本校學位論文庫
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苏伟麟
趙冬梅
大健康學院
應用心理學碩士學位課程
碩士
2022
童年期逆境經歷對抑鬱的影響：創傷後成長的中介作 用及正念減壓療法的干預
The impact of childhood adversity on depression: the mediating role of post-traumatic growth and the intervention of Mindfulness-Based- Stress Reductio therapy
童年期逆境經歷 ; 創傷後成長 ; 抑鬱情緒 ; 正念減壓療法
Adversity Childhood Experience ; Post-traumatic Growth ; Depression ; Mindfulness—based stress reduction
公開日期：24/6/2026
研究目的：本研究的主要目的是探索童年期逆境經歷、創傷後成長以及抑鬱情緒之間的關係以及創傷後成長在童年期逆境經歷與抑鬱情緒中起中介作用，同時，針對存在抑鬱情緒的個體進行正干預，探討正念減壓療法對大學生抑鬱情緒以及創傷後成長干預調節的有效性
研究方法：研究一採取完全隨機抽樣從珠海兩所高校不同年級、不同專業抽取大學生進行問卷填寫，所用問卷包括兒童期創傷問卷（CTQ-SF）、簡版抑鬱量表（CESD-10）、創傷後後成長評定量表（PTGI），共獲取有效問卷 289 份，採用 SPSS 進行數據分析，探討創傷後成長在童年期逆境經歷以及抑鬱情緒之間的影響路徑。研究二在研究一的基礎上選取 40 名被試，其中 20 名被試採用正念減壓療法進行干預，20 名被試不進行干預處理，探究正念減壓療法對大學生抑鬱情緒干預的有效性。
研究結論：(1)大學生童年期逆境經歷能夠正向預測抑鬱情緒；(2)創傷後成長在抑鬱情緒形成的過程中起部分中介的作用，即大學生童年期逆境經歷能夠通過創傷後成長間接對抑鬱水平產生影響；(3)正念減壓療法能夠有效地對大學生的創傷後成長以及抑鬱情緒水平進行干預，一方面能夠讓他們的創傷後成長水平提高，另一方面起到降低抑鬱情緒的作用。
研究方法：研究一採取完全隨機抽樣從珠海兩所高校不同年級、不同專業抽取大學生進行問卷填寫，所用問卷包括兒童期創傷問卷（CTQ-SF）、簡版抑鬱量表（CESD-10）、創傷後後成長評定量表（PTGI），共獲取有效問卷 289 份，採用 SPSS 進行數據分析，探討創傷後成長在童年期逆境經歷以及抑鬱情緒之間的影響路徑。研究二在研究一的基礎上選取 40 名被試，其中 20 名被試採用正念減壓療法進行干預，20 名被試不進行干預處理，探究正念減壓療法對大學生抑鬱情緒干預的有效性。
研究結論：(1)大學生童年期逆境經歷能夠正向預測抑鬱情緒；(2)創傷後成長在抑鬱情緒形成的過程中起部分中介的作用，即大學生童年期逆境經歷能夠通過創傷後成長間接對抑鬱水平產生影響；(3)正念減壓療法能夠有效地對大學生的創傷後成長以及抑鬱情緒水平進行干預，一方面能夠讓他們的創傷後成長水平提高，另一方面起到降低抑鬱情緒的作用。
Objectives: The main objective of this study was to explore the relationship between adversity childhood experience, post-traumatic growth and depression, and the role of post-traumatic growth in mediating adversity childhood experience and depression, as well as to investigate the effectiveness of mindfulness-based stress reduction therapy on the regulation of depression and post-traumatic growth interventions in university students.
Methodology: Study 1 a completely random sample of university students from two universities in Zhuhai was selected at different levels and majors to fill out questionnaires, including the Childhood Trauma Questionnaire (CTQ-SF), the Brief Center for Epidemiological Studies Depression scale (CESD-10), and the Post-traumatic Growth Inventory (PTGI). 289 valid questionnaires were obtained. SPSS was used to conduct the data analysis. In this way, the pathways of post-traumatic growth are explored in relation to childhood experiences of adversity and depression. Study 2 was based on Study 1.40 participants were selected, 20 of whom were treated with positive stress reduction therapy and 20 without intervention, to investigate the effectiveness of positive stress reduction therapy in intervening with depression in university students.
