請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/96890完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 潘璦琬 | zh_TW |
| dc.contributor.advisor | Ay-Woan Pan | en |
| dc.contributor.author | 吳宜珈 | zh_TW |
| dc.contributor.author | Yi-Chia Wu | en |
| dc.date.accessioned | 2025-02-24T16:25:41Z | - |
| dc.date.available | 2025-02-25 | - |
| dc.date.copyright | 2025-02-24 | - |
| dc.date.issued | 2025 | - |
| dc.date.submitted | 2025-02-12 | - |
| dc.identifier.citation | 內政部警政署 (2022)。警政統計查詢網 https://ba.npa.gov.tw/npa/stmain.jsp?sys=100
王雪芳、王宏文 (2017)。臺灣接受毒品緩起訴戒癮治療者再犯罪之分析 [A Study on the Drug Recidivism of Those Who Received Deferred Prosecution Addiction Treatment in Taiwan]. 犯罪與刑事司法研究(27), 1-41. 王曉琳 (2016)。自陳式認知功能量表之發展與試驗. 國立臺灣大學職能治療學系學位論文, 2016, 1-103. 陳慧芳、朱玉如、張志旭、簡希文、廖苑君、陳威廷 (2020)。 107年全國物質使用調查結果報告. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 10). Washington, DC: American psychiatric association. Anglin, M. D., Burke, C., Perrochet, B., Stamper, E., & Dawud-Noursi, S. (2000). History of the Methamphetamine Problem. Journal of Psychoactive Drugs, 32(2), 137-141. https://doi.org/10.1080/02791072.2000.10400221 Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of personality and social psychology, 51(6), 1173. Baroni, S., Marazziti, D., Mucci, F., Diadema, E., & Dell'Osso, L. (2019). Problematic Internet use in drug addicts under treatment in public rehab centers. World J Psychiatry, 9(3), 55-64. https://doi.org/10.5498/wjp.v9.i3.55 Bonsaksen, T. (2015). Addiction as occupation? British Journal of Occupational Therapy, 78(3), 205-206. https://doi.org/10.1177/0308022615575025 Brecht, M.-L., & Herbeck, D. (2014). Time to relapse following treatment for methamphetamine use: A long-term perspective on patterns and predictors. Drug and Alcohol Dependence, 139, 18-25. https://doi.org/https://doi.org/10.1016/j.drugalcdep.2014.02.702 Cella, D., Lai, J.-S., Nowinski, C., Victorson, D., Peterman, A., Miller, D., Bethoux, F., Heinemann, A., Rubin, S., & Cavazos, J. (2012). Neuro-QOL: brief measures of health-related quality of life for clinical research in neurology. Neurology, 78(23), 1860-1867. Chen, V. C., Chen, H., Lin, T. Y., Chou, H. H., Lai, T. J., Ferri, C. P., & Gossop, M. (2008). Severity of heroin dependence in Taiwan: reliability and validity of the Chinese version of the Severity of Dependence Scale (SDS[Ch]). Addict Behav, 33(12), 1590-1593. https://doi.org/10.1016/j.addbeh.2008.06.001 Chen, Y.-L., Ko, W.-T., Hsieh, M.-H., Wagman, P., & Håkansson, C. (2022, December 4-5). Psychometric Properties of the Occupational Balance Questionnaire 11-Chinese Version (OBQ11-C): Preliminary Results [Poster presentation]. Taiwan Occupational Therapy Association (TOTA) the 19th 1st Annual Meeting and the 4th International Conference, Taipei, Taiwan. Chomchai, C., & Chomchai, S. (2015). Global patterns of methamphetamine use. Curr Opin Psychiatry, 28(4), 269-274. https://doi.org/10.1097/yco.0000000000000168 Cochran, W. G. (1952). The χ2 test of goodness of fit. The Annals of mathematical statistics, 315-345. Cohen, J. (2013). Statistical power analysis for the behavioral sciences. routledge. Courtney, K. E., & Ray, L. A. (2014). Methamphetamine: an update on epidemiology, pharmacology, clinical phenomenology, and treatment literature. Drug