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    题名: 不同渴求構念與焦慮、憂鬱以及執行功能的關係－針對海洛因戒治人之探討
    The relationship of different constructs of craving with anxiety, depression and executive function.
    作者: 李人儀
    贡献者: 許文耀
    李人儀
    关键词: 海洛因
    渴求
    焦慮
    憂鬱
    執行功能
    工作記憶
    日期: 2009
    上传时间: 2013-09-03 13:24:43 (UTC+8)
    摘要: 本研究目的為探討國內海洛因戒治人的渴求經驗，試圖檢驗藥物渴望量表(DDQ)(Franken, 2002)在台灣樣本的信效度，同時了解不同渴求構念與焦慮、憂鬱以及執行功能的關係。
    首先根據過去渴求模式以及相關渴求量表發展，提出藥物渴望量表的兩個不同因素結模型，分別為模型一正增強、負增強以及控制，模型二渴望與意圖、結果預期以及控制，由探索性因素分析與驗證性因素分析結果顯示，藥物渴望量表的控制因素無法穩定反應渴求構念，但正增強與負增強、渴望與意圖與結果預期兩模型則可得到良好的支持，其中正增強與負增強之模型顯著優於單因素模型。
    相關分析結果顯示，渴求的正增強與負增強兩構念皆與焦慮、憂鬱情緒達顯著正相關，淨相關分析中顯示排除正增強影響後，負增強仍與焦慮強緒有顯著相關。渴求也與執行功能中的工作記憶、訊息處理速度有顯著的負相關。研究結果初步顯示國內海洛因戒治人之不同渴求狀態與焦慮、憂鬱以及執行功能之關係，顯示在成癮治療過程中，不僅須處理渴求經驗，同時也須針對焦慮、憂鬱情緒做介入，並考慮認知功能對治療、復發的影響，以降低個案復發的風險。
    The purpose of the present study was to discuss the craving experience of heroin addicts during compulsory treatment in Taiwan. Drug Desire Questionnaire (Franken, 2002) was used to investigate different craving constructs that were positive reinforcement, negative reinforcement and control. DDQ was validated in this research. This study also examined the relationships between heroin craving, depression, anxiety and executive function.
    According to models of craving and research, the present study tried to examine the two models of DDQ simultaneously. Two models were also accepted but the model composed positive reinforcement and negative reinforcement was better than one-factor model. Control factor of DDQ was not validated.
    The result of partial correlation analysis revealed that negative reinforcement was significantly related to anxiety after control the effect of positive reinforcement. According to the results of correlation analysis, two different craving construct were also significantly related to working memory and not related to the other ability of executive function. Implications for clinical applications and future research were also suggested.
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