric properties of the Response Style Questionnaire-10 (RSQ-10) and Positive-Negative Sex Role Inventory (PN-SRI). Next, the differences of mental health were examined among subsamples classified based on participants’ sex orientation and gender role tendency. Last, the study examined the influences of anticipated stigma from different interpersonal relationships and rumination styles on mental health of the gender minorities. In addition, the serial mediation model was proposed and tested to explore the influences of anticipated stigma from different relationships with different degrees of intimacy on quality of life and psychological symptoms. Results: The results indicate that: (1) The RSQ-10 and PN-SRI yielded good psychometric properties. (2) Bisexual group displayed poorer mental health than heterosexual group and homosexual group. (3) Those who held more positive gender roles reported significantly better quality of life, while those who held more negative androgyny and negative femininity displayed significantly higher levels of brooding rumination and more psychological symptoms. (5) The anticipated stigma from friends and relative as well as the workplace significantly positively predicted social interaction anxiety symptoms. (6) The anticipated stigma from family and the social relationship domain of quality of life showed serial mediation effects between anticipated stigma from relatives and psychological symptoms respectively. Discussion: Under the situation in Taiwan, the possible sources of differences in different gender preference groups, and the impacts of anticipated stigma from different interpersonal relationships and rumination styles on gender minority were discussed. Possible clinical applications and directions for future research are also addressed.
第一章 緒論 1
第一節 性別少數族群 1
第二節 性別角色 3
第三節 憂鬱性反芻 5
第四節 預期性污名 8
第五節 研究目的與假設 12
第二章 研究方法 16
第一節 研究對象與研究程序 16
第二節 研究工具 18
第三節 統計分析程序 23
第三章 研究結果 25
第一節 量表效度檢驗 25
第二節 描述統計與相關分析 31
第三節 不同族群組間之差異檢定 33
第四節 階層迴歸分析 43
第五節 序列中介效果檢驗 51
第四章 綜合討論 57
第一節 中文版反應風格量表短版之修訂 57
第二節 中文版正負向性別角色量表之建立 58
第三節 生活品質與心理症狀於不同族群之差異 59
第四節 不同人際關係來源預期性污名與反芻反應風格的預測效果 62
第五節 親戚之預期性污名、家人之預期性污名之序列中介效果檢驗 63
第五章 結論 66
第一節 研究貢獻 66
第二節 研究限制 67
第三節 未來研究方向 69
參考文獻 70
附錄 83
附錄一:參與研究同意書 83
附錄二:預期性污名量表 87
附錄三:中文版正負向性別角色量表 89
附錄四:中文版反應風格量表短版 90
附錄五:社交互動焦慮量表 91
附錄六:臺灣簡明版世界衛生組織生活品質問卷 92
附錄七:中文版憂鬱、焦慮與壓力量表 95
中央研究院社會學研究所(2013):《臺灣社會變遷基本調查計畫第六期第三次調查計畫》,報告編號NSC 100-2420-H-001-002-SS2。臺北市:章英華。取自https://www2.ios.sinica.edu.tw/sc/cht/datafile/tscs12.pdf
簡至潔(2014):《「臺灣同志壓力處境問卷」調查結果初步分析》,友善台灣聯盟調查報告。取自https://hotline.org.tw/news/190
王素真、陳住銘、洪耀釧(2014):〈民眾對於同性戀的認知與接受程度之探討〉。《工程科技與教育學刊》,11,30-42。
朱浚賢(2008):《關係與道德臉面:關係他人失德事件對個人面子感受的影響》(未出版之碩士論文)。國立臺灣大學,臺北市。 doi:10.6342/NTU.2008.01972
李怡青、周玉慧、張仁和(2019):〈親密關係中的自我一致性:不同性傾向認同者的適應探討〉。見周玉慧、葉光輝、張仁和(編):《華人家庭、代間關係與群際認同》,頁255-290。臺北市:中央研究院民族學研究所。
周嘉娸(2008):《憂鬱反芻對工作記憶容量的影響之初探》(未出版之碩士論文)。國立臺灣大學,臺北市。doi:10.6342/NTU.2008.00355
