情緒調節困難作為中介探討情緒調節策略對心理適應的影響－以戒治所收容人為例

Emotion regulation difficulties as a mediator to explore how emotion regulation strategies influence psychological adaptation: An example of substance abuser treatment center inmates

陳宜(Yi Chen)

指導教授 ： 謝碧玲

高雄醫學大學/人文社會科學院/心理學系碩士班/碩士(2017年)

摘要

物質濫用族群的情緒調節能力較差，使用物質來調節情緒的人也較少採取其他調節策略，心理適應也較差；且情緒調節策略的使用會影響情緒調節困難的程度。然而，過去研究多為獨立探討，較少同時針對情緒調節策略、情緒調節困難及心理適應之間的關係進行分析。此外，目前較缺乏情緒調節困難量表在物質濫用族群上適用性的研究。因此本研究分為兩部分，首先針對翻譯後的情緒調節困難量表進行信效度初探，接著探討情緒調節策略、情緒調節困難與心理適應之間的關係。
本研究受試者為204位戒治所男性收容人，知情同意並說明研究與評估方式後，以自陳式量表進行施測。結果顯示，情緒調節困難量表具有良好的內部一致性信度、效標關聯效度，也有可接受的建構效度。量表建構與原理論有所差異，本研究之情緒調節困難構念包含四個因子，分別為：不接受情緒反應、困難投入目標行為、衝動控制困難與情緒調節策略缺乏。此外，情緒調節困難對於特定情緒調節策略(發展新觀點、失能調節)與負向心理適應的關係有中介效果。特定情緒調節策略可減少/增加情緒調節困難，進而減少/增加負向心理適應。
本研究結果可提供未來相關研究及測量工具使用的依據，以及運用至臨床上對於物質濫用族群的介入。

關鍵字

情緒調節困難 ； 情緒調節策略 ； 心理適應 ； 物質濫用 ； 情緒調節困難量表 ； 驗證性因素分析 ； 建構 ； 中介效果

並列摘要

The ability to regulate emotion of substance abusers is worse. Individuals regulating their emotion by substance use are less likely to resort to other forms of emotion regulation strategies and have worse psychological adaptation. Also, the use of emotion regulation strategies may influence the degree of emotion regulation difficulties. However, in the past, the relationship among emotion regulation strategies, emotion regulation difficulties and psychological adaptation was few analyzed. Besides, there is few research of the Applicability on substance abusers in the Difficulties in Emotion Regulation Scale. Therefore, there are two parts in this study. First, we exam the reliability and validity of the Difficulties in Emotion Regulation Scale after translation. Second, we explore the relationship among emotion regulation strategies, emotion regulation difficulties and psychological adaptation.
There are 204 subjects who are male inmates in the Substance Abuser Treatment Center. After Informed consent and description of the study and evaluation methods, subjects completed the self-report inventories. The results indicate that the Difficulties in Emotion Regulation Scale has good internal consistency, good criterion-related validity, and adequate construct validity. The construction in this study is different with the construction in the original theory. The construct of the Difficulties in Emotion Regulation Scale in this study contains 4 factors: nonacceptance of emotional responses, difficulties engaging in goal directed behaviors, impulse control difficulties and limited access to emotion regulation strategies.
Besides, the results suggeste that emotion regulation difficulties plays the mediation role between the specific emotion regulation strategies (”develop new opinion”, ” dysfunctional regulation”) and negative psychological adaptation. That is, the specific emotion regulation strategies could reduce / increase emotion regulation difficulties, thereby reduce / increase negative psychological adaptation.
The results of this study provide the evidence for future researches and measurement tool, as well as the use of clinical intervention in substance abusers.

並列關鍵字

emotion regulation difficulties ； emotion regulation strategies ； psychological adaptation ； substance abuse ； DERS ； CFA ； construct ； mediation

參考文獻

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84(2), 191.

中文文獻

法務部(2016)：〈藥物濫用防制指引(PDF) - 反毒大本營 - 法務部〉。2016/10，取自http://antidrug.moj.gov.tw/dl-163-8eb502c0-3339-4cf1-8f75-ff00e262f76f.html。

車先蕙、盧孟良、陳錫中、張尚文、李宇宙(2006)。中文版貝克焦慮量表之信效度。臺灣醫學，10(4)，447-454。

林育璇. (2015). 情緒信念對心理適應之影響: 情緒調節之中介效果分析. 高雄醫學大學心理學系碩士班學位論文, 1-131.