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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/81688
完整後設資料紀錄
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dc.contributor.advisor曾美惠(Mei-Hui Tseng)
dc.contributor.authorDaphne Ng Yihen
dc.contributor.author吳彧zh_TW
dc.date.accessioned2022-11-24T09:25:45Z-
dc.date.available2022-11-24T09:25:45Z-
dc.date.copyright2021-07-20
dc.date.issued2021
dc.date.submitted2021-06-30
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/81688-
dc.description.abstract"背景: 社交技巧缺陷為自閉症類群障礙症患者常見的核心症狀之一,導致他們在社交參與上困難重重。口語以及認知能力較好的高功能自閉症族群常會讓人低估其對於社交技巧學習的需要。比起一般同儕,高功能的自閉症患者更能夠察覺本身社交上的不足而降低他們的自覺社交勝任感,也容易感受到社會帶給他們的壓力。因此,社交參與常引發高功能的自閉症患者的社交焦慮感,不僅降低他們社交參與的意願,也會進而導致逃避社交互動的情形。調適技巧能夠作為生活中壓力與情緒的調節作用,因此好的調適行為有助於維持穩定的身心狀態並滿足個人以及環境的需求。而目前針對高功能自閉症青少年之調適行為是否能夠影響其日常社交活動時自覺勝任感及社交焦慮感的相關研究有限。此外,過去探討自閉症患者社交經驗的研究成果主要源自於父母的觀點與看法,並使用回顧性方法。然而,思考與感覺會受不同情境的影響而有不同,這種回顧性方法無法準確反映出青少年在不同的日常社交情境中的經驗,且受限於經驗回想過程,可能會有回想偏差。經驗取樣法(Experience sampling methodology, ESM) 以多次重複收集個案在日常生活中當下行為表現,相較於回溯性方法,經驗取樣法透過收集當下資料不僅能夠減少回憶偏差,也加強探索個人情緒經驗與日常情境之間的相互關係。迄今尚無研究探討青少年日常生活情境下的主觀社交經驗。 目的: 本研究使用經驗取樣法探討調適行為對於自閉症青少年在參與日常社交活動時自覺勝任感及社交焦慮感之影響。研究結果將有助於瞭解日常生活社交情境之當下主觀經驗與調適行為之間的關係。 方法: 本研究從自閉症相關協會、診所、學校及社交網路招募134位青少年(83名自閉症類群障礙症與51名一般發展),年齡介於10到16歲(平均=12.54,標準差=2.05)。在為期7天的研究期間,受試者需攜帶裝有Participation in Everyday Life (PIEL)問卷應用程式的手機。應用程式在參與者方便的時間提醒他們回答問卷,一天最多填答七次,記錄他們當下正在進行的活動以及他們對該情境的自覺勝任感和社交焦慮感。調適行為則以適應量表 (Coping Inventory, CI) 問卷進行評量。研究以多層次分析 (Multilevel modeling) 探討調適行為對社交情境當下的自覺社交勝任感及社交焦慮感之影響。 結果: 本研究受試者平均完成了37次ESM問卷。大部分的時間裡,兩組青少年並無進行任何社交活動。比起一般發展青少年,自閉症青少年較常與大人相處,尤其是家長。自閉症青少年與一般青少年在參加不同類型活動時的自覺勝任感無顯著差異。相較無參與活動,兩組青少年們於參與休閒活動時皆較容易有自覺勝任感。但自閉症青少年在與長輩一同參與生產性活動時的社交焦慮感較高。另外,而當自閉症青少年的環境調適行為越好,他們與同儕一起進行休閒活動時越不容易感到焦慮,然而其自覺勝任感卻較低。相反的,自閉症青少年之自我調適行為越好,則自覺勝任感較高。 結論: 本研究結果顯示調適行為對自閉症青少年參與社交活動時自覺勝任感以及社交焦慮的影響。研究結果有助瞭解自閉症青少年於不同社交情境下其情緒的影響因子,並可作為臨床工作者、醫療或教育相關單位擬定介入方案的參考依據,進而改善自閉症青少年負面的社交經驗。"zh_TW
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dc.description.tableofcontents致謝 i 中文摘要 iii Abstract v List of Figures xi List of Tables xii CHAPTER 1 INTRODUCTION 1 CHAPTER 2 LITERATURE REVIEW 7 2.1 Autism spectrum disorder (ASD) 7 2.2 Issues of Social Participation in High-functioning ASD 9 2.2.1 Restricted Engagement in Social Interaction 9 2.2.2 Negative Psychosocial Experience 10 2.2.2.1 Reduced Self-perceived Social Competence 11 2.2.2.2 Social Anxiety 11 2.3 The Potential Impacts of Coping Behaviors and Social Contexts on Social Participation in High-functioning ASD 12 2.3.1 Coping Behavior 13 2.3.2 The Influence of Social Contexts 17 2.4 Issues in Examining