研究生: |
郭雅美 |
---|---|
論文名稱: |
運用認知行為取向團體輔導方案對高憂鬱指數高中生的輔導效果研究 |
指導教授: |
陳秉華
Chen, Ping-Wha |
學位類別: |
碩士 Master |
系所名稱: |
教育心理與輔導學系 Department of Educational Psychology and Counseling |
論文出版年: | 2007 |
畢業學年度: | 95 |
語文別: | 中文 |
論文頁數: | 108 |
中文關鍵詞: | 認知行為取向團體輔導 、青少年憂鬱 、非理性信念 、放鬆訓練 |
英文關鍵詞: | Cognitive-behavioral approach group counseling, Adolescent depression, Irrational beliefs, Relaxation training |
論文種類: | 學術論文 |
相關次數: | 點閱:279 下載:75 |
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 |
本研究主要在於探討認知行為取向團體輔導方案,對於高憂鬱指數高中生之輔導效果。本研究針對台北縣某都會型完全中學高一和高二男女學生共739人,以「青少年憂鬱情緒自我檢視表」和「個人信念量表」作為篩選和評量工具,選取在「青少年憂鬱情緒自我檢視表」的得分12分以上,且「個人信念量表」的得分高於平均數一個標準差以上者,隨機分派7人到實驗組,10人到控制組。研究者運用認知行為取向為基礎,進行每週一次,每次50分鐘,連續8次之團體輔導,由研究者擔任團體領導者。本研究採等組前後測實驗設計,於實驗處理前兩週,對實驗組和控制組進行「青少年憂鬱情緒自我檢視表」和「個人信念量表」之得分作為前測分數,於實驗處理結束一週內,進行上述兩項測驗之得分作為後測分數,實驗結束六週後,以上述兩項測驗之得分作為延宕測分數,資料分析則採用「單因子共變數分析」進行統計考驗。
研究結果如下:認知行為取向團體輔導方案,對實驗組和控制組在「青少年憂鬱情緒自我檢視表」與「個人信念量表」後測之得分,沒有顯著差異;認知行為取向團體輔導方案,對實驗組和控制組在「青少年憂鬱情緒自我檢視表」與「個人信念量表」延宕測之得分,沒有顯著差異;根據實驗組成員之意見回饋發現,他們對認知行為取向團體輔導方案參與度高,且認為在腹式呼吸法、自我暗示法和肌肉放鬆法等放鬆技巧的學習收穫最大,但對非理性信念駁斥技巧的學習仍待更多的練習。最後本研究根據以上之結果,對高中輔導工作者,將來從事類似團體輔導活動或研究,提出幾點建議。
The purpose of this study is to examine the effects of cognitive-behavioral approach group counseling on the students with high depressive index in a senior high school of Taipei country. Total of 739 serior high school students, including boys and girls, were surveyed. Assessing instructments included were the Adolescent Depression Questionnair (ADQ) and Personal Belief Questionnair (PBQ).This research enrolled the students with high depressive index, and then randomly placed 7 persons into the experimental group, and 10 persons into the control group. The researcher took the role of group instructor and data analyzer. The members of experimental group attended eight sessions of cognitive-behavioral approach group counseling once a week, every time 50 minutes. The study employed the equivalent groups design method. The pretreatment assessment was conducted two weeks before the start of the first treatment session, and the posttreatment assessment was conducted in a week after the final treatment session. The follow-up assessment was conducted six weeks later. All data was analyzed by using analysis of covariate (ANCOVA). The main results of this study were as follows:
(1) There was no significant difference on the score of posttreatment assessment by ADQ and PBQ between the experimental group and the control group. That is, the cognitive-behavioral approach group counseling didn’t have the posttreatment assessment enhancing effects on the depressive students of the experimental group.
(2) There was no significant difference on the score of follow-up assessment by ADQ and PBQ between the experimental group and the control group. That is, the cognitive-behavioral approach group counseling didn’t have the long-term enhancing effects on the depressive students of the experimental group.
(3) Based on the feedback opinions by the students of experimental group, we found that the degree of participatation in the cognitive-behavioral approach group counseling is high. They were satisfied with the outcome of learning in the relaxation training of abdominal breathing, self-suggestion, and muscle relaxation.They need more practices to the techniques of irrational beliefs conviction.
Finally, according to the conclusion of this study, the researcher provided some suggestions for conducting the similar cognitive-behavioral approach group counseling and for the studies on the depressed adolescents of senior high schools in the future.