Alcohol Depend, 143, 11-21. https://doi.org/10.1016/j.drugalcdep.2014.08.003 Daughters, S. B., Magidson, J. F., Anand, D., Seitz-Brown, C. J., Chen, Y., & Baker, S. (2018). The effect of a behavioral activation treatment for substance use on post-treatment abstinence: a randomized controlled trial. Addiction, 113(3), 535-544. https://doi.org/10.1111/add.14049 Davies, G., Elison, S., Ward, J., & Laudet, A. (2015). The role of lifestyle in perpetuating substance use disorder: the Lifestyle Balance Model. Subst Abuse Treat Prev Policy, 10, 2. https://doi.org/10.1186/1747-597x-10-2 Davies, R., & Cameron, J. (2010). Self-identified occupational competencies, limitations and priorities for change in the occupational lives of people with drug misuse problems. British Journal of Occupational Therapy, 73(6), 251-260. Dean, A. C., Groman, S. M., Morales, A. M., & London, E. D. (2013). An evaluation of the evidence that methamphetamine abuse causes cognitive decline in humans. Neuropsychopharmacology, 38(2), 259-274. Dumuid, D., Pedišić, Ž., Palarea-Albaladejo, J., Martín-Fernández, J. A., Hron, K., & Olds, T. (2020). Compositional Data Analysis in Time-Use Epidemiology: What, Why, How. Int J Environ Res Public Health, 17(7). https://doi.org/10.3390/ijerph17072220 Dür, M., Steiner, G., Fialka-Moser, V., Kautzky-Willer, A., Dejaco, C., Prodinger, B., Stoffer, M. A., Binder, A., Smolen, J., & Stamm, T. A. (2014). Development of a new occupational balance-questionnaire: incorporating the perspectives of patients and healthy people in the design of a self-reported occupational balance outcome instrument. Health Qual Life Outcomes, 12, 45. https://doi.org/10.1186/1477-7525-12-45 Eklund, M., & Argentzell, E. (2016). Perception of occupational balance by people with mental illness: A new methodology. Scand J Occup Ther, 23(4), 304-313. https://doi.org/10.3109/11038128.2016.1143529 Eklund, M., Leufstadius, C., & Bejerholm, U. (2009). Time use among people with psychiatric disabilities: implications for practice. Psychiatr Rehabil J, 32(3), 177-191. https://doi.org/10.2975/32.3.2009.177.191 Eklund, M., Orban, K., Argentzell, E., Bejerholm, U., Tjörnstrand, C., Erlandsson, L. K., & Håkansson, C. (2017). The linkage between patterns of daily occupations and occupational balance: Applications within occupational science and occupational therapy practice. Scand J Occup Ther, 24(1), 41-56. https://doi.org/10.1080/11038128.2016.1224271 Farhadian, M., Akbarfahimi, M., Hassani Abharian, P., Hosseini, S. G., & Shokri, S. (2017). Assessment of Executive Functions in Methamphetamine-addicted Individuals: Emphasis on Duration of Addiction and Abstinence. Basic Clin Neurosci, 8(2), 147-153. https://doi.org/10.18869/nirp.bcn.8.2.147 Folstein, M. F., & Luria, R. (1973). Reliability, validity, and clinical application of the visual analogue mood scale1. Psychological medicine, 3(4), 479-486. Galloway, G. P., Polcin, D., Kielstein, A., Brown, M., & Mendelson, J. (2007). A nine session manual of motivational enhancement therapy for methamphetamine dependence: adherence and efficacy. Journal of Psychoactive Drugs, 39(sup4), 393-400. Gershon, R. C., Lai, J. S., Bode, R., Choi, S., Moy, C., Bleck, T., Miller, D., Peterman, A., & Cella, D. (2012). Neuro-QOL: quality of life item