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題名 探討新冠肺炎疫情三級警戒期間生活方式的改變與在家學習的經驗對國高中生之心理衝擊
Exploring the Psychological Impact of Lifestyle Change & Homeschooling on Junior & Senior High School Students during the COVID-19 Level 3 Alert作者 吳珞瑜
Wu, Lo-Yu貢獻者 許文耀
Hsu, Wen-Yau
吳珞瑜
Wu, Lo-Yu關鍵詞 青少年
在家學習
新冠肺炎
生活方式的改變
心理健康
Adolescents
COVID-19
Homeschooling
Lifestyle Change
Mental Health日期 2023 上傳時間 2-Aug-2023 13:48:08 (UTC+8) 摘要 研究背景與目的：本研究欲探討台灣因新冠肺炎疫情而實施停止上學，改為在家線上學習的狀況，對國、高中生的心理健康之影響。台灣於2021年5月中旬發布三級警戒，使學生日常生活規律發生改變、失去與同儕的社會接觸、螢幕使用提升以及學習環境改變，並可能影響其心理健康。青少年處於快速發展的時期，國、高中生以及男性、女性所面臨到疫情的學習和生活狀況可能不同，對心理健康的影響亦存在差異；此外，過去國外研究考量生活方式的改變主要以日常生活規律、社會連結程度與螢幕使用作為主要影響因素，然而這些影響因素與心理健康的關係，於研究結果上並不一致，且這些研究多分別討論生活方式的改變與在家學習的經驗對心理健康的影響，但甚少討論生活方式的改變與在家學習的經驗之間的關係。因此，本研究旨在探討生活方式的改變與在家學習的經驗對青少年心理健康之影響，研究問題包含：（一）生活方式改變是否可得出日常生活規律程度、社會連結程度與螢幕使用三個因素，並在國中與高中的兩個樣本中，其分別的因素分析是否可能得出同樣的這三個因素、（二）不同年級別（國／高中生）與不同性別於在家學習的經驗、生活方式的改變、焦慮與憂鬱是否具有差異、（三）在家學習的經驗對焦慮和憂鬱的影響，是否受到生活方式的改變之調節、（四）在家學習的經驗和生活方式的改變對焦慮和憂鬱的影響，是否受到不同年級別（國／高中生）與不同性別的調節？研究方法：本研究以台北市國、高中生為對象，於2021年6月底透過學校輔導室，利用網路問卷發放調查問卷，總計有2893位學生參與研究。問卷內容包含性別、年齡、家中經濟狀況等背景資料、在家學習的經驗、生活方式的改變以及青少年的憂鬱與焦慮。統計分析方面，本研究進行相關分析、探索性因素分析、二因子變異數分析以及階層迴歸分析，以回答上述研究問題。研究結果：由探索性因素分析得出生活方式的改變在國中生與高中生群體中涵蓋日常生活規律程度與螢幕使用兩個因素；於二因子變異數分析中，國中生在家學習的經驗和日常生活規律程度較高中生來得好、焦慮和憂鬱程度較高中生來得低、男性日常生活規律程度和螢幕使用分數較女性來得高，在家學習的經驗較女性來得低；於階層迴歸分析中，本研究發現在控制了背景變項後，在家學習的經驗與日常生活規律程度負向預測焦慮和憂鬱，且在家學習的經驗與日常生活規律程度的交互作用以及年級別與在家學習的經驗之交互作用預測憂鬱。結論：停止上學擾亂學生的學習以及日常生活規律，對焦慮和憂鬱有負面影響，然而疫情期間若能維持日常生活的規律性，便越不憂鬱；此外，在家學習的經驗對憂鬱的負面影響，高中生的影響比國中生來得大。
Background and aims: The purpose of the study is to explore the impact of school closure due to the COVID-19 pandemic and switching to online learning on the mental health of junior and high school students in Taiwan. Taiwan announced the Level 3 alert in mid-May 2021, which has caused students to change their daily routines, lose their social connection with peers, increase screen use, and to change the learning environment. The above situations may affect adolescents’ mental health. Adolescents are in a period of rapid development. Junior high and senior high school students and different gender may face different experience of homeschooling and lifestyle change during the pandemic, which may cause different impact on mental health. In addition, previous studies considered lifestyle changes mainly with daily routine, social connection and screen time as the main influencing factors. However, there are different viewpoints on the relationship between these factors and mental health. Besides, these studies often discuss the impact of lifestyle changes and homeschooling on mental health separately, but few discuss the relationship between lifestyle changes and homeschooling. According to the above mentioned, the study aims to explore the impact of lifestyle changes and homeschooling on adolescents` mental health. Research questions including: (1) Whether lifestyle changes including the three factors of daily routine, social connection and screen use. (2) Whether there are group differences in homeschooling, lifestyle changes, anxiety and depression among students of different genders and grades. (3) Whether lifestyle changes moderate the relationship between homeschooling and mental health. (4) Whether different grades and genders moderate the relationship between homeschooling, lifestyle changes, and mental health. Methods: The subjects of the study were high school students in Taipei City. The questionnaires were distributed through the school counseling center at the end of June 2021, and the study recruited 2893 students eventually. The contents of the questionnaires included background information such as gender, age, family economic status, the experiences of homeschooling, lifestyle changes and the psychological impact of COVID-19 on adolescents. During statistical analysis, the study conducts correlation analysis, factor analysis, two-way ANOVA and hierarchical regression analysis in order to answer the above research questions. Results: In exploratory factor analysis, lifestyle changes include daily routine and screen use among junior and senior high school students. In two-way ANOVA, junior high school students have better experience of homeschooling and maintain better daily routine than senior high school students. Males has higher daily routine and screen use scores are than females, while their homeschooling experience is lower than females. In the hierarchical regression analysis, this study found that after controlling the background variables, homeschooling and daily routine negatively predicted anxiety and depression, and the interaction between homeschooling and daily routine predicts depression. The interaction between grades and homeschooling also predicts depression. Conclusion: School closure disrupts students’ learning and daily routine, which has a negative impact on anxiety and depression. However, if students are able to maintain daily routine during the pandemic, they will be less depressed. Besides, the negative impact of homeschooling on depression was greater for high school students than junior high school students.