一、中文部份
方紫薇(民86):與氣憤情緒共舞—氣憤情緒管理策略。學生輔導通訊,(51),62-73。
孔繁鐘、孔繁錦編譯(民93):DSM-IV精神疾病診斷準則手冊。台北市︰合記。
李毓貞(民94):高中資優學生憂鬱傾向及其相關因素之探討。國立彰化師範大學碩士論文,未出版,彰化。
吳芳萍(民84):認知行為取向團體輔導對國小高攻擊性兒童輔導效果之研究。國立屏東師範學院初等教育學系碩士論文,未出版,屏東。
吳松林(民79):我國青少年非理性觀念及其相關因素之研究。國立政治大學教育研究所博士論文,未出版,台北。
吳英璋(民91):情緒教育的理論與內涵。學生輔導雙月刊,75,66-79。
吳英璋、金樹人等(民81):教師工作壓力及身心健康工作坊研習手冊。教育部訓委會。
吳麗娟(民74):理情教育課程對國中學生理性思考、情緒穩定與自我尊重之影響。國立台灣師範大學輔導研究所碩士論文,未出版,台北。
邱耀群(民85):腹式呼吸與運動。中華體育,9,73-78。
林宗顯譯(民91):不再憂鬱,從改變想法做起。董氏基金會。
林梅鳳、葉春吟、葉宗烈、胡慧芳(民88):認知行為團體治療對憂鬱症病患的成效評估,中華團體心理治療,5(1),17-26。
林美李(民92):台北市高中生憂鬱程度及其相關因素。國立台北護理學院/護理研究所碩士論文,未出版,台北。
林清山(民81):心理與教育統計學,台北市︰東華出版社。
林鳳梅(民90):認知行為團體對憂鬱症患者的衝擊與治療效果之研究。國立彰化師範大學碩士論文,未出版,彰化。
柯慧貞(民91):憂鬱症的心理因素。學生輔導雙月刊,80,38 – 51。
柯慧貞、陸汝斌(民91):認識憂鬱症。學生輔導雙月刊,80,16 – 27。
洪美連(民88):校園憂鬱症問題探討。諮商與輔導,165,12-15。
翁一婷(民94):探討ㄧ認知行為團體方案對921地震受創學童之焦慮與憂鬱問題之成效研究。長庚大學臨床行為科學研究所碩士論文,未出版,桃園。
翁素月(民92):憂鬱症患者性別、非理性信念、生活壓力與其憂鬱程度之關係探討。國防醫學院護理研究所碩士論文,未出版,台北。
涂柏原(民76):國三學生生活壓力、自我強度與學業成就之因果模式。國立台灣師範大學輔導研究所碩士論文,未出版,台北。
許芳(民94):認知行為互動取向團體輔導對國小憂鬱傾向兒童輔導效果之實驗研究。國立花蓮師範學院國民教育研究所碩士論文,未出版,花蓮。
許惠珠(民95):多元策略團體衛教對憂鬱症患者的改變成效。國立成功大醫學院護理研究所碩士論文,未出版,台南。
郭從吉(民90):犯罪青少年的非理性信念、內外控人格特質與生氣情緒關係之研究。國立高雄師範大學輔導研究所,未出版,高雄。
陳信任、楊聰財、陸汝斌、張敏(民90):抗鬱劑誘發之躁症發作。醫學研究,21(1),1-8。
陳映雪(民77):青少年的憂鬱與自殺。諮商與輔導,28,2-6。
陳為堅(民93):學校憂鬱傾向學生推估及預防策略(教育部專案研究)。台北:教育部。
陳錫銘(民79):認知行為取向團體諮商對國小憂鬱兒童輔導效果之研究。國立台灣師範大學輔導研究所碩士論文,未出版,台北。
陳靜芳(民93):理情團體治療對改善門診憂鬱症患者非理性信念及憂鬱症狀之成效探討。臺北醫學大學護理研究所碩士論文,未出版,台北。
陸汝斌(民91):憂鬱症的生物病因。學生輔導,80,28-37。
游恆山(民84):變態心理學。台北市:五南。
黃君瑜、許文耀(2003):青少年憂鬱量表編製研究。教育與心理研究,26,167-190。
黃虹菱(民94):憂鬱傾向高中生核心信念之分析研究。國立高雄師範大學輔導與諮商研究所碩士論文,未出版,高雄。
黃碧華(民95):台中縣兩所高中職女學生生活事件、人格特質與憂鬱症狀相關之研究。南華大學生死學研究所碩士論文,未出版,嘉義。
張春興(民83):教育心理學。台北市:東華。
楊浩然(民91):青少年憂鬱患及憂鬱症狀之追蹤研究。國立台灣大學流行病學研究所博士論文,未出版,台北。
楊庸一(民89):輕型精神疾病之治療(2)憂鬱症診斷。當代醫學,27(6),52-54。
楊淑蘭(民78):認知行為取向團體諮商方案對A型人格傾向大學生之非理性信念、行為組型、壓力知覺輔導效果之研究。國立台灣師範大學教育心理與輔導研究所碩士論文,未出版,台北。
葉真秀(民93):高中生完美傾向、解釋風格與憂鬱程度之關係—以台中縣市六所高中為例。國立台中師範學院諮商與教育心理研究所碩士論文,未出版,台中。
董氏基金會(民91):青少年主觀生活壓力與憂鬱傾向之相間性調查。網址:http://www.jtf.org.tw/psyche/examine/survey.asp?This=48&Page=1
廖鳳池(民84):認知治療理論與技術,台北市:天馬。
趙芳玫(民91):高中職學生的焦慮與憂鬱傾向之探討。國立台北大學統計學研究所碩士論文,未出版,台北。
鄭玄藏等譯(民91):諮商與心理治療理論與實務。台北市:雙葉。
鄭惠萍(民91):雙親教養態度、人格特質、社會支持、生活事件與青少年心理健康。國立成功大醫學院護理研究所碩士論文,未出版,台南。
簡良霖(民95):大學生之家庭功能與性格對憂鬱症狀的影響。國立成功大醫學院行為醫學研究所碩士論文,未出版,台南。
戴均米、郭雅美、王玉(民85):壓力免疫訓練對國二高壓力學生自我強度與生活壓力輔導效果之研究。國立台灣師範大學輔導研究所專題研究,未出版,台北。
顏宏旭(民89):已婚婦女非理性信念與焦慮、憂鬱傾向之相關研究。國立高雄師範大學輔導研究所碩士論文,未出版,高雄。
二、英文部分
Angst, J.(1992). Epidemiology of depression. Psychopharmacology 106,71-74.
Beck, A. T. (1963). Thinking and depression. Archives of General Psychiatry, 9, 325-333.
