臺灣博碩士論文加值系統

近年國內兒虐倖存者相關身心健康議題愈發嚴重，在創傷相關研究中指出負向兒時經驗造就了個體發展的脆弱性，而在眾多相關心理疾患中，解離被認為是個體用以應對當前或過去創傷的反應機制，因此若個體在兒時若經歷足致影響發展的負向經驗時，對於其後續再次遭逢創傷後是否會更亦採用解離作為因應機制是為研究關注的焦點。本研究在兒時負向經驗至解離症狀發展的路徑上，選取依戀傾向作為中介變項，並佐以性別、創傷事件類別等因子作為調節變項，檢驗上述因子的中介效果、調節效果與調節式中介效果，期能更全面了解各項因子對於解離症狀的發展。本研究選取科技部計畫部份資料，收集330份問卷，分析包含「負向兒時經驗量表」、「親密關係體驗量表-修訂版」、「創傷生活事件問卷」及「解離症狀量表」等量表，以統計分析資料之描述統計與相關係數分析、皮爾森積差相關分析、層級迴歸分析等。本研究分析結果顯示，成人個體的「負向兒時經驗」與「解離症狀」有顯著正相關，不安全型的依戀傾向包含「焦慮依戀」及「逃避依戀」皆對成人個體的「負向兒時經驗」與「解離症狀」之關聯性具顯著中介效果，「性別」與「創傷事件類別」對於成人個體的「負向兒時經驗」與「解離症狀」之關聯性不具顯著直接調節與間接調節效果。本研究初步系統性評估了國內成人個體負向兒時經驗以及解離的關聯性，且發現經歷負向兒時經驗的個體若具不安全型的依戀傾向會促進解離症狀的發生，可能是一個跨文化的廣泛現象，並指出性別、創傷事件類別在直接與間接路徑亦皆不具顯著調節作用，再度論證個體早期的發展對解離的發展才是最重要的關鍵因素。

目錄
摘要 i
誌謝 ii
目錄 iv
圖目錄 v
表目錄 vi
第一章　研究背景 1
第二章　文獻回顧與研究目的 3
第一節　文獻回顧 3
第二節　研究目的與假設 15
第三章　研究方法 18
第一節　研究對象與程序 18
第二節　研究工具 20
第三節　研究分析方法 22
第四章　研究結果 24
第一節　研究變項描述統計與相關分析 24
第二節　迴歸分析 26
第五章　結論、討論與建議 35
第一節　研究結果與討論 35
第二節　研究限制、研究貢獻、未來方向與建議 39
參考文獻 42

圖目錄
圖1 研究架構圖 17

表目錄
表1 參與者樣本分佈情形 19
表2 研究變項描述統計及相關係數 25
表3 焦慮依戀對負向兒時經驗與解離症狀及其分量表之中介效果迴歸分析 28
表4 逃避依戀對負向兒時經驗與解離症狀及其分量表之中介效果迴歸分析 30
表5 焦慮依戀為中介之階層迴歸分析結果 31
表6 逃避依戀為中介之階層迴歸分析結果 32
表7 焦慮依戀為中介之階層迴歸分析結果 33
表8 逃避依戀為中介之階層迴歸分析結果 34

中文文獻
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邱垂德（2013）。解離的機制：教養風格、創傷事件、和執行功能。〔未出版之博士論文〕。國立台灣大學心理學研究所。
馮康泓、劉炎慧（2017）。複雜解離症：跨文化的創傷心理障礙，臨床醫學，39-48。
黃玉蓮（2019）。修改版親密關係經歷量表之中文版心理計量特性。台灣臨床心理學會2019會員大會暨學術研討會，台北：台灣。
黃玉蓮、龔怡文（2019）。中文版解離症狀量表之心理計量檢驗。第58屆台灣心理學年會，高雄：台灣。
歐陽文貞（2013）。DSM-5中思覺失調症診斷標準的改變。DSM-5通訊，3(3)，12-18。
衛生福利部統計處（2021）。兒童少年保護-通報處理情形（110年更新）。衛生福利部統計處網頁：https://dep.mohw.gov.tw/DOS/lp-2985-113.html

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