簡易檢索 / 詳目顯示

研究生: 湯淑方
Shu-Fang Tang
論文名稱: K他命使用、衝動特質與憂鬱情形之相關研究:以高職夜校生為例
Ketamine Use, Impulsivity and Depression among Vocational Evening School Students
指導教授: 李思賢
Lee, Szu-Hsien
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: 2015
畢業學年度: 103
語文別: 中文
論文頁數: 57
中文關鍵詞: K他命使用獎賞懲罰敏感性衝動性憂鬱
英文關鍵詞: Ketamine abuse, Sensitivity to Punishment and Sensitivity to Reward, Impulsivity, Depression
DOI URL: https://doi.org/10.6345/NTNU202205620
論文種類: 學術論文
相關次數: 點閱:433下載:55
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 國內藥物濫用的問題有增多的趨勢,年齡層逐年下降、K他命的濫用是台灣目前面臨的嚴重問題,本研究目的在調查青少年是否因衝動性、獎賞敏感性與懲罰敏感性、憂鬱情況而影響其K他命濫用情形。研究對象為針對台北市高中職夜間部學生進行問卷調查,共計212份問卷進行分析。研究工具採用衝動量表(Barratt Impulsiveness Scale,BIS-11)、獎賞敏感性與懲罰敏感性量表(The Sensitivity to Punishment and Sensitivity to Reward Questionnaire,SPSRQ)、憂鬱量表(Center for Epidemiologic Studies Scale,CES-D),以SPSS 22.0統計軟體分析。研究結果發現高中職夜校學生中衝動性、獎賞敏感性及憂鬱與使用K他命有顯著相關(t=-2.774(210), p=.007; t=-3.319(210), p=.001; t=-2.769(210), p=.007)。衝動性、獎賞敏感性與憂鬱傾向能有效預測K他命使用行為(β=.043, p=.045; β=.121, p=.002; β=.045, p=.027)。本研究建議未來可以設計不同的認知功能調查,瞭解衝動性與大腦藥物機制的關聯,做更深入的探討,以及在青少年人格發展時,增強對藥物使用之認知或藉由相關課程的設計,以降低青少年因人格特質的影響而產生偏差或藥物使用行為。

    Ketamine abuse has recently become a serious problem in Taiwan. This study aimed to investigate the relationship between impulsivity, sensitivity to reward, sensitivity to punishment, depression and ketamine use amongst teenagers in Taipei. A total of 212 vocational evening school students completed a self-administered questionnaire about ketamine use and personality trait. The survey questionnaire concluded the Barratt Impulsiveness Scale (BIS-11), the Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ) and the Center for Epidemiologic Studies Scale (CES-D). SPSS 22.0 software was used to manage and ananlyze the data. The results found that impulsivity, sensitivity to reward and depression are significantly associated with ketamine use (t=-2.774(210), p=.007; t=-3.319(210), p=.001; t=-2.769(210), p=.007). Students with higher score on impulsivity, sensitivity to reward or depression were more likely to use ketamine (β=.043, p=.045; β=.121, p=.002; β=.045, p=.027). Based on these findings, we suggest (1) different approaches to measuring cognitive function would have helped in understanding the relationship between personality trait and mechanism of drug use in brains; (2) increasing drug-abuse knowledge through course design would reduce drug use or delinquent behavior during adolescent personality development.

