廣泛性焦慮疾患病患對憂慮關連刺激的注意偏誤形態初探_

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題名：	廣泛性焦慮疾患病患對憂慮關連刺激的注意偏誤形態初探
書刊名：	中華心理衛生學刊
作者：	鄧閔鴻／侯育銘／蕭正誠／張素凰
作者(外文)：	Teng, Min-hung／Hou, Yuh-ming／Hsiao, Cheng-cheng／Chang, Sue-hwang
出版日期：	2014
卷期：	27:4
頁次：	頁583-620
主題關鍵詞：	注意偏誤；廣泛性焦慮疾患；憂慮；Attentional bias；Generalized anxiety disorder；Worry
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:2 共同引用:20 點閱:175

研究目的：根據注意偏誤（attentional bias）的疾患特殊性（disorder specificity）假設，不同的焦慮疾患，通常會偏好注意與各疾患病理特徵有關的威脅刺激。然而，廣泛性焦慮疾患（generalized anxiety disorder, GAD）患者，會對多數的威脅刺激以及帶有情緒意義的刺激產生注意偏誤。本研究的目的是基於疾患特殊性假設，嘗試使用個別化的憂慮關連威脅詞，於點偵測作業（dot-probe task）中探討威脅詞與GAD病患的憂慮內容關連程度，是否會影響其注意偏誤程度。研究方法：本研究招募47位病患組（純粹GAD診斷病患11位，以GAD為主診斷之共病病患36位，平均年齡45.37歲，其中有19位為男性）以及39位無診斷控制組參與者（平均年齡45.62歲，其中有18位為男性），參與使用高、低憂慮關連威脅刺激作為刺激材料的點偵測作業。研究結果：相較於控制組參與者，GAD病患對於低憂慮關連威脅詞呈現顯著的注意偏誤。但是他們對高憂慮關連威脅詞，卻沒有明顯的注意偏誤。研究結論：本研究結果未完全支持疾患特殊性假設。在本研究結果中，威脅刺激與憂慮內容的關連程度雖然影響了GAD患者的注意偏誤形態，但是他們只注意低憂慮關連威脅刺激。本研究在討論中，嘗試探討刺激材料對受試者的主觀威脅感，及其對注意偏誤表現的可能影響。

以文找文

Purpose: A wealth of research demonstrates that anxious individuals display an attentional bias towards threatening information. But, patients with generalized anxiety disorder (GAD) attend to more various types of threat stimuli that contain emotional meaning. Our study used worry-related threat stimuli to investigate whether the threat and worry-related contents of a stimulus affect the level of attentional bias in GAD patients on a dot-probe task. Method: Forty-seven GAD patients (mean age = 45.37; 19 males; 11 pure GAD patients and 36 GAD co-morbid with other neurosis) and 39 control participants (without a diagnosismean age = 45.62; 18 males; without diagnosis) completed the dot-probe task using 2 groups of threat words (high worry-related threat stimuli and low worry-related threat stimuli) as the stimulus material. Results: The GAD participants displayed substantial attentional bias for the low worry-related threat words as compared to the control group. The GAD participants also exhibited avoidant tendencies when presented with the high worryrelated threat words. Conclusion: Our study did not fully support this hypothesis. These results endeavored to explain the participants' subjective threat perceptions toward the stimulus material, and the possible influence of these perceptions on their attentional biases performance using the dot-probe task.

以文找文

期刊論文
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圖書
1.	Davey, G. C. L.、Wells, A.(2006)。Worry and its psychological disorders。Chichester：John Wiley。
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其他
1.	Preston, J. L.(2007)。Is attentional bias towards threat a hallmark of chronic worry?。

圖書論文
1.	Eysenck, M. W.(2000)。Anxiety, cognitive biases, and beliefs。Emotions and belief: How feelings influence thoughts。New York：Cambridge University Press。
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3.	Fisher, P. L.、Wells, A.(2009)。Psychological models of worry and generalized anxiety disorder。Oxford handbook of anxiety and related disorders。New York, NY：Oxford University Press。
4.	Holaway, R. M.、Rodebaugh, T. L.、Heimberg, R. G.(2006)。The epidemiology of worry and generalized anxiety disorder。Worry and its psychological disorders: Theory, assessment and treatment。John Wiley and Sons。
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7.	Portman, M. E.(2009)。Nature of Generalized Anxiety Disorder。Generalized anxiety disorder across the lifespan: An integrative approach。New York：Springer New York。
8.	Wells, A.(2006)。The metacognitive model of worry and generalized anxiety disorder。Worry and its psychological disorders。Chichester：John Wiley and Sons。
9.	Brown, T. A.、O’Leary, T. A.、Barlow, D. H.(2001)。Generalized anxiety disorder。Clinical handbook of psychological disorders: A stepby-step treatment manual。New York：Guilford press。
10.	Sibrava, N. J.、Borkovec, T. D.(2006)。The cognitive avoidance theory of worry。Worry and its psychological disorders。Chichester：John Wiley and Sons。
11.	Meyer, T. J.(1994)。Developmental of a Screening Questionnaire to Identify Levels of Chronic Worry。Worrying: Perspectives on Theory, Assessment, and Treatment。New York：John Wiley & Sons。

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