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題名 利用神經心理作業初探臺灣地區海洛因戒治者之認知功能研究
The cognitive function research of the abstinent heroin users in Taiwan by using neuropsychological task作者 黃華妮 貢獻者 許文耀
黃華妮關鍵詞 海洛因
注意力偏誤
執行功能
成癮嚴重度日期 2009 上傳時間 11-十月-2011 16:55:33 (UTC+8) 摘要 本研究主要是利用國內的海洛因戒治者，透過神經心理作業探討長期使用海洛因對於個體在注意力偏誤、轉換彈性和抑制能力上的影響。根據Robinson和Berridge（1993, 2003）的理論認為成癮嚴重度越高，藥物相關線索的注意力偏誤越明顯；然而，根據Di Chiara（2000）提出關於整合誘因和習慣的觀點，認為成癮的注意力偏誤和趨向行為會受到不同的成癮嚴重度(輕度或重度成癮)或成癮階段(早期或習慣化後期)而有不同的結果，另外，以往的執行功能損害也支持Robinson和Berridge（1993, 2003）成癮嚴重度的觀點，因此本研究企圖同時檢驗上述兩者觀點。 本研究篩選111名台中戒治所和看守所的海洛因戒治者，分別根據不同的成癮嚴重程度分類方式分組(依賴嚴重度量表、不同頻率、施用方式)，加上29名健康對照組，共140名受試均需完成自陳氏量表、紙筆測驗和各項神經心理測驗（Stroop叫色作業、威斯康辛卡片分類測驗、Go/No Go作業）。 研究結果指出海洛因戒治者相較對照組確實在注意力偏誤、認知彈性轉換、以及反應抑制能力有損害的趨勢，而且似乎較符合Di Chiara（2000）提出整合誘因和習慣的觀點，認為成癮者的認知功能會與成癮嚴重度成負向關係。 參考文獻 中文部分
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法務部（1999）：毒品危害防制條例參考資料彙編。臺北市，法務部。
林柏君（2005）。影響毒品犯戒治成效相關因素之研究。國立中正大學犯罪防治研究所碩士論文。
俞筱鈞（1994）。瑞文氏標準圖形推理測驗指導手冊。台北市：中國行為科學社。
黃秀霜（2001）。中文年級認字量表：指導手冊。台北市：心理出版社。
英文部分
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Bechara, A., Noel, X., & Crone, E. A. (2006). Loss of willpower: abnormal neural mechanisms of impulse control and decision making in addiction. Handbook of implicit cognition and addiction. Thousand Oaks CA: SAGE, 215–32.
Bearre, L., Sturt, P., Bruce, G., & Jones, B. T. (2007). Heroin-related attentional bias and monthly frequency of heroin use are positively associated in attenders of a harm reduction service. Addictive Behaviors, 32, 784–792.
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Cox, W. M., Fadardi, J., & Pothos, E. M. (2006). The Addiction-Stroop Test: Theoretical Considerations and Procedural Recommendations. Psychological Bulletin, 132, 443−476.
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國立政治大學
心理學研究所
95752015
98資料來源 http://thesis.lib.nccu.edu.tw/record/#G0095752015 資料類型 thesis dc.contributor.advisor 許文耀 zh_TW dc.contributor.author (作者) 黃華妮 zh_TW dc.creator (作者) 黃華妮 zh_TW dc.date (日期) 2009 en_US dc.date.accessioned 11-十月-2011 16:55:33 (UTC+8) - dc.date.available 11-十月-2011 16:55:33 (UTC+8) - dc.date.issued (上傳時間) 11-十月-2011 16:55:33 (UTC+8) - dc.identifier (其他 識別碼) G0095752015 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/51582 - 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) 95752015 zh_TW dc.description (描述) 98 zh_TW dc.description.abstract (摘要) 本研究主要是利用國內的海洛因戒治者，透過神經心理作業探討長期使用海洛因對於個體在注意力偏誤、轉換彈性和抑制能力上的影響。根據Robinson和Berridge（1993, 2003）的理論認為成癮嚴重度越高，藥物相關線索的注意力偏誤越明顯；然而，根據Di Chiara（2000）提出關於整合誘因和習慣的觀點，認為成癮的注意力偏誤和趨向行為會受到不同的成癮嚴重度(輕度或重度成癮)或成癮階段(早期或習慣化後期)而有不同的結果，另外，以往的執行功能損害也支持Robinson和Berridge（1993, 2003）成癮嚴重度的觀點，因此本研究企圖同時檢驗上述兩者觀點。 本研究篩選111名台中戒治所和看守所的海洛因戒治者，分別根據不同的成癮嚴重程度分類方式分組(依賴嚴重度量表、不同頻率、施用方式)，加上29名健康對照組，共140名受試均需完成自陳氏量表、紙筆測驗和各項神經心理測驗（Stroop叫色作業、威斯康辛卡片分類測驗、Go/No Go作業）。 研究結果指出海洛因戒治者相較對照組確實在注意力偏誤、認知彈性轉換、以及反應抑制能力有損害的趨勢，而且似乎較符合Di Chiara（2000）提出整合誘因和習慣的觀點，認為成癮者的認知功能會與成癮嚴重度成負向關係。 