第五章 結論
第三節 未來研究方向
壹、預期性污名之長期效果檢驗
由本研究不同親疏關係預期性污名之序列中介模式可見,個體面對家庭來 源之預期性污名之可能歷程,但根據Minuchin 與 Nichols(1998)之觀點,家 庭系統應為動態變化之歷程,因此不同時間點下,不同來源之預期性污名可能 具有先後因果關係。且本研究之研究數據皆為個體自陳而來,考量污名化個體 之重要他人可能亦承受因污名化個體所帶來的壓力,若可針對污名化個體之家 人對於親戚之預期性污名進行評估,並驗證各預期性污名間的因果關係,可能 更貼合真實世界的現象。
貳、當代性別角色議題的後續延伸
當代臺灣本土對於性別角色之相關研究極為稀少,雖於本研究發現負向女 性化與負向雙性化對於心理健康有負面效益,結果與過去國外研究大致一致,
但性別角色傾向對於其他少數族群或異性戀族群之影響仍不明,需後續研究針 對不同族群個別進行確認與檢驗。另一方面,本土文化與對於性別角色的內涵 可能與西方文化不同,需進一步對性別角色評估工具進行修訂,以重驗臺灣本 土評估性別角色傾向之工具。
參考文獻
中央研究院社會學研究所(2013):《臺灣社會變遷基本調查計畫第六期第三次 調查計畫》,報告編號NSC 100-2420-H-001-002-SS2。臺北市:章英華。
取自https://www2.ios.sinica.edu.tw/sc/cht/datafile/tscs12.pdf
簡至潔(2014):《「臺灣同志壓力處境問卷」調查結果初步分析》,友善台灣聯 盟調查報告。取自https://hotline.org.tw/news/190
王素真、陳住銘、洪耀釧(2014):〈民眾對於同性戀的認知與接受程度之探 討〉。《工程科技與教育學刊》,11,30-42。
朱浚賢(2008):《關係與道德臉面:關係他人失德事件對個人面子感受的影 響》(未出版之碩士論文)。國立臺灣大學,臺北市。
doi:10.6342/NTU.2008.01972
李怡青、周玉慧、張仁和(2019):〈親密關係中的自我一致性:不同性傾向認 同者的適應探討〉。見周玉慧、葉光輝、張仁和(編):《華人家庭、代間 關係與群際認同》,頁255-290。臺北市:中央研究院民族學研究所。
周嘉娸(2008):《憂鬱反芻對工作記憶容量的影響之初探》(未出版之碩士論 文)。國立臺灣大學,臺北市。doi:10.6342/NTU.2008.00355
林逸祥(2017):《男同志自殺企圖:性少數壓力源與自殺人際理論的角色》(未 出版之碩士論文)。私立中山醫學大學,臺中市。
姚開屏(2002):〈臺灣版世界衛生組織生活品質問卷之發展與應用〉。《臺灣醫 學》,6,193-200。doi:10.6320/FJM.2002.6(2).09
畢恆達(2003):〈男同性戀與父母:現身的考量,策略,時機與後果〉。《女學 學誌:婦女與性別研究》,15,37-78。doi:10.6255/JWGS.2003.15.37 陳弘儒(2015):《臺灣青少年憂鬱的性別特定模式之前瞻式研究:憂鬱與壓
力、自我掌控信念、反芻風格之關聯》(未出版之碩士論文)。國立臺灣
大學,臺北市。doi:10.6342/NTU.2015.02628
游勝翔(2004):《反芻型反應風格、自傳式記憶與憂鬱之關聯性探討》(未出版 之碩士論文)。國立臺灣大學,臺北市。doi:10.6342/NTU.2004.00483 楊如泰(2010):《整合憂鬱人際與認知模式:苦惱自責式反芻及因果不確定感
於過度尋求再保證與憂鬱間之多重中介效果》(未出版之碩士論文)。國 立臺灣大學,臺北市。doi:10.6342/NTU.2010.02899
楊靜芳(2003):《社交焦慮、網路社交焦慮與網路環境特性之關聯性探討》(未 出版之碩士論文)。國立臺灣大學,臺北市。
Arditte, K. A., & Joormann, J. (2011). Emotion regulation in depression: Reflection predicts recovery from a major depressive episode. Cognitive Therapy and Research, 35, 536-543. doi:10.1007/s10608-011-9389-4
Bandura, A., & Walters, R. H. (1977). Social learning theory (Vol. 1). Englewood Cliffs, NJ: Prentice-hall.
