學術產出-學位論文

題名 癌症病患社會比較及其相關因素之研究—新癌症病患與舊癌症病患之比較
Social Comparison and Its Related Variables of Cancer Patients: the Difference between New Cancer Patients and Old Cancer Patients
作者 張丁升
貢獻者 許文耀
張丁升
關鍵詞 癌症病患
社會比較
社會比較動機
社會比較效果
比較模式
比較面向
cancer patients
social comparison
social comparison motive
social comparison effect
the models of social comparison
the dimensions of social comparison
日期 2005
上傳時間 8-十二月-2010 11:40:56 (UTC+8)
摘要 本研究之主要目的在於瞭解癌症病患社會比較行為之現況與相關因素之探討,包括社會比較動機、不同之比較面向與比較模式之對象、社會比較效果,進而探索新癌症病患與舊癌症病患在社會比較行為上的差異性;其次,探討自尊、身心健康情形與社會比較之關係。本研究以問卷調查的方式,訪談全國癌症病友中心的癌症病患,共計134位,包括各50位新、舊乳癌病患與21位新腸癌病患、13位舊腸癌病患。本研究使用社會比較動機量表中文版、自尊量表中文版、一般健康量表中文版以及研究者自編的社會比較問卷,進行相關統計分析與假設考驗。研究結果發現,癌症病患主要社會比較動機是同盟、自我增進、自我彰顯等動機;新、舊癌症病患在社會比較行為上皆有顯著性的差異,包括社會比較動機、社會比較的對象與方式、以及社會比較的負向效果。另一方面,自尊越低與一般健康情形越差的癌症病患,其社會比較的負向效果也越大。最後,根據研究結果與討論,提出對未來相關研究、癌症病患的心理社會介入與臨床應用的建議。
The main purpose of this study was to explore the social comparison process and its correlates among cancer patients. The first purpose of this study was to understand the differences of social comparison process between new cancer patients and old cancer patients, not only including the source of social comparative information, but the motives, the models, the dimensions, the targets and preferences of social comparison. The second purpose was to understand the influence of self-esteem on social comparison. The third purpose was to asses the relationship between social comparison and individual’s physical and mental health.
The Chinese versions of the Social Comparison Motive Scale (Helgeson & Mickelson, 1995), the Chinese versions of Rosenberg Self-Esteem Scale (Rosenberg, 1965), the Chinese versions of General Health Questionnaire (Goldberger, 1978), and two self-constructed scales to measure the informative source, the models, the dimensions, the targets and preferences of social comparison were administered to 100 breast cancer patients and 34 colorectal cancer patients from Changhua Christian Hospital.
Finally, the findings of this research were expected to apply to clinical psychooncology so as to help cancer patients have better psychological reaction and to improve their adaptation to illness.
參考文獻 一、中文書目
吳佳璇、李明濱(民90)。癌症病患及家屬之心理反應與適應。台灣醫學期刊,5(4),423-428。
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張玨(民76)。大專聯考壓力對青少年健康的影響。中華心理學刊,29(2),93-112頁。
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陳坤虎(民90)。青少年自我認同與父母管教態度及自尊之關係。台灣大學心理學研究所碩士論文。
許淑蓮、黃秀梨(民86)。Mishel疾病不確定量表之中文測試版。護理研究,4(1),59-68。
楊小蕙(民90)。台北地區高中職學生社會比較及其相關因素之研究。國立政治大學教育研究所碩士論文。
蔡芬芳(民86)。自尊對自利歸因的影響:自我概念內容與結構的交互作用。台大心理學研究所碩士論文。
衛生署(民93)。行政院衛生署統計資料。
二、英文書目
