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題名：Mediation Effects of Daily Activity Participation between Rumination and Subjective Quality of Life in Persons with Depression
書刊名：Taiwanese Journal of Psychiatry
作者：黃麟傑／吳錦喻／葉馨琇／黃珮珊／楊逸鴻／方勇駿
作者(外文)：Huang, Lin-jye／Wu, Chinyu／Yeh, Hsin-hsiu／Huang, Pei-shan／Yang, Yi-hong／Fang, Yung-chun
出版日期：2016
卷期：30:3
頁次：頁196-205+a9
主題關鍵詞：憂鬱症；活動參與；反芻型反應；中介效應；Depression；Activity participation；Rumination；Mediation effect
原始連結：連回原系統網址new window
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目的：本研究主要在探討參與日常重要活動之主觀感受在憂鬱症病人的反芻型反應和生活品質間之中介效應。方法：本研究共招募143 位來自精神科門診或日間病房且被診斷罹患憂鬱相關疾病的受試者，並利用自填量表來收集個案資料，包括中文版反芻型反應量表 (Ruminative Response Scale - Chinese version, RRS-C)、貝克憂鬱量表二版中文版 (Beck Depression Inventory-II, BDI-II)、活動參與及限制問卷 (Activity Participation and Restriction Questionnaire, APRQ) 及台灣簡明版世界衛生組織生活品質量表 (Brief World Health Organization Quality of Life Assessment-Taiwan version, WHOQOL-BREF) 等，再透過拔靴法進行中介效應分析。結果：本研究發現日常重要活動之參與感及憂鬱的嚴重程度，在憂鬱症病人的反芻型反應及生活品質之間存在顯著的中介效應 (p ＜ 0.05)。結論：本研究利用中介分析模式說明日常重要活動參與度和憂鬱程度，在憂鬱症病人的反芻型反應和生活品質間具有顯著的中介效應，因此臨床治療發展方向除改善病人憂鬱症狀之外，亦要著重日常活動參與型態的改善，以減輕憂鬱症病人反芻型反應所帶來的負面效應。
Objectives: In this study, we intended to examine whether rumination negatively affects the subjective feelings while the depressed persons participating their important daily activities, and to explore the mediation effects of daily activity participation between rumination and subjective quality of life. Methods: We recruited study participants from day care centers or clinics of several hospitals in Taiwan. Study instruments included the Ruminative Response Scale-Chinese version, Beck Depression Inventory-II, Activity Participation and Restriction Questionnaire, as well as Brief World Health Organization Quality of Life Assessment- Taiwan version. We analyzed the study data for mediating correlations between study groups. Results: We enrolled 143 participants in this study and found that all the inappropriate rumination indicators significantly affected daily activity participation by decreasing the sense of involvement in engaging daily activities and worsening the severity of depression, then impacted the subjective QoL of the depressed individuals (p ＜ 0.05). Conclusion: This study achieved a mediation model in which the severity of depression and the activity participation have mediation effects between rumination and subjective QoL in depressed people. Interventions may be developed to specifically target on improving daily activity participation in reducing negative effects of rumination in depressed patients.
期刊論文
1.Nolen-Hoeksema, Susan、Wisco, Blair E.、Lyubomirsky, Sonja(2008)。Rethinking rumination。Perspectives on Psychological Science: A Journal of the Association for Psychological Science，3(5)，400-424。  new window
2.Morrow, J.、Nolen-Hoeksema, S.(1990)。Effects of responses to depression on the remediation of depressive affect。Journal of Personality and Social Psychology，58(3)，519-527。  new window
3.Aneshensel, C. S.(1985)。The natural history of depressive symptoms: implications for psychiatric epidemiology。Res Community Ment Health，5，45-75。  new window
4.Lam, D.、Schuck, N.、Smith, N.、Farmer, A.、Checkley, S.(2003)。Response style, interpersonal difficulties and social functioning in major depressive disorder。Journal of Affective Disorders，75，279-283。  new window
5.Lyubomirsky, S.、Kasri, F.、Zehm, K.(2003)。Dysphoric rumination impairs concentration on academic tasks。Cognit Ther Res，27，309-330。  new window
6.Donaldson, C.、Lam, D.(2004)。Rumination, mood and social problem-solving in major depression。Psychological Medicine，34(7)，1309-1318。  new window
7.Nolen-Hoeksema, Susan(1991)。Responses to depression and their effects on the duration of depressive episodes。Journal of Abnormal Psychology，100(4)，569-582。  new window