參考文獻 吳麗娟、陳淑芬（2006）。國中生獨處能力與主觀生活壓力、身心健康之關係研究。教育心理學報，38(2)，85-104。李逢堅（2010）。從課業難度、學習狀態、成績壓力與教師態度檢視國中學生社會再製現象之研究。中等教育，61(3)，52-71。林烝增、刑志彬（2022）。台灣青少年在COVID-19疫情的孤寂感與情緒困擾現況之調查。台灣公共衛生雜誌，41(4)，467-478。林惠雅（2007）。青少年獨立自主發展之探討。應用心理研究，(35)，153-183。黃加明（2022）。COVID-19後疫情時期中等學校線上及混成教學的挑戰與實踐。中等教育，73(1)，96-113。曾幼涵（2010）。不同脈絡下，青少年的認同策略與適應問題之關係（未出版之博士論文）。國立政治大學心理學研究所。楊孟麗（2005）。教育成就的價值與青少年的心理健康。中華心理衛生學刊，18(2)，75-99。葉德豐、馮兆康、黃惠美、劉新莉、陳呈旭、黃建財、林川雄、黃麗玲（2022）。大學生面對新冠肺炎疫情風暴之衝擊, 因應與心理健康研究。運動與遊憩研究，16(4)，104-115。American Psychological Association. (2002). Developing adolescents: A reference for professionals.Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 395(10227), 912-920.Brom, C., Lukavský, J., Greger, D., Hannemann, T., Straková, J., & Švaříček, R. (2020, July). Mandatory home education during the COVID-19 lockdown in the Czech Republic: A rapid survey of 1st-9th graders` parents. In Frontiers in Education (Vol. 5, p. 103). Frontiers.Caroppo, E., Mazza, M., Sannella, A., Marano, G., Avallone, C., Claro, A. E., ... & Sani, G. (2021). Will nothing be the same again?: changes in lifestyle during COVID-19 pandemic and consequences on mental health. International journal of environmental research and public health, 18(16), 8433.Chang, Y. T., & Hu, Y. J. (2022). Burnout and health issues among prehospital personnel in Taiwan fire departments during a sudden spike in community COVID-19 cases: a cross-sectional study. International journal of environmental research and public health, 19(4), 2257.Chen, F., Zheng, D., Liu, J., Gong, Y., Guan, Z., & Lou, D. (2020). Depression and anxiety among adolescents during COVID-19: A cross-sectional study. Brain, behavior, and immunity, 88, 36.Chen, R. N., Liang, S. W., Peng, Y., Li, X. G., Chen, J. B., Tang, S. Y., & Zhao, J. B. (2020). Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: A large-scale survey. Journal of Psychosomatic Research, 137, 110219.Chu, Y. H., & Li, Y. C. (2022). The impact of online learning on physical and mental health in university students during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(5), 2966.Courtney, D., Watson, P., Battaglia, M., Mulsant, B. H., & Szatmari, P. (2020). COVID-19 impacts on child and youth anxiety and depression: challenges and opportunities. The Canadian Journal of Psychiatry, 65(10), 688-691.Czeisler, M. É., Lane, R. I., Petrosky, E., Wiley, J. F., Christensen, A., Njai, R., ... & Rajaratnam, S. M. (2020). Mental health, substance use, and suicidal ideation during the COVID-19 pandemic—United States, June 24–30, 2020. Morbidity and Mortality Weekly Report, 69(32), 1049.De Graaf, R., Bijl, R. V., Smit, F., Vollebergh, W. A., & Spijker, J. (2002). Risk factors for 12-month comorbidity of mood, anxiety, and substance use disorders: findings from the Netherlands Mental Health Survey and Incidence Study. American Journal of Psychiatry, 159(4), 620-629.De Miranda, D. M., da Silva Athanasio, B., Oliveira, A. C. S., & Simoes-e-Silva, A. C. (2020). How is COVID-19 pandemic impacting mental health of children and adolescents?. International journal of disaster risk reduction, 51, 101845.Dong, H., Yang, F., Lu, X., & Hao, W. (2020). Internet addiction and related psychological factors among children and adolescents in China during the coronavirus disease 2019 (COVID-19) epidemic. Frontiers in psychiatry, 11, 751.Ellis, W. E., Dumas, T. M., & Forbes, L. M. (2020). Physically isolated but socially connected: Psychological adjustment and stress among adolescents during the initial COVID-19 crisis. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 52(3), 177.Esposito, S., Giannitto, N., Squarcia, A., Neglia, C., Argentiero, A., Minichetti, P., ... & Principi, N. (2021). Development of psychological problems among adolescents during school closures because of the COVID-19 lockdown phase in Italy: A cross-sectional survey. Frontiers in Pediatrics, 975.Fegert, J. M., Vitiello, B., Plener, P. L., & Clemens, V. (2020). Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and adolescent psychiatry and mental health, 14, 1-11.Gadermann, A. C., Thomson, K. C., Richardson, C. G., Gagné, M., McAuliffe, C., Hirani, S., & Jenkins, E. (2021). Examining the impacts of the COVID-19 pandemic on family mental health in Canada: findings from a national cross-sectional study. BMJ open, 11(1), e042871.Giuntella, O., Hyde, K., Saccardo, S., & Sadoff, S. (2021). Lifestyle and mental health disruptions during COVID-19. Proceedings of the National Academy of Sciences, 118(9), e2016632118.Gurba, E., Senejko, A., Godawa, G., & Kalus, A. (2021). Closeness to parents and experiencing threats with covid-19 mediates the link between personality and stress among adolescents. International Journal of Environmental Research and Public Health, 18(12), 6358.Halldorsdottir, T., Thorisdottir, I. E., Meyers, C. C., Asgeirsdottir, B. B., Kristjansson, A. L., Valdimarsdottir, H. B., ... & Sigfusdottir, I. D. (2021). Adolescent well‐being amid the COVID‐19 pandemic: Are girls struggling more than boys?. JCPP advances, 1(2), e12027.Hamilton, J. L., Nesi, J., & Choukas-Bradley, S. (2020). Teens and social media during the COVID-19 pandemic: Staying socially connected while physically distant.Hyde, J. S., Mezulis, A. H., & Abramson, L. Y. (2008). The ABCs of depression: integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychological review, 115(2), 291.Kaiser, H. F. (1974). An index of factorial simplicity. psychometrika, 39(1), 31-36.Kessler, R. C. (2003). Epidemiology of women and depression. Journal of affective disorders, 74(1), 5-13.Kim, N. H., Lee, J. M., & Yoo, E. (2022). How the COVID-19 Pandemic Has Changed Adolescent Health: Physical Activity, Sleep, Obesity, and Mental Health. International Journal of Environmental Research and Public Health, 19(15), 9224.Laursen, B., & Hartl, A. C. (2013). Understanding loneliness during adolescence: Developmental changes that increase the risk of perceived social isolation. Journal of Adolescence, 36(6), 1261-1268.Lee, J. (2020). Mental health effects of school closures during COVID-19. The Lancet Child & Adolescent Health, 4(6), 421.Lee, J., Ko, Y. H., Chi, S., Lee, M. S., & Yoon, H. K. (2022). Impact of the COVID-19 pandemic on Korean adolescents` mental health and lifestyle factors. Journal of Adolescent Health, 71(3), 270-276.Li, S. H., Beames, J. R., Newby, J. M., Maston, K., Christensen, H., & Werner-Seidler, A. (2022). The impact of COVID-19 on the lives and mental health of Australian adolescents. European child & adolescent psychiatry, 31(9), 1465-1477.Liang, L., Ren, H., Cao, R., Hu, Y., Qin, Z., Li, C., & Mei, S. (2020). The effect of COVID-19 on youth mental health. Psychiatric quarterly, 91, 841-852.Lin, M. P. (2020). Prevalence of internet addiction during the COVID-19 outbreak and its risk factors among junior high school students in Taiwan. International journal of environmental research and public health, 17(22), 8547.Literat, I. (2021). “Teachers act like we’re robots”: TikTok as a window into youth experiences of online learning during COVID-19. AERA open, 7, 2332858421995537.Loades, M. E., Chatburn, E., Higson-Sweeney, N., Reynolds, S., Shafran, R., Brigden, A., ... & Crawley, E. (2020). Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. Journal of the American Academy of Child & Adolescent Psychiatry, 59(11), 1218-1239.Lu, M. Y., Ahorsu, D. K., Kukreti, S., Strong, C., Lin, Y. H., Kuo, Y. J., ... & Ko, W. C. (2021). The prevalence of post-traumatic stress disorder symptoms, sleep problems, and psychological distress among COVID-19 frontline healthcare workers in Taiwan. Frontiers in psychiatry, 12, 705657.Magson, N. R., Freeman, J. Y., Rapee, R. M., Richardson, C. E., Oar, E. L., & Fardouly, J. (2021). Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of youth and adolescence, 50, 44-57.Mahapatra, A., & Sharma, P. (2021). Education in times of COVID-19 pandemic: Academic stress and its psychosocial impact on children and adolescents in India. International Journal of Social Psychiatry, 67(4), 397-399.Meilman, P. W. (1979). Cross-sectional age changes in ego identity status during adolescence. Developmental Psychology, 15(2), 230.Panagouli, E., Stavridou, A., Savvidi, C., Kourti, A., Psaltopoulou, T., Sergentanis, T. N., & Tsitsika, A. (2021). School performance among children and adolescents during COVID-19 pandemic: A systematic review. Children, 8(12), 1134.Pfefferbaum, B. (2021). Challenges for child mental health raised by school closure and home confinement during the COVID-19 pandemic. Current psychiatry reports, 23(10), 65.Pokhrel, S., & Chhetri, R. (2021). A literature review on impact of COVID-19 pandemic on teaching and learning. Higher education for the future, 8(1), 