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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
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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.

    摘要………………………………………………………………………………………...II 英文摘要…………………………………………………………………………………..III 致謝………………………………………………………………………………………..IV 目錄 ................................................................................................................................... VII 表圖目錄 ............................................................................................................................... X 附錄目錄 ............................................................................................................................. XI 第一章 前言 - 1 - 第一節 成人期依附 - 1 - 一、依附理論的起源 - 1 - (一) 依附的核心概念……………………………………………………… - 2 - 1. 目標調整行為系統…………………...……..………………………....- 2 - 2. 內在運作模式………………………….....……………………………- 3 - (二) 依附的發展……………………………..…..………………………….- 3 - (三) 依附型態的分類………………………..……….……………………..- 4 - 二、依附理論衍生至成人期 - 5 - (一) 依附原型自填問卷……………………………………..……………..-7- (二) 成人依附量表……………………………………………..………….- 7 - (三) 成人依附問卷…………………………………………..…………….- 8 - (四) 依附類型問卷………………………………………………..……….- 8 - (五) 人際關係問卷………………………………………………..……….- 8 - (六) 親密關係經驗量表…………………………………………..……….- 9 - 三、成人期依附風格與身心適應 - 9 - 四、小結 - 10 - 第二節 社會支持 - 11 - 一、社會支持的定義 - 11 - (一) 情緒性支持……………………...…………………………………...- 11 - (二) 工具性支持………………………………………………………- 11 - (三) 資訊性支持…………………………………………………………- 11 - (四) 評價性支持………………………………………………………- 11 - 二、社會支持對於身心症狀的影響 - 11 - 三、社會支持對於依附風格預測身心症狀上的影響 - 12 - 四、小結 - 12 - 第三節 人際衝突 - 14 - 一、人際衝突對於身心症狀的影響 - 14 - 二、人際衝突對於依附預測身心症狀上的影響 - 14 - 三、小結 - 15 - 第四節 過去研究未解決的問題 - 16 - 第五節 本研究的假設 - 17 - 第二章 方法 - 18 - 第一節 參與者與程序 - 18 - 第二節 測量工具 - 19 - 一、成人期依附………………………………………………………………- 19 - 二、症狀報告…………………………………………………………………- 20 - 三、社會支持…………………………………………………………………- 20 - 四、人際衝突…………………………………………………………………-21- 第三節 統計分析 - 22 - 第三章 結果 - 23 - 第一節 追蹤與未追蹤組的事前分析 - 23 - 第二節 兩時間點的依附類型與測量變項的相關矩陣 - 23 - 第三節 不安全依附與知覺先生支持在兩時間點預測症狀報告 - 24 - 第四節 縱貫模式下,預測症狀報告的迴歸分析 - 25 - 第四章 討論 - 27 - 第一節 橫斷模式下的假設與結果 - 28 - 第二節 縱貫模式下的假設與結果 - 30 - 一、不安全依附預測身體化的變化…………………………………….… - 30 - 二、不安全依附預測憂鬱症狀的變化…………………………………… - 30 - 三、不安全依附預測人際敏感症狀的變化……………………………… - 30 - 四、人際衝突、知覺先生支持對於不安全依附預測症狀的影響…………- 31 - 第三節 結論…………………………………………………………………-32 - 第四節 研究優點與限制……………………………………………………- 35- 一、研究優點………………………………………………………………- 35 - 二、研究貢獻與應用………………………………………………………- 36 - 三、研究限制………………………………………………………………- 36 - 第五章 文獻 - 38 - 表圖目錄 表一、 個體不同依附發展階段之反應……………………………………………-4- 表二、 陌生情境測驗的依附分類…………………………………………………-5- 表三、 成人期依附型態……………………………………………………………-6- 表四、 兩時間點下,接受追蹤與未追蹤組的人口學、測量變項的描述統計與 比較…………………………………………………………………………-45- 表五、 兩時間點內測量變項的偏態、峰度與變項間的相關矩陣………………-46- 表六、 兩個橫斷時間參與者報告症狀的迴歸分析及跨時間點比較..……………-47- 表七、 預測T2報告身體化症狀的迴歸分析………………………………………-48- 表八、 預測T2報告人際敏感的迴歸分析…………………………………………-49- 表九、 預測T2報告憂鬱症狀的迴歸分析…………………………………………-50- 圖一、 知覺先生支持調節人際衝突預測憂鬱症狀的檢驗…....…………………-51- 附錄目錄 人際關係問卷…………………………………………………………………………52 社會支援量表(配偶或親密夥伴)……………………………………………………53 選用生活事件量表題目………………………………………………………………54 選用SCL-90-R題目……………………………………………………………………55

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