Bem, S. (1977). On the utility of alternative procedures for assessing psychological androgyny. Journal of Consulting and Clinical Psychology, 45, 196-205.
doi:10.1037//0022-006X.45.2.196
Bem, S., & Lewis, S. (1975). Sex role adaptability: One consequence of psychological androgyny. Journal of Personality and Social Psychology, 31, 634-643.
doi:10.1037/h0077098
Berger, A., & Krahé, B. (2013). Negative attributes are gendered too: Conceptualizing and measuring positive and negative facets of sex‐role identity. European
Journal of Social Psychology, 43, 516-531. doi:10.1002/ejsp.1970
Broderick, P. C., & Korteland, C. (2002). Coping style and depression in early adolescence: Relationships to gender, gender role, and implicit beliefs. Sex Roles, 46, 201-213. doi:10.1023/A:1019946714220
Chaudoir, S. R., & Quinn, D. M. (2016). Evidence that anticipated stigma predicts poorer depressive symptom trajectories among emerging adults living with concealable stigmatized identities. Self and Identity, 15, 139-151.
doi:10.1080/15298868.2015.1091378
Choi, N., & Jenkins, S. J. (2000). A Factor analysis of the Bem sex role inventory and the personal attributes questionnaire. Psychological Bulletin, 56, 81-105.
doi:10.18401/2015.5.1.1.
Cook, E. P. (1987). Psychological androgyny: A review of the research. The Counseling Psychologist, 15, 471-513. doi:10.1177/0011000087153006
Crocker, J., Major, B., & Steele, C. (1998). Social stigma. (Vol. 2). New York, NY, US: McGraw-Hill.
Deaux, K., Reid, A., Mizrahi, K., & Ethier, K. A. (1995). Parameters of social identity. Journal of Personality and Social Psychology, 68, 280.
doi:10.1037/0022-3514.68.2.280
Dodge, B., & Sandfort, T. G. M. (2007). A review of mental health research on
bisexual individuals when compared to homosexual and heterosexual
individuals. In B. A. Firestein (Ed.), Becoming visible: Counseling bisexuals across the lifespan (pp. 28-51). New York, NY: Columbia University Press.
Donnelly, K., & Twenge, J. M. (2017). Masculine and feminine traits on the Bem sex-role inventory, 1993–2012: A cross-temporal meta-analysis. Sex Roles, 76, 556-565. doi:10.1007/s11199-016-0625-y
Earnshaw, V. A., Quinn, D. M., & Park, C. L. (2012). Anticipated stigma and quality of life among people living with chronic illnesses. Chronic Illness, 8, 79-88.
doi:10.1177/1742395311429393
Fernández, J., & Coelleo, M. T. (2010). Do the BSRI and PAQ really measure masculinity and femininity? The Spanish Journal of Psychology, 13, 1000-1009. doi:10.1017/S113874160000264X
Frable, D. E. (1993). Dimensions of marginality: Distinctions among those who are different. Personality and Social Psychology Bulletin, 19, 370-380.
doi:10.1177/0146167293194002
Friedman, M. R., Dodge, B., Schick, V., Herbenick, D., Hubach, R. D., Bowling, J., . . . Reece, M. (2014). From bias to bisexual health disparities: Attitudes toward bisexual men and women in the United States. LGBT Health, 1, 309-318. doi:10.1089/lgbt.2014.0005
Frost, D. M., Lehavot, K., & Meyer, I. H. (2015). Minority stress and physical health among sexual minority individuals. Journal of Behavioral Medicine, 38, 1-8.
