健康促進與憂鬱之關係

The Relationship between Health Promotion and Depression

余民寧(Min-Ning Yu) ； 陳柏霖(Po-Lin Chen)

《高雄師大學報：教育與社會科學類》 29卷 (2010/12) Pp. 73-99

https://doi.org/10.7060/KNUJ-ES.201012.0073

摘要

健康行為的問題可能與憂鬱症相關，因此如何增強正向的健康與預防負向的健康之議題，成為全球心理健康所重視的主題。本研究旨在瞭解全民健康促進與憂鬱的關係。研究者以全國1948位民眾為研究對象，使用「健康促進量表」與「臺灣憂鬱症量表」為研究工具，蒐集實證資料，所得資料利用結構方程模式，進行驗證性與相關性分析。研究結果：驗證性因素分析顯示全民健康促進、憂鬱是一個二階因素概念模式，路徑分析顯示健康促進與憂鬱有顯著負向關聯。研究結論：全民在臺灣憂鬱症量表得分高於37分（含）以上者，屬於潛在憂鬱症患者的人數，約佔全體有效樣本的11.1%；健康促進對憂鬱具有負向且直接的影響力，最後根據研究結果提出建議，以供實務工作及未來研究參考。

關鍵字

健康促進 ； 憂鬱 ； 結構方程式模型

並列摘要

Mental, social, and behavior health problems may interact to intensify their effects on depression. Especially, health promotion is a very important issue of global mental health. The purpose of this study is to explore the relationship between health promotion and depression. The data are collected via questionnaires from a sample of 1,948 Taiwanese. The major instruments for this study include ”Health Promotion Scale,” and ”Taiwan Depression Scale.” The Health Promotion Scale has three subscales: ”health responsibility,” ”stress managements,” and ”social support.” And the Taiwan Depression Scale has four subscales: ”cognitive,” ”emotional,” ”physiological,” and ”interpersonal.” Results: Structural equation modeling (SEM) is applied to make parameter estimations and model comparisons. The confirmatory factor analysis (CFA) supports a two-order factor model for both health promotion and depression in Taiwan. Path analysis reveals a negative relationship between Taiwanese health promotion and depression. We need to enhance protection factors and reduce risk factors in order to promote health and to prevent depression for all people. Conclusions: First, there were 11.1% of Taiwanese who might have depression disorder. Second, the health promotion control had significantly negative and direct influence on the Taiwanese depression. Third, suggestions for clinical application and future research were proposed.

並列關鍵字

health promotion ； depression ； structural equation modeling

參考文獻

王文玲(1992)。與慢性病共存─慢性病患者家庭的需要。護理雜誌。39(3)，25-30。

王素蘭(2006)。退休人員擔任志工者之社會支持、生活適應對參與志願服務動機之影響(碩士論文)。嘉義大學家庭教育研究所。

王靜怡、梁忠詔、謝清麟、陳拓榮(2005)。醫院老年志工與對照組於身體功能表現及憂鬱程度之差異。台灣醫學。9(6)，733-739。

行政院衛生署(2009)。中華民國98年公共衛生年報。臺北市:行政院衛生署。

行政院衛生署、國家衛生研究院(2008)。2020健康國民白皮書。臺北市:行政院衛生署。