再探台灣社會變遷與心理健康之關聯：從人際互動的量與質切入

Abstract

現代社會是個快速且高壓的社會，人們遭遇的心理健康問題與嚴重程度也隨著時間漸漸提升，Fu等人（2013）發表於《Lacent》的研究透過台灣社會變遷資料庫發現，台灣民眾在1990 ~ 2010年之間常見精神疾患（Common Mental Disorder）的比例有顯著上升的趨勢。本研究承接於此，並進一步將時間延續至2020年，同時檢視可能的中介解釋因子。本研究分析台灣社會變遷資料庫1990 ~ 2020年間七期綜合組之資料，總計14,290名研究參與者，研究結果證實隨著年分，台灣民眾的常見精神疾患比例整體呈現上升趨勢。進一步分析也發現台灣人的實體人際互動量在1990 ~ 2020年間逐漸下滑，且實體人際互動量下滑會中介年分與常見精神疾患的關聯；此現象在控制研究參與者的性別與年齡後保持穩定，同時也發現人際互動的關係品質可以稍微緩衝人際互動量對心理健康下滑的負面效果。

Modern society is fast-paced and high-pressured, and the mental health problems people encounter gradually increase year after year. Fu et al. (2013) found that the prevalence of common mental disorders (CMD) in Taiwan between 1990 and 2010 had increased significantly, indicating that the mental health of Taiwanese has a downward trend over time. In addition, previous studies have shown that the quantity of interpersonal interaction among people is also decreasing year by year. The current study focuses on unpacking the relationship between mental health and social change, in which investigating the role of interpersonal interaction. We expect the decline in the quantity of interpersonal interaction will also lead to a decline in mental health. Furthermore, to explore whether the interaction between quantity and quality of interpersonal interaction has a buffering effect on mental health decline. The current study analyzed 14,290 subjects collected in the Taiwan Social Change Survey from 1990 to 2020, on the quantity and quality of interpersonal interaction and the score of common mental disorders. The results showed that the decline in the quantity of interpersonal interaction would lead to a decline in mental health as the years go by. Moreover, the quality of interpersonal interaction can buffer the negative effect of the quantity of interpersonal interaction on the decline in mental health.