| 研究生: |
劉子頎 Liu, Tzu-Chi |
|---|---|
| 論文名稱: |
依附風格、知覺社會支持與人際衝突在婦女報告症狀發展的角色:六年追蹤研究 The roles of insecure attachment styles, perceived support and interpersonal conflict events in the development of reported symptoms: A six-year follow up |
| 指導教授: |
柯慧貞
Ko, Huei-Chien |
| 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: | 2008 |
| 畢業學年度: | 96 |
| 語文別: | 中文 |
| 論文頁數: | 56 |
| 中文關鍵詞: | 不安全依附 、症狀報告 、人際衝突 、知覺先生支持 |
| 外文關鍵詞: | insecure attachment, symptom reporting, perceived husband support, interpersonal conflict |
| 相關次數: | 點閱:61 下載:6 |
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本研究企圖以縱貫研究設計的方式,來了解成人期不安全依附風格、知覺先生支持與人際衝突在婦女報告症狀如身體化、人際焦慮與憂鬱症狀等,於其發展過程中所扮演的角色。133名婦女於兩次間隔約六年的時間點,以填寫問卷的方式,自評其成人期依附風格(RQ, Relationship Questionnaire, Bartholomenew & Horowitz, 1991)、報告症狀(SCL-90R, Derogartis, 1983)與知覺先生支持(柯慧貞(1996)修訂自各種生活支持量表),並於第二時間點額外填寫生活事件量表(柯慧貞(1996)修訂自Pilkonis, Imber與 Rubinsky(1985))以調查人際衝突事件。
在兩個橫斷時間點上的迴歸分析發現,不安全依附可一致地預測人際敏感,可預測第二時間點的憂鬱症狀,而皆無法預測身體化症狀。知覺先生支持對於人際敏感與憂鬱症狀的預測力,在第二時間點轉為顯著,但並未發現其對於不安全依附預測兩症狀上具有中介效果。
縱貫迴歸分析顯示,在控制第一時間的症狀與第二時間點的年齡後,第一時間點的不安全依附風格可預測第二時間點的身體化與憂鬱症狀,且第二時間點的人際衝突事件數,對此一關係具有中介效果。此外,在知覺較高程度的先生支持的情況下,人際衝突事件對於憂鬱症狀的預測力會轉為不顯著,顯示了知覺先生支持對於人際衝突在中介不安全依附預測憂鬱症狀上,具有調節效果。
本研究的結果發現,婦女自評的成人期不安全依附類別,可預測其日後報告的身體化與憂鬱症狀,而僅能預測同一時間點的人際敏感,此外,知覺先生支持越多,對於不安全依附風格的婦女在報告憂鬱症狀上,是一個保護因子,而非中介因子。
This study aimed to investigate the roles of insecure attachment styles, perceived spouse support and interpersonal conflict events in the development of reported somatic, social anxiety and depressive symptoms among women by utilizing a six-year longitudinal study. One hundred and thirty-three women were measured in two time periods on adult attachment (RQ), symptoms (SCL-90-R), and perceived spouse support between a six year interval; a life event survey was added in T2.
The cross-sectional analyses showed that insecure attachment consistently predicted only interpersonal sensitivity in the two time periods. Although T2 perceived spouse support significantly predicted interpersonal sensitivity and depressive symptoms, it failed to mediate insecure attachment in predicting the symptoms as hypothesized. The longitudinal analyses revealed that, after controlling T1 reported symptom and T2 age; T1 insecure attachment predicted the increases of T2 somatic and depressive symptoms and was mediated by T2 interpersonal conflicts. Interpersonal conflict moderated with perceived spouse support in predicting depressive symptoms. Moderator analyses revealed that interpersonal conflict failed to predict depressive symptoms among participants with high levels of spouse support.
The present study found that insecure attachment style had long-term effects on the increase in reported somatic and depressive symptoms. Moreover, perceived spouse support was found to be a buffer when encountering conflicts and not a mediator to insecure attachment in predicting reported depressive symptoms.
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