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題名 以「二階段敘說歷程」探討乳癌患者的生命故事字詞分析與創傷後成長的關係
The Relationship between Posttraumatic Growth and Word-Frequency Analysis of Life Narrative in Breast Cancer Survivors: Application of “Two-Step Narrative Process”
作者 周子倢
Chou, Tzu-Chieh
貢獻者 許文耀
Hsu, Wen-Yau
周子倢
Chou, Tzu-Chieh
關鍵詞 創傷後成長
乳癌
生命故事
語言探索與字詞計算
二階段敘說歷程
Posttraumatic growth
Breast cancer
Life story
LIWC
Two-step narrative process
日期 2023
上傳時間 6-Jul-2023 16:58:58 (UTC+8)
摘要 研究目的：本研究主要以LIWC2015探討乳癌患者的創傷後成長（PTG）形成歷程是否如同「二階段敘說歷程」（Pals & McAdams, 2004）所言，但過去文獻顯示認知詞及情緒詞與PTG的研究結果並不一致，故本研究嘗試用以下字詞處理方式來突破之。在認知詞方面，將六個認知詞子類別進行因素分析，期能萃取出代表兩個認知歷程的因素；或是以認知詞總和，搭配能表徵連貫性的複合詞來表徵。在情緒詞方面，以正向情緒詞之比例來表徵。另者，本研究欲探討乳癌患者在低潮與轉折生命故事中產生PTG的歷程，亦如同「二階段敘說歷程」？研究方法：本研究於2014至2016年收錄127位初診斷乳癌患者進行PTGI量表施測、低潮期與轉折期生命故事訪談，最終刪除資料缺漏及訪談過程受外在因素干擾而影響生命故事的完整性後，以105位患者進行後續分析。研究結果：低潮期與轉折期的KMO值皆小於.60、不適合進行因素分析，故本研究以認知詞總和、分析思維、正向情緒詞之比例的階層迴歸分析來探討PTG。在低潮期方面，認知詞總和與分析思維的二階交互作用對PTG具有正向預測力，單純斜率檢定結果顯示認知詞總和與分析思維皆高時可預測PTG。在轉折期方面，分析思維與正向情緒詞之比例，兩者的主要效果同時對PTG具有正向預測力。研究討論：在低潮期方面，個體投入認知且形成努力審思的連貫性認知，但不需有情緒解脫的作用，便可促進PTG，這樣的結果並不完全符合「二階段敘說歷程」的觀點。在轉折期方面，患者已能理解經驗對自身的意義且帶來改變，故認知投入不會影響PTG，而是將自身轉變整合進生命故事並建構出連貫性，以及對此轉變具有較多的正向情緒才會促進PTG。總結來說，低潮期與轉折期的PTG形成歷程不全然符合「二階段敘說歷程」，且會因兩種故事具不同特性而有不同的PTG形成歷程。
Objective: The aim of the study was applying “Two-Step Narrative Process” (Pals &
McAdams, 2004) to examine the PTG process in breast cancer patients by using LIWC2015. However, previous studies showed inconsistent results when exploring the relationship between cognitive/ emotional words and PTG. Therefore, the study attempted to break through it by using the word analysis strategies of the following. For cognitive words, six cognitive subcategories were submitted to exploratory factor analysis in order to extract the factors representing two cognitive processes, or to use the sum of cognitive words combined with coherence-related composite index. For emotional words, proportion-positive emotional ratio was calculated. Additionally, the study examined whether the PTG process in low point and turning point both follow “Two-Step Narrative Process” ? Method: From 2014 to 2016, the study recruited 127 Taiwanese women who were newly-diagnosed with breast cancer to complete PTGI questionnaire and interviews about low point and turning point. After excluding the data with missing information and external interference during interviews, 105 patients were finally analysed. Results: The KMO values of low point and turning point were both less than .60, indicating that factor analysis wasn’t suitable. Therefore, a hierarchical regression analysis was conducted in which PTG was regressed on the sum of cognitive words, analytical thinking and proportion-positive emotional ratio. In low point, the second order interaction between the sum of cognitive words and analytical thinking could positively predict PTG. The simple slope analysis showed that PTG could be predicted when the sum of cognitive words and analytical thinking were both high. In turning point, the main effect of analytical thinking and proportion-positive emotional ratio could both positively predict PTG. Discussion: In low point, not only engaging in cognitive processing but also coming to understand the experience in a deliberate and coherent way could promote PTG. However, emotional resolution had no influences on PTG. These results didn’t fully agree with “Two-Step Narrative Process”. In turning point, patients had already understood the meaning of the event and experienced the changes from it, so that cognitive efforts had no influences on PTG. Thus, intergrating their own transformation into their life story and constructing coherence could promote PTG, and so could experience more positive emotions generated by their own transformation. In summary, the PTG process in both low point and turning point did not fully agree with “Two-Step Narrative Process”, and were differed due to the different characteristics of the two life stories.