133-141.Reich, J., Buttimer, C. J., Fang, A., Hillaire, G., Hirsch, K., Larke, L. R., ... & Slama, R. (2020). Remote learning guidance from state education agencies during the COVID-19 pandemic: A first look.Ren, H., He, X., Bian, X., Shang, X., & Liu, J. (2021). The protective roles of exercise and maintenance of daily living routines for Chinese adolescents during the COVID-19 quarantine period. Journal of Adolescent Health, 68(1), 35-42.Roe, A., Blikstad-Balas, M., & Dalland, C. P. (2021). The impact of COVID-19 and homeschooling on students` engagement with physical activity. Frontiers in sports and active living, 2, 589227.Sahu, P. (2020). Closure of universities due to coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus, 12(4).Santomauro, D. F., Herrera, A. M. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., ... & Ferrari, A. J. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398(10312), 1700-1712.Sari, E., Bittmann, F., & Homuth, C. (2023, April). Explaining Inequalities of Homeschooling in Germany during the first COVID-19 Lockdown. In Frontiers in Education (Vol. 8, p. 1154389). Frontiers.Smith, L., Jacob, L., Trott, M., Yakkundi, A., Butler, L., Barnett, Y., ... & Tully, M. A. (2020). The association between screen time and mental health during COVID-19: A cross sectional study. Psychiatry research, 292, 113333.Sun, T. K., Chu, L. C., & Hui, C. (2022). The Psychological Impact and Influencing Factors during Different Waves of COVID-19 Pandemic on Healthcare Workers in Central Taiwan. International Journal of Environmental Research and Public Health, 19(17), 10542.Thorell, L. B., Skoglund, C., de la Peña, A. G., Baeyens, D., Fuermaier, A., Groom, M. J., ... & Christiansen, H. (2021). Parental experiences of homeschooling during the COVID-19 pandemic: differences between seven European countries and between children with and without mental health conditions.TINMAZ, H., & Ozturk, Y. E. (2020). An overview of South Korea’s k-12 education during COVID-19 pandemic. Milli Eğitim Dergisi, 49(1), 1033-1058.Vanderloo, L. M., Carsley, S., Aglipay, M., Cost, K. T., Maguire, J., & Birken, C. S. (2020). Applying harm reduction principles to address screen time in young children amidst the COVID-19 pandemic. Journal of Developmental & Behavioral Pediatrics, 41(5), 335-336.Viner, R., Russell, S., Saulle, R., Croker, H., Stansfield, C., Packer, J., ... & Minozzi, S. (2022). School closures during social lockdown and mental health, health behaviors, and well-being among children and adolescents during the first COVID-19 wave: a systematic review. JAMA pediatrics.Wong, L. P., Hung, C. C., Alias, H., & Lee, T. S. H. (2020). Anxiety symptoms and preventive measures during the COVID-19 outbreak in Taiwan. BMC psychiatry, 20(1), 1-9.Xiang, M., Liu, Y., Yamamoto, S., Mizoue, T., & Kuwahara, K. (2022). Association of Changes of lifestyle behaviors before and during the COVID-19 pandemic with mental health: a longitudinal study in children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 92.Xie, X., Xue, Q., Zhou, Y., Zhu, K., Liu, Q., Zhang, J., & Song, R. (2020). Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China. JAMA pediatrics, 174(9), 898-900.Yu, S., & Choe, C. (2021). The covid-19 pandemic and sustainable life of Korean adolescents: exploring gender differences. Sustainability, 13(16), 8821.Zhou, S. J., Zhang, L. G., Wang, L. L., Guo, Z. C., Wang, J. Q., Chen, J. C., ... & Chen, J. X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European child & adolescent psychiatry, 29, 749-758. 描述 碩士
國立政治大學
心理學系
107752019資料來源 http://thesis.lib.nccu.edu.tw/record/#G0107752019 資料類型 thesis dc.contributor.advisor 許文耀 zh_TW dc.contributor.advisor Hsu, Wen-Yau en_US dc.contributor.author (Authors) 吳珞瑜 zh_TW dc.contributor.author (Authors) Wu, Lo-Yu en_US dc.creator (作者) 吳珞瑜 zh_TW dc.creator (作者) Wu, Lo-Yu en_US dc.date (日期) 2023 en_US dc.date.accessioned 2-Aug-2023 13:48:08 (UTC+8) - dc.date.available 2-Aug-2023 13:48:08 (UTC+8) - dc.date.issued (上傳時間) 2-Aug-2023 13:48:08 (UTC+8) - dc.identifier (Other Identifiers) G0107752019 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/146506 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 心理學系 zh_TW dc.description (描述) 107752019 zh_TW dc.description.abstract (摘要) 研究背景與目的：本研究欲探討台灣因新冠肺炎疫情而實施停止上學，改為在家線上學習的狀況，對國、高中生的心理健康之影響。台灣於2021年5月中旬發布三級警戒，使學生日常生活規律發生改變、失去與同儕的社會接觸、螢幕使用提升以及學習環境改變，並可能影響其心理健康。青少年處於快速發展的時期，國、高中生以及男性、女性所面臨到疫情的學習和生活狀況可能不同，對心理健康的影響亦存在差異；此外，過去國外研究考量生活方式的改變主要以日常生活規律、社會連結程度與螢幕使用作為主要影響因素，然而這些影響因素與心理健康的關係，於研究結果上並不一致，且這些研究多分別討論生活方式的改變與在家學習的經驗對心理健康的影響，但甚少討論生活方式的改變與在家學習的經驗之間的關係。