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研究生: 臧汝芬
論文名稱: 有無共病現象之注意力缺陷過動症兒童父母親因素探討
Parenting stressor and parental symptomatology among parents of ADHD with and without comorbidity
指導教授: 張正芬
學位類別: 碩士
Master
系所名稱: 特殊教育學系
Department of Special Education
論文出版年: 2006
畢業學年度: 95
語文別: 中文
論文頁數: 95
中文關鍵詞: 過動兒共病現象親職壓力身心適應症狀
英文關鍵詞: ADHD, comorbidity, parenting stressor, symptomatology
論文種類: 學術論文
相關次數: 點閱:322下載:69
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  • 中文摘要
    國外的研究是家有過動兒,父親易有親職壓力,合併共病的過動兒父母,比無共病者,具較多親職壓力與身心適應症狀,親職壓力與身心適應症狀有相關。
    本研究的主要目的是探討過動兒父母比正常兒童父母有無較多親職壓力,共病組易比無共病組之過動兒父母,有無較多親職壓力,共病組易比無共病組之過動兒父母,有無較多身心適應症狀,親職壓力與身心適應症狀有無相關。
    本研究是選擇台北市某一醫學中心兒童心智科門診,年齡範圍為6~12歲,診斷為過動兒之複診小學生個案,以Mini kid國際兒童青少年會談手冊作半結構式會談過動兒之學生與父母,區分有共病現象與無共病現象之過動兒家庭研究樣本,由研究者完成基本資料問卷,由父母完成親職壓力量表 (parenting stress index)、身心適應問題量表(symptom check list, SCL-90)。
    本研究的研究結果是過動兒父母比正常兒童父母,有較多親職壓力;共病組比無共病組父母較有親職壓力,尤其在親職壓力量表的兒童分量表之兒童強求性變項上,得分較高;共病組比無共病組父母,有較多身心適應症狀困擾;父母的親職壓力與身心適應症狀有相關性,尤其是父母特質因素(親職能力、親子角色投入、憂鬱)與身心適應症狀有相關。
    本研究的研究建議是以學校為主的心理輔導工作(school-based mental health)中,須加強有共病現象過動兒的輔導,呼籲兒童青少年精神專科醫師須與學校的相關輔導專業合作,較多介入過動兒的醫學模式(medical model)新資訊,並加強有共病現象過動兒父母的親職能力。

    關鍵詞: 過動兒,共病現象,親職壓力,身心適應症狀

    Parenting stressor and parental symptomatology among parents of ADHD with and without comorbidity

    Ruu-Fen Tzang

    Objectives: the objective of this study is to analyze: 1, the parenting stressor is more severe than normal children. 2, parenting stressor of ADHD with comorbidity children’s parent is more severe than ADHD without comorbidity 3, parental symptomatology of ADHD with comorbidity is more severe than ADHD without comorbidity. 4, whether parenting stressor had relationship with parental symptomatology.
    Methods: we consequently interview ADHD children and their parent with Mini kid to differentiate the ADHD with comorbidity and ADHD without comorbidity group. Then ask their parents perform the parenting stressor index and parental symptomatology scale (symptom check list, SCL-90).
    Results: the parenting stressor of ADHD children is more severe than normal children. Parenting stressor and specially childhood demandingness stressor of ADHD with comorbidity children’s parent is more severe than ADHD without comorbidity. Parental symptomatology of ADHD with comorbidity is more severe than ADHD without comorbidity. Parenting stressor had relationship with parental symptomatology.
    Conclusion: this study showed that parent of ADHD need help from school counseling and psychiatric expertise. School base mental health programs should emphasize the counseling toward ADHD with comorbidity children and promoting their parent’s parenting ability under the cooperation of special educator, school counseling, and child adolescent psychiatrist.

    Keywords: ADHD, comorbidity, parenting stressor, symptomatology

    目次 謝辭……………………………………………………………………………………....i 中文摘要…………………………………………………………………........................ii 英文摘要………………………………………………………………….......................iv 目錄…………………………………………………………………................................v 附錄次…………………………………………………………………...........................vii 表次…………………………………………………………………...............................vii 圖次…………………………………………………………………...............................vii 第一章 緒論 第一節 研究動機…………………………………………………………………1 第二節 研究目的與待答問題…………………………………………………....9 第三節 名詞釋義………………………………………………………………..11 第二章 文獻探討 第一節 過動兒的介紹…………………………………………………………..15 第二節 過動兒之共病現象……………………………………………………..20 第三節 代表嚴重度之共病現象對過動兒的影響……………………………..21 第四節 過動兒的家庭互動問題………………………………………………..24 第五節 親子互動問題研究結果不一致的可能原因…………………………..31 第三章 研究方法 第一節 研究架構………………………………………………………………..34 第二節 研究對象………………………………………………………………..36 第三節 研究工具………………………………………………………………..36 第四節 研究程序………………………………………………………………..45 第五節 資料處理與分析………………………………………………………..45 第四章 研究結果 第一節 共病組與無共病組之相關背景變項分析……………………………..47 第二節 共病組與無共病組父母親職壓力與身心適應症狀…………………..52 第三節 親職壓力量表與身心適應症狀問題量表的相關.…………………….59 第五章 討論與建議 第一節 為何共病組比無共病組父母,有較高過動兒的強求性得分?............63 第二節 共病組比無共病組父母的身心適應症狀困擾指標得分高,其臨床意義何在?………………………………………………………………….66 第三節 父母特質因素(親職能力、親子角色投入、憂鬱)與身心適應症狀有相關,其意義為何?………………………………………………….67 第四節 研究限制………………………………………………………………..68 第五節 建議……………………………………………………………………..68 參考文獻 一、 英文部分…………………………………………………………………............75 二、 中文部分…………………………………………………………………............95

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    二、中文部分
    洪儷瑜 (2001):自閉症注意力缺陷過動症學生發現與安置輔導工作第三年期末報告。台北: 國立臺灣師範大特殊教育系。
    洪儷瑜 (2000):自閉症注意力缺陷過動症學生診斷評量系統發表會。台北: 國立臺灣師範大特殊教育系。
    劉彥君、雷根玲 (1996):為什麼同學不喜歡我 談過動兒的人際問題。台北:台大心理系。
    駱重鳴 (1982):生活壓力適應方式與身心健康。台北:國立台灣大學。
    蔡文哲 (民85):兒童精神科醫師在學校心理衛生扮演的角色。學生輔導雙月刊,頁24-31。
    翁毓秀(2003):親職壓力量表指導手冊。台北:心理出版社。

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