8.Beck, A. T.、Steer, R. A.、Ball, R.、Ranieri, W.(1996)。Comparison of Beck Depression Inventories-IA and -II in Psychiatric Outpatients。Journal of Personality Assessment，67，588-597。  new window
9.Lu, M. L.、Che, H. H.、Chang, S. W.、Shen, W. W.(2002)。Reliability and validity of the Chinese version of the beck depression inventory-II。Taiwanese Journal of Psychiatry，16，301-310。  new window
10.Law, M.(2002)。Participation in the occupations of everyday life。American Journal of Occupational Therapy，56(6)，640-649。  new window
11.Cox, B. J.、Enns, M. W.、Taylor, S.(2001)。The effect of rumination as a mediator of elevated anxiety sensitivity in major depression。Cognitive Therapy and Research，25(5)，525-534。  new window
12.Roberts, J. E.、Gilboa, E.、Gotlib, I. H.(1998)。Ruminative response style and vulnerability to episodes of dysphoria: Gender, neuroticism, and episode duration。Cognitive Therapy and Research，22(4)，401-423。  new window
13.Spasojević, J.、Alloy, L. B.(2001)。Rumination as a common mechanism relating depressive risk factors to depression。Emotion，1(1)，25-37。  new window
14.Treynor, W.、Gonzalez, R.、Nolen-Hoeksema, S.(2003)。Rumination Reconsidered: A Psychometric Analysis。Cognitive Therapy and Research，27(3)，247-259。  new window
15.Raes, F.(2010)。Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety。Personality and Individual Differences，48(6)，757-761。  new window
16.WHOQOL Group(1993)。Study protocol for the World Health Organization project to develop a quality of life assessment instrument (WHOQOL)。Quality of Life Research，2(2)，153-159。  new window
17.Papakostas, G. I.、Petersen, T.、Mahal, Y.、Mischoulon, D.、Nierenberg, A. A.、Fava, M.(2004)。Quality of life assessments in major depressive disorder: a review of the literature。Gen Hosp Psychiatry，26，13-17。  new window
18.Wells, K. B.、Stewart, A.、Hays, R. D.(1989)。The functioning and well-being of depressed patients: results from the Medical Outcomes Study。JAMA，262，914-919。  new window
19.Keller, M. B.、Shapiro, R. W.、Lavori, P. W.、Wolfe, N.(1982)。Recovery in major depressive disorder: analysis with the life table and regression models。Arch Gen Psychiatry，39，905-910。  new window
20.Kuehner, C.、Buerger, C.(2005)。Determinants of subjective quality of life in depressed patients: the role of self-esteem, response styles, and social support。J Affect Disord，86，205-213。  new window
21.Raes, F.、Hermans, D.、Williams, J. M. G.、Beyers, W.、Eelen, P.、Brunfaut, E.(2006)。Reduced autobiographical memory specificity and rumination in predicting the course of depression。J Abnorm Psychol，115，699-704。  new window
22.黃麟傑、吳錦喻、吳佳煇、黃珮珊、葉馨琇、楊逸鴻、方勇駿(20150600)。Validation of the Ruminative Response Scale-Chinese Version (RRS-C) for Persons with Depression in Taiwan。Taiwanese Journal of Psychiatry，29(2)，119-131+a8。new window  延伸查詢new window
23.姚開屏、鍾智文、游正芬、王榮德(20020500)。Development and Verification of Validity and Reliability of the WHOQOL-BREF Taiwan Version。臺灣醫學會雜誌，101(5)，342-351。  延伸查詢new window
24.Preacher, Kristopher J.、Hayes, Andrew F.(2008)。Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models。Behavior Research Methods，40(3)，879-891。  new window
研究報告
1.Wu, C.(2005)。Measurement of Activity Participation for Persons with Schizophrenia Living in the Community (計畫編號：NSC93-2413-H002-015-SSS)。  new window
圖書
1.American Psychiatric Association(2000)。Diagnostic and statistical manual of mental health disorders。Washington, DC：American Psychiatric Association。  new window
2.World Health Organization(2001)。International classification of functioning, disability, and health。Geneva：World Health Organization。  new window
3.Beck, A. T.、Steer, R. A.、Brown, G. K.、Chen, H.(1996)。Manual for the Beck Depression Inventory-II。Taipei：The Chinese Behavior Science Corporation。  new window
圖書論文
1.Nolen-Hoeksema, S.、Rusting, C. L.(1999)。Gender differences in well-being。Well-Being: The Foundations of Hedonic Psychology。New York：Russell Sage Foundation。  new window
 
 
 
 
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