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研究生: 陳依煜
Yi-Yu, Chen
論文名稱: 大學生精神病去污名化介入成效初探
A pilot study of anti-stigma intervention program on psychosis among university students
指導教授: 連盈如
Lien, Yin-Ju
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 80
中文關鍵詞: 公眾污名化精神病去污名化教育介入路徑分析
英文關鍵詞: public stigma, psychosis, anti-stigma, education intervention, pathway analysis
論文種類: 學術論文
相關次數: 點閱:812下載:14
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  • 研究目的:檢驗「精神病去污名化教育介入」對大學生精神病污名化程度之影響以及檢驗有效去污名化教育介入的潛在機制。
    研究方法:本研究對象共計207位大學生,分為實驗組(107人)及對照組(100人),測量大學生對於精神病的污名化程度(包含:認知、態度與社會距離)、身心適應狀況,以及基本人口學資料。問卷施測共計三次,分別為前測、後測與一週後追蹤。以廣義估計方程式分析教育介入對實驗組與對照組污名化程度改變的效果;以結構方程式檢驗教育介入對於精神病去污名化的影響路徑。
    研究結果:在控制研究對象之身心適應狀況後,經由教育介入的實驗組相較於對照組在後測及追蹤的污名化程度顯著下降。結構方程式結果支持精神病去污名化教育介入的「訊號-認知-態度-社會距離」的完全中介效果路徑。
    研究結論:精神病去污名化教育介入能降低大學生對於精神病的污名化程度。大學生可透過教育介入改變其對於精神病的認知,進而影響對待精神病的態度,最終影響與精神病患的社會距離。

    Purpose: The aim of this study was to investigate the effect of anti-stigma education program for psychosis in undergraduate students and further to examine the mechanism underlying the effect.
    Methods: A total of 207 undergraduate students (107 in experimental group and 100 in control group) were recruited in this study. Participants completed self-report questionnaires regarding stigma toward psychosis (i.e., cognition, attitude, and social distance), depressive symptoms, and demographic characteristics. Three waves of surveys were conducted, including pre-test, post-test and one-week follow-up. Generalized estimating equation analysis was used to examine the effect of anti-stigma education intervention program. Structural equation modeling (SEM) was used to examine the path underlying the intervention effect.
    Results: After controlling depressive symptoms, degree of stigma in the experimental group was significantly higher than that in the control group at post-test and one-week follow-up. The results of SEM showed the fully mediation effect to the path of “signal - cognition - attitude - social distance”.
    Conclusions: Our findings indicated that anti-stigma education intervention program for psychosis can decrease the degree of stigma in undergraduate students. Cognition could be changed via education intervention, which was further influenced the attitude toward psychosis and finally influenced the distance to patients with psychosis.

    第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 5 第三節 研究問題 6 第四節 研究假設 7 第五節 名詞釋義 8 第二章 文獻探討 9 第一節 精神疾病污名化之現狀及其嚴重性 9 第二節 精神疾病污名化相關理論 17 第三節 國內外精神疾病去污名化之研究 23 第四節 文獻總結 28 第三章 研究方法 29 第一節 研究設計與架構 29 第二節 研究對象 32 第三節 研究工具 34 第四節 研究步驟 40 第五節 資料處理與分析 44 第四章 結果 48 第一節 研究對象之社會人口學因素、接觸精神病患程度、憂鬱程度、對精神病的認知、對待精神病患的態度及與精神病患的社會距離分布情形 48 第二節 研究對象之社會人口學因素(性別、年齡、教育程度及宗教信仰)、接觸精神病患程度、憂鬱程度、對精神病的認知、對待精神病患的態度及與精神病患的社會距離之相關性 53 第三節 研究對象實施「精神病去污名化教育介入」後,對於精神病的認知、對待精神病患的態度及與精神病患的社會距離之立即效果及延宕效果 57 第四節 「訊號-認知-態度-社會距離」的路徑分析 61 第五章 討論與建議 64 第一節 社會人口學因素、憂鬱程度、接觸精神病患程度與污名化程度之相關性 64 第二節 「精神病去污名化教育介入」之立即效果與延宕效果 68 第三節 「訊號-認知-態度-社會距離」之路徑分析 70 第四節 研究限制與未來研究建議 71 參考文獻 72 一、中文部分 72 二、英文部分 74 附錄 附錄一:教育內容 I 附錄二:教育內容專家效度名單 II 附錄三:研究問卷 III 附錄四:問卷專家效度名單 IX

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