摳皮症是一個對大眾而言較陌生的心理疾患，自從2013 年美國精神醫學會將摳
皮症列為強迫症關聯疾患之一後逐漸被重視，因此欲探討摳皮行為並非僅是強迫想法
或強迫行為使然如此簡單，而是能探究行為背後的原因。本研究分成兩個研究階段，
第一階段共取樣290 名台灣人(20-64 歲)，確立中文化之摳皮症量表(The Milwaukee
Inventory for the Dimensions of Adult Skin Picking,MIDAS)及自評焦慮量表(Zung
Self-Rating Anxiety Scale,SAS)兩者在台皆有良好信效度之後，進一步篩選出31 名受
試者，分派進摳皮傾向與一般心理健康的成人兩組，並於第二階段接受訪談與完成心
理測驗(BDI-II、CPT、IAPS)。
研究解果顯示，近乎90%摳皮傾向行為的人自陳報告摳皮行為可以帶來愉悅感，
40%的人認為摳皮行為不會帶來困擾，甚至已習慣摳皮後的傷口所伴隨的疼痛感，不
過也有50%的人擔心摳皮之後的負面後果。從CPT 和IAPS 分析得知，摳皮傾向行為
的人在維持專注力(p<.05)和抑制犯錯的能力(p<.05)上顯著較一般人差，另外，對於正
向、負向與中性的72 張圖片的愉悅程度與一般人無顯著差異，然而其身體喚醒度卻
較一般人低(p<.01)，對情感的支配度也較一般人高(p<.05)。
除了有目的的摳皮行為，其他原因似乎是為了因應壓力、負面情緒而生，摳皮行
為像是一種緩解負向情緒的安撫儀式，透過自己的雙手來撫慰自己，藉此獲得安全感，
而較低的衝動控制力與低情緒喚醒度也與摳皮行為有關，綜合研究結果來看，摳皮行
為與認知、情緒和家庭關係，以及身體的疼痛感機制之間的確有著緊密的關係。

Skin-Picking disorder is an unfamiliar term to a lot of people,but is now gaining wider
recognition. In 2013, The American Psychiatric Association published DSM-5,categorising
Skin-Picking disorder as an OCD related disorder. Skin-Picking behaviors are not only
attributed to obsessive thoughts or compulsive behaviors, but more intial motives or other
physiological variables.
There are two stages in this reaserch. Reascher sampled 290 Taiwanese people whose
ages ranged between 20-64 years-old. In the first stage, the validity and reliability of
Chinese MIDAS(The Milwaukee Inventory for the Dimensions of Adult Skin Picking) and
SAS(Zung Self-Rating Anxiety Scale) were tested well. After that, 31 subjects were
screened out by scales of MIDAS and SAS, and then were further assigned to Skin-Picking
group and control group. In the second stage, all the subjects were asked to complete
psychological tests ,including Beck Depression Inventory(BDI-II)、Conners Continuous
Performance Test (CPT-III)、International Affective Picture System (IAPS) and accept an
interview.
The results of this research indicate that about 90% subjects with Skin-Picking
tendency reported the Skin-Picking behaviors could bring them pleasure, and about 40% of
whom thought that it wasn’t a disturbance. Evenmore, some of Skin-Picking subjects were
got used to the pain induced by the scatching wounds. Nevertheless, half of the people with
Skin-Picking tendency still worried about the side- effects after picking on their skin.
According to the analysis of CPT and IAPS, results suggest that subjects with
Skin-Picking tendencies have shorter maintained-attention span (p<.05) and lower ability
to inhibit making errors than control group significantly(p<.05). Furthermore, on the
envaluation of 72 pictures of positive, neutral and negtive contents, both Skin-Picking
group and control group have almost the same level of pleasure, however Skin-Picking
subjects show lower arousal(p<.01) and higer control of emotion (p<.05)than the contol
group significantly.
Except for the purpose of picking their skin, the underlying cause seems to cope with
the stress and negative emotions. It’s like a comforting ritual to help people releasing
negative emotions or to feel a sense of security through their hands on their skin. Low
impulsive control and low emotional arousal are also related to Skin-Picking behaviors. In
general, Skin-Picking behaviors interfere with individuals’ cognition, emotions, family’s
interaction of childhood and the pain theory indeed.

第一章 緒論 1
第一節 研究動機與目的 1
第二節 研究問題與名詞釋義 2
第二章 文獻探討 5
第一節 摳皮症的認識 5
第二節 摳皮症與衝動控制力 12
第三節 摳皮症與情緒調節 16
第四節 摳皮症與動機表現 17
第三章 研究設計與實施 21
第一節 研究架構 21
第二節 研究假設 21
第三節 研究對象 22
第四節 研究工具 22
第五節 研究流程 25
第六節 資料處理方法 27
第四章 研究結果分析與討論 29
第一節 MIDAS 及SAS 於台灣地區之信效度分析 29
第一節 摳皮傾向族群於國際情緒圖片系統(IAPS)結果之比較探討 32
第三節 摳皮傾向族群於連續執行測驗(CPT-III)結果之比較探討 38
第四節 摳皮行為與認知、情緒、家庭之關聯 42
第五節 綜合分析與討論 47
第五章 結論與建議 49
第一節 結論 49
第二節 建議 50
參考文獻 53
壹、 中文部分 53
貳、 英文部分 54
附錄 60
附錄一 摳皮傾向行為個案訪談問卷 60
附錄二 中文版 Milwaukee 摳皮症量表(MIDAS) 61
附錄三 中文版 自評焦慮量表(SAS) 62

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