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描述 碩士
國立政治大學
心理學系
108752024
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0108752024
資料類型 thesis
dc.contributor.advisor 許文耀zh_TW
dc.contributor.advisor Hsu, Wen-Yauen_US
dc.contributor.author (Authors) 周子倢zh_TW
dc.contributor.author (Authors) Chou, Tzu-Chiehen_US
dc.creator (作者) 周子倢zh_TW
dc.creator (作者) Chou, Tzu-Chiehen_US
dc.date (日期) 2023en_US
dc.date.accessioned 6-Jul-2023 16:58:58 (UTC+8)-
dc.date.available 6-Jul-2023 16:58:58 (UTC+8)-
dc.date.issued (上傳時間) 6-Jul-2023 16:58:58 (UTC+8)-
dc.identifier (Other Identifiers) G0108752024en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/145915-
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) 108752024zh_TW
dc.description.abstract (摘要) 研究目的：本研究主要以LIWC2015探討乳癌患者的創傷後成長（PTG）形成歷程是否如同「二階段敘說歷程」（Pals & McAdams, 2004）所言，但過去文獻顯示認知詞及情緒詞與PTG的研究結果並不一致，故本研究嘗試用以下字詞處理方式來突破之。在認知詞方面，將六個認知詞子類別進行因素分析，期能萃取出代表兩個認知歷程的因素；或是以認知詞總和，搭配能表徵連貫性的複合詞來表徵。在情緒詞方面，以正向情緒詞之比例來表徵。另者，本研究欲探討乳癌患者在低潮與轉折生命故事中產生PTG的歷程，亦如同「二階段敘說歷程」？研究方法：本研究於2014至2016年收錄127位初診斷乳癌患者進行PTGI量表施測、低潮期與轉折期生命故事訪談，最終刪除資料缺漏及訪談過程受外在因素干擾而影響生命故事的完整性後，以105位患者進行後續分析。研究結果：低潮期與轉折期的KMO值皆小於.60、不適合進行因素分析，故本研究以認知詞總和、分析思維、正向情緒詞之比例的階層迴歸分析來探討PTG。在低潮期方面，認知詞總和與分析思維的二階交互作用對PTG具有正向預測力，單純斜率檢定結果顯示認知詞總和與分析思維皆高時可預測PTG。在轉折期方面，分析思維與正向情緒詞之比例，兩者的主要效果同時對PTG具有正向預測力。研究討論：在低潮期方面，個體投入認知且形成努力審思的連貫性認知，但不需有情緒解脫的作用，便可促進PTG，這樣的結果並不完全符合「二階段敘說歷程」的觀點。在轉折期方面，患者已能理解經驗對自身的意義且帶來改變，故認知投入不會影響PTG，而是將自身轉變整合進生命故事並建構出連貫性，以及對此轉變具有較多的正向情緒才會促進PTG。總結來說，低潮期與轉折期的PTG形成歷程不全然符合「二階段敘說歷程」，且會因兩種故事具不同特性而有不同的PTG形成歷程。zh_TW
dc.description.abstract (摘要) Objective: The aim of the study was applying “Two-Step Narrative Process” (Pals &
McAdams, 2004) to examine the PTG process in breast cancer patients by using LIWC2015. However, previous studies showed inconsistent results when exploring the relationship between cognitive/ emotional words and PTG. Therefore, the study attempted to break through it by using the word analysis strategies of the following. For cognitive words, six cognitive subcategories were submitted to exploratory factor analysis in order to extract the factors representing two cognitive processes, or to use the sum of cognitive words combined with coherence-related composite index. For emotional words, proportion-positive emotional ratio was calculated. Additionally, the study examined whether the PTG process in low point and turning point both follow “Two-Step Narrative Process” ? Method: From 2014 to 2016, the study recruited 127 Taiwanese women who were newly-diagnosed with breast cancer to complete PTGI questionnaire and interviews about low point and turning point. After excluding the data with missing information and external interference during interviews, 105 patients were finally analysed. Results: The KMO