Testing a Model of Stress and Health Using Meta-Analytic Path Analysis

本研究目的為應用統合徑路分析技術以評估一壓力與健康之理論模式。本研究先採用統合分析方法，結合國內於1980年1月至2003年12月間有關壓力議題之研究共477篇進行分析，所蒐尋的資料庫包括「中華民國期刊論文索引系統」、「全國博碩士論文資訊網」、「國科會科技資訊網路系統」。登錄的資訊包括壓力、健康、社會支持、因應策略和人格特質等變項，從這些經過統合分析後的資料，獲得這些變項間之相關矩陣，然後再據之進行徑路分析，以檢驗此壓力－健康之理論模式與得自實徵研究之統合分析資料間的適配程度。研究結果顯示本研究所提出之壓力－健康理論模式經修正後，與統合分析資料之間有著良好的適配。就本研究整個壓力－健康理論模式來看，主觀壓力本身對健康具有實質且重要的直接效果，而客觀壓力是需要透過主觀壓力的中介作用，才會對健康造成影響；而社會支持、因應方式、人格特質等變項，在壓力－健康歷程中，相較上不論是直接或間接，都有著較小的影響。本研究為壓力和健康間的關係呈現出一個整體性的面貌，並為未來研究和實務工作提供可參考的方向。

關鍵字

壓力；健康；統合分析；徑路分析

並列摘要

The goal of this study was to use meta-analytic path analysis to evaluate a theoretical model of stress and health. A meta-analysis technique was adopted to combine and re-analyze 477 studies that investigated stress-related topics between January 1980 and December 2003 in Taiwan. Databases searched included PerioPath-Index to Chinese Periodical Literature, Electronic Theses and Dissertations System, and NSC (National Science Council) Science and Technology Information System. Variables recorded included stress, health, social support, coping strategies, and personality traits. A correlation matrix of these variables was derived from meta-analytic data and then analyzed using structural path analysis to test the fitness of the hypothesized stress-health model to the observed aggregated data. Results showed the revised hypothesized model to be a reasonable, good fit to aggregated data. Based on the theoretical stress-health model developed in this study, subjective stress was found to have a substantively important and direct effect on health, whereas objective stress required the mediating function of subjective stress to exercise an influence on health. Such variables as social support, coping strategies, and personality traits had comparatively weaker influences, either direct or indirect, on the stress-health process. This study provided a holistic view on the relationship between stress and health in the context of stress and proposed a direction for future research and practice.

並列關鍵字

stress ； health ； meta-analysis ； path analysis

參考文獻

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國際替代計量

Testing a Model of Stress and Health Using Meta-Analytic Path Analysis

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