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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳顥齡(Hao-Ling Chen) | |
dc.contributor.author | Wei-Hsin Cheng | en |
dc.contributor.author | 鄭惟馨 | zh_TW |
dc.date.accessioned | 2022-11-25T06:35:05Z | - |
dc.date.copyright | 2021-11-09 | |
dc.date.issued | 2021 | |
dc.date.submitted | 2021-09-24 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/82289 | - |
dc.description.abstract | 前言背景:書寫是孩子們至關重要的職能活動,書寫困難會深遠地影響一個人的學業表現,甚至是全人的發展。根據以往的研究,兒童的書寫困難可能來自於許多不同方面的要素技能,例如精細動作控制、雙側動作協調和視覺運動整合、持續注意力、動作計畫和感覺覺知等。根據上述研究,多種書寫模型已經被建構及應用討論,例如從書寫的神經心理過程的角度、以及書寫動作過程和產出的角度來著手研究書寫困難。若仔細探究書寫模型的關鍵組成,不難發現感覺處理功能是根基。有感覺處理相關問題的兒童,例如自閉症類群障礙、或注意力缺失過動症診斷的兒童,也曾被過去文獻指出其書寫困難可能與他們的感覺處理困難(SPD)有關。然而目前尚未有研究著重於單純為感覺處理困難(即無合併其他醫學診斷的)之兒童的書寫表現。 目的:本研究的主要目的是通過基本讀寫字綜合測驗(BCBL)來深入探討具有不同程度感覺處理困難的兒童的書寫表現; 並以感覺處理障礙的不同向度探討孩童書寫表現的決定性預測因子,以及透過五個關鍵的感覺系統探討其與書寫表現的相關性。 方法:本研究招募了 53 名六到八歲不具有、或具有不同程度的感覺處理困難的兒童。 每位參與者都被要求完成基本讀寫字綜合測驗 (BCBL) 和拜瑞-布坦尼卡視覺-動作統整發展測驗 (Beery VMI) 和補充任務。斯皮爾曼相關性檢驗(Spearman’s rho)用於分析 SPD 指標軸與 BCBL 書寫表現的關係。透過線性前進選擇法迴歸分析探討書寫的預測因子。根據家長訪談和兒童感覺統合功能量表(SIF)的結果,將兒童分為兩組(非 SPD 組和 SPD 組)。 採用獨立樣本t檢驗分析比較兩組人在BCBL中的書寫表現。 結果:讀字組合分數 (RTCS) (ρ = -0.406) 和寫字組合分數 (WTCS) (ρ = -0.310) 均與整體SPD情形呈顯著負相關。且讀字組合分數與聽覺、前庭覺及口腔感覺系統有顯著相關,而寫字組合分數則與聽覺、視覺及前庭覺系統有顯著相關。針對RTCS,SPD指標軸之一的「情緒及行為反應」是顯著的預測因子,它與另一個預測因子(智能)解釋力為26.3 %;針對WTCS,「注意力與活動量」與智能一起作為顯著的預測因子,解釋力為30.0 %。 結論:6-8歲兒童之筆寫表現與SPD之間存在顯著相關性。SPD中的「情緒及行為反應」指標軸可作為RTCS的預測因子;而對 WTCS來說,則可由「注意力與活動量」作為預測。對於上述兩個書寫表現面向,研究結果顯示其重要的感覺系統為前庭系統、聽覺、視覺和口腔感覺系統。且最後此研究指出,針對6-8歲兒童其可能因不同程度的SPD而在其書寫表現上產生負面影響。 | zh_TW |
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dc.description.tableofcontents | "謝辭 I 摘要 II Abstract IV Table of Contents VII List of Figures XI List of Tables XII Chapter 1. Introduction 1 1.1 Handwriting 1 1.1.1 The importance of handwriting in children 2 1.1.2 Determinants of handwriting 3 1.1.3 The essential roles in the development of handwriting - sensory systems 11 1.2 Handwriting in Children with Sensory Processing Conditions 13 1.3 Handwriting in Children with Sensory Processing Difficulties 15 1.3.1 History of sensory integrative processes 16 1.3.2 A frame of reference for sensory processing difficulties: Sensory Therapies and Research (STAR) 17 1.3.3 Causality between important sensory processing variables: the structural model of Sensory Integration functional checklist for children (SIF) 21 1.4 Research Purpose and Hypothesis 23 Chapter 2. Methods 24 2.1 Participants 24 2.1.1 Screening instrumentation 25 2.2 Study Design and Procedures 27 2.3 Measures 28 2.3.1 The Battery of Chinese Basic Literacy (BCBL) 28 2.3.1.1 Handwriting product of the BCBL 29 2.3.2 Sensory processing difficulties related to assessment by face-to-face interview 30 2.3.3 the Adolescent/Adult Sensory Profile (AASP) 33 2.3.4 The Berry Visual-Motor Integration Task (Beery VMI) and the supplemental tasks 33 2.4 Data and Statistical Analysis 34 Chapter 3. Results 36 3.1 Participant Demographics and Outcome Measures of the Study 36 3.2 Correlation between Handwriting, SPD and Relevant Components 37 3.3 Correlation between Handwriting and Five Crucial Sensory Systems 38 3.4 The Significant Predictors of Handwriting 38 3.5 Comparisons of Handwriting and Relevant Components between Two Groups: SPD/Non-SPD Groups 38 3.5.1 Demographics of the two SIF-defined groups 39 3.5.2 Comparisons of handwriting and relevant components between the SPD group and the Non-SPD group 39 3.6 Supplementary Research on the Relation of the AASP and History of Growth to children’s SPD 40 3.6.1 The relationships between the sensory processing patterns of parents and children 40 3.6.2 The relationships between history of growth and SPD in children 40 Chapter 4. Discussion 41 4.1 Correlation between Handwriting, SPD and Relevant Components 41 4.2 Correlation between Handwriting and Five Crucial Sensory Systems 43 4.3 The Significant Predictors of Handwriting 45 4.4 Comparisons of Handwriting and Relevant Components between Two Groups: SPD/Non-SPD Groups 47 4.5 Supplementary Research on the Relation of the AASP and History of Growth to children’s SPD 49 4.5.1 The relationships between the sensory processing patterns of parents and children 49 4.5.2 The relationships between history of growth and SPD in children 50 4.6 Limitations and Recommendations for Future Research 50 4.7 Clinical Application 51 Chapter 5. Conclusion 53 References 54" | |
dc.language.iso | en | |
dc.title | 探究六至八歲感覺處理困難孩童之書寫表現 | zh_TW |
dc.title | Handwriting in Children Aged 6–8 Years with Sensory Processing Difficulties | en |
dc.date.schoolyear | 109-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 王湉妮(Hsin-Tsai Liu),吳建德(Chih-Yang Tseng),范揚騰,尤菀薈,謝正宜 | |
dc.subject.keyword | 感覺處理困難,書寫,感覺系統,感覺處理,調節和警醒,人際關係, | zh_TW |
dc.subject.keyword | sensory processing difficulties,handwriting,sensory systems,sensory processing,regulation and arousal,relationships, | en |
dc.relation.page | 85 | |
dc.identifier.doi | 10.6342/NTU202103276 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2021-09-24 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 職能治療研究所 | zh_TW |
dc.date.embargo-lift | 2026-09-27 | - |
顯示於系所單位: | 職能治療學系 |
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