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研究生:賴亞迪
研究生(外文):LAI, YA-DI
論文名稱:注意力缺陷多動症、網路遊戲正向預期、暴力遊戲及國小學童網路遊戲成癮的路徑探討:一年追蹤研究
論文名稱(外文):The path of attention deficit hyperactivity disorder symptoms, outcome expectancy of internet gaming, violent gaming to internet gaming addiction among primary school students: one-year follow-up
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:柯慧貞董旭英張仁和
口試委員(外文):KO, HUEI-CHENTUNG, YUK-YINGCHANG, JEN-HO
口試日期:2020-07-30
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:2020
畢業學年度:108
語文別:中文
論文頁數:88
中文關鍵詞:注意力缺失/過動症網路遊戲成癮網路遊戲正向預期暴力遊戲
外文關鍵詞:ADHDinternet gaming addictionpositive outcome expectancyviolent gaming
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研究背景與目的: 兒童網路遊戲成癮議題備受重視;過去研究指出,注意力缺陷多動症障礙 (Attention-Deficit/Hyperactivity Disorder, ADHD) 和網路遊戲成癮之間高度相關,但之間的路徑機制及因果關係尚未明瞭。故本研究擬透過一年追蹤資料的分析,檢驗網路遊戲正向預期以及暴力遊戲在國小4-6年級學童ADHD與網路遊戲成癮間的可能中介作用。
研究方法: 本研究資料採用「103年度與104年度學生網路使用情形調查計畫」中所收集之部份資料進行分析。689名國小4-6年級學童於二年皆參加該計畫調查,第一年 (簡稱T1) 參與填寫「個人資料表」、「網路遊戲成癮量表」、「網路遊戲正向預期量表」;再於第二年 (簡稱T2) 追蹤施測 ,並增加填寫「網路遊戲使用調查」瞭解所玩暴力網路遊戲之情況。統計部分,使用SmartPLS檢驗測量模型的信效度、區別效度以及結構模型的路徑係數。
研究結果: 結果顯示,T1 ADHD直接且間接透過T1網路遊戲正向預期預測T1網路遊戲成癮;T1 ADHD也直接且間接透過T1和T2 網路遊戲正向預期預測T2網路遊戲成癮;T1 ADHD直接且間接透過T1網路遊戲正向預期及T2暴力遊戲正向預測T2網路遊戲成癮;T1 ADHD也透過T1網路遊戲正向預期中介T2暴力遊戲,再透過T2網路遊戲正向預期正向預測T2網路遊戲成癮。
研究結論: 本縱貫研究證實,ADHD正向預測網路遊戲成癮;但進一步發現網路遊戲正向預期和暴力遊戲在ADHD與網路遊戲成癮間的可能中介作用;此中介路徑的發現,有助於解釋先前ADHD與網路遊戲成癮間高度相關的可能機制;成果可做為未來預防和處遇ADHD兒童網路遊戲成癮策略擬定參考。

Purpose: The association of attention deficit hyperactivity disorder (ADHD) with internet gaming addiction (IGA) were documented. However, the possible underlying psychological mechanisms remained unclear. This study is an attempt to examine the mediation role of internet gaming positive outcome expectancy and violent gaming in the association of ADHD symptoms with IGA among children in fourth and fifth grade.
Methods: This study is part of the investigation of internet use of students among teenagers, held by Prof. HC Ko. A total of 689 students in fourth and fifth grade (347 males and 342 female) recruited from elementary schools completed survey in 2013 (time 1) and 2014 (time 2).
Results: Structure equation modeling results revealed that , 1) ADHD symptoms directly and indirectly predicted IGA (T1) mediated through internet gaming positive outcome expectancy (T1); 2) ADHD (T1) predicted IGA (T2) mediated by internet gaming positive outcome expectancy measured in T1 and T2 ; 3) ADHD (T1) affected violent internet gaming (T2) mediated by internet gaming positive outcome expectancy (T1); 4) violent internet gaming (T2) indirectly predicted IGA (T2) by the mediation of internet gaming positive outcome expectancy (T2). The model obtained an adequate fit.
Conclusion: This longitudinal study over the course of one year approved that ADHD predicted an increase in internet gaming addiction by the mediating role of internet gaming positive outcome expectancy and violent gaming. These nuanced mediation findings help to explain previous results for the ADHD-internet gaming addiction association. More attention should be paid to ADHD and violent games intervention to prevent internet gaming addiction.