因此，本研究旨在探討生活方式的改變與在家學習的經驗對青少年心理健康之影響，研究問題包含：（一）生活方式改變是否可得出日常生活規律程度、社會連結程度與螢幕使用三個因素，並在國中與高中的兩個樣本中，其分別的因素分析是否可能得出同樣的這三個因素、（二）不同年級別（國／高中生）與不同性別於在家學習的經驗、生活方式的改變、焦慮與憂鬱是否具有差異、（三）在家學習的經驗對焦慮和憂鬱的影響，是否受到生活方式的改變之調節、（四）在家學習的經驗和生活方式的改變對焦慮和憂鬱的影響，是否受到不同年級別（國／高中生）與不同性別的調節？研究方法：本研究以台北市國、高中生為對象，於2021年6月底透過學校輔導室，利用網路問卷發放調查問卷，總計有2893位學生參與研究。問卷內容包含性別、年齡、家中經濟狀況等背景資料、在家學習的經驗、生活方式的改變以及青少年的憂鬱與焦慮。統計分析方面，本研究進行相關分析、探索性因素分析、二因子變異數分析以及階層迴歸分析，以回答上述研究問題。研究結果：由探索性因素分析得出生活方式的改變在國中生與高中生群體中涵蓋日常生活規律程度與螢幕使用兩個因素；於二因子變異數分析中，國中生在家學習的經驗和日常生活規律程度較高中生來得好、焦慮和憂鬱程度較高中生來得低、男性日常生活規律程度和螢幕使用分數較女性來得高，在家學習的經驗較女性來得低；於階層迴歸分析中，本研究發現在控制了背景變項後，在家學習的經驗與日常生活規律程度負向預測焦慮和憂鬱，且在家學習的經驗與日常生活規律程度的交互作用以及年級別與在家學習的經驗之交互作用預測憂鬱。結論：停止上學擾亂學生的學習以及日常生活規律，對焦慮和憂鬱有負面影響，然而疫情期間若能維持日常生活的規律性，便越不憂鬱；此外，在家學習的經驗對憂鬱的負面影響，高中生的影響比國中生來得大。 zh_TW dc.description.abstract (摘要) Background and aims: The purpose of the study is to explore the impact of school closure due to the COVID-19 pandemic and switching to online learning on the mental health of junior and high school students in Taiwan. Taiwan announced the Level 3 alert in mid-May 2021, which has caused students to change their daily routines, lose their social connection with peers, increase screen use, and to change the learning environment. The above situations may affect adolescents’ mental health. Adolescents are in a period of rapid development. Junior high and senior high school students and different gender may face different experience of homeschooling and lifestyle change during the pandemic, which may cause different impact on mental health. In addition, previous studies considered lifestyle changes mainly with daily routine, social connection and screen time as the main influencing factors. However, there are different viewpoints on the relationship between these factors and mental health. Besides, these studies often discuss the impact of lifestyle changes and homeschooling on mental health separately, but few discuss the relationship between lifestyle changes and homeschooling. According to the above mentioned, the study aims to explore the impact of lifestyle changes and homeschooling on adolescents` mental health. Research questions including: (1) Whether lifestyle changes including the three factors of daily routine, social connection and screen use. (2) Whether there are group differences in homeschooling, lifestyle changes, anxiety and depression among students of different genders and grades. (3) Whether lifestyle changes moderate the relationship between homeschooling and mental health. (4) Whether different grades and genders moderate the relationship between homeschooling, lifestyle changes, and mental health. Methods: The subjects of the study were high school students in Taipei City. The questionnaires were distributed through the school counseling center at the end of June 2021, and the study recruited 2893 students eventually. The contents of the questionnaires included background information such as gender, age, family economic status, the experiences of homeschooling, lifestyle changes and the psychological impact of COVID-19 on adolescents. During statistical analysis, the study conducts correlation analysis, factor analysis, two-way ANOVA and hierarchical regression analysis in order to answer the above research questions. Results: In exploratory factor analysis, lifestyle changes include daily routine and screen use among junior and senior high school students. In two-way ANOVA, junior high school students have better experience of homeschooling and maintain better daily routine than senior high school students. Males has higher daily routine and screen use scores are than females, while their homeschooling experience is lower than females. In the hierarchical regression analysis, this study found that after controlling the background variables, homeschooling and daily routine negatively predicted anxiety and depression, and the interaction between homeschooling and daily routine predicts depression. The interaction between grades and homeschooling also predicts depression. Conclusion: School closure disrupts students’ learning and daily routine, which has a negative impact on anxiety and depression. However, if students are able to maintain daily routine during the pandemic, they will be less depressed. Besides, the negative impact of homeschooling on depression was greater for high school students than junior high school students. en_US dc.description.tableofcontents 第一章 緒論...........................1第二章 文獻探討...........................4第一節 疫情之下的生活與心理健康狀況...........................4第二節 停止上學期間的心理健康...........................8第三節 國、高中生的發展階段任務在停止上學的生活狀態與心理健康之狀況...........................9第四節 