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研究生: 林蓉
Lin, Rong
論文名稱: 競賽式動機對注意力缺失過動症兒童的價值導向記憶之影響
The Influence of Competitive Motivation on Performance of Value-Directed Memory Task in Children with Attention Deficit Hyperactivity Disorder
指導教授: 黃惠玲
Huang, Huei-Lin
學位類別: 碩士
Master
系所名稱: 醫學院 - 行為醫學研究所
Institute of Behavioral Medicine
論文出版年: 2018
畢業學年度: 106
語文別: 中文
論文頁數: 77
中文關鍵詞: 值導向記憶注意力缺陷/過動衝動疾患競賽動機焦慮
外文關鍵詞: value-directed memory, ADHD, competitive motivation, anxiety
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  • 價值導向記憶為依據價值而選擇性記憶訊息的能力,過去常使用選擇性作業(selectivity task)和選擇性指標(selectivity index, SI)評估此項能力。過去研究發現注意力缺陷過動症混合表現型(Attention-deficit/hyperactivity disorder Combined presentation, ADHD-C)與過動-衝動表現型(Attention-deficit/hyperactivity disorder Predominantly hyperactive/impulsive presentation, ADHD-H/I;兩組合併統稱ADHD-C’組)兒童的此項能力有缺損,而本研究欲探討此缺陷是否能透過動機的促進獲得改善。研究參與者為9-12歲的一般控制與ADHD-C’兒童各30名,本研究藉由有/無競賽告知方式作為動機與非動機情境之操弄,檢驗控制組與ADHD-C’組研究參與者在兩情境下之自評作業動機與選擇性作業表現的差異。研究結果顯示研究參與者自評作業動機無情境間差異但整體分數偏高,推論可能與研究參與者自我呈現(self-presentation)行為有關。選擇性作業結果僅部分符合假設,雖然整體動機與非動機情境平均SI無差異,但動機情境中卻因初期SI較低、後期提升而有較顯著的進步,這反映了作業初期雖會受焦慮影響表現,但後期隨作業進展、焦慮緩解後,卻能在動機提升的情況下有更好的選擇性表現。本次研究結果雖未有組別差異,但情境差異在ADHD-C’組中有較不明顯的趨勢,可能受ADHD組主觀壓力感受較大與壓力因應技巧不佳之特性影響。據此,建議未來研究可嘗試使用更客觀的數據做為動機指標,另外,亦可進一步探究何種作業難度與研究參與者特性能在競賽式動機的影響下會有最佳的作業表現。

    The ability to determine which information should receive attention, be memorized, or be retrieved according to its value is called value-directed memory and is closely related to remembering things efficiently in daily life. A great deal of research has used the "selectivity task" and "selectivity index" to examine how people with different characteristics selectively memorize high-value information to achieve higher scores. This study aimed to investigate whether value-directed memory deficit in children with ADHD-C' can be ameliorated by improving motivation. We manipulated motivational/nonmotivational conditions by letting participating children believe that they either were or were not racing against other children. We then examined self-rated task motivation and memory performance in a selectivity task under those two conditions. The result showed that competitive motivation may have a varying effect on memory selectivity according to the anxiety state of participants. Self-rated task motivation showed no difference attributable to the impact of self-presentation. Knowing this can help us to be cautious regarding other factors that may influence the performance of participants when we use a competitive condition as a motivator. Future research might also use a more objective motivational index.

    目錄 I 表目錄 IV 圖目錄 V 第一章、 緒論 1 第二章、 文獻探討 2 第一節、 ADHD患者的病理成因 2 壹、 前額葉的執行功能缺損 2 貳、 酬賞系統的缺損 3 第二節、 價值導向記憶(value-directed memory) 4 壹、 選擇性作業(selectivity task) 4 貳、 ADHD的價值導向記憶 5 第三節、 動機影響ADHD的記憶表現 6 第四節、 研究目的 8 第五節、 研究假設與預期結果 8 第三章、 研究方法 9 第一節、 研究對象 9 壹、 樣本來源 9 貳、 樣本篩選標準 10 參、 樣本人口學特徵與量表分數 11 第二節、 研究工具 13 壹、 研究刺激 13 貳、 刺激呈現與紀錄反應的設備 13 參、 干擾性行為評量表-家長版 14 肆、 魏氏兒童智力測驗第四版 14 第三節、 研究流程 15 第四節、 實驗設計 16 壹、 二因子混合設計 16 貳、 實驗程序 17 第五節、 統計方法 19 壹、 分析資料來源 19 貳、 統計分析方法 20 第四章、 研究結果 22 第一節、 整體回憶表現之受試者組間差異 22 第二節、 作業動機之組別與情境間差異 22 第三節、 整體回憶表現之組別與情境間差異 23 第四節、 各價值區間回憶表現之組別與情境間差異 25 第五節、 學習效果之組別與情境間的差異 27 第五章、 討論 30 第一節、 研究結果摘要 30 第二節、 研究結果討論 33 壹、 自評動機 33 貳、 動機促進效果 33 參、 競賽式動機與學習效果 34 第三節、 研究結論與未來方向 35 參考文獻 36 附錄 44 附錄一、 實驗採用之中文刺激材料 44 附錄二、 實驗指導語與半結構式晤談 53 壹、 實驗指導語(單號) 53 貳、 實驗指導語(雙號) 57 附錄三、 競賽排名表 61 附錄四、 結構性晤談紀錄單 62 壹、 結構試晤談紀錄單(單號) 62 貳、 結構試晤談紀錄單(雙號) 65 附錄五、 字詞評分表 69

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