目錄
中文摘要.............................................. i
英文摘要.............................................. ii
目錄.............................................. iv
表目次.............................................. vii
圖目次.............................................. viii
第一章 緒論.............................................. 1
第二章 文獻探討.............................................. 2
第一節 網路遊戲成癮的定義、後果與現況............................3
壹、網路遊戲成癮的定義..............................................3
貳、網路遊戲成癮的後果..............................................6
參、網路遊戲成癮的現況-兒童盛行率....................................7
肆、網路遊戲成癮相關研究.............................................9
伍、小結..............................................10
第二節 ADHD與網路遊戲成癮相關性..............................14
壹、ADHD的定義..............................................14
貳、ADHD的盛行率..............................................16
參、ADHD與網路遊戲成癮之間的可能相..............................18
肆、小結 ..............................................22
第三節 網路遊戲正向預期在ADHD與網路遊戲成癮的中介效果............23
壹、ADHD與網路遊戲正向預期的相關性........................ 23
貳、網路遊戲正向預期與網路遊戲成癮的相關性.................25
參、小結.............................................. 29
第四節 網路遊戲正向預期、暴力遊戲與網路遊戲成癮的關係.......29
壹、網路遊戲正向預期與暴力遊戲的相關性.....................30
貳、暴力遊戲與網路成癮的相關性.............................31
參、小結..............................................32
第五節 研究目的與假設..............................................33
壹、研究目的.............................................. 33
貳、研究模型與假設.............................................. 33
第三章 研究方法.............................................. 36
第一節 參與者.............................................. 36
第二節 研究工具.............................................. 36
壹、個人資料表.............................................. 36
貳、網路遊戲成癮量表..............................................36
參、注意力缺失症狀/過動症狀量表.....................................37
肆、網路遊戲正向預期量表..............................................38
伍、暴力遊戲量表.............................................. 39
第三節 研究流程.............................................. 39
第四節 統計方法.............................................. 39
第四章 研究結果.............................................. 42
第一節 研究對象之特性分析....................................42
壹、描述性統計..............................................42
貳、獨立樣本t檢定..............................................45
參、研究變項間之相關分析...........................................47
第二節 ADHD兒童、網路遊戲正向預期、暴力遊戲及網路遊戲成癮之中介角色路徑驗證 49
壹、測量模型之信、效度分析....................................49
貳、結構模型之路徑分析:顯著性和預測力..........................54
參、中介效果分析..............................................61
第五章 討論..............................................64
第一節 本研究主要發現與解釋...............................64
壹、網路遊戲正向預期的中介角色...............................64
貳、暴力遊戲的中介角色.......................................66
參、T2暴力遊戲到T2網路遊戲成癮的關係.........................66
第二節 本研究次要發現與解釋...............................67
壹、性別差異..............................................67
第三節 研究的限制與未來研究方向.............................68
壹、研究限制..............................................68
貳、未來研究方向..............................................68

第四節 研究之學術與應用貢獻.................................69
壹、學術貢獻..............................................69
貳、應用貢獻..............................................70
參考文獻 ..............................................72
壹、中文文獻..............................................72
貳、英文文獻..............................................72



表目次
表2-1 網路遊戲疾患之DSM-5診斷標準.................................4
表2-2 遊戲疾患之ICD-11診斷標準....................................5
表2-3  兒童網路遊戲成癮盛行率....................................11
表2-4 ADHD之DSM-5診斷標準.......................................15
表2-5 ADHD盛行率..............................................17
表2-6 ADHD與網路遊戲成癮之相關...................................21
表2-7 ADHD心理需求與網路遊戲特性..................................27
表4-1 樣本型態..................................................43
表4-2 樣本特性(性別、遊戲類型)....................................44
表4-3 性別選擇遊戲類型分佈......................................44
表4-4 獨立樣本t檢定..............................................46
表4-5 T1、T2兩時間點各變項之相關矩陣 (n = 689)....................48
表4-6 測量模型之因素負荷量、組合信度與收斂效度.....................50
表4-7 構面間區別效度..............................................52
表4-8 構面間之HTMT比值............................................53
表4-9 結構模型之路徑係數檢定.......................................56
表4-10 結構模型之效果量檢定........................................58
表4-11 外部模型共線性診斷 : VIF值 .................................59
表4-12 內部模型共線性診斷 : VIF值 ..................................60
表4-13 中介效果檢定表..............................................62

圖目次
圖2 研究假設模型圖..............................................35
圖4 模型係數圖..............................................55









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