理學院: 心理學研究所指導教授: 張素凰洪子琁Hong, Tzu-HsuanTzu-HsuanHong2017-03-022018-06-282017-03-022018-06-282016http://ntur.lib.ntu.edu.tw//handle/246246/271972以正念為基礎的治療方案已被證實對憂鬱個案有顯著療效，但此治療方案中包含多種不同的正念作業，而且目前尚缺乏研究探討不同型態的正念作業對憂鬱個體的情緒和認知的影響。另外，對於較強調培養慈悲態度的正念作業對憂鬱個體有何影響的研究亦較缺乏。因此，本研究之主要目的為比較單純注意與自我慈悲兩種不同的正念作業對不同憂鬱傾向者的情緒調節和負向自我評價的影響，以利臨床工作者選擇更適合個案的正念治療方案。本研究對162名參與者實施負向情緒誘發作業，並隨機分派至不同的正念作業，並在負向情緒誘發作業前後與正念作業後分別測量參與者之正負向情緒與負向自我評價。本研究以貝克憂鬱量表（BDI-II）高於14分為高憂鬱組（n = 54），低於6分為低憂鬱組（n = 51），將參與者於不同時間點的正向情緒、負向情緒、負向自我評價為依變項，進行2（高/低憂鬱組）× 2（單純注意作業/自我慈悲作業）× 3（時間：情緒誘發前/情緒誘發後/正念作業後）的三因子混合重覆量數變異數分析。結果發現，在正念作業後，單純注意組的受試者之正向情緒與情緒誘發前相比有顯著降低，負向自我評價則沒有顯著差異；而在自我慈悲組中，接受正念作業後，受試者之正向情緒與情緒誘發前相比沒有顯著差異，負向自我評價則有顯著降低。在負向情緒上，在正念作業後，單純注意組與自我慈悲組的負向情緒與情緒誘發後相比都有顯著降低，且下降幅度相當。本研究的結果顯示自我慈悲的正念作業在正向情緒修復以及負向自我評價修復上有比單純注意的正念作業更好的效果。本研究並以此對自我慈悲可能對憂鬱個體的病理機制造成的影響進行討論。本研究建立中文化的自我慈悲指導語派典，據此比較不同正念作業的效益，再根據本研究的結果，對未來的正念課程發展與臨床實務應用提出建議，以顯示出自我慈悲的態度在正念課程中的重要性。Treatment programs based on mindfulness have been proved to have significant positive effect on depressive disorders. Nonetheless, these programs often included different mindfulness practices; also, research comparing their differential effects on depressive individuals’ emotion regulation and cognition has still waited for further elucidation. Furthermore, the effects of mindfulness practice that focused more on cultivating self-compassion on depressive individuals have still been sparse. Therefore, the present study aimed to compare the interaction effects of different mindfulness task, i.e., ""pure attention"" and ""self compassion"", and depressive mood on emotion regulation and negative self evaluation, thereby to enhance the treatment of choice concerning program effects of mindfulness in the future clinical work. One hundred and sixty-two participants underwent negative mood induction task and were randomly assigned to these two mindfulness tasks, and they rated their positive/negative emotion and negative self evaluation at pre/post-mood induction and post-mindfulness task. High depressive group consisted of participants with BDI-II > 14 (n = 54), and low depressive group with BDI-II < 6 (n = 51). The dependent variables included positive emotion, negative emotion, negative self evaluation, and a 2 (high depressive group/low depressive group) × 2 (pure attention/self-compassion) × 3 (pre-mood induction/post-mood induction/post-mindfulness task) three way repeated measures ANOVA was conducted. The results showed that after the mindfulness task, compared to the pre-mood induction, the positive emotion of the participants in the pure attention group was significantly decreased, whereas the negative self evaluation has no significant difference. For the ""self-compassion"" group, at post-mindfulness task, the positive emotion was not significantly different from the pre-mood induction, whereas the negative self evaluation was significantly decreased. As to the negative emotion, after the mindfulness task, both of the pure attention group and self-compassion group are decreased compared to the post-mood induction, and to the same extent. We concluded that the self-compassion mindfulness task was better than the pure attention mindfulness task for the positive emotion regulation and the negative self evaluation regulation. The impacts of self-compassion on the psychopathology of depression are discussed. The present study established a paradigm for self-compassion induction so as to compare the effects of different mindfulness tasks. According to our findings, as self-compassion attitude may be an important element in the treatment programs for mindfulness, possible clinical interventions are henceforth proposed.1305890 bytesapplication/pdf論文公開時間: 2021/7/26論文使用權限: 同意無償授權正念憂鬱症自我慈悲情緒調節負向自我評價mindfulnessdepressionself-compassionemotion regulationnegative self evaluationthesis10.6342/NTU201601068http://ntur.lib.ntu.edu.tw/bitstream/246246/271972/1/ntu-105-R01227208-1.pdf