doi:10.1007/s10865-013-9523-8
Gates, G. J. (2017). In U.S., more adults identifying as LGBT. Retrieved from https://news.gallup.com/poll/201731/lgbt-identification-rises.aspx
Goffman, E. (1963). Behavior in public place: Notes on the social organization of gatherings. New York, NY: the free press of Glencoe
Group, W. (1995). The world health organization quality of life assessment (WHOQOL): Position paper from the world health organization. Social Science & Medicine, 41, 1403-1409. doi:10.1016/0277-9536(95)00112-K
Group, W. (1998). Development of the world health organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551-558.
doi:10.1017/S0033291798006667
Hayes, A. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Retrived from
http://www.afhayes.com/public/process2012.pdf
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44, 227-239.
doi:doi:10.1348/014466505X29657
Herek, G. M., Gillis, J. R., & Cogan, J. C. (2009). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Journal of Counseling Psychology, 56, 32-43. doi:10.1037/2376-6972.1.S.18
Holmbeck, G. N., & Bale, P. (1988). Relations between instrumental and expressive personality characteristics and behaviors: A test of Spence and Helmreich's theory. Journal of Research in Personality, 22, 37-59. doi:10.1016/0092-6566(88)90023-2
Javidi, A., & Javidi, M. (1991). Cross‐cultural analysis of interpersonal bonding: A look at east and west. Howard Journal of Communications, 3, 129-138.
doi:10.1080/10646179109359742
Johnson, D. P., & Whisman, M. A. (2013). Gender differences in rumination: A meta-analysis. Personality and Individual Differences, 55, 367-374.
doi:10.1016/j.paid.2013.03.019
Jones, E. E. (1984). Social stigma: The psychology of marked relationships. New York, NY: WH Freeman.
Jorm, A. F., Korten, A. E., Rodgers, B., Jacomb, P. A., & Christensen, H. (2002).
Sexual orientation and mental health: Results from a community survey of young and middle–aged adults. The British Journal of Psychiatry, 180,
423-427. doi:10.1192/bjp.180.5.423
Kinsler, J. J., Wong, M. D., Sayles, J. N., Davis, C., & Cunningham, W. E. (2007).
The effect of perceived stigma from a health care provider on access to care among a low-income HIV-positive population. AIDS Patient Care and STDs, 21, 584-592. doi:10.1089/apc.2006.0202
Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363-385. doi:10.1146/annurev.soc.27.1.363
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states:
Comparison of the depression anxiety stress scales (DASS) with the Beck depression and anxiety inventories. Behaviour Research and Therapy, 33, 335-343. doi:10.1016/0005-7967(94)00075-U
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470. doi:10.1016/B978-0-12-394427-6.00004-2
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38-56. doi:10.2307/2137286
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674. doi:10.1037/0033-2909.129.5.674
Mickelson, K. D. (2001). Perceived stigma, social support, and depression.
Personality and Social Psychology Bulletin, 27, 1046-1056.
doi:10.1177/0146167201278011
Minuchin, S., & Nichols, M. P. (1998). Structural family therapy. New York, NY:
Guilford Press.
Miranda, R., & Nolen-Hoeksema, S. (2007). Brooding and reflection: Rumination predicts suicidal ideation at 1-year follow-up in a community sample.
Behaviour Research and Therapy, 45, 3088-3095.
doi:10.1016/j.brat.2007.07.015
Newport, G. J. G. a. F. (2013, February 15). LGBT percentage highest in D.C., lowest in North Dakota. Retrieved from
https://news.gallup.com/poll/160517/lgbt-percentage-highest-lowest-north-dakota.aspx
Nolen Hoeksema, S. (1987). Sex differences in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259-282.
doi:10.1037//0033-2909.101.2.259
Nolen Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569-582.
doi:10.1037/0021-843X.100.4.569
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and
posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality and Social Psychology, 61, 115.
doi:10.1037//0022-3514.61.1.115
Nolen-Hoeksema, S., & Morrow, J. (1993). Effects of rumination and distraction on naturally occurring depressed mood. Cognition & Emotion, 7, 561-570.