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Buunk, B. P., & Gibbons, F. X. (1997). Health, coping, and well-being : perspectives from social comparison theory. Mahwah ,NJ: Lawrence Erlbaum.
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描述 碩士
國立政治大學
心理學研究所
91752006
94
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0917520061
資料類型 thesis
dc.contributor.advisor 許文耀zh_TW
dc.contributor.author (作者) 張丁升zh_TW
dc.creator (作者) 張丁升zh_TW
dc.date (日期) 2005en_US
dc.date.accessioned 8-十二月-2010 11:40:56 (UTC+8)-
dc.date.available 8-十二月-2010 11:40:56 (UTC+8)-
dc.date.issued (上傳時間) 8-十二月-2010 11:40:56 (UTC+8)-
dc.identifier (其他 識別碼) G0917520061en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/49448-
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) 91752006zh_TW
dc.description (描述) 94zh_TW
dc.description.abstract (摘要) 本研究之主要目的在於瞭解癌症病患社會比較行為之現況與相關因素之探討,包括社會比較動機、不同之比較面向與比較模式之對象、社會比較效果,進而探索新癌症病患與舊癌症病患在社會比較行為上的差異性;其次,探討自尊、身心健康情形與社會比較之關係。本研究以問卷調查的方式,訪談全國癌症病友中心的癌症病患,共計134位,包括各50位新、舊乳癌病患與21位新腸癌病患、13位舊腸癌病患。本研究使用社會比較動機量表中文版、自尊量表中文版、一般健康量表中文版以及研究者自編的社會比較問卷,進行相關統計分析與假設考驗。研究結果發現,癌症病患主要社會比較動機是同盟、自我增進、自我彰顯等動機;新、舊癌症病患在社會比較行為上皆有顯著性的差異,包括社會比較動機、社會比較的對象與方式、以及社會比較的負向效果。另一方面,自尊越低與一般健康情形越差的癌症病患,其社會比較的負向效果也越大。最後,根據研究結果與討論,提出對未來相關研究、癌症病患的心理社會介入與臨床應用的建議。zh_TW
dc.description.abstract (摘要) The main purpose of this study was to explore the social comparison process and its correlates among cancer patients. The first purpose of this study was to understand the differences of social comparison process between new cancer patients and old cancer patients, not only including the source of social comparative information, but the motives, the models, the dimensions, the targets and preferences of social comparison. The second purpose was to understand the influence of self-esteem on social comparison. The third purpose was to asses the relationship between social comparison and individual’s physical and mental health.
The Chinese versions of the Social Comparison Motive Scale (Helgeson & Mickelson, 1995), the Chinese versions of Rosenberg Self-Esteem Scale (Rosenberg, 1965), the Chinese versions of General Health Questionnaire (Goldberger, 1978), and two self-constructed scales to measure the informative source, the models, the dimensions, the targets and preferences of social comparison were administered to 100 breast cancer patients and 34 colorectal cancer patients from Changhua Christian Hospital.
Finally, the findings of this research were expected to apply to clinical psychooncology so as to help cancer patients have better psychological reaction and to improve their adaptation to illness.
en_US
dc.description.tableofcontents 第一章 緒論
第一節 研究動機與目的 1

