提升執行功能之神經心理團體治療於高身心症狀抱怨青少女之效果

The Effects of Neuropsychotherapy Group of Executive Function Training for Girl Adolescents with High Subjective Health Complaints

黃睿謙(Jui-Chien Huang) ； 郭乃文(Nai-Wen Guo) ； 許立港(Li-Kang Hsu)

《臨床心理學刊》 8卷2期 (2014/12) Pp. 41-56

https://doi.org/10.6550/ACP.0802.004

摘要

目的：身心症狀抱怨與注意力控制相關，為青少女常見身心健康問題。本研究旨在討論神經心理團體治療對注意力控制、身心健康及生活適應的療效。方法：受試者為41位二級高風險青少女，隨機分派至兩組，實驗組接受八週，每週兩小時之團體治療，控制組未有介入。兩組於學期初、學期末及一個月後填答問卷，一年後填答身心生活適應量表，共37位完成研究。結果：實驗組（n = 9）與控制組（n = 28）之身心症狀抱怨數皆顯著下降，實驗組各指標之效果量達中高程度，控制組為低度以下。學期末實驗組全數返回一級，控制組20%為二級以上；一年後控制組7.1%加重為三級，實驗組未有三級。結論：本研究樣本數尚少，但此團體治療能提升青少女自我監控、身心健康及生活適應，避免二級加重至三級。

關鍵字

神經心理團體治療 ； 自我監控 ； 高身心症狀抱怨

並列摘要

Objective: Subjective health complaints are common problems in female adolescents, which are correlated with inflexible attention control. In order to improve life adjustments as well as physical and mental health, this study is designed to investigate the effects of executive function training of Neuropsychotherapy group on female adolescents with high subjective health complaints. Methods: This study was conducted on 41 female adolescents who were screened as the secondary preventive level. They were randomly assigned into two different groups. The experiment group was intervened with Neuropsycho-therapy (group) that was designed to train executive functions with rhythmic activities 2 hours a week for 8 weeks, while the control group waited without interventions. Both groups were evaluated with Computerized Adjustment Check List, General Self-Efficacy Scale, Perseverative Cognition Scale, Student Attention Rating Scale, and Executive Function Scale before and after intervention, and also in one month and one year afterwards for follow-up. There were 37 participants finished all research procedure. Results: Both the experiment (n = 9) and the control group (n = 28) were noted to have statistically significant lower subjective health complaints. However, the effect sizes of most indexes were medium to high in the experiment group and low in the control group. The results of screening shown that all participants in the experimental group are back to normal level after intervention but still 20% beyond the secondary level in the control group. After one year, 7.1% of the control group exacerbated to tertiary level, but no one in the experimental group. Conclusion: Although the sample size was small, this Neuropsychotherapy group was proven to have positive effects on female adolescents with subjective health complaints, in terms of self-monitor, physical and mental health, as well as life adjustments. Furthermore, this treatment can prevent from becoming territory preventive level.

並列關鍵字

neuropsychotherapy group ； self-monitoring ； high subjective health complaints

參考文獻

吳玉欣、余麗樺、陳靖、郭乃文(2009)。日常執行功能行為量表之發展與其因素結構及信效度研究。臨床心理學刊。4(2)，86-94。

施妤蓁(2009)。探討國中校園注意力缺陷／過動症三級預防模式建立─從篩檢到治療(碩士論文)。國立成功大學行為醫學研究所。

郭乃文、余麗樺()。,未出版。

張凱茵、郭乃文、許立港(2014)。強化執行功能之團體神經心理治療的成效研究─以高身體症狀青少女為例。中華心理衛生學刊。27，73-95。

莊勝發、陳正宗、沈勝昂、鄭夙芬、陳昭陵、董力華(1995)。醫學院新生身心適應之調查研究。中華心理衛生學刊。8，27-36。