敵意與代謝症候群關係之研究：壓力心理生理反應的中介效果

The Study of Hostility and Metabolic Syndrome : The Mediating Effects of Psychophysiological Reaction

王嘉齡(Chia-Ling Wang)

指導教授 ： 洪福建

中原大學/理學院/心理學研究所/碩士(2013年)

https://doi.org/10.6840/cycu201300909

摘要

研究背景與目的：隨著社會環境整體的變遷，代謝症候群已成為國人重要的健康議題之一，本研究試從心理危險因子層面，並以Smith(1992)心理生理反應模式為架構，探討敵意對代謝症候群的影響，其中個體的壓力心理生理反應被認為居中扮演相當重要的角色，然而，敵意、壓力心理生理反應與代謝症候群間之關係的相關實證資料仍未盡完整。因此，本研究主要目的在於探究：敵意如何透過壓力心理生理反應的中介效果導致代謝症候群的發展。
研究方法：本研究為橫斷法之調查性研究，受試者為182人，根據國民健康局之代謝症候群準則，將其篩選出健康組、邊緣代謝症候群組與代謝症候群組，透過壓力情境操弄，以生理回饋測量儀器記錄受試者之末稍血流、皮膚導電位、皮膚溫度、肌肉電位、心跳變異率等壓力心理生理指標，以比較不同組其各項指標於壓力反應率與恢復率之表現。並使用短式華人敵意量表，量化受試者之敵意特質，以Sobel test檢驗壓力心理生理反應於敵意特質與代謝症候群間的中介效果。
研究結果：1.代謝症候群組之敵意總分、表達敵意、敵意認知與敵意情感皆顯著高於健康組；2.代謝症候群組在皮膚導電位之反應率I、反應率II與肌肉電位之反應率II顯著高出健康組；3.健康組於末稍血流之恢復率II與皮膚導電位之恢復率II顯著優於代謝症候群組；4. 敵意向度之敵意認知，透過壓力心理生理反應之肌肉電位反應率的部分中介效果，來影響代謝症候群。
討論：研究雖未能完全支持壓力心理生理反應對敵意與代謝症候群的中介作用，但敵意特質影響代謝症候群發展之直接與間接路徑都能有部分支持結果，依據上述結果期許可做為未來臨床心理介入之參考依據。

關鍵字

代謝症候群 ； 敵意 ； 壓力心理生理反應 ； Sobel檢定

並列摘要

Background and Purpose: With the changes in the whole social environment, the metabolic syndrome has become one important issue of the people health. This study is coming from psychological risk factor, and Smith's (1992) psycho physiological response pattern as the framework to explore the hostility against the impact of metabolic syndrome. Individual's psychological and physiological stress responses are considered to play an important role, however, the related data for relationship between hostility, psychological, physiological stress response and metabolic do not quite complete. Therefore, the main purpose of this study is: explore how hostile psycho physiological stress response through the mediating effect of leading the development of the metabolic syndrome.
Methods: The study was cross-sectional survey method studies in 182 people subjects. According to the Bureau of National Health metabolic syndrome criteria to filter out the healthy group, the edge metabolic syndrome group and metabolic syndrome group. Parade through stressful and situations in subjects to get record in biofeedback measuring instruments by peripheral blood, skin conductance bit, skin temperature, muscle potentials, and heart rate variability psycho physiological stress indicators. To compare different target sets in stress response and recovery rate performance. Use the short form of Chinese hostility scale, and get the quantitative of the subjects' hostility characteristics. Sobel test is used in psycho physiological stress reactions in metabolic syndrome traits and hostility between the mediating effect.
Research results: 1. Metabolic syndrome group's hostility scores, expressed hostility, enmity and hostility emotional cognition were significantly higher than the healthy group; 2. Metabolic syndrome group in place of the skin conductance response rate I, II and muscle action potential response rate of reaction rate II is significantly higher than the healthy group; 3. Healthy groups is in peripheral blood recovery rate and skin conductance spaces II recovery rate significantly better than the metabolic syndrome group; 4. hostility dimension of cognition, psychological and physiological stress response through the response rate of muscle action potential mediating effect, to influence the metabolic syndrome.
Discussion: Although this research has not been fully supported by psychological and physiological stress reactions to hostility and the intermediary role of the metabolic syndrome, The hostility qualities influenced the development of the metabolic syndrome can have direct and indirect paths partially supported by the results. The research results are intervention of reference for future clinical psychology license.

並列關鍵字

psychophysiological reaction ； Sobel test ； hostility ； Metabolic Syndrome

參考文獻

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