values of low point and turning point were both less than .60, indicating that factor analysis wasn’t suitable. Therefore, a hierarchical regression analysis was conducted in which PTG was regressed on the sum of cognitive words, analytical thinking and proportion-positive emotional ratio. In low point, the second order interaction between the sum of cognitive words and analytical thinking could positively predict PTG. The simple slope analysis showed that PTG could be predicted when the sum of cognitive words and analytical thinking were both high. In turning point, the main effect of analytical thinking and proportion-positive emotional ratio could both positively predict PTG. Discussion: In low point, not only engaging in cognitive processing but also coming to understand the experience in a deliberate and coherent way could promote PTG. However, emotional resolution had no influences on PTG. These results didn’t fully agree with “Two-Step Narrative Process”. In turning point, patients had already understood the meaning of the event and experienced the changes from it, so that cognitive efforts had no influences on PTG. Thus, intergrating their own transformation into their life story and constructing coherence could promote PTG, and so could experience more positive emotions generated by their own transformation. In summary, the PTG process in both low point and turning point did not fully agree with “Two-Step Narrative Process”, and were differed due to the different characteristics of the two life stories.		en_US
dc.description.tableofcontents 中文摘要 III
英文摘要 IV
目次 VI
表次 VIII
圖次 IX
第一章、緒論 1
第二章、文獻探討 4
第一節、癌症患者的創傷後成長 4
第二節、PTG的研究取向 9
第三節、字詞分析取向以及語文探索與字詞計算 20
第四節、LIWC與創傷後成長 23
第三章、研究問題與假設 32
第四章、研究方法 38
第一節、研究參與者 38
第二節、研究程序 38
第三節、研究工具 38
第四節、生命故事的前置處理 40
第五節、分析方法 40
第五章、研究結果 44
第一節、資料的前置處理與事前分析 44
第二節、六個認知詞子類別的因素結構分析 48
第三節、研究變項的描述性統計與相關分析 50
第四節、不同背景變項與PTGI總分的相關性及差異比較 53
第五節、階層迴歸分析 54
第六章、討論 60
第一節、研究結果討論 60
第二節 研究的貢獻及應用、限制及建議 71
參考文獻 74
附錄一、創傷後成長量表中文版問卷內容 85
附錄二、生命故事訪談內容 86		zh_TW
dc.format.extent 2238922 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0108752024en_US
dc.subject (關鍵詞) 創傷後成長zh_TW
dc.subject (關鍵詞) 乳癌zh_TW
dc.subject (關鍵詞) 生命故事zh_TW
dc.subject (關鍵詞) 語言探索與字詞計算zh_TW
dc.subject (關鍵詞) 二階段敘說歷程zh_TW
dc.subject (關鍵詞) Posttraumatic growthen_US
dc.subject (關鍵詞) Breast canceren_US
dc.subject (關鍵詞) Life storyen_US
dc.subject (關鍵詞) LIWCen_US
dc.subject (關鍵詞) Two-step narrative processen_US
dc.title (題名) 以「二階段敘說歷程」探討乳癌患者的生命故事字詞分析與創傷後成長的關係zh_TW
dc.title (題名) The Relationship between Posttraumatic Growth and Word-Frequency Analysis of Life Narrative in Breast Cancer Survivors: Application of “Two-Step Narrative Process”en_US
dc.type (資料類型) thesisen_US
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