透納氏症患者家長的親職壓力、因應模式與心理健康的關係

The relationship between parenting stress, coping style, and mental health of parents with Turner-syndrome child

楊勝驛(Sheng-Yi Yang)

指導教授 ： 莊勝發

高雄醫學大學/人文社會科學院/心理學系碩士班/碩士(2015年)

摘要

透納氏症患者的問題和症狀領域很廣泛，研究顯示身心障礙兒童的問題越多，則父母親的親職壓力越大，養育透納氏症患者的父母親也因此生成許多親職壓力。眾多研究顯示壓力程度與心理健康呈現負相關，且因應模式部份或完全中介親職壓力與心理健康的關係。此研究預期發現透納氏症父母親對透納氏症相關擔憂的事項越多，則親職壓力越大，且發現因應模式的中介變項角色。研究受試者來源為高雄醫學大學附設中和醫院-小兒科門診，伴隨著門診邀請透納氏症患童的父親或母親參與研究，向之說明研究目的並且填寫五份問卷─親職壓力量表簡式版、簡明因應量表、心理健康連續體量表中文版-簡版、貝克憂鬱量表第二版-中文版及其它基本資料。研究共蒐集32位患童父親或母親，其中父親7位，母親25位。研究結果發現面對因應及問題解決因應為親職壓力影響正向心理健康的完全中介變項，且對透納氏症相關擔憂的事項越多，親職壓力越大。因此建議對透納氏症患童父母的心理健康照護上，可透過解決擔憂事項以減少親職壓力，及透過鼓勵使用面對或問題解決因應來增進心理健康。

關鍵字

透納氏症 ； 親職壓力 ； 因應模式 ； 心理健康

並列摘要

The problems and symptoms of Turner Syndrome presents on widespread areas. Reports have indicated that there is a positive relation between children’s behavioral problems and parents’ parenting stress. However, the relation is the same with the seriousness of Turner-Syndrome children and their parents’ parenting stress. Studies have shown that there is a negative correlation between stress and mental health, and indicate that coping style can be served as mediator. In this study, the researcher expects to find a positive correlation between the amount of Turner Syndrome’s symptoms or behavioral problems which parents worry and parenting stress, and to discover that coping style can be served as mediator between parenting stress and mental health. Subjects came from pediatric out-patient department, Kaohsiung Medical University Chung-Ho Memorial Hospital, Taiwan. Parents whose children had Turner Syndrome were asked to fill up five scales(Chinese version) or questionnaires─Parenting Stress Index-Short Form、Brief COPE、Mental Health Continuum–Short Form、Beck Depression Inventory-Second Edition、personal information questionnaire after seeing the doctors. A total of 32 parents had been studied, including 7 fathers and 25 mothers. The analysis of the results have shown that approach coping / problem-solving coping can be served as mediator between parenting stress and mental health, and the fact that the more things parents worry about for their children who have the problems of Turner-Syndrome, the higher level their parenting stress show. Clinical workers are suggested to teach the parents whose children have Turner Syndrome to use approach coping or problem-solving coping to promote the parents’ mental health, and to help them deal with the things they worry.

並列關鍵字

Turner Syndrome ； parenting stress ； coping style ； mental health

參考文獻

Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539-548. doi: 10.1037/0022-006X.73.3.539

Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719-727. doi: 10.1037/0022-3514.69.4.719

中文文獻

元沙君(2012)。透納氏症患者行為和社交功能之探討(碩士論文)。高雄醫學大學，

高雄市。