zh_TW dc.description.tableofcontents 第一章 緒論 1第一節 研究背景與動機 1第二章 文獻探討 5第一節 海洛因成癮者的認知功能 5第二節 注意力偏誤 14第三節 海洛因成癮者的執行功能問題 20第四節 研究目的與架構 30第五節 研究假設 32第四章 研究結果 47第一節 受試者的基本資料描述 47第二節 海洛因戒治者與控制組在神經心理作業表現上的比較 62第三節 成癮嚴重度與神經心理作業表現的相關 79第五章 綜合討論 82第一節 國內海洛因戒治者的神經心理作業表現 82第二節 成癮嚴重度與神經心理作業表現的相關 85第三節 研究限制 88第四節 未來研究方向 92參考文獻 93附錄一 受試者研究參與同意書 104附錄二 海洛因戒治者之基本資料問卷以及中文版依賴嚴重度量表 106附錄三 對照組之基本資料問卷 108附錄四 各項神經心理測驗之指導語 109附錄五 Go/ No Go圖片刺激材料之選取 111 zh_TW dc.language.iso en_US - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0095752015 en_US dc.subject (關鍵詞) 海洛因 zh_TW dc.subject (關鍵詞) 注意力偏誤 zh_TW dc.subject (關鍵詞) 執行功能 zh_TW dc.subject (關鍵詞) 成癮嚴重度 zh_TW dc.title (題名) 利用神經心理作業初探臺灣地區海洛因戒治者之認知功能研究 zh_TW dc.title (題名) The cognitive function research of the abstinent heroin users in Taiwan by using neuropsychological task en_US dc.type (資料類型) thesis en dc.relation.reference (參考文獻) 中文部分 zh_TW dc.relation.reference (參考文獻) 行政院衛生署管制藥品管理局（2009）。台灣地區精神醫療院所通報海洛因藥物濫用個案件數。臺北市，行政院衛生署。 zh_TW dc.relation.reference (參考文獻) 法務部（1999）：毒品危害防制條例參考資料彙編。臺北市，法務部。 zh_TW dc.relation.reference (參考文獻) 林柏君（2005）。影響毒品犯戒治成效相關因素之研究。國立中正大學犯罪防治研究所碩士論文。 zh_TW dc.relation.reference (參考文獻) 俞筱鈞（1994）。瑞文氏標準圖形推理測驗指導手冊。台北市：中國行為科學社。 zh_TW dc.relation.reference (參考文獻) 黃秀霜（2001）。中文年級認字量表：指導手冊。台北市：心理出版社。 zh_TW dc.relation.reference (參考文獻) 英文部分 zh_TW dc.relation.reference (參考文獻) Bradley, B., Field, M., Mogg, K., & DeHouwer, J. (2004). Attentional and evaluative biases for smoking cues in nicotine dependence: component processes of biases in visual orienting. Behavior Pharmacology, 15, 29–36. zh_TW dc.relation.reference (參考文獻) Bruce, G., & Jones, B. T. (2006). Methods that measure attentional bias. Handbook on implicit cognition and addiction. Thousand Oaks, CA: SAGE, 135−149. zh_TW dc.relation.reference (參考文獻) Bradley, B. P., Mogg, K., Wright, T., & Field, M. (2003). Attentional bias in drug dependence: vigilance for cigarette-related cues in smokers. Psychological Addict Behaviors, 17, 66–72. zh_TW dc.relation.reference (參考文獻) Bechara, A., Noel, X., & Crone, E. A. (2006). Loss of willpower: abnormal neural mechanisms of impulse control and decision making in addiction. Handbook of implicit cognition and addiction. Thousand Oaks CA: SAGE, 215–32. zh_TW dc.relation.reference (參考文獻) Bearre, L., Sturt, P., Bruce, G., & Jones, B. T. (2007). Heroin-related attentional bias and monthly frequency of heroin use are positively associated in attenders of a harm reduction service. Addictive Behaviors, 32, 784–792. zh_TW dc.relation.reference (參考文獻) Chen, C. H., Chen, H., Lin, T. Y., Chou, H. H., Lai, T. J., Ferri, C. P., Gossop. M. (2008). Severity of heroin dependence in Taiwan: Reliability and validity of the Chinese version of the Severity of Dependence Scale (SDS [Ch]). Addictive Behaviors, 33, 1590–1593. zh_TW dc.relation.reference (參考文獻) Chen, Y. J., Ho, M. Y., Chen, K. J., Hsu, C. F., & Ryu, S. J. (2009). Estimation of premorbid general fluid intelligenceusing traditional Chinese reading performance in Taiwanese samples. Psychiatry and Clinical Neurosciences, 63, 500–507 zh_TW dc.relation.reference (參考文獻) Cox,W. M., & Klinger, E. (1988). A motivational model of alcohol use. Journal Abnormal Psychology, 97, 168–180. zh_TW dc.relation.reference (參考文獻) Cox, W. M., Yeates, G. N., & Regan, C. M. (1999). 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