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研究生: 李欣瑩
Li Xin-Ying
論文名稱: 桃園市國中生主觀生活壓力、社會支持 、因應行為與身心健康之關係研究
the study of the subjective life stress, social support, coping behaviors and psycho-physical health situation of the junior high school students in Taoyuan
指導教授: 姜逸群
Chiang, I-Chyun
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: 2001
畢業學年度: 89
語文別: 中文
論文頁數: 108
中文關鍵詞: 主觀生活壓力社會支持因應行為身心健康
英文關鍵詞: the perceptual life stress, social support, coping behaviors, psycho-physical health situation
論文種類: 學術論文
相關次數: 點閱:378下載:105
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  • 本研究主要目的,包括:(1)瞭解國中生主要的生活壓力事件為何;(2)瞭解國中生社會支持的來源及程度如何;(3)瞭解國中生面對生活壓力時,主要採取的因應行為為何;(4)瞭解國中生身心健康狀況為何;(5)探討不同社會人口學變項(年級、性別、居住狀況、家庭結構、家庭社經地位)的國中生,其生活壓力、社會支持、與因應行為的差異情形;(6)探討主觀生活壓力、社會支持、因應行為與身心健康的關係。
    本研究以桃園巿六所國中為母群體,採多步驟抽樣法,隨機抽取兩所學校,共計有效問卷455份(98.5%),研究結果摘要如下:
    1.國中生在日常生活中,面臨最多的主觀生活壓力事件,依序為:學校生活事件、家庭生活事件、自我相關事件、異性交往事件。主觀生活壓力有年級、性別、居住狀況、家庭結構、家庭社經地位的差異。
    2.國中生遭遇生活壓力時,提供社會支持的來源,主要為家人,其次為同學,最後為師長。整體而言,國中生獲得社會支持的方式以訊息性支持最多,其次為情緒性支持,最後為工具性支持。而社會支持有年級、性別的差異。
    3.國中生最常使用的因應行為以正向情緒調適最多,其次為主動解決與正向闡釋、尋求社會支持、逃避問題與發洩情緒、轉移注意力。而主動解決與正向闡釋、尋求社會支持兩類因應行為有年級、性別的差異。
    4.就國中生各類身心健康問題而言,以社會官能障礙最多,其次為焦慮和不眠症,再其次為身體症狀,最後為嚴重憂鬱症。
    5.從各變項與身心健康的關係來看:(1)主觀生活壓力對國中生身心健康具有顯著影響;(2)就社會支持而言,工具性支持具有直接效果與緩衝效果,訊息性、情緒性支持皆不具有直接效果與緩衝效果;(3)就因應行為而言,情緒取向、問題取向因應皆只具有直接效果,而不具有緩衝效果。

    The purpose of this study is to understand: (1) the perceptual life stress events of junior high school students; (2) the sources and level of their social support;(3) the coping behaviors when they face stress; (4) psycho-physical health situation; (5) the differentiation of life stress, social support and coping behaviors by grades, sex, resident situation, family structure, family social- economic status; (6) the interrelation of subjective life stress, social support and coping behaviors.
    The sample of 455 students is randomly choosed from two of six junior high schools in Tao-yuan through mutil-stage sampling. The findings of this study are as follows:
    1.Most of the perceptual life stress events are:(1) school events (2) family events (3) individual events (4) friendship with the other sex. Subjective life stress has significant differences in grades, sex, resident situation, family structure, family social-economic status.
    2.When junior high school students face stress, they first seek their families as supporters, then they go for classmates, at last they come to their teachers. In general, the most accessible social support is informational support, the next is emotional support, and the last is instrumental support.
    3.The most frequently-used coping behavior is positive emotional adaptation, and the next are active solving & positive reinterpretation, seeking social support, escapism and venting of emotions and seeking diversions. Active solving & positive reinterpretation and seeking social support show differences in grades and sex.
    4.As far as psycho-physical health problems are concerned, what happens most is social dysfunction, the next is anxiety & insomnia, then somatic symptoms, and the last is severe depression.
    5.In terms of the relation between factors and psycho-physical health: (1)subjective life stress has significant meaning in junior high school students' psycho-physical health problems (2)As for social support, instrumental support has direct effect and buffer effect, whereas informational support and emotional support don't. (3)As for coping behaviors, emotion-focused coping and problem-focused coping both have direct effect, but have no buffer effect.