林逸祥(2017):《男同志自殺企圖:性少數壓力源與自殺人際理論的角色》(未出版之碩士論文)。私立中山醫學大學,臺中市。
姚開屏(2002):〈臺灣版世界衛生組織生活品質問卷之發展與應用〉。《臺灣醫學》,6,193-200。doi:10.6320/FJM.2002.6(2).09
畢恆達(2003):〈男同性戀與父母:現身的考量,策略,時機與後果〉。《女學學誌:婦女與性別研究》,15,37-78。doi:10.6255/JWGS.2003.15.37
陳弘儒(2015):《臺灣青少年憂鬱的性別特定模式之前瞻式研究:憂鬱與壓力、自我掌控信念、反芻風格之關聯》(未出版之碩士論文)。國立臺灣大學,臺北市。doi:10.6342/NTU.2015.02628
游勝翔(2004):《反芻型反應風格、自傳式記憶與憂鬱之關聯性探討》(未出版之碩士論文)。國立臺灣大學,臺北市。doi:10.6342/NTU.2004.00483
楊如泰(2010):《整合憂鬱人際與認知模式:苦惱自責式反芻及因果不確定感於過度尋求再保證與憂鬱間之多重中介效果》(未出版之碩士論文)。國立臺灣大學,臺北市。doi:10.6342/NTU.2010.02899
楊靜芳(2003):《社交焦慮、網路社交焦慮與網路環境特性之關聯性探討》(未出版之碩士論文)。國立臺灣大學,臺北市。
Arditte, K. A., & Joormann, J. (2011). Emotion regulation in depression: Reflection predicts recovery from a major depressive episode. Cognitive Therapy and Research, 35, 536-543. doi:10.1007/s10608-011-9389-4
Bandura, A., & Walters, R. H. (1977). Social learning theory (Vol. 1). Englewood Cliffs, NJ: Prentice-hall.
Bem, S. (1977). On the utility of alternative procedures for assessing psychological androgyny. Journal of Consulting and Clinical Psychology, 45, 196-205. doi:10.1037//0022-006X.45.2.196
Bem, S., & Lewis, S. (1975). Sex role adaptability: One consequence of psychological androgyny. Journal of Personality and Social Psychology, 31, 634-643. doi:10.1037/h0077098
Berger, A., & Krahé, B. (2013). Negative attributes are gendered too: Conceptualizing and measuring positive and negative facets of sex‐role identity. European Journal of Social Psychology, 43, 516-531. doi:10.1002/ejsp.1970
Broderick, P. C., & Korteland, C. (2002). Coping style and depression in early adolescence: Relationships to gender, gender role, and implicit beliefs. Sex Roles, 46, 201-213. doi:10.1023/A:1019946714220
Chaudoir, S. R., & Quinn, D. M. (2016). Evidence that anticipated stigma predicts poorer depressive symptom trajectories among emerging adults living with concealable stigmatized identities. Self and Identity, 15, 139-151. doi:10.1080/15298868.2015.1091378
Choi, N., & Jenkins, S. J. (2000). A Factor analysis of the Bem sex role inventory and the personal attributes questionnaire. Psychological Bulletin, 56, 81-105. doi:10.18401/2015.5.1.1.
Cook, E. P. (1987). Psychological androgyny: A review of the research. The Counseling Psychologist, 15, 471-513. doi:10.1177/0011000087153006
Crocker, J., Major, B., & Steele, C. (1998). Social stigma. (Vol. 2). New York, NY, US: McGraw-Hill.
Deaux, K., Reid, A., Mizrahi, K., & Ethier, K. A. (1995). Parameters of social identity. Journal of Personality and Social Psychology, 68, 280. doi:10.1037/0022-3514.68.2.280
Dodge, B., & Sandfort, T. G. M. (2007). A review of mental health research on bisexual individuals when compared to homosexual and heterosexual individuals. In B. A. Firestein (Ed.), Becoming visible: Counseling bisexuals across the lifespan (pp. 28-51). New York, NY: Columbia University Press.
