第五章 綜合結果與討論
第五節 研究限制與建議
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式。因此,在臨床的介入時,非但要讓憂鬱者了解何種型態的分析性思考為具有 適應性的,還要強調主動因應的重要,並且教導有效的主動因應策略,如此,才 能讓憂鬱者在面對平常的生活問題時,採取適應性的分析思考方式,將問題想清 楚,而不落入負向想法的思考窠臼中,並且採取有效的問題解決行動,讓憂鬱者 能夠實際有效解決日常生活問題,從而提供問題解決的正增強效果,增加促進系 統(promotion system)的自我調節功能。
第五節 研究限制與建議
本研究的限制如下:
1. 本研究的失功能態度未進行壓力測量或者負向情緒誘發,因而,未能區分其 是否屬於已受到引發的失功能態度程度,也因而未能說明失功能態度在被引 發之後,與反芻、因應與憂鬱之關係,未來研究可進一步說明此現象。
2. 本研究探討對於失功能態度與憂鬱情緒之關係的影響因子,乃以大學生為研 究對象,因而,所得到的結果僅適用於非臨床的憂鬱者,而不適合類推至臨 床的憂鬱疾患。未來研究可以臨床的憂鬱疾患為受試,進一步探討此議題,
並且可與本研究結果進行比較,以了解非臨床與臨床之憂鬱者,在此二者關 係之反芻與因應表現上的差異。
3. 本研究採取橫斷研究,探討失功能態度、反芻、因應與憂鬱之關係,僅檢驗 了單向的因果關係,亦即失功能態度反芻因應憂鬱之關係。然而,在 Ciesla 與 Roberts (2007)所提出互動性的反芻模式中,負向認知型態與憂 鬱情緒存在相互影響的關係,而反芻將會擴大失功能態度對憂鬱情緒的影 響,同時也會藉由增強憂鬱情緒而影響失功能態度。在實徵研究的結果中,
反芻可能透過憂鬱情緒的中介,進而影響失功能態度(Vanderhasselt &
Raedt, 2012),此外,反芻不僅可預測較高的負向情緒,負向情緒也可預測
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較高的反芻(Moberly & Watkins, 2008)。未來研究可以縱貫研究,進一步 探討失功能態度、反芻、因應與憂鬱之間其他相互影響的關係。
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