Social Participation in High-functioning ASD 18 2.5 The Use of Experience Sampling Methodology (ESM) with ASD Population 19 2.5.1 The Implementation of ESM 19 2.5.2 The Feasibility of ESM in ASD Population 20 2.6 Summary 20 CHAPTER 3 PURPOSE AND HYPOTHESIS 22 3.1 The Purpose of The Study 22 3.2 The Hypothesis of The Study 22 CHAPTER 4 METHODS 23 4.1 Participants 23 4.2 Instruments 24 4.2.1 Experience Sampling Method (ESM) Survey 24 4.2.2 Coping Inventory (CI) 24 4.2.3 Social Communication Questionnaire (SCQ) 25 4.3 Procedure 26 4.4 Statistical Analysis 27 4.4.1 Descriptive Analysis 27 4.4.2 Hypothesis Testing 28 4.4.2.1 The Experience in Real-life Activities between ASD and TD Groups 29 4.4.2.2 The Impact of Coping on The Experience in Real-life Activities in ASD Group 30 CHAPTER 5 RESULTS 31 5.1 Participants Characteristics 31 5.2 Comparison of Coping Behaviors between ASD and TD Groups 31 5.3 Descriptive Analysis of The ESM Data 32 5.3.1 Time Spent in Daily Context 32 5.3.2 Self-perceived Social Competence and Social Anxiety in Daily Context 33 5.4 Multilevel Analysis 34 5.4.1 Self-Perceived Competence and Social Anxiety in Real-Life Social Engagement between ASD and TD Groups 34 5.4.2 Self-Perceived Competence and Social Anxiety in Real-Life Social Engagement in ASD Group 34 CHAPTER 6 DISCUSSION 36 CHAPTER 7 CONCLUSION 45 References 59
dc.language.isoen
dc.subject經驗取樣法zh_TW
dc.subject自閉症類群障礙症zh_TW
dc.subject社交參與zh_TW
dc.subject自覺社交勝任感zh_TW
dc.subject社交焦慮zh_TW
dc.subject調適行為zh_TW
dc.subjectcoping behavioren
dc.subjectexperience sampling methodologyen
dc.subjectautism spectrum disorderen
dc.subjectsocial participationen
dc.subjectself-perceived social competenceen
dc.subjectsocial anxietyen
dc.title自閉症類群障礙症青少年於生活中即時社交參與之自覺勝任感與社交焦慮:探討調適行為之影響zh_TW
dc.titleSelf-perceived Social Competence and Social Anxiety in Real-life Social Engagement of Adolescents with Autism Spectrum Disorder: The Impact of Coping Behaviorsen
dc.date.schoolyear109-2
dc.description.degree碩士
dc.contributor.coadvisor陳昱瑋(Yu-Wei Ryan Chen)
dc.contributor.oralexamcommittee林玲伊(Hsin-Tsai Liu),(Chih-Yang Tseng)
dc.subject.keyword自閉症類群障礙症,社交參與,自覺社交勝任感,社交焦慮,調適行為,經驗取樣法,zh_TW
dc.subject.keywordautism spectrum disorder,social participation,self-perceived social competence,social anxiety,coping behavior,experience sampling methodology,en
dc.relation.page80
dc.identifier.doi10.6342/NTU202100979
dc.rights.note未授權
dc.date.accepted2021-07-01
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept職能治療研究所zh_TW
顯示於系所單位:職能治療學系

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