Beck, A. T. Rush, A. J., Shaw, B. S., Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.
Beck, A. T., (1967). Depression: Clinical, experimental, and theoretical aspects. Philadelphia: University of Pennsylvania Press.
Beck, A. T., (1976). Cognitive therapy and emotional disorders. New York: International Universities Press.
Beck, A. T., (1987). Cognitive therapy. In J. K. Zeig (Ed.), The evolution of psychotherapy (pp.149-178). New York: Bruner/Mazel.
Beckham EE., & Leber WR. (1985). Handbook of depression: treatment, assessment, and research. Homewood, IL: Dorsey Press.
Brent, D.A., Holder, D., Kolko, D., Birmaher, B., Baugher, M., Rother, C., Iyengar, S., & Johnson, B.A. (1997). A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy. Archives of General Psychiatry, 54, 877-885.
Bryant, S. (1992). Tip for better breathing. Psysican & Sportsmedicine, 20 (9), 201-202.
Clarke, G.N., Rohde, P., Lewinsohn, P.M., Hops, H., Seeley, J.R. (1999). Cognitive-behavioral treatment of adolescent depression: Efficacy of acute group treatment and booster sessions. Journal of American Academy of Child Adolescent Psychiatry, 38, 272-279.
Cox, D., Freundlick, A., & Meyer, R. Differential effectiveness of EMG feedback, verbal relaxation instructions, and medication placebo with tension headaches. Journal of Consulting and Clinical Psychology, 1975, 43, 892-898.
Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotsdy, S. M., Collins, J. F., Glass, D. R., Pikonis, P. A., Leber, W. R., Docherty, J. P., Fiester, S. J., & Parloff, M. B. (1989). National institute of mental health treatment of depression collaborative research program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971-982.
Elkin, I., Gibbons, R. D., Shea, M. T., Sotsky, S. M., Watkins, J. T., & Pilkonis, P. A. (1995). Initial serverity and differential treatment outcome in the national institute of mental health treatment of depression collaborative research program. Journal of Consulting and Clinical Psychology, 63(5), 841-847.
Ellis, A. (1971). Rational-emotive therapy and its application to emotional education. New York: Institute for Rational Living.
Ellis, A. (1973). Rational psychotherapy. In M. R. Goldfried & M. Merbaum (Eds.), Behacior change through self-control (pp. 171-182). New York: Holt, Rinehart and Winston.
Ellis, A. (1988). How to stubbornly refuse to make yourself miserable about anything: Yes, anything. NJ: Lyle Stuart.