第二章 文獻探討
第一節 社會比較的意涵 7
第二節 癌症病患與社會比較的理論觀點 11
第三節 癌症病患與社會比較的實證研究 15
第四節 癌症疾病階段與心理反應 28
第五節 研究問題 31

第三章 研究方法
第一節 研究對象 33
第二節 研究工具 34
第三節 資料蒐集流程 38
第四節 資料分析的方法 40

第四章 研究結果
第一節 癌症病患社會比較之現況分析 41
第二節 癌症病患的社會比較模式與比較面向 48
第三節 新、舊癌症病患社會比較及其相關因素之差異性 49
第四節 社會比較及其相關因素之分析 79


第五章 結果、綜合討論與建議
第一節 研究結果 83
第二節 綜合討論 88
第三節 研究限制與未來研究方向 94

參考書目
中文書目 97
英文書目 97

附錄
附錄一 學術研究受試者同意書 105
附錄二 基本資料 107
附錄三 社會比較及其相關因素問卷 109
附錄四 自尊量表 113
附錄五 一般健康量表 114











圖 表 目 次

圖目次
圖2-4-1 癌症病患在不同疾病階段所面臨的問題與壓力 28
圖2-4-2 癌症臨床病程發展 29
圖4-2-1 比較模式的比較偏好 48

表目次
表3-1-1 癌症病患在各項基本背景資料的人數分佈 33
表3-2-1 社會比較動機量表的因素負荷量及內部一致性 35
表4-1-1 全體癌症病患之社會比較動機因素排行 43
表4-1-2 新乳癌病患之社會比較動機因素排行 43
表4-1-3 舊乳癌病患之社會比較動機因素排行 44
表4-1-4 新腸癌病患之社會比較動機因素排行 44
表4-1-5 舊腸癌病患之社會比較動機因素排行 44
表4-1-6 新癌症病患之社會比較動機因素排行 44
表4-1-7 舊癌症病患之社會比較動機因素排行 44
表4-1-8 全體癌症病患社會比較對象的百分比 46
表4-1-9 新乳癌病患社會比較對象的百分比 46
表4-1-10 舊乳癌病患社會比較對象的百分比 47
表4-1-11 新腸癌病患社會比較對象的百分比 47
表4-1-12 舊腸癌病患社會比較對象的百分比 47表4-2-1 各比較面向與比較模式的平均數 48
表4-2-2 不同比較模式與不同比較面向在比較對象偏好之變異數摘要表 48
表4-3-1 新、舊乳癌在社會比較動機的單因子變異數分析摘要表 50
表4-3-2 新、舊腸癌在社會比較動機的單因子變異數分析摘要表 50
表4-3-3 新、舊癌症病患在社會比較動機的單因子變異數分析摘要表 51
表4-3-4 新、舊乳癌在社會比較效果的單因子變異數分析摘要表 52
表4-3-5 新、舊腸癌在社會比較效果的單因子變異數分析摘要表 52
表4-3-6 新、舊癌症在社會比較效果的單因子變異數分析摘要表 52
表4-3-7 新、舊病患在『疾病比較面向』、與『尋求比較訊息模式』的比較方式之交叉分析表 53
表4-3-8 新、舊病患在『疾病比較面向』、與『接觸比較對象模式』的比較方式之交叉分析表 54
表4-3-9 新、舊病患在『生理比較面向』、與『尋求比較訊息模式』的比較方式之交叉分析表 54
表4-3-10 新、舊病患在『生理比較面向』、與『接觸比較對象模式』的比較方式之交叉分析表 54
表4-3-11 新、舊病患在『心理比較面向』、與『尋求比較訊息模式』的比較方式之交叉分析表 55
表4-3-12 新、舊病患在『心理比較面向』、與『接觸比較對象模式』的比較方式之交叉分析表 55
表4-3-13 新、舊病患在『社會比較面向』與『尋求比較訊息模式』的比較方式之交叉分析表 55
表4-3-14 新、舊病患在『社會比較面向』與『接觸比較對象模式』的比較方式之交叉分析表 56
表4-3-15 新、舊乳癌病患在自尊與一般健康情形的單因子變異數分析摘要表57
表4-3-16 新、舊腸癌病患在自尊與一般健康情形的單因子變異數分析摘要表57
表4-3-17 新、舊癌症病患在自尊與一般健康情形的單因子變異數分析摘要表58
表4-3-18 在疾病面向上,各組在依變項上的平均數之摘要表 60
表4-3-19 疾病面向上:不同比較對象組別在『同盟』之變異數摘要表 60
表4-3-20 疾病面向上:不同比較對象組別在『利他主義』之變異數摘要表 60
表4-3-21 疾病面向上:不同比較對象組別在『自我彰顯』之變異數摘要表 60
表4-3-22 疾病面向上:不同比較對象組別在『正向效果』之變異數摘要表 60
表4-3-23 疾病面向上:不同比較對象組別在『負向效果』之變異數摘要表 61
表4-3-24 疾病面向上:不同比較對象組別在『自尊量表』之變異數摘要表 61
表4-3-25 疾病面向上:不同比較對象組別在一般健康量表之變異數摘要表 61
表4-3-26 在生理面向上,各組在依變項上的平均數之摘要表 63
表4-3-27 生理面向上:不同比較對象組別在『同盟』之變異數摘要表 63
表4-3-28 生理面向上:不同比較對象組別在『利他主義』之變異數摘要表 63
表4-3-29 生理面向上:不同比較對象組別在『自我彰顯』之變異數摘要表 63
