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研究生:謝冠瑩
研究生(外文):HSIEH, KWAN-YIN
論文名稱:大學生的網路成癮研究: 憂鬱、問題行為、自我認同、心理 僵化與經驗迴避的角色
論文名稱(外文):A study of Internet Addiction in College Students: The Role of Depression, Problematic Behaviors, Self Identity,Psychological Inflexibility and Experiential Avoidance
指導教授:顏正芳顏正芳引用關係楊奕馨楊奕馨引用關係
指導教授(外文):YEN, CHENG-FANGYANG, YI-HSIN
口試委員:陳正宗林清華徐淑婷王鵬為
口試委員(外文):CHEN, CHENG-CHUNGLIN, CHING-HUAHSU, SHU-TINGWANG, PENG WEI
口試日期:2021-05-20
學位類別:博士
校院名稱:高雄醫學大學
系所名稱:醫學研究所博士班
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:2021
畢業學年度:109
語文別:中文
論文頁數:85
中文關鍵詞:網路成癮自我認同心理僵化經驗迴避憂鬱問題行為預測因子
外文關鍵詞:internet addictionself identitypsychological inflexibilityexperiential avoidancedepressionproblematic behaviorpredictor; ;
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研究目的:大學生網路成癮是重要公共衛生問題。本研究目的在探討大學生自我認同混亂、網路成癮及心理僵化和經驗迴避的關係及性別、年齡、憂鬱、問題行為在大學生網路成癮的預測力。
研究方法:本研究總共招募了500名大學生(262名女性和238名男性)。第一階段使用陳氏網路成癮量表(Chen Internet Addiction Scale, CIAS)評估網路成癮的嚴重程度,使用自我概念和認同測驗(Self-Concept and Identity Measure, SCIM)測驗進行評估自我認同混亂程度,使用接受與行動量表第二版(The Acceptance and Action Questionnaire-II, AAQ-II)評估心理僵化和經驗迴避程度。接著使用結構方程模型檢查網路成癮、自我認同混亂及心理僵化和經驗迴避的關係。第二階段為一年期追蹤評估,檢查性別、年齡、憂鬱、自傷/自殺行為,飲食問題、冒險行為、藥物濫用、攻擊性和無法控制的性接觸對網路成癮發生率和緩解率的預測力。
研究結果:自我認同混亂與心理僵化/經驗迴避、網路成癮的嚴重程度呈正相關。此外,心理僵化/經驗迴避的嚴重程度也與網路成癮的嚴重程度呈正相關。一年內網路成癮的發生率和緩解率分別為7.5%和46.4%。初次評估時的憂鬱嚴重程度、自傷/自殺行為及無法控制的性接觸,在單變量分析中能預測網路成癮的發生率;而在多元羅吉斯迴歸分析中,僅憂鬱能預測網路成癮的發生率(p = 0.015,odds ratio = 1.105,95% Confidence intervals: 1.021–1.196)。相對年輕的年齡可以預測網路成癮的緩解。
結論:自我認同混亂的嚴重程度,直接或間接與網路成癮的嚴重程度有關;間接關係由心理僵化/經驗迴避中介。憂鬱和年紀輕分別預測了大學生網路成癮的發生率和緩解率。網路成癮的專業人士應該考慮,早期發現並治療危險因子,包括自我認同混亂、和心理僵化/經驗迴避的,以降低大學生網路成癮的風險。