Ellis, A. (1990). Rational-emotive therapy. In J. K. Zeig, & W. M. Munion (Eds.), What is psychotherapy? Contemporary perspective (pp. 146-151). San Francisco: Jossey-Base.
Ellis, A. (1992). Group rational-emotive and cognitive-behavioral therapy. International Journal of Group Psychotherapy, 42(1), 63-80.
Ellis, A. (1997). REBT and its applications to group therapy. In J. Yankura, & W. Dryden (Eds.), Special applications of REBT: a therapist casebook (pp. 131-162). New York: Springer.
Evans, M. D., Holland, S. D., DeRubeis, R. J., Piasecki, J. M., Grove, W. M.,Garvey, M. J., & Tuason, V. B. (1992). Differential relapse following cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 802-808.
Frank, E., Prien, R. B., Keller, M. B., Kupfer, D. J., Lavori, P.W.,Rush, A. J., & Weissman, M. M. (1991) Conceptualization and rationale for consensus definitions of terms in major depression disorder: Remission, recovery, relapse and recurrence. Archives of General Psychiatry,48,851-855.
Helsel, W., & Matson, J. (1984). The assessment of depression in children: The internal structure of the Child Depression Inventory (CDI). Behavior Research and Therapy, 22, 289-298.
Hollon, S. D., Shelton, R. C., & Loosen, P. T. (1991). Cognitive therapy and pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 59, 88-99.
Horwath, H., Johnson, J., Klerman, G. L., & Weissman, M. M. (1992). Depressive symptoms as relative and attributable risk factors for first-onset major depression. Archives of General Psychiatry, 49(10), 817-823.
Jacobson, E. (1938). Progressive Relaxation. Chicago: University of Chicago Press.
Kendall, P. C. (1992). Coping cat workbook. Ardmore, PA: Workbook Publishing.
Kendall, P. C., Panichelli-Mindel, S. M., & Gerow, M. A. (1995). Cognitive-behavior therapies with children and adolescents: Ann integrative overview. In H. P. J. G. van Bilsen, P. C. Kendall, & J. H. Slavenburg (Eds.) Behavioral approaches for children and adolescents challenges for the next century (pp. 1-18). New York: Plenum Press..
Kim, N. C. (1994). A study on the effect of DanJeon breathing method to reduce blood pressure of the client with essential phyertension. Kanhohak Tamgu, 3 (1), 45-64.
Klerman, G. L., & Weissman, M. M. (1992). The course, morbidity, and costs of depression. Archives of General Psychiatry, 49, 831-834.
Lewinsohn, P.M., Clarke, G.N., Hops, H., & Andrews, J. (1990). Cognitive-behavioral treatment for depressed adolescents. Behavior Therapy, 21, 385-401.
Miller, K. M. (1987). Deep breath relaxation: A pain management technique. AORN Journal, 45 (2), 484-488.
Miller, K. M. & Perry, P. A. (1990). Relaxation technique and postoperative pain in patients undergoing cardiac surgery. Heart & Lung, 19, 136-146.
Murphy, E. (1983). The prognosis of depression in old age. British Journal of Psychiatry, 142, 111-119.
Nicassio, P. & Bootzin, R. A. Comparsion of progressive relaxation and autogenic training as a treatment for insomnia. Journal of Abnormal Psychology, 1974, 83, 253-260.
Rasid, Zulkifli Mohamed & Parish, Thomas S. (1998). The effects of two types of relaxation training on students' levels of anxiety. Adolescence; 33, 129, 99-101.
Reynolds, W., & Coats, K. I. (1986). A comparison of cognitive-behavioral therapy and relaxation training for thetreatment of depression in adolescents. Journal of Consulting and Clinical Psychology, 54, 653–660.
Rushton, J. L., Forcier, M., & Schectman, R. M. (2002). Epidemiology of depressive symptoms in the national longitudinal study of adolescent health. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 199-205.
Sotsky, S. M., Glass, D. R., Shea, M. T., Pilkonis,P.A., Collins, J. F., Elkin, I., Watkins, J. T., Imber, S. D. Leber, W. R., Moyer, J. & Oliveri, M. E. (1991). Patient predictors of response to psychotherapy and pharmacotherapy: Finding in the NIMH treatment of depression collaborative research program. American Journal of Psychiatry, 148, 997-1008.
Stark, K. D., Schmidt, K. L., & Joiner, T. E. (1996). Cognitive triad: Relationship of depressive symptoms, parent’s cognitive triad, and perceived parental messages. Journal of Abnormal Child Psychology, 24, 615-631.