banks for adults with neurological disorders: item development and calibrations based upon clinical and general population testing. Quality of Life Research, 21, 475-486. Gorgoraptis, N., Zaw-Linn, J., Feeney, C., Tenorio-Jimenez, C., Niemi, M., Malik, A., Ham, T., Goldstone, A. P., & Sharp, D. J. (2019). Cognitive impairment and health-related quality of life following traumatic brain injury. NeuroRehabilitation, 44(3), 321-331. https://doi.org/10.3233/nre-182618 Gossop, M., Darke, S., Griffiths, P., Hando, J., Powis, B., Hall, W., & Strang, J. (1995). The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction, 90(5), 607-614. https://doi.org/10.1046/j.1360-0443.1995.9056072.x Håkansson, C., Wagman, P., & Hagell, P. (2020). Construct validity of a revised version of the Occupational Balance Questionnaire. Scand J Occup Ther, 27(6), 441-449. https://doi.org/10.1080/11038128.2019.1660801 Henry, B. L., Minassian, A., & Perry, W. (2010). Effect of methamphetamine dependence on everyday functional ability. Addict Behav, 35(6), 593-598. https://doi.org/10.1016/j.addbeh.2010.01.013 Herbeck, D. M., Brecht, M. L., Christou, D., & Lovinger, K. (2014). A qualitative study of methamphetamine users' perspectives on barriers and facilitators of drug abstinence. J Psychoactive Drugs, 46(3), 215-225. https://doi.org/10.1080/02791072.2014.914611 Hjorthøj, C. R., Hjorthøj, A. R., & Nordentoft, M. (2012). Validity of timeline follow-back for self-reported use of cannabis and other illicit substances—systematic review and meta-analysis. Addictive behaviors, 37(3), 225-233. Kleinbaum, D. G., Kupper, L. L., Nizam, A., & Rosenberg, E. S. (2013). Applied regression analysis and other multivariable methods. Cengage Learning. Lai, H. M. X., Cleary, M., Sitharthan, T., & Hunt, G. E. (2015). Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990-2014: A systematic review and meta-analysis [Review]. Drug and Alcohol Dependence, 154, 1-13. https://doi.org/10.1016/j.drugalcdep.2015.05.031 Larivière, N., Denis, C., Payeur, A., Ferron, A., Levesque, S., & Rivard, G. (2016). Comparison of Objective and Subjective Life Balance Between Women With and Without a Personality Disorder. Psychiatr Q, 87(4), 663-673. https://doi.org/10.1007/s11126-016-9417-3 Leventhal, A. M., Brightman, M., Ameringer, K. J., Greenberg, J., Mickens, L., Ray, L. A., Sun, P., & Sussman, S. (2010). Anhedonia associated with stimulant use and dependence in a population-based sample of American adults. Exp Clin Psychopharmacol, 18(6), 562-569. https://doi.org/10.1037/a0021964 Leventhal, A. M., Kahler, C. W., Ray, L. A., Stone, K., Young, D., Chelminski, I., & Zimmerman, M. (2008). Anhedonia and amotivation in psychiatric outpatients with fully remitted stimulant use disorder. Am J Addict, 17(3), 218-223. https://doi.org/10.1080/10550490802019774 Marino-Schorn, J. A. (1986). Morale, Work and Leisure in Retirement. Physical & Occupational Therapy In Geriatrics, 4(2), 49-60. https://doi.org/10.1080/J148V04N02_06 Marlatt, G. A., Parks, G. A., & Witkiewitz, K. (2002). Clinical guidelines for implementing relapse prevention therapy. Addictive Behaviors Research Center, Departament of Psichology, University of Washington. Matuska, K. (2012). Description and development of the Life Balance Inventory. OTJR: Occupation, Participation and Health, 32(1), 220-228. Matuska, K., Bass, J., & Schmitt, J. S. (2013). Life balance and perceived stress: predictors and demographic profile. OTJR (Thorofare N J), 33(3), 146-158. https://doi.org/10.3928/15394492-20130614-03 McGurk, S. R., Mueser, K. T., & Pascaris, A. (2005). Cognitive training and supported employment for persons with severe mental illness: one-year results from a randomized controlled trial. Schizophrenia bulletin, 31(4), 898-909. McGurk, S. R., Mueser, K. T., Xie, H., Feldman, K., Shaya, Y., Klein, L., & Wolfe, R. (2016). Cognitive remediation for vocational rehabilitation nonresponders. Schizophrenia research, 175(1-3), 48-56. McKetin, R., Najman, J. M., Baker, A. L., Lubman, D. I., Dawe, S., Ali, R., Lee, N. K., Mattick, R. P., & Mamun, A. (2012). Evaluating the impact of community-based treatment options on methamphetamine use: findings from the Methamphetamine Treatment Evaluation Study (MATES). Addiction, 107(11), 1998-2008. https://doi.org/https://doi.org/10.1111/j.1360-0443.2012.03933.x Meyer, A. (1922). The philosophy of occupation therapy. American Journal of Physical Medicine & Rehabilitation, 1(1), 1-10. Mezinskis, J. P., Honos-Webb, L., Kropp, F., & Somoza, E. (2001). The measurement of craving. Journal of Addictive Diseases, 20(3), 67-85. Morgan, E. E., Doyle, K. L., Minassian, A., Henry, B. L., Perry, W., Marcotte, T. D., Woods, S. P., & Grant, I. (2014). Elevated intraindividual variability in methamphetamine dependence is associated with poorer everyday functioning. Psychiatry Res, 220(1-2), 527-534. https://doi.org/10.1016/j.psychres.2014.07.008 Nutt, D., King, L. A., Saulsbury, W., & Blakemore, C. (2007). Development of a rational scale to assess the harm of drugs of potential misuse. the Lancet, 369(9566), 1047-1053. Nutt, D. J., King, L. A., & Phillips, L. D. (2010). Drug harms in the UK: a multicriteria decision analysis. the Lancet, 376(9752), 1558-1565. Obert, J. L., McCann, M. J., Marinelli-Casey, P., Weiner, A., Minsky, S., Brethen, P., & Rawson, R. (2000). The matrix model of outpatient stimulant abuse treatment: history and description. Journal of Psychoactive Drugs, 32(2), 157-164. Ortiz-Rubio, A., Cabrera-Martos, I., Haro-Piedra, E., López-López, L., Rodríguez-Torres, J., Granados-Santiago, M., & Valenza, M. C. (2022). Exploring perceived occupational balance in women with fibromyalgia. A descriptive study. Scand J Occup Ther, 29(5), 395-402. https://doi.org/10.1080/11038128.2020.1865449 Pan, A. W., & Chen, T. J. (2006, July 23-28). The Validity Study of Computer-Based Assessments for Clients with Depressive Disorder. [Poster presentation]. the 14th Congress of the World Federation of Occupational Therapists, Sydney, Australia. Pan, A. W., Chen, T. J., & Lin, C. Y. (2005, April 9). Validity and Reliability of Computer-based Occupational Therapy Assessments for Clients with Depressive Disorder and Normal Subjects [Poster presentation]. the 5th Occupational Therapy Conference at National Taiwan University, Taipei, Taiwan. Paulus, M. P., & Stewart, J. L. (2020). Neurobiology, Clinical Presentation, and Treatment of Methamphetamine Use Disorder: A Review. JAMA Psychiatry, 77(9), 959-966. https://doi.org/10.1001/jamapsychiatry.2020.0246 