    致謝 i 中文摘要 ii ABSTRACT iii 目錄 iv 表目錄 vi 圖目錄 vii 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的與研究問題 6 第二章 文獻探討 7 第一節 K他命與造成的傷害 7 第二節 K他命在國內外使用情況 10 第三節 人格特質與藥物使用行為關係 13 第四節 憂鬱與藥物使用行為之關係 23 第五節 研究架構與假設 25 第三章 研究方法 26 第一節 理論基礎 26 第二節 資料收集方法與研究對象 27 第三節 測量工具與變項 28 第四節 資料分析處理 30 第四章 研究結果 32 第一節 研究對象社會人口學分布 32 第二節 研究對象各變項與有無使用K他命間之相關結果 32 第三節 研究對象各變項與有無使用K他命間之預測情形 33 第五章 討論 36 第六章 結論與建議 39 參考資料 41 附錄問卷 48

    中文文獻
    江振亨、林瑞欽、陳憲章(2011)。 2002年與2007年男性吸毒暴力犯者與非暴力犯者用藥涉入強度與用藥認知之比較研究。玄奘社會科學學報(9),頁 113-141。
    李思賢、林國甯、楊浩然、傅麗安、劉筱雯、李商琪(2009)。 青少年毒品戒治者對藥物濫用之認知、態度、行為與因應方式研究。青少年犯罪防治研究期刊, 1(1),頁 1-28。
    李思賢、游錦雲、任全鈞、張淑雯、范巧逸、李慧純(2009)。 校園學生毒品使用篩檢量表之編製暨信效度分析(高中職日間部版及夜間部版)。 教育部委託研究計畫研究報告(計畫編號:0960190567)。
    周碧瑟(2000)。 台灣地區在校青少年藥物使用流行病學調查研究。 行政院衛生署管制藥品管理局九十四年度科技研究發展計劃。
    柯慧貞(2005)。 全國大專院校學生藥物使用盛行率與其相關心理社會因素之追蹤研究。 行政院衛生署管制藥品管理局九十四年度科技研究發展計畫。
    莊耀嘉 (1996a)。 犯罪的心理成因:自我控制或社會控制。國家科學委員會彙刊:人文社會學科, 6(2),頁 235-257。
    莊耀嘉 (2009)。 衝動性、管控功能、特質與家庭因素在兒童至少年階段犯行發展的角色:自我控制論的檢驗。犯罪與刑事司法研究(12),頁 101-144。
    陳為堅(2006)。 全國青少年非法藥物使用調查。 行政院衛生署管制藥品管理局九十五年度科技研究發展計劃。
    楊國樞、余德慧、吳英璋(1986)。 台北市青少年犯罪之心理傾向及其防治。
    衛生福利部食品藥物管理署(2013)。 藥物濫用案件暨檢驗統計資料。 取自:http://www.fda.gov.tw/upload/133/2015010813425062871.pdf。

    英文文獻
    Arnold H. Buss, R. P. (1975). A Temperament Theory of Personality Development. John Wiley & Sons Inc (July 1975). Retrieved from
    Barratt, E. S. (1965). Factor Analysis of Some Psychometric Measures of Impulsiveness and Anxiety. Psychological Reports, 16, 547–554. doi:10.2466/pr0.1965.16.2.547
    Barratt, E. S. (1993). Impulsivity: Integrating cognitive, behavioral, biological, and environmental data. 39–56.
    Berkman, E. T., Lieberman, M. D., & Gable, S. L. (2009). BIS, BAS, and response conflict: Testing predictions of the revised reinforcement sensitivity theory. Personality and Individual Differences, 46, 586–591. doi:10.1016/j.paid.2008.12.015
    Berman, R. M., Cappiello, A., Anand, A., Oren, D. A., Heninger, G. R., Charney, D. S., & Krystal, J. H. (2000). Antidepressant effects of ketamine in depressed patients. Biol Psychiatry, 47(4), 351–354. Retrieved from
    Butters, R. P. (2011). Linda P. Spear: The Behavioral Neuroscience of Adolescence. Clinical Social Work Journal, 39(3), 315–317. doi:10.1007/s10615-011-0320-y
    Casey, B. J., & Jones, R. M. (2010). Neurobiology of the adolescent brain and behavior: implications for substance use disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 49(12), 1189–201; quiz 1285. doi:10.1016/j.jaac.2010.08.017
    Chan, K. W. S., Lee, T. M. C., Siu, A. M. H., Wong, D. P. L., Kam, C.-M., Tsang, S. K. M., & Chan, C. C. H. (2013). Effects of chronic ketamine use on frontal and medial temporal cognition. Addictive Behaviors, 38(5), 2128–32. doi:10.1016/j.addbeh.2013.01.014
    Cheng, J. Y. K., Chan, D. T. W., & Mok, V. K. K. (2005). An epidemiological study on alcohol/drugs related fatal traffic crash cases of deceased drivers in Hong Kong between 1996 and 2000. Forensic Science International, 153(2-3), 196–201. doi:10.1016/j.forsciint.2004.08.023
    Copeland, J., & Dillon, P. (2005). The health and psycho-social consequences of ketamine use. International Journal of Drug Policy, 16(2), 122–131.