表4-3-30 生理面向上:不同比較對象組別在『正向效果』之變異數摘要表 63
表4-3-31 生理面向上:不同比較對象組別在『負向效果』之變異數摘要表 64
表4-3-32 生理面向上:不同比較對象組別在『自尊量表』之變異數摘要表 64
表4-3-33 生理面向上:不同比較對象組別在一般健康量表之變異數摘要表 64
表4-3-34 在心理面向上,各組在依變項上的平均數之摘要表 65
表4-3-35 心理面向上:不同比較對象組別在『利他主義』之變異數摘要表 65
表4-3-36 心理面向上:不同比較對象組別在『自我彰顯』之變異數摘要表 66
表4-3-37 心理面向上:不同比較對象組別在『負向效果』之變異數摘要表 66
表4-3-38 心理面向上:不同比較對象組別在『自尊量表』之變異數摘要表 66
表4-3-39 心理面向上:不同比較對象組別在一般健康量表之變異數摘要表 66
表4-3-40 社會面向上,各組在依變項上的平均數之摘要表 68
表4-3-41 社會面向上:不同比較對象組別在『同盟』之變異數摘要表 68
表4-3-42 社會面向上:不同比較對象組別在『利他主義』之變異數摘要表 68
表4-3-43 社會面向上:不同比較對象組別在『自我彰顯』之變異數摘要表 68
表4-3-44 社會面向上:不同比較對象組別在『負向效果』之變異數摘要表 68
表4-3-45 社會面向上:不同比較對象組別在『自尊量表』之變異數摘要表 69
表4-3-46 社會面向上:不同比較對象組別在一般健康量表之變異數摘要表 69
表4-3-47 尋求比較訊息模式:各組在依變項上的平均數之摘要表 71
表4-3-48 尋求比較訊息模式:不同比較對象組別在同盟之變異數摘要表 71
表4-3-49 尋求比較訊息模式:不同比較對象組別在利他主義之變異數摘要表71
表4-3-50 尋求比較訊息模式:不同比較對象組別在自我彰顯之變異數摘要表71
表4-3-51 尋求比較訊息模式:不同比較對象組別在負向效果之變異數摘要表72
表4-3-52 尋求比較訊息模式:不同比較對象組別在自尊量表之變異數摘要表72
表4-3-53 尋求比較訊息模式:比較對象組別在一般健康量表之變異數摘要表72
表4-3-54 接觸比較對象模式:各組在依變項上的平均數之摘要表 74
表4-3-55 接觸比較對象模式:不同比較對象組別在『同盟』之變異數摘要表74
表4-3-56 接觸比較對象模式:不同比較對象組別在利他主義之變異數摘要表74
表4-3-57 接觸比較對象模式:不同比較對象組別在自我彰顯之變異數摘要表74
表4-3-58 接觸比較對象模式:不同比較對象組別在負向效果之變異數摘要表75
表4-3-59 接觸比較對象模式:不同比較對象組別在自尊量表之變異數摘要表75
表4-3-60 接觸比較對象模式:比較對象組別在一般健康量表之變異數摘要表75
表4-4-1 社會面向上:不同比較對象組別在一般健康量表之變異數摘要表 80
表4-4-2 社會面向上:不同比較對象組別在一般健康量表之變異數摘要表 81
表4-4-3 社會面向上:不同比較對象組別在一般健康量表之變異數摘要表 81
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dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0917520061en_US
dc.subject (關鍵詞) 癌症病患zh_TW
dc.subject (關鍵詞) 社會比較zh_TW
dc.subject (關鍵詞) 社會比較動機zh_TW
dc.subject (關鍵詞) 社會比較效果zh_TW
dc.subject (關鍵詞) 比較模式zh_TW
dc.subject (關鍵詞) 比較面向zh_TW
dc.subject (關鍵詞) cancer patientsen_US
dc.subject (關鍵詞) social comparisonen_US
dc.subject (關鍵詞) social comparison motiveen_US
dc.subject (關鍵詞) social comparison effecten_US
dc.subject (關鍵詞) the models of social comparisonen_US
dc.subject (關鍵詞) the dimensions of social comparisonen_US
dc.title (題名) 癌症病患社會比較及其相關因素之研究—新癌症病患與舊癌症病患之比較zh_TW
dc.title (題名) Social Comparison and Its Related Variables of Cancer Patients: the Difference between New Cancer Patients and Old Cancer Patientsen_US
dc.type (資料類型) thesisen
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