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    题名: 以「二階段敘說歷程」探討乳癌患者的生命故事字詞分析與創傷後成長的關係
    The Relationship between Posttraumatic Growth and Word-Frequency Analysis of Life Narrative in Breast Cancer Survivors: Application of “Two-Step Narrative Process”
    作者: 周子倢
    Chou, Tzu-Chieh
    贡献者: 許文耀
    Hsu, Wen-Yau
    周子倢
    Chou, Tzu-Chieh
    关键词: 創傷後成長
    乳癌
    生命故事
    語言探索與字詞計算
    二階段敘說歷程
    Posttraumatic growth
    Breast cancer
    Life story
    LIWC
    Two-step narrative process
    日期: 2023
    上传时间: 2023-07-06 16:58:58 (UTC+8)
    摘要: 研究目的：本研究主要以LIWC2015探討乳癌患者的創傷後成長（PTG）形成歷程是否如同「二階段敘說歷程」（Pals & McAdams, 2004）所言，但過去文獻顯示認知詞及情緒詞與PTG的研究結果並不一致，故本研究嘗試用以下字詞處理方式來突破之。在認知詞方面，將六個認知詞子類別進行因素分析，期能萃取出代表兩個認知歷程的因素；或是以認知詞總和，搭配能表徵連貫性的複合詞來表徵。在情緒詞方面，以正向情緒詞之比例來表徵。另者，本研究欲探討乳癌患者在低潮與轉折生命故事中產生PTG的歷程，亦如同「二階段敘說歷程」？研究方法：本研究於2014至2016年收錄127位初診斷乳癌患者進行PTGI量表施測、低潮期與轉折期生命故事訪談，最終刪除資料缺漏及訪談過程受外在因素干擾而影響生命故事的完整性後，以105位患者進行後續分析。研究結果：低潮期與轉折期的KMO值皆小於.60、不適合進行因素分析，故本研究以認知詞總和、分析思維、正向情緒詞之比例的階層迴歸分析來探討PTG。在低潮期方面，認知詞總和與分析思維的二階交互作用對PTG具有正向預測力，單純斜率檢定結果顯示認知詞總和與分析思維皆高時可預測PTG。在轉折期方面，分析思維與正向情緒詞之比例，兩者的主要效果同時對PTG具有正向預測力。研究討論：在低潮期方面，個體投入認知且形成努力審思的連貫性認知，但不需有情緒解脫的作用，便可促進PTG，這樣的結果並不完全符合「二階段敘說歷程」的觀點。在轉折期方面，患者已能理解經驗對自身的意義且帶來改變，故認知投入不會影響PTG，而是將自身轉變整合進生命故事並建構出連貫性，以及對此轉變具有較多的正向情緒才會促進PTG。總結來說，低潮期與轉折期的PTG形成歷程不全然符合「二階段敘說歷程」，且會因兩種故事具不同特性而有不同的PTG形成歷程。
    Objective: The aim of the study was applying “Two-Step Narrative Process” (Pals &
    McAdams, 2004) to examine the PTG process in breast cancer patients by using LIWC2015. However, previous studies showed inconsistent results when exploring the relationship between cognitive/ emotional words and PTG. Therefore, the study attempted to break through it by using the word analysis strategies of the following. For cognitive words, six cognitive subcategories were submitted to exploratory factor analysis in order to extract the factors representing two cognitive processes, or to use the sum of cognitive words combined with coherence-related composite index. For emotional words, proportion-positive emotional ratio was calculated. Additionally, the study examined whether the PTG process in low point and turning point both follow “Two-Step Narrative Process” ? Method: From 2014 to 2016, the study recruited 127 Taiwanese women who were newly-diagnosed with breast cancer to complete PTGI questionnaire and interviews about low point and turning point. After excluding the data with missing information and external interference during interviews, 105 patients were finally analysed. Results: The KMO values of low point and turning point were both less than .60, indicating that factor analysis wasn’t suitable. Therefore, a hierarchical regression analysis was conducted in which PTG was regressed on the sum of cognitive words, analytical thinking and proportion-positive emotional ratio. In low point, the second order interaction between the sum of cognitive words and analytical thinking could positively predict PTG. The simple slope analysis showed that PTG could be predicted when the sum of cognitive words and analytical thinking were both high. In turning point, the main effect of analytical thinking and proportion-positive emotional ratio could both positively predict PTG. Discussion: In low point, not only engaging in cognitive processing but also coming to understand the experience in a deliberate and coherent way could promote PTG. However, emotional resolution had no influences on PTG. These results didn’t fully agree with “Two-Step Narrative Process”. In turning point, patients had already understood the meaning of the event and experienced the changes from it, so that cognitive efforts had no influences on PTG. Thus, intergrating their own transformation into their life story and constructing coherence could promote PTG, and so could experience more positive emotions generated by their own transformation. In summary, the PTG process in both low point and turning point did not fully agree with “Two-Step Narrative Process”, and were differed due to the different characteristics of the two life stories.
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    描述: 碩士
    國立政治大學
    心理學系
    108752024
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    数据类型: thesis
    显示于类别:[心理學系] 學位論文

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