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題名 不同渴求構念與焦慮、憂鬱以及執行功能的關係－針對海洛因戒治人之探討
The relationship of different constructs of craving with anxiety, depression and executive function.
作者 李人儀
貢獻者 許文耀
李人儀
關鍵詞 海洛因
渴求
焦慮
憂鬱
執行功能
工作記憶
日期 2009
上傳時間 3-Sep-2013 13:24:43 (UTC+8)
摘要 本研究目的為探討國內海洛因戒治人的渴求經驗，試圖檢驗藥物渴望量表(DDQ)(Franken, 2002)在台灣樣本的信效度，同時了解不同渴求構念與焦慮、憂鬱以及執行功能的關係。
首先根據過去渴求模式以及相關渴求量表發展，提出藥物渴望量表的兩個不同因素結模型，分別為模型一正增強、負增強以及控制，模型二渴望與意圖、結果預期以及控制，由探索性因素分析與驗證性因素分析結果顯示，藥物渴望量表的控制因素無法穩定反應渴求構念，但正增強與負增強、渴望與意圖與結果預期兩模型則可得到良好的支持，其中正增強與負增強之模型顯著優於單因素模型。
相關分析結果顯示，渴求的正增強與負增強兩構念皆與焦慮、憂鬱情緒達顯著正相關，淨相關分析中顯示排除正增強影響後，負增強仍與焦慮強緒有顯著相關。渴求也與執行功能中的工作記憶、訊息處理速度有顯著的負相關。研究結果初步顯示國內海洛因戒治人之不同渴求狀態與焦慮、憂鬱以及執行功能之關係，顯示在成癮治療過程中，不僅須處理渴求經驗，同時也須針對焦慮、憂鬱情緒做介入，並考慮認知功能對治療、復發的影響，以降低個案復發的風險。
The purpose of the present study was to discuss the craving experience of heroin addicts during compulsory treatment in Taiwan. Drug Desire Questionnaire (Franken, 2002) was used to investigate different craving constructs that were positive reinforcement, negative reinforcement and control. DDQ was validated in this research. This study also examined the relationships between heroin craving, depression, anxiety and executive function.
According to models of craving and research, the present study tried to examine the two models of DDQ simultaneously. Two models were also accepted but the model composed positive reinforcement and negative reinforcement was better than one-factor model. Control factor of DDQ was not validated.
The result of partial correlation analysis revealed that negative reinforcement was significantly related to anxiety after control the effect of positive reinforcement. According to the results of correlation analysis, two different craving construct were also significantly related to working memory and not related to the other ability of executive function. Implications for clinical applications and future research were also suggested.
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描述 碩士
國立政治大學
心理學研究所
95752013
98
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0095752013
資料類型 thesis
dc.contributor.advisor 許文耀zh_TW
dc.contributor.author (Authors) 李人儀zh_TW
dc.creator (作者) 李人儀zh_TW
dc.date (日期) 2009en_US
dc.date.accessioned 3-Sep-2013 13:24:43 (UTC+8)-
dc.date.available 3-Sep-2013 13:24:43 (UTC+8)-
dc.date.issued (上傳時間) 3-Sep-2013 13:24:43 (UTC+8)-
dc.identifier (Other Identifiers) G0095752013en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/59694-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 心理學研究所zh_TW
dc.description (描述) 95752013zh_TW
dc.description (描述) 98zh_TW
dc.description.abstract (摘要) 本研究目的為探討國內海洛因戒治人的渴求經驗，試圖檢驗藥物渴望量表(DDQ)(Franken, 2002)在台灣樣本的信效度，同時了解不同渴求構念與焦慮、憂鬱以及執行功能的關係。
首先根據過去渴求模式以及相關渴求量表發展，提出藥物渴望量表的兩個不同因素結模型，分別為模型一正增強、負增強以及控制，模型二渴望與意圖、結果預期以及控制，由探索性因素分析與驗證性因素分析結果顯示，藥物渴望量表的控制因素無法穩定反應渴求構念，但正增強與負增強、渴望與意圖與結果預期兩模型則可得到良好的支持，其中正增強與負增強之模型顯著優於單因素模型。
相關分析結果顯示，渴求的正增強與負增強兩構念皆與焦慮、憂鬱情緒達顯著正相關，淨相關分析中顯示排除正增強影響後，負增強仍與焦慮強緒有顯著相關。渴求也與執行功能中的工作記憶、訊息處理速度有顯著的負相關。研究結果初步顯示國內海洛因戒治人之不同渴求狀態與焦慮、憂鬱以及執行功能之關係，顯示在成癮治療過程中，不僅須處理渴求經驗，同時也須針對焦慮、憂鬱情緒做介入，並考慮認知功能對治療、復發的影響，以降低個案復發的風險。		zh_TW
dc.description.abstract (摘要) The purpose of the present study was to discuss the craving experience of heroin addicts during compulsory treatment in Taiwan. Drug Desire Questionnaire (Franken, 2002) was used to investigate different craving constructs that were positive reinforcement, negative reinforcement and control. DDQ was validated in this research. This study also examined the relationships between heroin craving, depression, anxiety and executive function.
According to models of craving and research, the present study tried to examine the two models of DDQ simultaneously. Two models were also accepted but the model composed positive reinforcement and negative reinforcement was better than one-factor model. Control factor of DDQ was not validated.
The result of partial correlation analysis revealed that negative reinforcement was significantly related to anxiety after control the effect of positive reinforcement. According to the results of correlation analysis, two different craving construct were also significantly related to working memory and not related to the other ability of executive function. Implications for clinical applications and future research were also suggested.		en_US
dc.description.tableofcontents 第一章 緒論 1
第二章 文獻探討 5
　第一節 渴求的定義與模式 5
　第二節 自陳式渴求量表 14
　第三節 渴求與依賴嚴重度的關聯 29
　第四節 渴求與負向情緒的關聯 31
　第五節 渴求與執行功能之探討 34
　第六節 研究目的與假設 38
第三章 研究方法 40
　第一節 研究對象 40
　第二節 研究工具 40
　第三節　資料分析 47
第四章 研究結果 49
　第一節 受試者的基本資料描述 49
　第二節 藥物渴望量表(DDQ)與各變項之關係 53
第五章 綜合討論 68
　第一節 渴求構念之探討 68
　第二節 渴求與焦慮、憂鬱以及執行功能關係之探討 74
　第三節 研究限制與未來方向 80
參考文獻 83
附 錄 研究使用問卷 95		zh_TW
dc.format.extent 6801651 bytes-
dc.format.mimetype application/pdf-
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0095752013en_US
dc.subject (關鍵詞) 海洛因zh_TW
dc.subject (關鍵詞) 渴求zh_TW
dc.subject (關鍵詞) 焦慮zh_TW
dc.subject (關鍵詞) 憂鬱zh_TW
dc.subject (關鍵詞) 執行功能zh_TW
dc.subject (關鍵詞) 工作記憶zh_TW
dc.title (題名) 不同渴求構念與焦慮、憂鬱以及執行功能的關係－針對海洛因戒治人之探討zh_TW
dc.title (題名) The relationship of different constructs of craving with anxiety, depression and executive function.en_US
dc.type (資料類型) thesisen
dc.relation.reference (參考文獻) 中文部分
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