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題名：高憂鬱情緒青少年之憂鬱疾患及自殺傾向：跨一年追蹤之研究
書刊名：中華心理衛生學刊
作者：王迺燕／林美珠／周兆平／溫嬛椿
作者(外文)：Wang, Nai-yen／Lin, Meei-ju／Chou, Chao-ping／Wen, Hsuan-chun
出版日期：2011
卷期：24:1
頁次：頁25-59
主題關鍵詞：憂鬱情緒；憂鬱疾患；自殺傾向；青少年；Depressive mood；Depressive disorder；Suicidality；Adolescent
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(8) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:8
  • 共同引用共同引用:27
  • 點閱點閱:162
研究目的：本研究主要在探討高憂鬱情緒青少年之憂鬱疾患與自殺傾向，並在追蹤一年後，瞭解上述之改變情形。研究方法：本研究以花蓮地區四所高中職校學生共5,259人為對象，先以台灣人憂鬱問卷(TDQ)作為第一階段篩選工具，再由精神科醫師以結構性診斷問卷MINI為基礎進行診斷性會談。研究結果：一、本研究發現不同性別與年級在憂鬱量表分數之分佈比例不甚相同，女生以及三年級學生在TDQ上21至28分以及29分以上者所佔比例高於男生及一、二年級。二、高憂鬱情緒青少年符合憂鬱疾患之情形分別為35.6%（第一年）及24%（第二年）；高憂鬱情緒自殺傾向盛行率第一年發現為38.9%，第二年為20.9%；一年後追蹤，發現上述均呈現比例下降的情形。三、高憂鬱情緒青少年其憂鬱疾患具有跨時問連續性及影響性。研究結論：以本研究二階段篩檢的方法，篩檢出來的青少年符合憂鬱症診斷以及具有高自殺傾向的比例高，值得做為學校輔導與心理衛生之參考依據。
Purpose: This study explored depressive disorder, suicidality, predicting relations of depressive disorder and suicidal tendency, and their changes after one year among Taiwan's adolescents with high depressive mood. Methods: In the first stage, the Taiwanese Depression Questionnaire (TDQ) was used to screen 5,259 students from four senior high and vocational schools in Hualien, Taiwan. Interviews were subsequently conducted by psychiatrists to determine a diagnosis using the Mini International Neuropsychiatric Interview (MINI). Results: Three main results were identified. First, females had a higher percentage of scores in the 21-28 range and above 29 on the TDQ than males. Likewise 12th graders had a higher percentage of scores than that of 10th or 11th graders in these ranges. Second, 35.6% and 24% of students with high depressive mood were diagnosed as having depressive disorder in the first and second year, respectively. Suicidal tendency was 38.9% and 20.9% in the first and second year. After one year, the percentages decreased. Third, depressive disorders had considerable continuity and predictive power over time. Conclusions: Using a two-stage design is highly recommended to identify students with depressive disorder and suicidal tendency.
期刊論文
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會議論文
1.楊明仁、施春華(2001)。〈台灣人憂鬱問卷修訂版之信效度研究〉。  延伸查詢new window
2.陳信昭、施春華、楊明仁(2002)。〈台灣人憂鬱量表應用於青少年之信效度研究〉。  延伸查詢new window
研究報告
1.陳為堅(2005)。學校憂鬱傾向學生推估及預防策略之研究 (計畫編號：SF527.4/7537)。臺北：教育部訓育委員會。  延伸查詢new window
2.行政院衛生署(2004)。《學校健康營造三年計畫93年成果報告》。台北市。  延伸查詢new window
3.陳怡樺、劉玉華、游淑瑜、商志雍、陳品玲、蕭雁文(2004)。〈青少年憂鬱症相關因素與其介入防治模式之監測 〉。  延伸查詢new window
4.陳為堅(2001)。〈青少年憂鬱症狀與憂鬱疾患的流行病學研究〉。  延伸查詢new window
學位論文
1.林正修(1997)。某醫學中心家庭醫學科門診病患憂鬱症之盛行率與相關因素的探討(碩士論文)。國立台灣大學，台北。  延伸查詢new window
2.朱崇信(2005)。青少年憂鬱情緒之相關因素研究 : 家庭經濟壓力與社會支持(碩士論文)。國立臺灣大學。  延伸查詢new window
3.王志寰(2004)。兒時情緒無效性、情緒抑制與兒童及青少年憂鬱症和偏差行為之關係(碩士論文)。國立政治大學。  延伸查詢new window
4.楊浩然(2002)。青少年憂鬱疾患及憂鬱症狀之追蹤研究(博士論文)。國立臺灣大學。  延伸查詢new window
5.唐子俊(2006)。校園青少年自殺防治模式比較研究(博士論文)。國立臺灣師範大學。new window  延伸查詢new window
6.林美李(2003)。台北市高中生憂鬱程度及其相關因素(碩士論文)。國立台北護理學院。  延伸查詢new window
7.王淑鄉(2007)。青少年憂鬱、依附型態與負向情緒調節能力之相關研究(碩士論文)。國立花蓮教育大學。  延伸查詢new window
8.王玉梅(2002)。《高職生家庭功能、依附風格與憂鬱情緒之相關性研究》。慈濟大學。  延伸查詢new window
9.黃碧華(2006)。《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。  延伸查詢new window
圖書
1.Kaplan, H. I.、Sadock, B. J.(2007)。: Synopsis of Psychiatry. 10th ed。Baltimore：Williams & Wikins press。  new window
2.行政院青年輔導委員會(2005)。青少年政策白皮書綱領。行政院青年輔導委員會。  延伸查詢new window
3.孔繁鐘、孔繁錦(1996)。DSM-IV：精神疾病診斷準則手冊。臺北：合記圖書出版社。  延伸查詢new window
4.Rutter, M.、Taylor, E.(2003)。Child and Adolescent Psychiatry。Malden。  new window
其他
1.劉俊宏，楊明仁，蘇東平(2000)。台灣人憂鬱篩選問卷得分之效度研究，臺灣精神醫學會。  延伸查詢new window
2.內政部統計處(2008)。〈內政統計通報〉，http://sowf.moi.gov.tw/stat/week/week9707.doc， 20090903。  延伸查詢new window
3.內政部戶政司(2008)。〈內政部戶政司全球資訊網戶籍人口統計速報〉，http://www.ris.gov.tw/version96/stpeqr_01.html， 20080812。  延伸查詢new window
4.行政院教育部統計處(2010)。〈各級學校概況簡表(80∼98學年度) 〉，http://www.edu.tw/files/site_content/b0013/f.xls， 20100207。  延伸查詢new window
5.李宇宙(2001)。《「MINI國際神經精神科面談」診斷簡介》，台北市。  延伸查詢new window
6.董氏基金會(2002)。〈大台北地區青少年主觀生活壓力與憂鬱傾向之相關性調查〉，http://psyche.jtf.org.tw/melancholia/survey.asp?This=62&Page=1， 20070908。  延伸查詢new window
 
 
 
 
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