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題名 兒少不當對待對自我傷害之影響:負向認知與情緒調節困難的多重中介模型
Childhood Maltreatment and Non-suicidal Self-Harm Behavior: The mediating Role of Negative Cognitions and Emotion Regulation Difficulty作者 陳浩輝
Chan, Hou-Fai貢獻者 傅如馨
Fu, Ju-Hsin
陳浩輝
Chan, Hou-Fai關鍵詞 兒少不當對待
認知三元素
情緒調節
非自殺自傷
高中職生
childhood maltreatment
cognitive triad
emotion regulation
non-suicidal self-injury
senior high school students日期 2020 上傳時間 3-Aug-2020 18:39:13 (UTC+8) 摘要 本研究結合憂鬱認知理論(Beck, 1967)、發展心理病理模式(Yates, 2004)、自我傷害整合模式(Nock, 2009)及認知情緒模式(Hasking, Whitlock, Voon & Rose, 2017)的觀點,探討兒少不當對待、負向認知、情緒調節困難及自我傷害等四者間的關係,並建立整體模型。綜觀近年的研究,認知因素被認為與自傷有關,認知情緒模式主張自傷的個體會先進行認知考量,進而選取不同的因應方式,上述其餘理論則補充負向認知的形成因素(如:兒少不當對待),以及自傷的維持因素(如:情緒調節困難)。因此,本研究檢驗兒少不當對待對自我傷害的影響,假設兒少不當對待透過負向認知、情緒調節進而影響自我傷害。本研究參與者為654位高中職生,自傷比率為20.4%,採用問卷調查法,量表包括兒時創傷量表、認知三元素量表、情緒調節量表及自我傷害行為量表,對背景變項與研究變項進行描述性統計、卡方檢定、獨立樣本t檢定、相關分析及結構方程式模型以驗證研究假設。主要研究結果顯示:(一)兒少不當對待、負向認知、情緒調節困難為自我傷害的風險因子;(二)負向認知透過情緒調節困難預測自傷頻率與自傷方式數;(三)情緒不當對待直接預測負向認知、情緒調節困難及自傷頻率與方式數;(四)僅情緒不當對待透過情緒調節困難影響自我傷害;(五)情緒不當對待與情緒忽視先透過負向認知,進而讓情緒調節困難影響自我傷害。(六)在各自的兒少不當對待模型中,情緒不當對待、身體不當對待能直接影響自我傷害。(七)在各自的兒少不當對待模型中,各種不當對待皆會先透過負向認知,進而讓情緒調節困難影響自我傷害。根據研究結果,針對不當對待與自傷防治提出未來研究及實務工作上的建議。
This study combines the points of view of depression cognitive theory (Beck, 1967), developmental psychopathology model (Yates, 2004), integrated theoretical model of self-injury(Nock, 2009) as well as cognitive-emotional model of non-suicidal self-injury(Hasking, Whitlock, Voon & Rose, 2017) to discuss the relationships among childhood maltreatment, negative cognition, emotion regulation difficulties and self-harm, and to establish an integrated model. Making a comprehensive survey of the research for the past few years, cognitive factors are deemed to be related to non-suicidal self-injury (NSSI). The cognitive-emotional model claims that the individual of self-injury will first carry out cognitive consideration, and then select varying coping styles. The rest theories mentioned above supplement the formative factors of negative cognition (for instance: childhood maltreatment), as well as the sustentive factors of self-injury (for instance: emotion regulation difficulties). As a result, this study examines the influence of childhood maltreatment on self-harm, and hypothesizes that childhood maltreatment further influences self-harm through negative cognition and emotion regulation. The participants of this study are 654 senior high school students, with a self-injury ratio of 20.4 percent. This research adopts questionnaire survey, consisting of childhood trauma questionnaire, cognitive triad inventory, difficulties in emotion regulation scale as well as self-injurious behavior scale, and carries out descriptive statistics, Chi-square test, Independent-Samples t-test, correlation analysis as well as Structural Equation Modeling (SEM) on background variables and research variables, so as to verify the research hypothesis. The primary study results show that: (I) childhood maltreatment, negative cognition and emotion regulation difficulties are the risk factors of self-harm; (II) Negative cognition predicts the frequency of self-injury and the number of self-injury ways through emotion regulation difficulties; (III) Emotional