doi:10.1080/02699939308409206
Nolen-Hoeksema, S., & Jackson, B. (2001). Mediators of the gender difference in rumination. Psychology of Women Quarterly, 25, 37-47. doi:10.1111/1471-6402.00005
Pachankis, J. E., Sullivan, T. J., Feinstein, B. A., & Newcomb, M. E. (2018). Young adult gay and bisexual men’s stigma experiences and mental health: An 8-year longitudinal study. Developmental Psychology, 54, 1381.
doi:10.1037/dev0000518
Parra, L. A., Benibgui, M., Helm, J. L., & Hastings, P. D. (2016). Minority stress predicts depression in lesbian, gay, and bisexual emerging adults via elevated diurnal cortisol. Emerging Adulthood, 4, 365-372.
doi:10.1177/2167696815626822
Polanco-Roman, L., Jurska, J., Quiñones, V., & Miranda, R. (2015). Brooding, reflection, and distraction: Relation to non-suicidal self-injury versus suicide
attempts. Archives of Suicide Research, 19, 350-365.
doi:10.1080/13811118.2014.981623
Quinn, D. M., & Chaudoir, S. R. (2009). Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology, 97, 634-651. doi:10.1037/2376-6972.1.S.35
Ranta, K., Kaltiala-Heino, R., Koivisto, A.-M., Tuomisto, M. T., Pelkonen, M., &
Marttunen, M. (2007). Age and gender differences in social anxiety symptoms during adolescence: The social phobia inventory (SPIN) as a measure.
Psychiatry Research, 153, 261-270. doi:10.1016/j.psychres.2006.12.006
Richters, J., Altman, D., Badcock, P. B., Smith, A. M., de Visser, R. O., Grulich, A.
E., . . . Simpson, J. M. (2014). Sexual identity, sexual attraction and sexual experience: The second Australian study of health and relationships. Sexual Health, 11, 451-460. doi:10.1071/SH14117
Rydberg Sterner, T., Gudmundsson, P., Seidu, N., Bäckman, K., Skoog, I., & Falk, H.
(2018). A psychometric evaluation of a Swedish version of the positive–
negative sex-role inventory (PN-SRI). Societies, 8, 1-13.
doi:10.3390/soc8010013
Simonson, J., Mezulis, A., & Davis, K. (2011). Socialized to ruminate? Gender role
mediates the sex difference in rumination for interpersonal events. Journal of Social and Clinical Psychology, 30, 937-959. doi:10.1521/jscp.2011.30.9.937
Spence, J. T. (1991). Do the BSRI and PAQ measure the same or different concepts?
Psychology of Women Quarterly, 15, 141-165.
doi:10.1111/j.1471-6402.1991.tb00483.x
Spence, J. T., Helmreich, R. L., & Stapp, J. (1974). The personal attributes
questionnaire: A measure of sex role stereotypes and masculinity-femininity.
Washington, DC: Journal supplement abstract service, American psychological association
Spence, J. T., Helmreich, R., & Stapp, J. (1975). Ratings of self and peers on sex role attributes and their relation to self-esteem and conceptions of masculinity and femininity. Journal of Personality and Social Psychology, 32, 29-39.
Stoppard, J. M., & Paisley, K. J. (1987). Masculinity, femininity, life stress, and depression. Sex Roles, 16, 489-496. doi:10.1007/BF00292483
Swannell, S., Martin, G., & Page, A. (2016). Suicidal ideation, suicide attempts and non-suicidal self-injury among lesbian, gay, bisexual and heterosexual adults:
findings from an Australian national study. Australian & New Zealand Journal of Psychiatry, 50, 145-153. doi:10.1177/0004867415615949
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered:
A psychometric analysis. Cognitive Therapy and Research, 27, 247-259.
doi:10.1023/a:1023910315561
Twenge, J. M. (1997). Changes in masculine and feminine traits over time: A meta-analysis. Sex Roles, 36, 305-325. doi:10.1007/BF02766650
Wong, Q. J., & Moulds, M. L. (2009). Impact of rumination versus distraction on anxiety and maladaptive self-beliefs in socially anxious individuals. Behaviour Research and Therapy, 47, 861-867. doi:10.1016/j.brat.2009.06.014
Woodhill, B. M., & Samuels, C. A. (2003). Positive and negative androgyny and their relationship with psychological health and well-being. Sex Roles, 48, 555-565.