    Corr, P. J. (2004). Reinforcement sensitivity theory and personality. Neuroscience and Biobehavioral Reviews. doi:10.1016/j.neubiorev.2004.01.005
    Dalley, J. W., Cardinal, R. N., & Robbins, T. W. (2004). Prefrontal executive and cognitive functions in rodents: neural and neurochemical substrates. Neurosci Biobehav Rev, 28(7), 771–784. doi:10.1016/j.neubiorev.2004.09.006
    Dawe, S., Gullo, M. J., & Loxton, N. J. (2004). Reward drive and rash impulsiveness as dimensions of impulsivity: Implications for substance misuse. Addictive Behaviors 29, 1389–1405. doi:10.1016/j.addbeh.2004.06.004
    Dawe, S., Loxton, N. J., Gullo, M. J., Staiger, P. K., Kamouropoulos, N., Perdon, L., & Wood, A. (2007). Translation of Addictions Science Into Practice, 321–339. Elsevier. doi:10.1016/B978-008044927-2/50064-X
    Dickman, S. J. (1990). Functional and dysfunctional impulsivity: personality and cognitive correlates. Journal of Personality and Social Psychology, 58, 95–102. doi:10.1037/0022-3514.58.1.95
    Dickman, S. J. (1993). Impulsivity and information processing. The impulsive client: Theory, research, and treatment. 151–184. doi:10.1037/10500-010
    EMCDDA. (2011). Annual report 2011 The state of the drugs problem in Europe. doi:10.2810/44330
    Eysenck, S. B., & Eysenck, H. J. (1977). The place of impulsiveness in a dimensional system of personality description. British Journal of Psycholog 16, 57–68. doi:10.1111/j.2044-8260.1977.tb01003.x
    Eysenck, S., & Zuckerman, M. (1978). The relationship between sensation-seeking and Eysenck’s dimensions of personality. British Journal of Psychology, 69(4), 483–487. doi:10.1111/j.2044-8295.1978.tb02125.x
    Finn, P. R., Kessler, D. N., & Hussong, A. M. (1994). Risk for alcoholism and classical conditioning to signals for punishment: evidence for a weak behavioral inhibition system? Journal of Abnormal Psychology, 103(2), 293–301.
    Franken, I. H. A., & Muris, P. (2006). Gray’s impulsivity dimension: A distinction between Reward Sensitivity versus Rash impulsiveness. Personality and Individual Differences, 40, 1337–1347. doi:10.1016/j.paid.2005.11.016
    Galvan, A., Hare, T. A., Parra, C. E., Penn, J., Voss, H., Glover, G., & Casey, B. J. (2006). Earlier development of the accumbens relative to orbitofrontal cortex might underlie risk-taking behavior in adolescents. The Journal of Neuroscience, 26(25), 6885–92. doi:10.1523/JNEUROSCI.1062-06.2006
    Hoare, J., & Debbie, M. (2010). Drug Misuse Declared: Findings from the 2009/10 British Crime Survey England and Wales. Home Office Statistical Board. London: Home Office.
    Jonker, N. C., Ostafin, B. D., Glashouwer, K. a., van Hemel-Ruiter, M. E., & de Jong, P. J. (2014). Reward and punishment sensitivity and alcohol use: The moderating role of executive control. Addictive Behaviors, 39, 945–948. doi:10.1016/j.addbeh.2013.12.011
    Jorm, A. ., Christensen, H., Henderson, A. ., Jacomb, P. ., Korten, A. ., & Rodgers, B. (1998). Using the BIS/BAS scales to measure behavioural inhibition and behavioural activation: Factor structure, validity and norms in a large community sample. Personality and Individual Differences, 26(1), 49–58. doi:10.1016/S0191-8869(98)00143-3
    Kalsi, S. S., Wood, D. M., & Dargan, P. I. (2011). The epidemiology and patterns of acute and chronic toxicity associated with recreational ketamine use. Emerg Health Threats J, 4, 7107. doi:10.3402/ehtj.v4i0.7107
    Leland, D. S., & Paulus, M. P. (2005). Increased risk-taking decision-making but not altered response to punishment in stimulant-using young adults. Drug and Alcohol Dependence, 78(1), 83–90. doi:10.1016/j.drugalcdep.2004.10.001
    Li, C.-S. R., Huang, C.-Y., Lin, W.-Y., & Sun, C.-W. V. (2007). Gender differences in punishment and reward sensitivity in a sample of Taiwanese college students. Personality and Individual Differences, 43, 475–483
    Li, J.-H., Kasinather, V., Cheung, Zhou, Nurhidayat, Jarlais, D., & Schottenfeld, R. (2011). To use or not to use: an update on licit and illicit ketamine use. Substance Abuse and Rehabilitation, 11. doi:10.2147/SAR.S15458
    Liraud, F., & Verdoux, H. (2000). Which temperamental characteristics are associated with substance use in subjects with psychotic and mood disorders? Psychiatry Research, 93(1), 63–72.
    Loxton, N. J., & Dawe, S. (2001). Alcohol abuse and dysfunctional eating in adolescent girls: the influence of individual differences in sensitivity to reward and punishment. The International Journal of Eating Disorders, 29(4), 455–62.