maltreatment directly predicts negative cognition, emotion regulation difficulties, as well as the frequency and number of ways of self-injury; (IV) Emotional maltreatment alone influences self-harm through emotion regulation difficulties; (V) Emotional maltreatment and emotional neglect will first through negative cognition, and then let emotion regulation difficulties influence self-harm; (VI) In their respective childhood maltreatment models, emotional maltreatment and physical maltreatment can directly influence self-harm. 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國立政治大學
輔導與諮商碩士學位學程
105172011資料來源 http://thesis.lib.nccu.edu.tw/record/#G0105172011 資料類型 thesis dc.contributor.advisor 傅如馨 zh_TW dc.contributor.advisor Fu, Ju-Hsin en_US dc.contributor.author (Authors) 陳浩輝 zh_TW dc.contributor.author (Authors) Chan, Hou-Fai en_US dc.creator (作者) 陳浩輝 zh_TW dc.creator (作者) Chan, Hou-Fai en_US dc.date (日期) 2020 en_US dc.date.accessioned 3-Aug-2020 18:39:13 (UTC+8) - dc.date.available 3-Aug-2020 18:39:13 (UTC+8) - dc.date.issued (上傳時間) 3-Aug-2020 18:39:13 (UTC+8) - dc.identifier (Other Identifiers) G0105172011 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/131332 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 輔導與諮商碩士學位學程 zh_TW dc.description (描述) 105172011 zh_TW dc.description.abstract (摘要) 本研究結合憂鬱認知理論(Beck, 1967)、發展心理病理模式(Yates, 2004)、自我傷害整合模式(Nock, 2009)及認知情緒模式(Hasking, Whitlock, Voon & Rose, 2017)的觀點,探討兒少不當對待、負向認知、情緒調節困難及自我傷害等四者間的關係,並建立整體模型。綜觀近年的研究,認知因素被認為與自傷有關,認知情緒模式主張自傷的個體會先進行認知考量,進而選取不同的因應方式,上述其餘理論則補充負向認知的形成因素(如:兒少不當對待),以及自傷的維持因素(如:情緒調節困難)。因此,本研究檢驗兒少不當對待對自我傷害的影響,假設兒少不當對待透過負向認知、情緒調節進而影響自我傷害。本研究參與者為654位高中職生,自傷比率為20.4%,採用問卷調查法,量表包括兒時創傷量表、認知三元素量表、情緒調節量表及自我傷害行為量表,對背景變項與研究變項進行描述性統計、卡方檢定、獨立樣本t檢定、相關分析及結構方程式模型以驗證研究假設。主要研究結果顯示:(一)兒少不當對待、負向認知、情緒調節困難為自我傷害的風險因子;(二)負向認知透過情緒調節困難預測自傷頻率與自傷方式數;(三)情緒不當對待直接預測負向認知、情緒調節困難及自傷頻率與方式數;(四)僅情緒不當對待透過情緒調節困難影響自我傷害;(五)情緒不當對待與情緒忽視先透過負向認知,進而讓情緒調節困難影響自我傷害。(六)在各自的兒少不當對待模型中,情緒不當對待、身體不當對待能直接影響自我傷害。(七)在各自的兒少不當對待模型中,各種不當對待皆會先透過負向認知,進而讓情緒調節困難影響自我傷害。根據研究結果,針對不當對待與自傷防治提出未來研究及實務工作上的建議。 zh_TW dc.description.abstract (摘要) This study combines the points of view of depression cognitive theory (Beck, 1967), developmental psychopathology model (Yates, 2004), integrated theoretical model of self-injury(Nock, 2009) as well as cognitive-emotional model of non-suicidal self-injury(Hasking, Whitlock, Voon & Rose, 2017) to discuss the relationships among childhood maltreatment, negative cognition, emotion regulation difficulties and self-harm, and to establish an integrated model. Making a comprehensive survey of the research for the past few years, cognitive factors are deemed to be related to non-suicidal self-injury (NSSI). The cognitive-emotional model claims that the individual of self-injury will first carry out cognitive consideration, and then select varying coping styles. The rest theories mentioned above supplement the formative factors of negative cognition (for instance: childhood maltreatment), as well as the sustentive factors of self-injury (for instance: emotion regulation difficulties). As a result, this study examines the influence of childhood maltreatment on self-harm, and hypothesizes that childhood maltreatment further influences self-harm through