減重患者自尊.焦慮與自我效能等因素探討

The effect of self-esteem，anxiety and self-efficacy on the weight reduction of obese patient

蔡佩珍(Pei-Jen Tsai)

指導教授 ： 李新鏘

中原大學/理學院/心理學研究所/碩士(2004年)

https://doi.org/10.6840/cycu200500738

摘要

中文摘要

本研究目的有二：(1)探討肥胖患者過度飲食之心理機制，了解肥胖患者是否出現低自尊高焦慮的現象；(二)探討肥胖患者減重成效成功或失敗的相關心理因素。
本研究預試中以中原大學大學部學生254名為樣本進行問卷編製。在醫院正式研究中以11名成年減重患者為樣本採立意取樣方式進行自尊量表、焦慮量表、自我效能量表減重訓練前後測，統計方法以魏可遜配對組符號等級檢定、淨相關、順向選擇法逐步回歸，其研究結果如下：
(一)減重患者透過減重方案，其BMI、體脂肪、腰圍三個體重指標上，統計均達到顯著減重成效。
(二)減重患者自尊與焦慮兩變項間並未出現負相關;亦即無法驗證筆者假設之肥胖患者會出現Rosenberg所說之低自尊高焦慮的內在心理機制。
(三)減重患者自尊並未因減重而提昇。
(四)減重患者焦慮並未因減重而降低。
(五)減重患者BMI下降與飲食自我效能改變統計呈負相關；BMI下降與運動自我效能改變統計呈正相關。

關鍵字

焦慮 ； 自尊 ； 自我效能 ； 減重

並列摘要

Abstract
There are two purposes of this research: (1) to study obese patient’s psychological mechanism whether if there will be a phenomenon of low self-esteem and high anxiety. (2) To explore obese patients related psychological causes about their result of the losing weight program.

The random survey was based on 254 students from Chung Yuan Christian University. The purpose survey was based on 11 obese patients at the hospital. The surveys were used in this research were Self-Esteem Scale, Chinese version Beck Anxiety Inventory and Self-Efficacy Scale. The statistic of pre-test and post test survey were analyzed with “t” test Wilcoxon’s matched-Pair Test and Signed-Ranks Test.

The results were stated as follow:
1.The weight lose obese patients did not appear low self-esteem and high anxiety phenomenon.
2.There was a significant weight lost through a “Diet program” which included BMI, body fat and waistline decrease.
3.The weight lost patients did not elevate their self-esteem.
4.The weight lose patients did not decrease their anxiety.
5.There was a negative significant correlation between BMI decrease and diet self-efficiency；. there was a positive significant correlation between BMI decrease and exercise self-efficiency.

並列關鍵字

weight reduction ； self-esteem.anxiety ； self-efficiency

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