Polcin, D. L., Bond, J., Korcha, R., Nayak, M. B., Galloway, G. P., & Evans, K. (2014). Randomized trial of intensive motivational interviewing for methamphetamine dependence. Journal of Addictive Diseases, 33(3), 253-265. Poorolajal, J., Haghtalab, T., Farhadi, M., & Darvishi, N. (2016). Substance use disorder and risk of suicidal ideation, suicide attempt and suicide death: a meta-analysis [Article]. Journal of Public Health, 38(3), E282-E291. https://doi.org/10.1093/pubmed/fdv148 Pyatak, E. A., Carandang, K., Rice Collins, C., & Carlson, M. (2022). Optimizing Occupations, Habits, and Routines for Health and Well-Being With Lifestyle Redesign®: A Synthesis and Scoping Review. Am J Occup Ther, 76(5). https://doi.org/10.5014/ajot.2022.049269 R Core Team. (2022). R: A Language and Environment for Statistical Computing. In R Foundation for Statistical Computing. https://www.R-project.org/ Rawson, R. A., Marinelli‐Casey, P., Anglin, M. D., Dickow, A., Frazier, Y., Gallagher, C., Galloway, G. P., Herrell, J., Huber, A., & McCann, M. J. (2004). A multi‐site comparison of psychosocial approaches for the treatment of methamphetamine dependence. Addiction, 99(6), 708-717. Rawson, R. A., Shoptaw, S. J., Obert, J. L., McCann, M. J., Hasson, A. L., Marinelli-Casey, P. J., Brethen, P. R., & Ling, W. (1995). An intensive outpatient approach for cocaine abuse treatment: The matrix model. Journal of Substance Abuse Treatment, 12(2), 117-127. Reback, C. J., & Shoptaw, S. (2014). Development of an evidence-based, gay-specific cognitive behavioral therapy intervention for methamphetamine-abusing gay and bisexual men. Addict Behav, 39(8), 1286-1291. https://doi.org/10.1016/j.addbeh.2011.11.029 Roll, J. M., Chudzynski, J., Cameron, J. M., Howell, D. N., & McPherson, S. (2013). Duration effects in contingency management treatment of methamphetamine disorders. Addictive behaviors, 38(9), 2455-2462. Rothman, R. B., Partilla, J. S., Dersch, C. M., Carroll, F. I., Rice, K. C., & Baumann, M. H. (2000). Methamphetamine dependence: medication development efforts based on the dual deficit model of stimulant addiction. Ann N Y Acad Sci, 914, 71-81. https://doi.org/10.1111/j.1749-6632.2000.tb05185.x RStudio Team. (2020). RStudio: Integrated Development Environment for R. In RStudio, PBC. http://www.rstudio.com/ Rubak, S., Sandbæk, A., Lauritzen, T., & Christensen, B. (2005). Motivational interviewing: a systematic review and meta-analysis. British journal of general practice, 55(513), 305-312. Sandqvist, G., & Eklund, M. (2008). Daily occupations--performance, satisfaction and time use, and relations with well-being in women with limited systemic sclerosis. Disabil Rehabil, 30(1), 27-35. https://doi.org/10.1080/09638280701190083 Scanlan, J. N., & Bundy, A. C. (2011). Development and validation of the modified occupational questionnaire. The American Journal of Occupational Therapy, 65(1), e11-e19. Scott, J. C., Woods, S. P., Matt, G. E., Meyer, R. A., Heaton, R. K., Atkinson, J. H., & Grant, I. (2007). Neurocognitive effects of methamphetamine: a critical review and meta-analysis. Neuropsychology review, 17, 275-297. Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological methods, 7(4), 422. Siefried, K. J., Acheson, L. S., Lintzeris, N., & Ezard, N. (2020). Pharmacological Treatment of Methamphetamine/Amphetamine Dependence: A Systematic Review. CNS Drugs, 34(4), 337-365. https://doi.org/10.1007/s40263-020-00711-x Slaney, C., Perkins, A. M., Davis, R., Penton-Voak, I., Munafò, M. R., Houghton, C. J., & Robinson, E. S. J. (2022). Objective measures of reward sensitivity and motivation in people with high v. low anhedonia. Psychol Med, 1-9. https://doi.org/10.1017/s0033291722001052 Smith, N. R., Kielhofner, G., & Watts, J. H. (1986). The relationships between volition, activity pattern, and life satisfaction in the elderly. The American Journal of Occupational Therapy, 40(4), 278-283. Snaith, R. P., Hamilton, M., Morley, S., Humayan, A., Hargreaves, D., & Trigwell, P. (1995). A scale for the assessment of hedonic tone the Snaith–Hamilton Pleasure Scale. The British Journal of Psychiatry, 167(1), 99-103. Sobell, L. C., Maisto, S. A., Sobell, M. B., & Cooper, A. M. (1979). Reliability of alcohol abusers' self-reports of drinking behavior. Behav Res Ther, 17(2), 157-160. https://doi.org/10.1016/0005-7967(79)90025-1 Steel, Z., Marnane, C., Iranpour, C., Chey, T., Jackson, J., Patel, V., & Silove, D. (2014). The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013 [Review]. International Journal of Epidemiology, 43(2), 476-493. https://doi.org/10.1093/ije/dyu038 Sutherland, G., Edwards, G., Taylor, C., Phillips, G., Gossop, M., & Brady, R. (1986). The measurement of opiate dependence. British Journal of Addiction, 81(4), 485-494. To-Miles, F., Håkansson, C., Wagman, P., & Backman, C. L. (2022). Exploring the Associations Among Occupational Balance and Health of Adults With and Without Inflammatory Arthritis. Arthritis Care Res (Hoboken), 74(1), 22-30. https://doi.org/10.1002/acr.24732 Topp, L., & Mattick, R. P. (1997). Choosing a cut-off on the Severity of Dependence Scale (SDS) for amphetamine users. Addiction, 92(7), 839-845. UNODC. (2022). World Drug Report 2022. In: United Nations Publication. Veldhoven, D. T., Roozen, H., & Vingerhoets, A. (2020). The Association between Reward Sensitivity and Activity Engagement: the Influence of Delay Discounting and Anhedonia. Alcohol Alcohol, 55(2), 215-224. https://doi.org/10.1093/alcalc/agz105 Wagman, P., & Håkansson, C. (2014a). Exploring occupational balance in adults in Sweden. Scand J Occup Ther, 21(6), 415-420. https://doi.org/10.3109/11038128.2014.934917 Wagman, P., & Håkansson, C. (2014b). Introducing the Occupational Balance Questionnaire (OBQ). Scand J Occup Ther, 21(3), 227-231. https://doi.org/10.3109/11038128.2014.900571 Wagman, P., Håkansson, C., & Björklund, A. (2012). Occupational balance as used in occupational therapy: a concept analysis. Scand J Occup Ther, 19(4), 322-327. https://doi.org/10.3109/11038128.2011.596219 Wagman, P., Hjärthag, F., Håkansson, C., Hedin, K., & Gunnarsson, A. B. (2021). Factors associated with higher occupational balance in people with anxiety and/or depression who require occupational therapy treatment. Scand J Occup Ther, 28(6), 426-432. https://doi.org/10.1080/11038128.2019.1693626 Wasmuth, S., Brandon-Friedman, R. A., & Olesek, K. (2016). A grounded theory of veterans’ experiences of addiction-as-occupation. Journal of Occupational Science, 23(1), 128-141. Wenaas, M., Bahl, N. K. H., Kiik, R., & Juberg, A. (2021). Patient Assessments of the Factors