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  • 學位論文

兒童焦慮認知行為治療對母親親職壓力之影響

The Effect of the Individual Cognitive-Behavioral Treatment for Anxious Children on Maternal Parenting Stress

指導教授 : 顏正芳
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摘要


本研究目的為探討焦慮兒童母親的親職壓力能否在兒童接受焦慮認知行為治療後同時獲得改善,並透過分析兒童焦慮症狀及內隱性問題行為與親職壓力的關係,檢視本介入方案對親職壓力的影響。研究對象為16名有顯著焦慮症狀的8至12歲兒童及其母親,個別進行16週兒童焦慮認知行為治療。分別於治療前(第1週)、治療第一階段結束(第9週)及治療第二階段結束(第16週)由兒童和母親依據台灣版多向度兒童青少年焦慮量表 (Taiwanese version of the Multidimensional Anxiety Scale for Children)評估兒童的焦慮症狀嚴重程度,由母親依據六至十八歲兒童行為檢核表(Child Behavior Checklist for Age 6-18, CBCL/6-18)評估兒童的行為問題,以及依據親職壓力量表(Parenting Stress Index)評估親職壓力嚴重程度。以廣義估計方程式(Generalized Estimating Equation, GEE)檢視親職壓力於治療期間的變化,以及兒童焦慮症狀和內隱性問題行為與親職壓力的關係。結果顯示,焦慮兒童母親的親職壓力兒童分量表及總量表分數在方案介入後明顯降低,而父母分量表則無顯著變化;此外,整體而言,兒童焦慮症狀及內隱性問題行為越嚴重,其母親感受的親職壓力越大,呈顯著正相關。由結果推論,透過本方案針對兒童焦慮症狀介入後,母親感受到來自孩子困難特質的親職壓力有明顯的改善,然而來自母親本身特質或家庭情境因素的親職壓力感受則無明顯變化。

並列摘要


The aim of this study was to investigate the effect of the individual cognitive-behavioral treatment for anxious children on maternal parenting stress and to examine the relationships of anxious and behavioral symptoms of children with parenting stress of their mothers. Participants who were 16 children aged 8 to 12 years (mean = 9.25, SD = 1.26) with anxious symptoms and their mothers were recruited into the individual cognitive-behavioral treatment for sixteen weeks. The Taiwanese version of the Multidimensional Anxiety Scale for Children (MASC-T) and the Child Behavior Checklist (CBCL) were applied to evaluate the anxious and behavioral symptoms of children, respectively. The Parenting Stress Index (PSI) was applied to evaluate parenting stress of their mothers. These assessments were given on 1st, 9th and 16th weeks and analyzed using Generalized Estimating Equation (GEE). The results indicated that the scores on the total PSI and child domain improved with the treatment, but not on the PSI parent domain. GEE also showed that children’s severities of anxious and behavioral symptoms were positively associated with the severity of mothers’ parenting stress. The results support the hypothesis that the severity of parenting stress related to having a difficult child improved with the treatment. However, parenting stress related to parent’s functioning, the competence the parents feel, and aspects of life didn’t improve with treatment.

參考文獻


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