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作者:陳沛緹
作者(英文):Pei-Ti Chen
論文名稱:大學生常見亞臨床精神症狀與自尊、人格特質及日常困擾之關係調查研究---以國立東華大學為例
論文名稱(英文):The Investigation of University Students' Common Subclinical Manifestations of Psychiatric Symptoms in Relation with Self-esteem, Personality Traits and Daily Hassles---An Example from Nation Dong Hwa University.
指導教授:蔣世光
指導教授(英文):Shih-Kuang Chiang
口試委員:譚偉象
李維倫
口試委員(英文):Carl Wai-Cheong Tam
Wei-Lun Lee
學位類別:碩士
校院名稱:國立東華大學
系所名稱:諮商與臨床心理學系
學號:610383010
出版年(民國):106
畢業學年度:106
語文別:中文
論文頁數:114
關鍵詞:大學生自尊人格特質日常困擾亞臨床精神症狀
關鍵詞(英文):college studentsself-esteempersonality traitsdaily hasslessubclinical psychiatric symptoms
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本研究主要目的在於探討國立東華大學學生的自尊、人格特質、日常困擾及亞臨床精神症狀上的現況,以及其相互關係,並了解自尊、人格特質及日常困擾對亞臨床精神症狀的預測情形。本研究採問卷調查法的方式,以國立東華大學300名大學生為研究對象,使用「個人基本資料」、「羅森柏自尊量表」、「艾式人格量表」、「大學生日常困擾量表」、「症狀檢核表」及「疑似精神病前期簡易自填量表」作為調查工具,並將所得資料以描述性統計、獨立樣本T檢定、單因子變異數分析、皮爾森積差相關及階層迴歸分析等統計方法進行資料處理。研究主要有如下發現:
一、在SCL-90-R中達顯著的在強迫症狀有6位,憂鬱反應有6位,敵意行為有2位,身體化症狀、人際敏感、焦慮反應、恐懼性焦慮及妄想意念各1位;二、人際敏感、恐懼性焦慮及妄想意念會因年級而有所差異;三、有就診精神科經驗及有服過精神藥物的本校大學生對自尊、神經質、日常困擾及部分症狀表現有顯著差異;四、亞臨床精神症狀與自尊及外向性有負相關;與神經質及日常困擾有正相關;五、分組後本校大學生在亞臨床精神症狀上具有顯著差異;六、臨床經驗組與亞臨床組受試者較難以區分;七、背景資料、自尊、人格特質及日常困擾等對亞臨床精神症狀皆具顯著預測力,其中以有無就診精神科經驗及是否服過精神藥物,最能顯著預測亞臨床精神症狀。
最後本研究依據研究結果提出討論,並針對研究限制和未來相關研究提出建議。
關鍵字:大學生、自尊、人格特質、日常困擾、亞臨床精神症狀
The study examined the relative contributions of self-esteem, personality traits and daily hassles to the prediction of subclinical psychiatric symptoms among National Dong Hwa University students. This study employed six questionnaires to collect data, including Personal Basic Information, RSES, EPQ, Hassles Scale of College Students, SCL-90-R and the Pre-Psychotic States Questionnaire. The participants of the study were 300 college students of National Dong Hwa University. The descriptive statistic, t-test, One-way ANOVA, Pearson's correlation analysis and hierarchical multiple regression analysis were used to analyze data. The main findings of this study were:
1. There were six obsessive-compulsive, three depression, two hostilities, one somatization, interpersonal sensitivity, anxiety, phobic anxiety and paranoid ideation in SCL-90-R; 2. Interpersonal sensitivity, phobic anxiety, and paranoid ideation were varied by grade; 3. There are significant differences in self-esteem, neuroticism, daily hassles and some symptoms of NDHU students who have psychiatry experience and have taken psychotropic drugs; 4. The negative relationship between subclinical psychiatric symptoms, self-esteem, and extroversion, positive relationship between subclinical psychiatric symptoms, neuroticism and daily hassles were found; 5. Different groups of NDHU students have significant differences in subclinical psychiatric symptoms; 6. Clinical experience group and the subclinical group were difficult to distinguish; 7. Personal Basic Information, self-esteem, personality traits and daily hassles could significantly predict the subclinical psychiatric symptoms. The most significant predictors of subclinical psychiatric symptoms are psychiatric experience and psychiatric medication.