Donnelly, K., & Twenge, J. M. (2017). Masculine and feminine traits on the Bem sex-role inventory, 1993–2012: A cross-temporal meta-analysis. Sex Roles, 76, 556-565. doi:10.1007/s11199-016-0625-y
Earnshaw, V. A., Quinn, D. M., & Park, C. L. (2012). Anticipated stigma and quality of life among people living with chronic illnesses. Chronic Illness, 8, 79-88. doi:10.1177/1742395311429393
Fernández, J., & Coelleo, M. T. (2010). Do the BSRI and PAQ really measure masculinity and femininity? The Spanish Journal of Psychology, 13, 1000-1009. doi:10.1017/S113874160000264X
Frable, D. E. (1993). Dimensions of marginality: Distinctions among those who are different. Personality and Social Psychology Bulletin, 19, 370-380. doi:10.1177/0146167293194002
Friedman, M. R., Dodge, B., Schick, V., Herbenick, D., Hubach, R. D., Bowling, J., . . . Reece, M. (2014). From bias to bisexual health disparities: Attitudes toward bisexual men and women in the United States. LGBT Health, 1, 309-318. doi:10.1089/lgbt.2014.0005
Frost, D. M., Lehavot, K., & Meyer, I. H. (2015). Minority stress and physical health among sexual minority individuals. Journal of Behavioral Medicine, 38, 1-8. doi:10.1007/s10865-013-9523-8
Gates, G. J. (2017). In U.S., more adults identifying as LGBT. Retrieved from https://news.gallup.com/poll/201731/lgbt-identification-rises.aspx
Goffman, E. (1963). Behavior in public place: Notes on the social organization of gatherings. New York, NY: the free press of Glencoe
Group, W. (1995). The world health organization quality of life assessment (WHOQOL): Position paper from the world health organization. Social Science & Medicine, 41, 1403-1409. doi:10.1016/0277-9536(95)00112-K
Group, W. (1998). Development of the world health organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551-558. doi:10.1017/S0033291798006667
Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Retrived from http://www.afhayes.com/public/process2012.pdf
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227-239. doi:doi:10.1348/014466505X29657
Herek, G. M., Gillis, J. R., & Cogan, J. C. (2009). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Journal of Counseling Psychology, 56, 32-43. doi:10.1037/2376-6972.1.S.18
Holmbeck, G. N., & Bale, P. (1988). Relations between instrumental and expressive personality characteristics and behaviors: A test of Spence and Helmreich''s theory. Journal of Research in Personality, 22, 37-59. doi:10.1016/0092-6566(88)90023-2
Javidi, A., & Javidi, M. (1991). Cross‐cultural analysis of interpersonal bonding: A look at east and west. Howard Journal of Communications, 3, 129-138. doi:10.1080/10646179109359742
Johnson, D. P., & Whisman, M. A. (2013). Gender differences in rumination: A meta-analysis. Personality and Individual Differences, 55, 367-374. doi:10.1016/j.paid.2013.03.019
Jones, E. E. (1984). Social stigma: The psychology of marked relationships. New York, NY: WH Freeman.
Jorm, A. F., Korten, A. E., Rodgers, B., Jacomb, P. A., & Christensen, H. (2002). Sexual orientation and mental health: Results from a community survey of young and middle–aged adults. The British Journal of Psychiatry, 180, 423-427. doi:10.1192/bjp.180.5.423
Kinsler, J. J., Wong, M. D., Sayles, J. N., Davis, C., & Cunningham, W. E. (2007). The effect of perceived stigma from a health care provider on access to care among a low-income HIV-positive population. AIDS Patient Care and STDs, 21, 584-592. doi:10.1089/apc.2006.0202
Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363-385. doi:10.1146/annurev.soc.27.1.363
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335-343. doi:10.1016/0005-7967(94)00075-U
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470. doi:10.1016/B978-0-12-394427-6.00004-2
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38-56. doi:10.2307/2137286
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674. doi:10.1037/0033-2909.129.5.674
Mickelson, K. D. (2001). Perceived stigma, social support, and depression. Personality and Social Psychology Bulletin, 27, 1046-1056. doi:10.1177/0146167201278011
Minuchin, S., & Nichols, M. P. (1998). Structural family therapy. New York, NY: Guilford Press.
