身體化反應與無助狀態之確認的前瞻性臨床研究(II)
Date Issued
1999
Date
1999
Author(s)
DOI
882413H002021
Abstract
As the second-year study of the threeyear
longitudinal Research Project, the goal
of the proposed research is to investigate the
association of helplessness, certainty of
helplessness, anxiety, and depression in those
who are at higher risk for anxiety or
depression disorders. As widely noted in
2
several studies, Taiwanese tend to express
psychological distress via somatization,
which may be manifested by symptoms
parallel to anxiety. A question thus arises as
to whether holding a pattern of somatization
and seeking medical help may be associated
with elevated helplessness and lower
certainty of helplessness while encountering
stress. Hence, such a pattern may maintain
the mixed anxiety-depressive state, and may
in turn prevent the less depressed from
becoming more depressed. In order to
examine the above-mentioned postulation, a
prospective research with three-year
longitudinal design among high risk groups
will be in order. In the first year, the
proposed research aimed to research on stress
measures. In the second year, the proposed
study was designed to test the association
among cognitive appraisal factors such as
importance, helplessness, and certainty of
helplessness, and symptoms like anxiety and
depression between psychiatric
anxiety/depression patients and normal
controls. The present study recruited both
psychiatric patients (N=99) and normal adults
(N=317). The results show that: 1)
Correlation analyses yield significantly
positive correlation among total stress,
anxiety, and depression in both samples.
Although both samples encountered similar
amounts of stress, patients displayed
significantly more symptoms. 2) In terms of
cognitive appraisal factors, patients endorsed
significantly higher on importance, threat,
harm, loss and lower on controllability,
whereas both samples endorsed similar
amounts of challenge, negative outcome
expectancy, helplessness expectancy, and
certainty of helplessness. 3) Path analyses
yield that anxiety and depression were
independently predicted by different patterns
of cognitive appraisal factors for patients and
normal adults. Future research and clinical
application of helplessness-hopelessness
model are also discussed.
Subjects
Certainty of Helplessness
Stress
Anxiety
Depression
Clinical Samples
Publisher
臺北市：國立臺灣大學心理學系暨研究所
Type
report
File(s)![Thumbnail Image]()
Loading...
Name
882413H002021.pdf
Size
54.68 KB
Format
Adobe PDF
Checksum
(MD5):8738a78e8e95e069e82d0b9bb54d8f73