本研究旨在瞭解在歷經COVID-19災難事件後，臺灣民眾之集體創傷現況，分析不同背景變項，以及不同社會支持程度與創傷後壓力症、創傷後成長與心理健康的關係及影響。研究對象為居住於臺灣且年滿20歲者，採網路問卷調查法，有效樣本413名。研究工具包含「社會支持簡式量表」、「創傷後心理症狀指標量表-短版」、「中文版創傷後成長量表」、「心理健康BMI幸福心指標量表」。主要以描述性統計、獨立樣本 t 檢定、單因子變異數分析、皮爾森積差相關、多元逐步迴歸分析統計方法進行分析。研究結果如下：

（一）臺灣民眾的心理反應整體呈現之平均狀態為，創傷後壓力症程度與創傷後成長低於預期平均數，而心理健康高於預期平均。相較於疫情前，疫情後整體感知社會支持程度下降。
（二）部分背景變項在創傷後壓力症、創傷後成長、心理健康，以及社會支持具有差異性。其中以女性、年輕人或過去有創傷經驗者對於COVID-19事件有更加顯著的心理反應。
（三）創傷後壓力症、創傷後成長、心理健康與社會支持間皆呈現顯著相關。發現疫情後社會支持感受程度變少者，較可能有高程度創傷後反應；創傷反應程度較高者，則較不容易感到創傷後成長；心理健康程度良好者，較能不受到創傷的負面影響，且能在創傷後感知較多正向成長。
（四）全體參與者的社會支持與創傷後成長可以預測個人的心理健康狀況。而暴露於具威脅性傷亡者其心理健康狀況，更多正向預測力來自於社會支持。
最後，根據研究結論提出促進心理健康之相關建議，以供參考。

This study aims to understand the status, relationships, impacts, and predictions of Posttraumatic Stress Disorder, Posttraumatic Growth, and mental health among Taiwanese people with different background variables and different levels of social support after the COVID-19. The subjects of the study were those who lived in Taiwan and were over 20 years old. Questionnaire survey was used as the method, with 413 effective samples. The research tools include " Interpersonal Support Evaluation List – 16 item", " Posttraumatic Stress Reaction Index-Short Form ", "Posttraumatic growth inventory- Chinese ", and "Mental Health BMI Index ". The results of the study are as follows:

1.Posttraumatic stress disorder and Posttraumatic Growth were lower than expected average. Mental health and social support were above expected average.
2.Women, young people or those with traumatic experience in the past have more significant psychological responses to the COVID-19.
3.Posttraumatic Stress Disorder, Posttraumatic Growth, mental health and social support were all significantly correlated.
4.Posttraumatic Growth and social support significantly predictied positive mental health.

第一章 緒論
第一節 研究背景與動機 1
第二節 研究目的 5
第三節 名詞解釋 5
第二章 文獻探討
第一節 COVID-19事件對社會網絡與心理健康之影響 7
第二節 集體創傷特性與COVID-19事件之探究 17
第三節 創傷後成長與心理健康之探究 30
第三章 研究方法
第一節 研究架構 39
第二節 研究對象 41
第三節 研究工具 43
第四節 施測程序與設計 48
第五節 資料分析 49
第六節 研究倫理 50
第四章 研究結果與討論
第一節 歷經COVID-19事件者之現況分析 53
第二節 不同背景變項的歷經COVID-19事件者分別在各變項之差異 58
第三節 探討歷經COVID-19事件者的各變項之關聯 70
第四節 探討歷經COVID-19事件中，實質暴露於具威脅性傷亡者對心理健康的影響 75
第五節 綜合討論 78
第五章 結論與建議
第一節 結論 87
第二節 建議 88
第三節 限制 89
參考文獻
中文部分 91
英文部分 93
附錄
附錄一：研究量表使用與授權同意書 103
附錄二：倫理審查通過證明 107
附錄三：參與者知情同意書 108

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