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但目前尚未有研究針對GAD病患進行在家執行的注意力偏誤操弄(home-delivered attentional bias modification, HD-ABM) 。

本研究修改Enock等人(2014) 之研究，探討透過行動載 ... 資料載入處理中... 跳到主要內容 臺灣博碩士論文加值系統 ::: 網站導覽| 首頁| 關於本站| 聯絡我們| 國圖首頁| 常見問題| 操作說明 English |FB專頁 |Mobile 免費會員 登入| 註冊 功能切換導覽列 (188.166.176.73)您好！臺灣時間：2021/12/2505:17 字體大小：       ::: 詳目顯示 recordfocus 第1筆/ 共1筆  /1頁 論文基本資料 摘要 外文摘要 目次 參考文獻 電子全文 紙本論文 QRCode 本論文永久網址: 複製永久網址Twitter研究生:楊佩謹研究生(外文):YANG,PEI-CHIN論文名稱:在家執行的注意偏誤操弄訓練對注意控制能力及憂慮的治療效果：透過行動裝置於廣泛性焦慮疾患上執行的隨機控制及多療程實驗論文名稱(外文):Home-deliveredAttentionBiasModificationTrainingtoImproveAttentionControlandWorry:ARandomized,Controlled,Multi-sessionExperimentviaMobileDeviceinGeneralizedAnxietyDisorder指導教授:鄧閔鴻指導教授(外文):TENG,MIN-HUNG口試委員:何明洲、陳欣進口試委員(外文):HE,MING-ZHOU、CHEN,HSIN-CHIN口試日期:2018-01-11學位類別:碩士校院名稱:國立中正大學系所名稱:心理學系臨床心理學研究所學門:社會及行為科學學門學類:心理學類論文種類:學術論文論文出版年:2018畢業學年度:106語文別:中文論文頁數:105中文關鍵詞:憂慮、廣泛性焦慮疾患、注意力偏誤、在家執行的注意力偏誤操弄外文關鍵詞:worry、generalizedanxietydisorder、attentionalbias、home-deliveredattentionalbiasmodification相關次數: 被引用:1點閱:354評分:下載:0書目收藏:2 病態憂慮(pathologicalworry)為廣泛性焦慮疾患(generalizedanxietydisorder,GAD)的核心特徵(Starcevic&Portman,2013)。

過去研究指出，GAD病患或高憂慮者對威脅刺激有注意力偏誤(attentionalbias)，容易將注意力投注在威脅刺激中，並難以將注意力從威脅刺激中抽離(MacLeod,Mathews&Tata,1986;Mogg&Bradley,2005;Yiend,2010)。

另外，Hirsch與Mathews(2012)提出的病態憂慮認知理論，認為注意力控制(attentioncontrol)與病態憂慮的形成及發展有關。

對憂慮者或GAD患者而言，憂慮可能佔據個體的注意力控制資源，也會因為注意力控制能力較弱，容易讓外在刺激直接進入注意系統，而使憂慮持續。

過去研究認為注意力偏誤操弄(attentionalbiasmodification,ABM)作業可能可藉由改善注意力控制，並降低注意力的自動化歷程，進而達到減少威脅刺激對焦慮個體的影響(Amir,Beard,Burns,&Bomyea,2009;Bar‐Haim,2010;Hallion&Ruscio,2011)。

近十多年網路的快速發展，開始有學者利用網路之便利性，將治療研究延伸至生活場域(Amir&Taylor,2012;Enock&McNally,2010;Neubaueretal.,2013)。

但目前尚未有研究針對GAD病患進行在家執行的注意力偏誤操弄(home-deliveredattentionalbiasmodification,HD-ABM)。

本研究修改Enock等人(2014)之研究，探討透過行動載具執行的HD-ABM訓練是否能提升GAD個體的注意力控制功能以及降低憂慮與焦慮情緒症狀。

本研究參與者為精神門診的臨床GAD病患共18位，其中包含2位男性以及16位女性。

所有參與者分派至實驗組(偵測目標皆呈現在威脅刺激對側)及安慰組(偵測目標為隨機呈現)。

在初次評估之後，參與者會接受每天3次，共執行4週的HD-ABM訓練，訓練期間參與者接受第2週及第4週接受在診間接受療效追蹤評估，訓練結束一個月後，需進行一次追蹤評估。

評估過程裡參與者需填寫注意力、憂慮、焦慮以及憂鬱的自陳量表，另執行電腦版的點偵測作業(dot-probetask)以及注意力網絡(attentionnetworktask,ANT)作業。