doi:10.1023/A:1023531530272
Woodhill, B. M., & Samuels, C. A. (2004). Desirable and undesirable androgyny: A prescription for the twenty-first century. Journal of Gender Studies, 13, 15-28.
doi:10.1080/0958923032000184943
Wupperman, P., & Neumann, C. S. (2006). Depressive symptoms as a function of sex-role, rumination, and neuroticism. Personality and Individual Differences, 40, 189-201. doi:10.1016/j.paid.2005.05.017
Xu, Y., Schneier, F., Heimberg, R. G., Princisvalle, K., Liebowitz, M. R., Wang, S., &
Blanco, C. (2012). Gender differences in social anxiety disorder: Results from the national epidemiologic sample on alcohol and related conditions. Journal
of Anxiety Disorders, 26, 12-19. doi:10.1016/j.janxdis.2011.08.006
附錄
英文:An unspoken secret: the influence of anticipated stigma, gender role and emotional regulation on psychopathology symptoms and quality of life.
研究機構名稱:國立臺灣大學心理學系 經費來源:自籌
緒調節策略與自我性別特質對憂鬱病性的影響。
明。)
回同意或退出研究,可透過直接告知計畫主持人或研究執行人員進行,計畫 心聯絡,電話號碼為:(02)3366-9956、(02)3366-9980。
(二) 研究計畫主持人或研究人員已經妥善地向您說明了研究內容與相
附錄二:預期性污名量表
第三部分:
附錄三:中文版正負向性別角色量表
附錄四:中文版反應風格量表短版
附錄五:社交互動焦慮量表
附錄六:臺灣簡明版世界衛生組織生活品質問卷
這份問卷詢問您對於自己的生活品質、健康、以及其他生活領域的感覺。請您 回答所有的問題。如果您對某一問題的回答不確定,請選出五個答案中最適合 的一個,通常會是您最早想的那個答案。 我們的問題所關心的是您最近兩星期 內的生活情形,請您用自己的標準、希望、愉快、以及關注點來回答問題。請 參考下面的例題:
1.整體來說,您如何評價您的生活品質?
□極不好 □不好 □中等程度好 □好 □極好 2.整體來說,您滿意自己的健康嗎?
□極不滿意 □不滿意 □中等程度滿意 □滿意 □極滿意 3.您覺得身體疼痛會妨礙您處理需要做的事情嗎?
□完全沒有妨礙 □有一點妨礙 □中等程度妨礙 □很妨礙 □極妨礙 4.您需要靠醫療的幫助應付日常生活嗎?
□完全沒有需要 □有一點需要 □中等程度需要 □很需要 □極需要 5.您享受生活嗎?
□完全沒有享受 □有一點享受 □中等程度享受 □很享受 □極享受 6.您覺得自己的生命有意義嗎?
□完全沒有 □有一點有 □中等程度有 □很有 □極有 7.您集中精神的能力有多好?
□完全不好 □有一點好 □中等程度好 □很好 □極好 8.在日常生活中,您感到安全嗎?
例題一:整體來說,您滿意自己的健康嗎?
□極不滿意 □不滿意 □中等程度滿意 □滿意 □極滿意
□完全不安全 □有一點安全 □中等程度安全 □很安全 □極安全 9.您所處的環境健康嗎?(如污染、噪音、氣候、景觀)
□完全不健康 □有一點健康 □中等程度健康 □很健康 □極健康 10.您每天的生活有足夠的精力嗎?
□完全不足夠 □少許足夠 □中等程度足夠 □很足夠 □完全足夠 11.您能接受自己的外表嗎?
□完全不能夠 □少許能夠 □中等程度能夠 □很能夠 □完全能夠 12.您有足夠的金錢應付所需嗎?
□完全不足夠 □少許足夠 □中等程度足夠 □很足夠 □完全足夠 13.您能方便得到每日生活所需的資訊嗎?
□完全不方便 □少許方便 □中等程度方便 □很方便 □完全方便
□完全不方便 □少許方便 □中等程度方便 □很方便 □完全方便