焦慮敏感度、控制感、及預測感於恐慌病理所扮演之角色

The Role of Anxiety Sensitivity, Controllability, and Predictability in the Psychopathogenesis of Panic Disorder

林美慧(Mei-Huei Lin)

指導教授 ： 張素凰

國立臺灣大學/理學院/心理學研究所/碩士(2005年)

https://doi.org/10.6342/NTU.2005.01175

摘要

本研究旨在驗證焦慮敏感度、控制感、及預測感等認知因素在恐慌症的心理病理所扮演的角色。本研究為2（焦慮敏感度：高焦慮敏感度組與低焦慮敏感度組）× 2（控制感：高控制感組與低控制感組）× 2（預測感：高預測感組與低預測感組）的三因子完全受試者間設計，依變項為實驗前後的緊張程度、實驗前後恐慌認知症狀、實驗前後恐慌身體感覺、對氣體持續出現時間的可控制程度、氣體何時出現的可預測程度、及氣體持續時間的可預測程度。96名非臨床受試者，依焦慮敏感度指標分成高低兩組，每組各48名。每組受試者再隨機接受不同控制感與預測感的操弄，接著均進行生物誘發試驗。結果顯示，在實驗前與實驗後的緊張程度、實驗前與實驗後的恐慌認知症狀、及實驗前與實驗後的的恐慌身體感覺等依變項上，焦慮敏感度之主要效果顯著皆顯著。另外，在實驗後恐慌認知症狀，焦慮敏感度 × 控制感 × 預測感有顯著的三因子交互作用；在實驗後恐慌身體感覺，焦慮敏感度 × 預測感有顯著的交互作用。綜合以上，焦慮敏感度、控制感、及預測感三者對恐慌病理的影響有多元的交互作用。本研究亦針對上述結果，在恐慌疾患的心理病理與臨床應用之意義加以討論。

關鍵字

焦慮敏感度 ； 生物誘發 ； 認知操弄 ； 控制感 ； 預測感 ； 恐慌疾患

並列摘要

The present study explored the role of cognition in the psychopathology of panic disorder. Specifically, the effects of anxiety sensitivity, controllability, and predictability during the biological challenge tests were investigated. The sample consisted of 96 undergraduate students selected from a large sample by anxiety sensitivity index, and was divided into high and low anxiety sensitivity groups with 48 subjects in each group. Subjects in each group were randomly assigned to one of four different cognitive manipulations. They underwent a biological challenge tests and completed subjective units of distress scale, checklist of catastrophic cognitions and bodily sensations, subjective controllability rating, and subjective predictability rating. An anxiety sensitivity × controllability × predictability factorial design was performed. Results showed that cognitive factors did play significant roles in the development of panic attacks. Meanwhile, the person-in-situation interactional approach could be verified. It revealed that the present study could enhance our understanding of the psychopathology of panic disorder and make some contributions to the cognitive behavior therapy of anxiety disorders.

並列關鍵字

anxiety sensitivity ； biological challenge ； cognitive manipulations ； controllability ； predictability ； panic disorder

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