Miranda, R., & Nolen-Hoeksema, S. (2007). Brooding and reflection: Rumination predicts suicidal ideation at 1-year follow-up in a community sample. Behaviour Research and Therapy, 45, 3088-3095. doi:10.1016/j.brat.2007.07.015
Newport, G. J. G. a. F. (2013, February 15). LGBT percentage highest in D.C., lowest in North Dakota. Retrieved from https://news.gallup.com/poll/160517/lgbt-percentage-highest-lowest-north-dakota.aspx
Nolen Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259-282. doi:10.1037//0033-2909.101.2.259
Nolen Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569-582. doi:10.1037/0021-843X.100.4.569
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115. doi:10.1037//0022-3514.61.1.115
Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition & Emotion, 7, 561-570. doi:10.1080/02699939308409206
Nolen-Hoeksema, S., & Jackson, B. (2001). Mediators of the gender difference in rumination. Psychology of Women Quarterly, 25, 37-47. doi:10.1111/1471-6402.00005
Pachankis, J. E., Sullivan, T. J., Feinstein, B. A., & Newcomb, M. E. (2018). Young adult gay and bisexual men’s stigma experiences and mental health: An 8-year longitudinal study. Developmental Psychology, 54, 1381. doi:10.1037/dev0000518
Parra, L. A., Benibgui, M., Helm, J. L., & Hastings, P. D. (2016). Minority stress predicts depression in lesbian, gay, and bisexual emerging adults via elevated diurnal cortisol. Emerging Adulthood, 4, 365-372. doi:10.1177/2167696815626822
Polanco-Roman, L., Jurska, J., Quiñones, V., & Miranda, R. (2015). Brooding, reflection, and distraction: Relation to non-suicidal self-injury versus suicide attempts. Archives of Suicide Research, 19, 350-365. doi:10.1080/13811118.2014.981623
Quinn, D. M., & Chaudoir, S. R. (2009). Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology, 97, 634-651. doi:10.1037/2376-6972.1.S.35
Ranta, K., Kaltiala-Heino, R., Koivisto, A.-M., Tuomisto, M. T., Pelkonen, M., & Marttunen, M. (2007). Age and gender differences in social anxiety symptoms during adolescence: The social phobia inventory (SPIN) as a measure. Psychiatry Research, 153, 261-270. doi:10.1016/j.psychres.2006.12.006
Richters, J., Altman, D., Badcock, P. B., Smith, A. M., de Visser, R. O., Grulich, A. E., . . . Simpson, J. M. (2014). Sexual identity, sexual attraction and sexual experience: The second Australian study of health and relationships. Sexual Health, 11, 451-460. doi:10.1071/SH14117
Rydberg Sterner, T., Gudmundsson, P., Seidu, N., Bäckman, K., Skoog, I., & Falk, H. (2018). A psychometric evaluation of a Swedish version of the positive–negative sex-role inventory (PN-SRI). Societies, 8, 1-13. doi:10.3390/soc8010013
Simonson, J., Mezulis, A., & Davis, K. (2011). Socialized to ruminate? Gender role mediates the sex difference in rumination for interpersonal events. Journal of Social and Clinical Psychology, 30, 937-959. doi:10.1521/jscp.2011.30.9.937
Spence, J. T. (1991). Do the BSRI and PAQ measure the same or different concepts? Psychology of Women Quarterly, 15, 141-165. doi:10.1111/j.1471-6402.1991.tb00483.x
Spence, J. T., Helmreich, R. L., & Stapp, J. (1974). The personal attributes questionnaire: A measure of sex role stereotypes and masculinity-femininity. Washington, DC: Journal supplement abstract service, American psychological association
Spence, J. T., Helmreich, R., & Stapp, J. (1975). Ratings of self and peers on sex role attributes and their relation to self-esteem and conceptions of masculinity and femininity. Journal of Personality and Social Psychology, 32, 29-39.
Stoppard, J. M., & Paisley, K. J. (1987). Masculinity, femininity, life stress, and depression. Sex Roles, 16, 489-496. doi:10.1007/BF00292483
Swannell, S., Martin, G., & Page, A. (2016). Suicidal ideation, suicide attempts and non-suicidal self-injury among lesbian, gay, bisexual and heterosexual adults: findings from an Australian national study. Australian & New Zealand Journal of Psychiatry, 50, 145-153. doi:10.1177/0004867415615949
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27, 247-259. doi:10.1023/a:1023910315561
Twenge, J. M. (1997). Changes in masculine and feminine traits over time: A meta-analysis. Sex Roles, 36, 305-325. doi:10.1007/BF02766650
Wong, Q. J., & Moulds, M. L. (2009). Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals. Behaviour Research and Therapy, 47, 861-867. doi:10.1016/j.brat.2009.06.014
Woodhill, B. M., & Samuels, C. A. (2003). Positive and negative androgyny and their relationship with psychological health and well-being. Sex Roles, 48, 555-565. doi:10.1023/A:1023531530272
Woodhill, B. M., & Samuels, C. A. (2004). Desirable and undesirable androgyny: A prescription for the twenty-first century. Journal of Gender Studies, 13, 15-28. doi:10.1080/0958923032000184943
Wupperman, P., & Neumann, C. S. (2006). Depressive symptoms as a function of sex-role, rumination, and neuroticism. Personality and Individual Differences, 40, 189-201. doi:10.1016/j.paid.2005.05.017
Xu, Y., Schneier, F., Heimberg, R. G., Princisvalle, K., Liebowitz, M. R., Wang, S., & Blanco, C. (2012). Gender differences in social anxiety disorder: Results from the national epidemiologic sample on alcohol and related conditions. Journal of Anxiety Disorders, 26, 12-19. doi:10.1016/j.janxdis.2011.08.006
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