Objective: Internet addiction is an important issue among college students. This study aimed to investigate the following: (1) the role played by psychological inflexibility and experiential avoidance in influencing self-identity confusion and internet addiction; (2) whether college students with sex, age, depression, and problematic behaviors experience internet addiction than those without over a one-year follow-up
Method: A total of 500 college students (262 women and 238 men) were recruited. We examined the levels of self-identity, psychological inflexibility and experiential avoidance and internet addiction using the self-concept and identity measure, the acceptance and action questionnaire-II, and the Chen internet addiction scale, respectively. We investigated the relationships among self- identity, psychological inflexibility and experiential avoidance and internet addiction using structural equation modeling. At the second phase of this study, we investigated the relationship between sex, age, depression and problematic behaviors and internet addiction over a one-year follow-up.
Results: In this study, all of the three variables, including internet addiction, self-identity confusion and psychological inflexibility and experiential avoidance, were all positive associated with each other.
Furthermore, we also confirmed the mediating effect of psychological inflexibility and experiential avoidance in the relationship between internet addiction and self-identity confusion. In the second phase of study, the incidence and remission rates for internet addiction were 7.5% and 46.4% over one-year follow up, respectively. We used univariate analyses and found that the severity of depression and problematic behaviors, including self-harm, suicidal behaviors, and uncontrollable sexual encounters, predicted the incidence of internet addiction. We furthered put those variables into multivariable logistic regression analysis and found that only depression preserved the predictability. Young age, was the only one predictor of remission in this study.
Conclusions: Early identification of young age, depression, self-identity confusion, psychological inflexibility and experiential avoidance and intervention should be implemented to ensure lowering the risk of internet addiction in college students

中文摘要 I
英文摘要 III
致 謝 V
第一章 緒論 1
第一節 研究動機與重要性 1
第二節 研究目的 3
第三節 名詞釋義 4
第二章 文獻回顧 9
第一節 網路成癮的相關因子 9
第二節 網路成癮與自我認同、心理僵化/經驗迴避 10
第三節 網路成癮與憂鬱 10
第四節 網路成癮與問題行為 11
第三章 研究方法 13
第一節 研究對象 13
第二節 研究工具 13
1. 陳氏網路成癮量表(Chen Internet Addiction Scale, CIAS) 13
2. 中文版貝克憂鬱量表第二版(Beck Depression Inventory-II, BDI-II) 14
3. 23題邊緣性人格量表(Borderline Symptom List, BSL-23) 14
4. 自我概念和認同測驗(Self-Concept and Identity Measure, SCIM) 15
5. 接受與行動量表第二版 (The Acceptance and Action Questionnaire-II, AAQ-II) 16
第三節 研究步驟 16
圖一 自我認同混淆、網路成癮和心理僵化/經驗迴避之間關聯的假設模型。 17
圖二 研究參與者依據網路成癮的程度不同,被分配到四組之一。 18
第四節 統計分析 18
第五節 研究倫理 19
第四章 研究結果 20
第一節 網路成癮、自我認同混淆和心理僵化/經驗迴避的假設模型 20
表一 測量變項的相關矩陣 22
圖三 自我認同混淆、網路成癮和心理僵化/經驗迴避之間關聯的模型。 23
表二 假設模型結構方程式的適合度檢定指標 23
第二節 受測者的基本人口學與臨床變項資料 24
圖四 研究參與者依據網路成癮的程度不同,被分配到四組的人數。 25
第三節 網路成癮發生率的預測因素 25
表三 四組的人口學特徵、憂鬱和問題行為比較 26
表四 網路成癮發生率的預測因素:羅吉斯迴歸分析 27
第五章 討論與建議 28
第一節 網路成癮與自我認同 28
第二節 網路成癮與心理僵化/經驗迴避 29
第三節 網路成癮、自我認同混亂與心理僵化/經驗迴避 29
第四節 網路成癮的預測因子:性別 31
第五節 網路成癮的預測因子:年齡 31
第六節 網路成癮的預測因子:憂鬱 31
第七節 網路成癮的預測因子:問題行為 32
第八節 研究限制 33
第六章 結論 35
參考文獻 36
附錄 47
1. Permission to use Chen Internet Addiction Scale, CIAS 47
2. Permission to use Borderline Symptoms List (BSL-23) 49
3. Permission to use Self-Concept and Identity Measure (SCIM) 52
4. Permission to use The Acceptance and Action Questionnaire-II (AAQ-II) 54
5. Relationship between Self-Identity Confusion and Internet Addiction among College Students: The Mediating Effects of Psychological Inflexibility and Experiential Avoidance 56
6. Predictive Effects of Sex, Age, Depression, and Problematic Behaviors on the Incidence and Remission of Internet Addiction in College Students: A Prospective Study…………………………………………………………. 67


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