本研究結果發現，實驗組與安慰組接受4週HD-ABM訓練後，於情緒症狀、注意力控制以及注意力功能都沒有顯著差異。

但經過4週的HD-ABM訓練後的安慰組，自陳的特質焦慮較實驗組少。

另外，所有參與者經4週HD-ABM訓練後，自陳憂慮狀症皆有顯著減少，對威脅刺激的警覺程度以及注意力控制皆提高。

因此，HD-ABMapp(無論是哪一種訓練)本身可能具有轉移注意力之功用，且能提升GAD個體對威脅刺激的警覺程度與注意力控制能力。

然而，本研究仍有其研究及推論上的限制，包含本研究的樣本數較少、GAD的共病性、點偵測作業的刺激內容關聯性等。

未來研究可以改進本研究限制，藉由實證研究結果的累積，逐步驗證上述研究議題，提升焦慮、憂慮個體的自助、自救方便且有效的治療策略。

Aim:pathologicalworrywasthecardinaldiagnosticfeatureofgeneralizedanxietydisorder(GAD)(Starcevic&Portman,2013).EmpiricalevidencesupportsthatGADpatientsorhighworrierfacilitatedattentionalengagementwith,ordelayeddisengagementfromthreateninginformation(MacLeod,Mathews&Tata,1986;Mogg&Bradley,2005;Yiend,2010).Incognitivemodelofpathologicalworry,HirschandMathews(2012)suggestedthatattentioncontrolwasrelatedtodevelopmentandmaintenanceofworry,pathologicalworrywouldoccupyhighworrierorGADpatient’sattentioncontrolresource.Duetotheweakerattentioncontrolabbitlity,highworrierorGADpatientcouldn’tshifttheirattentionfromexternalorinternalthreatrepresentation.Attentionalbiasmodification(ABM)mayfacilitatedattentionalcontrolandgoodattentionalcontrolmydisruptautomaticthreatprocessing(Amir,Beard,Burns,&Bomyea,2009;Bar‐Haim,2010;Hallion&Ruscio,2011).TherapiddevelopmentoftheInternetofthepastdecade,researchersbegantotakeadvantageoftheconvenienceoftheInternet,extendedtothetreatmentoflifefield.However,atpresent,ithasyettoconducthome-deliveredattentionalbiasmodification(HD-ABM)studyforGADpatients.Methods:Inthisstudy,modifyEnocketal(2014)ofthestudytoexaminewhetheritcanimprovetheGADindividualattentionalfunctionsthroughHD-ABMtrainingandreducesymptomsofanxietyandworry.Participantsinthisstudywere18clinicalGADpatientsinpsychiatricoutpatientdepartment,including2malesand16females.Allparticipantsassignedtotheexperimentalgroup(thedetectiontargetsareontheoppositesideofthethreatstimulus)andplacebogroup(detectiontargetrandompresented).Aftertheinitialassessment,participantswillreceiveHD-ABMtrainingfor4weeks3timesaday.Participantswillreceivelaboratoryassessmentsduringweeks2andweeks4andonemonthaftertheendoftraining.Duringtheassessmentprocess,participantswereaskedtofillinattention,anxiety,depression,anxietyandself-reportquestionnaire,computerversionofthedot-probetaskandattentionnetworktask.Results:Theresultsofthisstudyfoundthatafter4weeksofHD-ABMtraining,theself-reportedtraitanxietywaslessthanthatoftheexperimentalgroup,andallparticipantshadsignificantlyreducedself-reportedanxietydisorder,increasedalertnesstothreatstimuli,andincreasedattentioncontrol.TheABMappitselfmayhavetheabilitytoshiftattentionandenhancethealertnessandattentioncontrolofGADindividualstothreatstimuli.Conclusion:Therearenumbersoflimitationsinthisresearchincludingthesamplesize,comorbidityofGAD,stimuluscontentrelevanceofdot-probetask.Futurestudyshouldthroughtheaccumulationofempiricalresearchresults,andtoverifytheresearchtopic.Enhanceanxiety,worryindividualself-helpinaconvenientandeffectiveway. 第一章、緒論第一節、憂慮(Worry)第二節、憂慮的認知理論第三節、憂慮的注意力偏誤第四節、注意力系統與注意力控制第五節、注意力偏誤操弄訓練第六節、在家執行的注意偏誤操弄訓練第七節、研究假設與目的第二章、研究方法第一節、研究參與者第二節、研究工具第三節、實驗設計與流程第四節、資料分析第三章、研究結果第一節、自陳量表與認知作業得分的描述統計第二節、初次評估比較第三節、實驗操弄檢核第四章、討論第一節、研究摘述第二節、研究結果討論第三節、研究限制與未來展望參考文獻 車先蕙、盧孟良、陳錫中、張尚文、李宇宙(民95)。

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