negative cognition and emotion regulation. The participants of this study are 654 senior high school students, with a self-injury ratio of 20.4 percent. This research adopts questionnaire survey, consisting of childhood trauma questionnaire, cognitive triad inventory, difficulties in emotion regulation scale as well as self-injurious behavior scale, and carries out descriptive statistics, Chi-square test, Independent-Samples t-test, correlation analysis as well as Structural Equation Modeling (SEM) on background variables and research variables, so as to verify the research hypothesis. The primary study results show that: (I) childhood maltreatment, negative cognition and emotion regulation difficulties are the risk factors of self-harm; (II) Negative cognition predicts the frequency of self-injury and the number of self-injury ways through emotion regulation difficulties; (III) Emotional maltreatment directly predicts negative cognition, emotion regulation difficulties, as well as the frequency and number of ways of self-injury; (IV) Emotional maltreatment alone influences self-harm through emotion regulation difficulties; (V) Emotional maltreatment and emotional neglect will first through negative cognition, and then let emotion regulation difficulties influence self-harm; (VI) In their respective childhood maltreatment models, emotional maltreatment and physical maltreatment can directly influence self-harm. (VII) In their respective childhood maltreatment models, various kinds of childhood maltreatment will first through negative cognition, and then let emotion regulation difficulties influence self-harm. In accordance with study results, in allusion to childhood maltreatment and prevention and treatment of self-injury, this article comes up with some suggestions for future studies as well as practical work. en_US dc.description.tableofcontents 第一章 緒論 1第一節 研究動機與目的 1第二節 研究問題 4第三節 名詞釋義 6第二章 文獻探討 9第一節 自我傷害的相關現象 9第二節兒少不當對待的相關現象 18第三節兒少不當對待經驗、負向認知與自我傷害 23第四節兒少不當對待、負向認知、情緒調節困難與自我傷害 31第五節研究架構與假設 38第三章 研究方法 39第一節 研究參與者 39第二節 研究工具 39第三節 施測程序 43第四節 資料分析 44第四章 研究結果 46第一節 描述統計分析 46第二節 各變項的差異比較 49第三節 各變項的相關分析 53第四節 假設模型驗證 55第五章 綜合討論與建議 76第一節 研究摘述 76第二節 研究結果討論 79第三節 研究限制與建議 89參考文獻 93附錄 106 zh_TW dc.format.extent 2010811 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0105172011 en_US dc.subject (關鍵詞) 兒少不當對待 zh_TW dc.subject (關鍵詞) 認知三元素 zh_TW dc.subject (關鍵詞) 情緒調節 zh_TW dc.subject (關鍵詞) 非自殺自傷 zh_TW dc.subject (關鍵詞) 高中職生 zh_TW dc.subject (關鍵詞) childhood maltreatment en_US dc.subject (關鍵詞) cognitive triad en_US dc.subject (關鍵詞) emotion regulation en_US dc.subject (關鍵詞) non-suicidal self-injury en_US dc.subject (關鍵詞) senior high school students en_US dc.title (題名) 兒少不當對待對自我傷害之影響:負向認知與情緒調節困難的多重中介模型 zh_TW dc.title (題名) Childhood Maltreatment and Non-suicidal Self-Harm Behavior: The mediating Role of Negative Cognitions and Emotion Regulation Difficulty en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 王韋婷、許文耀(2015)。自傷行為與自殺危險性的階層預測模式-三元模式的延伸。中華心理學刊,57(4),303-318。王怡穆(2010)。兒童期受不當對待與大學生自尊、共依附之相關研究(未出版之碩士論文)。市立教育大學心理與諮商學系,台北市。古永利、張永源、唐子俊、龍佛衛、陳能清、孫家瑞(2010)。Beck憂鬱認知模式中不同認知因子關係之檢驗。中華心理學刊,52(1),47-56。江孟蓉、吳茵茵、李佳陵、胡嘉琪、趙恬儀(譯)(民104)。DBT?技巧訓練手冊(上冊)(原作者:Marsha M. 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