At the end of this thesis, these result were discussed and suggestions for limitations and future studies.
Keywords: college students, self-esteem, personality traits, daily hassles, subclinical psychiatric symptoms.
目錄
謝誌 Ⅰ
中文摘要 Ⅱ
英文摘要 Ⅲ
目錄 Ⅴ
表次 Ⅷ
圖次 Ⅹ
第一章 緒論 1
第一節 研究動機與重要性 1
一、大學生的心理健康 1
二、亞臨床(subclinical)的重要性 3
第二節 研究目的 5
第二章 文獻探討 6
第一節 大學校園內常見之危機 6
第二節 大學生的自尊、人格特質與日常困擾 11
一、自尊 11
二、人格特質 14
三、日常困擾 17
第三節 大學生常見之精神症狀 21
第四節 研究假設 27
第三章 研究方法 29
第一節 研究架構 29
第二節 研究對象 31
第三節 研究工具 33
一、個人基本資料 33
二、羅森伯自尊量表(Rosenberg Self-Esteem Scale, RSES) 33
三、艾氏人格量表(Eysenck personality questionnaire, EPQ) 34
四、大學生日常困擾量表 34
五、症狀檢核表(SCL-90-R) 35
六、疑似精神病前期自填量表 35
第四節 研究程序與資料分析 36
一、研究程序 36
二、資料分析 37
第四章 研究結果 39
第一節 本校大學生自尊、人格特質、日常困擾之現況 39
一、本校大學生自尊、人格特質、日常困擾之現況 39
二、背景變項於自尊、人格特質、日常困擾之差異情形 41
第二節 本校大學生精神症狀之亞臨床表現評估 47
一、本校大學生精神症狀之亞臨床表現現況 47
二、背景變項於精神症狀之亞臨床表現之差異情形 51
第三節 本校大學生的自尊、人格特質、日常困擾與亞臨床精神症狀之相關性 59
第四節 不同組別在自尊、人格特質、日常困擾及亞臨床精神症狀上之表現 61
一、不同組別於自尊、人格特質、日常困擾之差異情形 61
二、不同組別於精神症狀之亞臨床表現之差異情形 62
第五節 本校大學生的背景資料、自尊、人格特質、日常困擾與精神症狀檢核分數對亞臨床精神症狀之預測分析 65
第五章 討論與建議 68
第一節 研究討論 68
一、本校大學生的自尊、人格特質、日常困擾及亞臨床精神症狀之現況分析 70
二、不同背景變項對本校大學生之自尊、人格特質、日常困擾及亞臨床精神症狀的差異情形 72
三、亞臨床精神症狀與自尊、人格特質、日常困擾具有顯著相關 74
四、三組大學生在自尊、人格特質、日常困擾及亞臨床精神症狀表現上皆有顯著差異 75
五、本校大學生的自尊、人格特質與日常困擾對亞臨床精神症狀的預測情形 79
第二節 研究限制與建議 80
一、研究限制 80
二、研究建議與應用 81
參考文獻 84
附錄 96
【附錄一】人體試驗委員會之新審查結果通知表 96
【附錄二】人體試驗委員會之期中展延審查結果通知表 97
【附錄三】人體試驗委員會之試驗偏差審查結果通知表 98
【附錄四】量表授權書---艾氏人格量表 99
【附錄五】量表授權書---大學生日常困擾量表 100
【附錄六】量表授權書---疑似精神病前期自填量表 101
【附錄七】大學生常見精神症狀之亞臨床表現調查問卷 102
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