    Loxton, N. J., Wan, V. L.-N., Ho, A. M.-C., Cheung, B. K.-L., Tam, N., Leung, F. Y. K., & Stadlin, A. (2008). Impulsivity in Hong Kong-Chinese club-drug users. Drug and Alcohol Dependence, 95(1-2), 81–9. doi:10.1016/j.drugalcdep.2007.12.009
    McCambridge, J., Winstock, A., Hunt, N., & Mitcheson, L. (2007). 5-Year trends in use of hallucinogens and other adjunct drugs among UK dance drug users. European Addiction Research, 13(1), 57–64. doi:10.1159/000095816
    Moeller, F. G., Barratt, E. S., Ph, D., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Reviews and Overviews Psychiatric Aspects of Impulsivity. Psychiatry Interpersonal and Biological Processes, 158, 1783–1793. doi:10.1111/j.1467-789X.2011.00899.x
    Moeller, F. G., & Dougherty, D. M. (2002). Impulsivity and Substance Abuse: What Is the Connection? Addictive Disorders & Their Treatment. doi:10.1097/00132576-200205000-00002
    Morgan, C. J., Curran, H. V, & Independent Scientific Committee on, D. (2012). Ketamine use: a review. Addiction, 107(1), 27–38. doi:10.1111/j.1360-0443.2011.03576.x
    Morgan, C. J., Muetzelfeldt, L., & Curran, H. V. (2009). Ketamine use, cognition and psychological wellbeing: a comparison of frequent, infrequent and ex-users with polydrug and non-using controls. Addiction, 104(1), 77–87. doi:10.1111/j.1360-0443.2008.02394.x
    Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical Psychology, 51, 768–774. doi:10.1002/1097-4679(199511)51:6<768
    Sanz Ruiz, A.,Villamarín Cid, F.,Álvarez Moleiro, M.,Torrubia Beltri, R. (2007). Sensitivity to punishment as a moderator of the relationship between self-efficacy & cardiovascular reactivity. Personality & Individual Differences, 43(1), 143-154.
    Shedler, J., & Block, J. (1990). Adolescent drug use and psychological health. A longitudinal inquiry. The American Psychologist, 45, 612–630. doi:10.1037/0003-066X.45.5.612
    Steinberg, L. (2010). A dual systems model of adolescent risk-taking. Dev Psychobiol, 52(3), 216–224. doi:10.1002/dev.20445
    Simons, J. S., Dvorak, R. D., & Batien, B. D. (2008). Methamphetamine use in a rural college population: associations with marijuana use, sensitivity to punishment, and sensitivity to reward. Psychology of Addictive Behaviors, 22, 444–449. doi:10.1037/0893-164X.22.3.444
    Smillie, L. D. (2008). The conceptualisation, measurement and scope of reinforcement sensitivity in the context of a neuroscience of personality. European Journal of Personality, 22(5), 411–425. doi:10.1002/per.687
    Tang, W. K., Liang, H. J., Lau, C. G., Tang, A., & Ungvari, G. S. (2013). Relationship between cognitive impairment and depressive symptoms in current ketamine users. J Stud Alcohol Drugs, 74(3), 460–468.
    Taylor, J. (2005). Substance use disorders and Cluster B personality disorders: physiological, cognitive, and environmental correlates in a college sample. The American Journal of Drug and Alcohol Abuse, 31(3), 515–35.
    UNODC. (2013). World Drug Report 2013. United Nations publication.
    Van der Linden, D., Taris, T. W., Beckers, D. G. J., & Kindt, K. B. (2007). Reinforcement sensitivity theory and occupational health: BAS and BIS on the job. Personality and Individual Differences, 42, 1127–1138. doi:10.1016/j.paid.2006.07.029
    Vangsness, L., Bry, B. H., & LaBouvie, E. W. (2001). Impulsivity, negative expectancies, and marijuana use: A test of the acquired preparedness model. Addictive Behaviors, 26, 1071–1076. doi:10.1016/j.addbeh.2004.11.003
    Vangsness, L., Bry, B. H., & LaBouvie, E. W. (2005). Impulsivity, negative expectancies, and marijuana use: a test of the acquired preparedness model. Addictive Behaviors, 30(5), 1071–6. doi:10.1016/j.addbeh.2004.11.003
    Wolff, K., & Winstock, A. R. (2006). Ketamine : from medicine to misuse. CNS Drugs, 20(3), 199–218.
    Zuckerman, M. (1994). Behavioral Expressions and Biosocial Bases of Sensation Seeking. Cambridge University Press.
    Zuckerman, M., & Kuhlman, D. M. (2000). Personality and risk-taking: common biosocial factors. Journal of Personality, 68(6), 999–1029. doi:10.1111/1467-6494.00124

    下載圖示
    QR CODE