臺灣博碩士論文加值系統

D型人格（Type D personality，distressed personality）被證實可有效預測冠狀動脈心臟病（Coronary artery heart Disease，CAD）患者心臟危險事件（major adverse cardiac events，MACE ）的發生。而 D型人格量表（Type D Scale-14，DS14） （Denollet, 2005） 則為目前最被接受且廣為使用之篩選D型人格工具，測量了負向情感（negative affectivity，NA）及社交抑制（social inhibition，SI ）兩構成D型人格的特質。鑑於篩選具D型人格之CAD患者以進行後續臨床心理介入有其重要性，Weng、Long、Pedersen、Lin 與 Lin（2009）將DS14翻譯成中文，使用於台灣CAD樣本中，並檢驗其信效度。結果顯示，SI分量表之內部一致性及再測信度較低。為此，本研究目的在重新選題修訂台灣版DS14之信度，並將量表應用範圍擴展至CAD患者及一般成人。首先，本研究由DS24（Denollet, 2000）中選取3題信效度均佳之屬於SI題項，新增至台灣版DS14中成為共17題的D型人格量表預試題本。共83名CAD患者及413位接受健檢之一般成人，填寫了D型人格量表預試題本、中文版特質焦慮量表、中文版貝克憂鬱量表第二版及短式華人題意量表。而另一56位大學生樣本，填寫了D型人格量表預試題本，並進行兩周後再測。結果顯示，DS14原量表第3題「我會跟陌生人說話」因與SI分量表相關低，而由新增之SI題項「我不喜歡跟很多人在一起」代替。而修訂後之台灣版DS14（Type D Scale-14，Taiwanese version –revised，DS14-TR）具良好的內部一致性信度（NA= .86，SI= .80，全量表= .87），再測信度（NA= .82，SI= .88，
全量表= .86）。因素分析結果顯示量表中所有題項皆落於其所屬因子，而其效標關聯效度檢驗結果與過去研究一致: 相較於非D型人格參與者，D型人格參與者之憂鬱、焦慮與敵意分數較高。而D型人格參與者除有較多的負向情感、較高之社交壓抑傾向外，亦有較高的敵意認知。綜合上述，DS14-TR在台灣CAD與一般成人樣本中具良好的信效度，可應用於台灣臨床及研究領域。

目錄
第一章、緒論 …………………………………………………………………………1
第二章、文獻回顧 ……………………………………………………………………4
第一節、D型人格與CAD實徵研究 ……………………………………………………4
一、D型人格之定義…………………………………………………………………4
二、D型人格與CAD相關預後追蹤研究 ……………………………………………6
第二節、D型人格量表之發展 ……………………………………………………… 9
一、DS16 ………………………………………………………………………… 10
二、DS24……………………………………………………………………………11
三、DS14 ………………………………………………………………………… 13
四、D型人格量表在台灣之發展………………………………………………… 14
第三節、研究目的與假設 ………………………………………………………… 18
第一章、研究方法 …………………………………………………………………20
一、受試者 ………………………………………………………………………20
二、研究工具………………………………………………………………………23
三、研究程序 ……………………………………………………………………28
四、資料統計與分析 ……………………………………………………………29
第二章、結果 ………………………………………………………………………30
第一節、DS14-TR選題 ………………………………………………………………30
第二節、DS14-TR信效度檢驗 ………………………………………………………36
一、內部一致性信度及再測信度……………………………………………………36
二、效標關聯效度……………………………………………………………………36
第三節、D型人格於樣本中之盛行率 ………………………………………………39
第三章、討論…………………………………………………………………………40
第一節、研究結果綜合討論…………………………………………………………40
第二節、研究貢獻……………………………………………………………………44
第三節、研究限制及未來方向………………………………………………………45
參考文獻………………………………………………………………………………47
附錄一、臨床試驗計畫受試者同意書………………………………………………60
附錄二、D型人格量表原版（DS14） ………………………………………………64
附錄三、台灣版DS14…………………………………………………………………65
附錄四、D型人格量表預試題本 ……………………………………………………66
附錄五、台灣版DS14修訂版（DS14-TR） …………………………………………67

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