停止上學期間的生活方式改變...........................18第五節 停止上學期間在家學習的經驗...........................25第六節 在家學習的經驗和生活方式的改變之關係，與心理健康的關聯性...........................28第七節 研究問題與假設...........................31第三章 研究方法...........................34第一節 參與者與研究設計...........................34第二節 研究工具...........................34第三節 統計方法...........................36第四章 研究結果...........................39第一節 描述性統計...........................39第二節 因素分析...........................41第三節 不同年級別、不同性別在測量變項的差異...........................45第四節 相關分析...........................49第五節 階層迴歸分析...........................51第五章 討論...........................59第一節 在家學習的經驗與生活方式改變的關係對心理健康的影響...........................60第二節 國中生與高中生在家學習的經驗與生活方式的改變對心理健康影響之差異性...........................62第三節 研究貢獻與限制...........................64參考文獻...........................66附錄 學生版問卷內容...........................73 zh_TW dc.format.extent 2667997 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0107752019 en_US dc.subject (關鍵詞) 青少年 zh_TW dc.subject (關鍵詞) 在家學習 zh_TW dc.subject (關鍵詞) 新冠肺炎 zh_TW dc.subject (關鍵詞) 生活方式的改變 zh_TW dc.subject (關鍵詞) 心理健康 zh_TW dc.subject (關鍵詞) Adolescents en_US dc.subject (關鍵詞) COVID-19 en_US dc.subject (關鍵詞) Homeschooling en_US dc.subject (關鍵詞) Lifestyle Change en_US dc.subject (關鍵詞) Mental Health en_US dc.title (題名) 探討新冠肺炎疫情三級警戒期間生活方式的改變與在家學習的經驗對國高中生之心理衝擊 zh_TW dc.title (題名) Exploring the Psychological Impact of Lifestyle Change & Homeschooling on Junior & Senior High School Students during the COVID-19 Level 3 Alert en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 吳麗娟、陳淑芬（2006）。國中生獨處能力與主觀生活壓力、身心健康之關係研究。教育心理學報，38(2)，85-104。李逢堅（2010）。從課業難度、學習狀態、成績壓力與教師態度檢視國中學生社會再製現象之研究。中等教育，61(3)，52-71。林烝增、刑志彬（2022）。台灣青少年在COVID-19疫情的孤寂感與情緒困擾現況之調查。台灣公共衛生雜誌，41(4)，467-478。林惠雅（2007）。青少年獨立自主發展之探討。應用心理研究，(35)，153-183。黃加明（2022）。COVID-19後疫情時期中等學校線上及混成教學的挑戰與實踐。中等教育，73(1)，96-113。曾幼涵（2010）。不同脈絡下，青少年的認同策略與適應問題之關係（未出版之博士論文）。國立政治大學心理學研究所。楊孟麗（2005）。教育成就的價值與青少年的心理健康。中華心理衛生學刊，18(2)，75-99。葉德豐、馮兆康、黃惠美、劉新莉、陳呈旭、黃建財、林川雄、黃麗玲（2022）。大學生面對新冠肺炎疫情風暴之衝擊, 因應與心理健康研究。運動與遊憩研究，16(4)，104-115。American Psychological Association. (2002). Developing adolescents: A reference for professionals.Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 395(10227), 912-920.Brom, C., Lukavský, J., Greger, D., Hannemann, T., Straková, J., & Švaříček, R. (2020, July). Mandatory home education during the COVID-19 lockdown in the Czech Republic: A rapid survey of 1st-9th graders` parents. In Frontiers in Education (Vol. 5, p. 103). Frontiers.Caroppo, E., Mazza, M., Sannella, A., Marano, G., Avallone, C., Claro, A. E., ... & Sani, G. (2021). Will nothing be the same again?: changes in lifestyle during COVID-19 pandemic and consequences on mental health. International journal of environmental research and public health, 18(16), 8433.Chang, Y. T., & Hu, Y. J. (2022). Burnout and health issues among prehospital personnel in Taiwan fire departments during a sudden spike in community COVID-19 cases: a cross-sectional study. International journal of environmental research and public health, 19(4), 2257.Chen, F., Zheng, D., Liu, J., Gong, Y., Guan, Z., & Lou, D. (2020). Depression and anxiety among adolescents during COVID-19: A cross-sectional study. Brain, behavior, and immunity, 88, 36.Chen, R. N., Liang, S. W., Peng, Y., Li, X. G., Chen, J. B., Tang, S. Y., & Zhao, J. B. (2020). Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: A large-scale survey. Journal of Psychosomatic Research, 137, 110219.Chu, Y. H., & Li, Y. C. (2022). The impact of online learning on physical and mental health in university students during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(5), 2966.Courtney, D., Watson, P., Battaglia, M., Mulsant, B. H., & Szatmari, P. (2020). COVID-19 impacts on child and youth anxiety and depression: challenges and opportunities. The Canadian Journal of Psychiatry, 65(10), 688-691.Czeisler, M. É., Lane, R. I., Petrosky, E., Wiley, J. F., Christensen, A., Njai, R., ... & Rajaratnam, S. M. (2020). Mental health, substance use, and suicidal ideation during the COVID-19 pandemic—United States, June 24–30, 2020. Morbidity and Mortality Weekly Report, 69(32), 1049.De Graaf, R., Bijl, R. V., Smit, F., Vollebergh, W. A., & Spijker, J. (2002). Risk factors for 12-month comorbidity of mood, anxiety, and substance use disorders: findings from the Netherlands Mental Health Survey and Incidence Study. American Journal of Psychiatry, 159(4), 620-629.De Miranda, D. M., da Silva Athanasio, B., Oliveira, A. C. S., & Simoes-e-Silva, A. C. (2020). How is COVID-19 pandemic impacting mental health of children and adolescents?. International journal of disaster risk reduction, 51, 101845.Dong, H., Yang, F., Lu, X., & Hao, W. (2020). Internet addiction and related psychological factors among children and adolescents in China during the coronavirus disease 2019 (COVID-19) epidemic. Frontiers in psychiatry, 11, 751.Ellis, W. E., Dumas, T. M., & Forbes, L. M. (2020). Physically isolated but socially connected: Psychological adjustment and stress among adolescents during the initial COVID-19 crisis. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 52(3), 177.Esposito, S., Giannitto, N., Squarcia, A., Neglia, C., Argentiero, A., Minichetti, P., ... & Principi, N. (2021). Development of psychological problems among adolescents during school closures because of the COVID-19 lockdown phase in Italy: A cross-sectional survey. Frontiers in Pediatrics, 975.Fegert, J. M., Vitiello, B., Plener, P. L., & Clemens, V. (2020). Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child and adolescent psychiatry and mental health, 14, 1-11.Gadermann, A. C., Thomson, K. C., Richardson, C. G., Gagné, M., McAuliffe, C., Hirani, S., & Jenkins, E. (2021). Examining the impacts of the COVID-19 pandemic on family mental health in Canada: findings from a national cross-sectional study. BMJ open, 11(1), e042871.Giuntella, O., Hyde, K., Saccardo, S., & Sadoff, S. (2021). Lifestyle and mental health disruptions during COVID-19. Proceedings of the National Academy of Sciences, 118(9), e2016632118.Gurba, E., Senejko, A., Godawa, G., & Kalus, A. (2021). Closeness to parents and experiencing threats with covid-19 mediates the link between personality and stress among adolescents. International Journal of Environmental Research and Public Health, 18(12), 6358.Halldorsdottir, T., Thorisdottir, I. E., Meyers, C. C., Asgeirsdottir, B. B., Kristjansson, A. L., Valdimarsdottir, H. B., ... & Sigfusdottir, I. D. (2021). Adolescent well‐being amid the COVID‐19 pandemic: Are girls struggling more than boys?. JCPP advances, 1(2), e12027.Hamilton, J. L., Nesi, J., & Choukas-Bradley, S. (2020). Teens and social media during the COVID-19 pandemic: Staying socially connected while physically distant.Hyde, J. S., Mezulis, A. H., & Abramson, L. Y. (2008). The ABCs of depression: integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychological review, 115(2), 291.Kaiser, H. F. (1974). An index of factorial simplicity. psychometrika, 39(1), 31-36.Kessler, R. C. (2003). Epidemiology of women and depression. Journal of affective disorders, 74(1), 5-13.Kim, N. H., Lee, J. M., & Yoo, E. (2022). How the COVID-19 Pandemic Has Changed Adolescent Health: Physical Activity, Sleep, Obesity, and Mental Health. International Journal of Environmental Research and Public Health, 19(15), 9224.Laursen, B., & Hartl, A. C. (2013). Understanding loneliness during adolescence: Developmental changes that increase the risk of perceived social isolation. Journal of Adolescence, 36(6), 1261-1268.Lee, J. (2020). Mental health effects of school closures during COVID-19. The Lancet Child & Adolescent Health, 4(6), 421.Lee, J., Ko, Y. H., Chi, S., Lee, M. S., & Yoon, H. K. (2022). Impact of the COVID-19 pandemic on Korean adolescents` mental health and lifestyle factors. Journal of Adolescent Health, 71(3), 270-276.Li, S. H., Beames, J. R., Newby, J. M., Maston, K., Christensen, H., & Werner-Seidler, A. (2022). The impact of COVID-19 on the lives and mental health of Australian adolescents. European child & adolescent psychiatry, 31(9), 1465-1477.Liang, L., Ren, H., Cao, R., Hu, Y., Qin, Z., Li, C., & Mei, S. (2020). The effect of COVID-19 on youth mental health. Psychiatric quarterly, 91, 841-852.Lin, M. P. (2020). Prevalence of internet addiction during the COVID-19 outbreak and its risk factors among junior high school students in Taiwan. International journal of environmental research and public health, 17(22), 8547.Literat, I. (2021). “Teachers act like we’re robots”: TikTok as a window into youth experiences of online learning during COVID-19. AERA open, 7, 2332858421995537.Loades, M. E., Chatburn, E., Higson-Sweeney, N., Reynolds, S., Shafran, R., Brigden, A., ... & Crawley, E. (2020). Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. Journal of the American Academy of Child & Adolescent Psychiatry, 59(11), 1218-1239.Lu, M. Y., Ahorsu, D. K., Kukreti, S., Strong, C., Lin, Y. H., Kuo, Y. J., ... & Ko, W. C. (2021). The prevalence of post-traumatic stress disorder symptoms, sleep problems, and psychological distress among COVID-19 frontline healthcare workers in Taiwan. Frontiers in psychiatry, 12, 705657.Magson, N. R., Freeman, J. Y., Rapee, R. M., Richardson, C. E., Oar, E. L., & Fardouly, J. (2021). Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of youth and adolescence, 50, 44-57.Mahapatra, A., & Sharma, P. (2021). Education in times of COVID-19 pandemic: Academic stress and its psychosocial impact on children and adolescents in India. International Journal of Social Psychiatry, 67(4), 397-399.Meilman, P. W. (1979). Cross-sectional age changes in ego identity status during adolescence. Developmental Psychology, 15(2), 230.Panagouli, E., Stavridou, A., Savvidi, C., Kourti, A., Psaltopoulou, T., Sergentanis, T. N., & Tsitsika, A. (2021). School performance among children and adolescents during COVID-19 pandemic: A systematic review. Children, 8(12), 1134.Pfefferbaum, B. (2021). Challenges for child mental health raised by school closure and home confinement during the COVID-19 pandemic. Current psychiatry reports, 23(10), 65.Pokhrel, S., & Chhetri, R. (2021). A literature review on impact of COVID-19 pandemic on teaching and learning. Higher education for the future, 8(1), 133-141.Reich, J., Buttimer, C. J., Fang, A., Hillaire, G., Hirsch, K., Larke, L. R., ... & Slama, R. (2020). Remote learning guidance from state education agencies during the COVID-19 pandemic: A first look.Ren, H., He, X., Bian, X., Shang, X., & Liu, J. (2021). The protective roles of exercise and maintenance of daily living routines for Chinese adolescents during the COVID-19 quarantine period. Journal of Adolescent Health, 68(1), 35-42.Roe, A., Blikstad-Balas, M., & Dalland, C. P. (2021). The impact of COVID-19 and homeschooling on students` engagement with physical activity. Frontiers in sports and active living, 2, 589227.Sahu, P. (2020). Closure of universities due to coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus, 12(4).Santomauro, D. F., Herrera, A. M. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., ... & Ferrari, A. J. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398(10312), 1700-1712.Sari, E., Bittmann, F., & Homuth, C. (2023, April). Explaining Inequalities of Homeschooling in Germany during the first COVID-19 Lockdown. In Frontiers in Education (Vol. 8, p. 1154389). Frontiers.Smith, L., Jacob, L., Trott, M., Yakkundi, A., Butler, L., Barnett, Y., ... & Tully, M. A. (2020). The association between screen time and mental health during COVID-19: A cross sectional study. Psychiatry research, 292, 113333.Sun, T. K., Chu, L. C., & Hui, C. (2022). The Psychological Impact and Influencing Factors during Different Waves of COVID-19 Pandemic on Healthcare Workers in Central Taiwan. International Journal of Environmental Research and Public Health, 19(17), 10542.Thorell, L. B., Skoglund, C., de la Peña, A. G., Baeyens, D., Fuermaier, A., Groom, M. J., ... & Christiansen, H. (2021). Parental experiences of homeschooling during the COVID-19 pandemic: differences between seven European countries and between children with and without mental health conditions.TINMAZ, H., & Ozturk, Y. E. (2020). An overview of South Korea’s k-12 education during COVID-19 pandemic. Milli Eğitim Dergisi, 49(1), 1033-1058.Vanderloo, L. M., Carsley, S., Aglipay, M., Cost, K. T., Maguire, J., & Birken, C. S. (2020). Applying harm reduction principles to address screen time in young children amidst the COVID-19 pandemic. Journal of Developmental & Behavioral Pediatrics, 41(5), 335-336.Viner, R., Russell, S., Saulle, R., Croker, H., Stansfield, C., Packer, J., ... & Minozzi, S. (2022). School closures during social lockdown and mental health, health behaviors, and well-being among children and adolescents during the first COVID-19 wave: a systematic review. JAMA pediatrics.Wong, L. P., Hung, C. C., Alias, H., & Lee, T. S. H. (2020). Anxiety symptoms and preventive measures during the COVID-19 outbreak in Taiwan. BMC psychiatry, 20(1), 1-9.Xiang, M., Liu, Y., Yamamoto, S., Mizoue, T., & Kuwahara, K. (2022). Association of Changes of lifestyle behaviors before and during the COVID-19 pandemic with mental health: a longitudinal study in children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 19(1), 92.Xie, X., Xue, Q., Zhou, Y., Zhu, K., Liu, Q., Zhang, J., & Song, R. (2020). Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China. JAMA pediatrics, 174(9), 898-900.Yu, S., & Choe, C. (2021). The covid-19 pandemic and sustainable life of Korean adolescents: exploring gender differences. Sustainability, 13(16), 8821.Zhou, S. J., Zhang, L. G., Wang, L. L., Guo, Z. C., Wang, J. Q., Chen, J. C., ... & Chen, J. X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European child & adolescent psychiatry, 29, 749-758. zh_TW