    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 3 第三節 研究架構 4 第四節 研究問題 5 第五節 研究假設 5 第六節 名詞界定 6 一、主觀生活壓力 6 二、社會支持 6 三、因應行為 6 四、身心健康 6 第七節 研究限制 7 第二章 文獻探討…………………………………………..8 第一節 主觀生活壓力 8 一、壓力的定義 8 二、主觀生活壓力的測量 10 三、主觀生活壓力與身心健康 12 第二節 社會支持 13 一、社會支持的定義 13 二、社會支持的測量 15 三、社會支持與身心健康 17 第三節 因應行為 19 一、因應行為的定義 19 二、因應行為的測量 19 三、因應行為與身心健康 21 第四節 青少年的身心健康、主觀生活壓力、社會支持 23 與因應行為 23 一、青少年的身心發展與身心健康 23 二、青少年的主觀生活壓力、社會支持與因應行為 24 第五節、主觀生活壓力、社會支持及因應行為之社會人口學變項探討 26 一、主觀生活壓力相關研究: 27 二、社會支持相關研究: 27 三、因應行為相關研究: 28 第三章 研究方法…………………………………………30 第一節 研究對象的選取 30 第二節 研究工具的擬定 31 第三節 研究步驟 39 第四節 資料處理與分析 40 第四章 結果與討論………………………………………42 第一節 樣本的社會人口學變項 42 第二節 主觀生活壓力、社會支持、因應行為 44 與身心健康 44 一、國中生主觀生活壓力 44 二、國中生的社會支持 49 三、國中生的因應行為 52 四、國中生的身心健康狀況 55 第三節 社會人口學變項與主觀生活壓力、社會支持、因應行為各變項間的關係 56 一、年級與各變項間的關係 56 二、性別與各變項間的關係 57 三、居住狀況與各變項的關係 59 四、家庭結構與各變項間的關係 60 五、家庭社經地位與各變項的關係 61 第四節 主觀生活壓力、社會支持、因應行為與身心健康狀況的關係 62 一、主觀生活壓力與身心健康的關係 63 二、社會支持與身心健康的關係 63 三、因應行為與身心健康的關係 65 第五章 結論與建議……………………………………..69 第一節 結論 69 一、國中生的主觀生活壓力、社會支持、因應行為、身心健康現況 69 二、社會人口學變項與各變項之間的關係 71 三、主觀生活壓力、社會支持、因應行為與身心健康的關係 71 第二節 建議 73 參考文獻…………………………………………………..76 一、中文部份 76 二、西文部份 79 附錄一、正式施測問卷…………………………………...87 附錄二、專家效度名單…………….…………………….99 附錄三、內容效度測定函……………………………….100 圖表目錄 圖目錄 圖4-1 訊息性支持對身心健康之影響………………69 圖4-2 工具性支持對身心健康之影響………………69 表目錄 表 3?1 八十八學年度桃園市公立國中學生人數 30 表3-2 社經地位等級表 33 表 3?3 主觀生活壓力量表內部一致性 34 表 3?4 社會支持量表因素分析 35 表3?5 社會支持量表內部一致性(預試) 35 表3?6 社會支持量表內部一致性(正式) 36 表 3?7 因應行為量表因素分析 37 表3?8 因應行為量表內部一致性 38 表3-9 一般健康量表內部一致性 39 表 4?1 社會人口學變項分佈情形 43 表 4?2 主觀生活壓力量表各題平均值、標準差及前十名排行 47 表 4?3 主觀生活壓力比較表(N=454) 49 表4?4 社會支持量表各題平均值、標準差(N=454) 51 表4?5 社會支持來源比較表(N=454) 52 表4-6 社會支持方式比較表(N=454) 52 表4?7 因應行為量表各題平均值、標準差(N=454) 54 表4?8 各類因應行為比較表(N=454) 55 表 4?9 身心健康平均值、標準差(N=454) 55 表 4?10 年級與各變項之單因子變異數考驗 57 表 4?11 性別與各變項之T考驗 59 表 4?12 居住狀況與各變項之單因子變異數考驗 60 表4?13 家庭結構與各變項之T考驗 61 表 4?14 家庭社經地位與各變項之單因子變異數考驗 62 表 4?15主觀生活壓力與社會支持、因應行為的交互作用迴歸分析 66 表4-16 排除性別影響後之社會支持與身心健康的關係 67 表4-17 排除年級影響後之社會支持與身心健康的關係 67

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