Conclusion: (1)adversity childhood experiences of college students can positively predict depression; (2) post-traumatic growth plays a part in mediating the formation of depression, i.e., adversity childhood experiences of college students can indirectly influence depression levels through post-traumatic growth; (3) positive stress reduction therapy can effectively intervene in post-traumatic growth and depression levels of college students, on the one hand.
Methodology: Study 1 a completely random sample of university students from two universities in Zhuhai was selected at different levels and majors to fill out questionnaires, including the Childhood Trauma Questionnaire (CTQ-SF), the Brief Center for Epidemiological Studies Depression scale (CESD-10), and the Post-traumatic Growth Inventory (PTGI). 289 valid questionnaires were obtained. SPSS was used to conduct the data analysis. In this way, the pathways of post-traumatic growth are explored in relation to childhood experiences of adversity and depression. Study 2 was based on Study 1.40 participants were selected, 20 of whom were treated with positive stress reduction therapy and 20 without intervention, to investigate the effectiveness of positive stress reduction therapy in intervening with depression in university students.
Conclusion: (1)adversity childhood experiences of college students can positively predict depression; (2) post-traumatic growth plays a part in mediating the formation of depression, i.e., adversity childhood experiences of college students can indirectly influence depression levels through post-traumatic growth; (3) positive stress reduction therapy can effectively intervene in post-traumatic growth and depression levels of college students, on the one hand.
2023
中文
59
致 謝.............................................................................................................................I
摘 要........................................................................................................................... II
Abstract........................................................................................................................III
圖目錄........................................................................................................................ VII
表目錄........................................................................................................................ VII
第一章 緒論..................................................................................................................1
1.1 研究背景........................................................................................................1
1.2 研究目的........................................................................................................2
1.3 研究意義........................................................................................................2
1.3.1 理論意義...............................................................................................2
1.3.2 實踐意義...............................................................................................3
第二章 研究現狀..........................................................................................................4
2.1 童年逆境經歷................................................................................................4
2.1.1 童年逆境經歷的概念...........................................................................5
2.1.2 童年逆境經歷的相關研究...................................................................5
2.2 抑鬱................................................................................................................6
2.2.1 抑鬱情緒的概念...................................................................................6
2.2.2 抑鬱情緒的相關研究...........................................................................8
2.3 創傷後成長....................................................................................................9
2.3.1 創傷後成長的概念...............................................................................9
2.3.2 創傷後成長相關研究.........................................................................10
2.4 童年逆境經歷和抑鬱以及創傷後成長的關係.......................................... 11
2.4.1 童年逆境經歷和抑鬱的關係............................................................. 11
2.4.2 創傷後成長和抑鬱的關係.................................................................12
2.4.3 童年逆境經歷和創傷後成長的關係.................................................13
2.5 正念干預......................................................................................................14
2.5.1 正念干預的概念................................................................................14
2.5.2 正念干預的相關研究........................................................................15
第三章 研究目標及內容............................................................................................18
3.1 研究一..........................................................................................................18
3.1.1 研究目標............................................................................................18
3.1.2 研究假設與模型圖............................................................................18
3.1.3 研究內容............................................................................................18
3.1.4 研究對象和方法................................................................................18
3.2 研究二..........................................................................................................20
3.2.1 研究目標............................................................................................20
3.2.2 研究對象............................................................................................20
3.2.3 研究設計和程序................................................................................20
第四章 結果與分析....................................................................................................22
4.1 研究一結果分析..........................................................................................22
4.1.1 童年期逆境經歷、創傷後成長與抑鬱情緒的描述統計分析........22
4.1.2 童年期逆境經歷、創傷後成長與抑鬱情緒的相關檢驗................23
4.1.3 創傷後成長在童年期逆境經歷與抑鬱情緒之間的中介效應檢驗 25
4.1.4 人口學變量差異的分析....................................................................27
4.2 研究二結果分析..........................................................................................29
4.2.1 實驗組與對照組前測數據比較.......................................................29
4.2.2 實驗組與對照組後測數據比較.......................................................30
4.2.3 實驗組前後測數據比較...................................................................31
4.2.4 對照組前後測數據比較...................................................................31
第五章 研究結果討論................................................................................................33
5.1 童年逆境經歷、創傷後成長與抑鬱情緒關係的研究結果討論..............33
5.1.1 大學生童年期逆境經歷對抑鬱情緒的影響....................................33
5.1.2 大學生童年期逆境經歷對創傷後成長的影響................................33
5.1.3 創傷後成長對抑鬱情緒的影響........................................................34
5.1.4 創傷後成長的中介作用....................................................................35
5.2 正念減壓療法對抑鬱情緒干預研究的結果討論......................................36
5.2.1 正念減壓療法干預效果探究............................................................36
5.2.2 正念減壓療法對抑鬱情緒的作用機制探討....................................38
第六章 結論................................................................................................................40
第七章 不足與展望....................................................................................................41
參考文獻......................................................................................................................42
作者簡歷......................................................................................................................56
附 錄..........................................................................................................................57
摘 要........................................................................................................................... II
Abstract........................................................................................................................III
圖目錄........................................................................................................................ VII
表目錄........................................................................................................................ VII
第一章 緒論..................................................................................................................1
1.1 研究背景........................................................................................................1
1.2 研究目的........................................................................................................2
1.3 研究意義........................................................................................................2
1.3.1 理論意義...............................................................................................2
1.3.2 實踐意義...............................................................................................3
第二章 研究現狀..........................................................................................................4
2.1 童年逆境經歷................................................................................................4
2.1.1 童年逆境經歷的概念...........................................................................5
2.1.2 童年逆境經歷的相關研究...................................................................5
2.2 抑鬱................................................................................................................6
2.2.1 抑鬱情緒的概念...................................................................................6
2.2.2 抑鬱情緒的相關研究...........................................................................8
2.3 創傷後成長....................................................................................................9
2.3.1 創傷後成長的概念...............................................................................9
2.3.2 創傷後成長相關研究.........................................................................10
2.4 童年逆境經歷和抑鬱以及創傷後成長的關係.......................................... 11
2.4.1 童年逆境經歷和抑鬱的關係............................................................. 11
2.4.2 創傷後成長和抑鬱的關係.................................................................12
2.4.3 童年逆境經歷和創傷後成長的關係.................................................13
2.5 正念干預......................................................................................................14
2.5.1 正念干預的概念................................................................................14
2.5.2 正念干預的相關研究........................................................................15
第三章 研究目標及內容............................................................................................18
3.1 研究一..........................................................................................................18
3.1.1 研究目標............................................................................................18
3.1.2 研究假設與模型圖............................................................................18
3.1.3 研究內容............................................................................................18
3.1.4 研究對象和方法................................................................................18
3.2 研究二..........................................................................................................20
3.2.1 研究目標............................................................................................20
3.2.2 研究對象............................................................................................20
3.2.3 研究設計和程序................................................................................20
第四章 結果與分析....................................................................................................22
4.1 研究一結果分析..........................................................................................22
4.1.1 童年期逆境經歷、創傷後成長與抑鬱情緒的描述統計分析........22
4.1.2 童年期逆境經歷、創傷後成長與抑鬱情緒的相關檢驗................23
4.1.3 創傷後成長在童年期逆境經歷與抑鬱情緒之間的中介效應檢驗 25
4.1.4 人口學變量差異的分析....................................................................27
4.2 研究二結果分析..........................................................................................29
4.2.1 實驗組與對照組前測數據比較.......................................................29
4.2.2 實驗組與對照組後測數據比較.......................................................30
4.2.3 實驗組前後測數據比較...................................................................31
4.2.4 對照組前後測數據比較...................................................................31
第五章 研究結果討論................................................................................................33
5.1 童年逆境經歷、創傷後成長與抑鬱情緒關係的研究結果討論..............33
5.1.1 大學生童年期逆境經歷對抑鬱情緒的影響....................................33
5.1.2 大學生童年期逆境經歷對創傷後成長的影響................................33
5.1.3 創傷後成長對抑鬱情緒的影響........................................................34
5.1.4 創傷後成長的中介作用....................................................................35
5.2 正念減壓療法對抑鬱情緒干預研究的結果討論......................................36
5.2.1 正念減壓療法干預效果探究............................................................36
5.2.2 正念減壓療法對抑鬱情緒的作用機制探討....................................38
第六章 結論................................................................................................................40
第七章 不足與展望....................................................................................................41
參考文獻......................................................................................................................42
作者簡歷......................................................................................................................56
附 錄..........................................................................................................................57
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