Facilitating and Impeding User Involvement During the First Phase of Substance Abuse Treatment. Subst Abuse, 15, 11782218211050368. https://doi.org/10.1177/11782218211050368 Wewers, M. E., Rachfal, C., & Ahijevych, K. (1990). A psychometric evaluation of a visual analogue scale of craving for cigarettes. Western journal of nursing research, 12(5), 672-681. WHO. (2020). Global Health Estimates 2019: Deaths by Cause, Age, Sex, by Country and by Region, 2000-2019. Wittmann, M., Leland, D. S., Churan, J., & Paulus, M. P. (2007). Impaired time perception and motor timing in stimulant-dependent subjects. Drug Alcohol Depend, 90(2-3), 183-192. https://doi.org/10.1016/j.drugalcdep.2007.03.005 Zhang, P., Zhang, N., Fang, S., He, J., Fan, L., Luo, X., Zhang, J., Xiong, Y., Luo, F., & Wang, X. (2021). Factor structure and measurement invariance of the Chinese version of the Snaith-Hamilton Pleasure Scale (SHAPS) in non-clinical and clinical populations. Journal of Affective Disorders, 281, 759-766. | - |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/96890 | - |
| dc.description.abstract | 甲基安非他命為國內使用盛行率最高的非法成癮物質，甲基安非他命成癮將導致個案功能受損，且即使接受治療仍容易復發。過去研究發現生活參與可能是影響個案復元的主要因素之一，參與用藥以外的活動可以維持停用，反之生活若呈現失衡狀態則可能導致個案再次復用。因此，本研究期望進一步探討職能平衡與甲基安非他命成癮嚴重度間的關係。
本研究採橫斷性研究，於指定藥癮戒治機構的門診招募50名甲基安非他命使用者參與進行單次的評估。以職能平衡問卷 (Occupational Balance Questionnaire, OBQ-11-C) 、職能活動問卷 (Occupational Questionnaire, OQ) 評估職能平衡，以物質依賴嚴重度量表 (Severity of Dependence Scale, SDS) 、目視渴癮量表 (Visual Analogue Scale, VAS) 、30日時光回溯法 (30-day Time-Line Follow Back, TLFB)評估成癮嚴重度，另外以神經疾患生活品質應用認知量表 (Neuro-QoL Applied Cognition) 以及Snaith-Hamilton愉悅量表 (Snaith-Hamilton Pleasure Scale, SHAPS) 評估現有文獻中成癮可能對生活參與造成影響的認知功能受損與失去樂趣症狀。 研究結果發現，使用甲基安非他命的期間較長、較早的初次使用年齡以及較高的物質依賴嚴重度量表分數與較差的主觀職能平衡感受呈現顯著相關，主觀渴癮強度與過去一個月使用甲基安非他命的天數則未有顯著相關。在時間安排部分，亦發現成癮嚴重度較高與花費較長時間在日常生活活動有關。另外，認知功能受損對於物質依賴嚴重度量表與職能平衡間的關係有顯著的中介效果。 根據研究結果，甲基安非他命使用成癮嚴重度與職能平衡以及時間分配具有相關性，且可能部分為認知功能受損的影響。未來可進行縱貫性的研究確認因果關係。針對甲基安非他命成癮個案的臨床介入中，應將成癮個案的職能平衡納入考量，並留意認知功能的影響。 | zh_TW |
| dc.description.abstract | Background: Methamphetamine is the most commonly used illicit addictive substance in Taiwan, posing a significant threat to both individual functioning and public health. Despite treatment, relapse rates remain high. Participation in substance-free activities is crucial for recovery, as a balanced lifestyle supports abstinence, whereas an imbalanced one may contribute to relapse. This study aimed to examine the relationship between methamphetamine addiction severity and occupational balance, which reflects the distribution and diversity of an individual’s daily activities.
Methods: This cross-sectional study recruited 50 methamphetamine users from the outpatient department of an addiction treatment hospital. Participants completed the 11-item Occupational Balance Questionnaire (OBQ-11), the Occupational Questionnaire (OQ), Severity of Dependence Scale (SDS), Visual Analogue Scale (VAS) for craving, and 30-day Time-Line Follow Back (TLFB). In addition to assessing addiction severity and occupational balance, this study explored the potential mediating effects of cognitive impairment and anhedonia on the relationship between addiction severity and occupational balance. Cognitive impairment was assessed using the NeuroQOL Applied Cognition General Concerns Scale (NeuroQOL-AC-GC), while anhedonia was measured with the Snaith-Hamilton Pleasure Scale, SHAPS. Result: A longer duration of methamphetamine use, an earlier age of first use, and higher SDS scores were significantly associated with poorer occupational balance, while craving levels (VAS) and methamphetamine use in the past month (TLFB) showed no significant association. Participants with higher addiction severity tended to allocate more time to daily living tasks. Furthermore, cognitive impairment significantly mediated the relationship between addiction severity and occupational balance. Conclusion: Methamphetamine addiction severity appears to be associated with occupational balance and daily activity patterns, with cognitive impairment playing a mediating role. Longitudinal studies are needed to establish causal relationships. Clinicians should consider both occupational balance and cognitive impairment when treating individuals with methamphetamine addiction. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2025-02-24T16:25:41Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2025-02-24T16:25:41Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 口試委員會審定書 i
誌謝 ii 中文摘要 iii 英文摘要 iv 第一章 研究背景 1 第二章 文獻回顧 2 第一節 物質使用障礙症 2 第二節 甲基安非他命使用障礙症 2 第三節 甲基安非他命使用對生活參與的影響 6 第四節 職能平衡 8 第五節 成癮與職能平衡 9 第六節 研究目的 10 第三章 研究方法 11 第一節 研究設計 11 第二節 研究對象 11 第三節 評估工具 11 第四節 研究流程 15 第五節 數據分析 15 第四章 研究結果 18 第一節 樣本描述 18 第二節 相關性分析 18 第三節 以物質依賴嚴重度量表結果分組比較 20 第四節 以職能平衡為分組比較 21 第五節 中介效果分析 21 第六節 影響職能平衡因素之迴歸分析 22 第五章 討論 24 第一節 成癮嚴重度與主觀職能平衡的相關性 24 第二節 成癮嚴重度與客觀職能平衡的相關性 24 第三節 認知功能以及失去樂趣症狀的中介效果 25 第四節 主觀職能平衡與客觀職能平衡的相關性 26 第五節 臨床應用建議 27 第六節 研究限制 28 第六章 結論 30 參考文獻 31 附錄 一、受試者基本資料表 55 附錄 二、物質依賴嚴重度量表 56 附錄 三、成癮物質使用目視渴癮自陳量表 57 附錄 四、過去一個月物質使用情形 58 附錄 五、職能活動問卷 59 附錄 六、職能平衡問卷 63 附錄 七、SNAITH-HAMILTON愉悅量表 64 附錄 八、神經疾患生活品質應用認知量表：一般關注事項短版 65 圖次 圖 一、各類型活動時間分配比較：以物質依賴嚴重度量表結果分組 53 圖 二、各類型活動時間分配比較：以職能平衡問卷分數分組 54 表次 表 一、受試者人口學資料以及物質使用情形 40 表 二、成癮嚴重度與職能平衡相關性 41 表 三、人口學資料分析：以物質依賴嚴重度量表結果分組 42 表 四、物質使用情形及其他症狀分析：以物質依賴嚴重度量表結果分組 43 表 五、職能平衡分析：以物質依賴嚴重度量表結果分組 44 表 六、人口學資料分析：以職能平衡問卷分數分組 45 表 七、物質使用情形及其他症狀分析：以職能平衡問卷分數分組 46 表 八、職能平衡分析：以職能平衡問卷分數分組 47 表 九、成癮嚴重度預測職能平衡迴歸分析 48 表 十、愉悅量表分數中介效果分析 49 表 十一、應用認知量表分數中介效果分析 50 表 十二、認知功能對成癮嚴重度與職能平衡之中介效果摘要表 51 表 十三、各變項與職能平衡問卷分數相關性分析 51 表 十四、職能平衡問卷分數之多元迴歸分析 52 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 復元 | zh_TW |
| dc.subject | 認知功能 | zh_TW |
| dc.subject | 生活型態 | zh_TW |
| dc.subject | 參與 | zh_TW |
| dc.subject | 物質使用障礙 | zh_TW |
| dc.subject | cognitive function | en |
| dc.subject | substance use disorder | en |
| dc.subject | participation | en |
| dc.subject | lifestyle | en |
| dc.subject | recovery | en |
| dc.title | 甲基安非他命使用者成癮嚴重度與職能平衡之相關性 | zh_TW |
| dc.title | The Association Between Addiction Severity and Occupational Balance of Methamphetamine Users | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 113-1 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 郭昶志;陳韻玲 | zh_TW |
| dc.contributor.oralexamcommittee | Chang-Chih Kuo;Yun-Ling Chen | en |
| dc.subject.keyword | 物質使用障礙,參與,生活型態,復元,認知功能, | zh_TW |
| dc.subject.keyword | substance use disorder,participation,lifestyle,recovery,cognitive function, | en |
| dc.relation.page | 65 | - |
| dc.identifier.doi | 10.6342/NTU202500646 | - |
| dc.rights.note | 同意授權(全球公開) | - |
| dc.date.accepted | 2025-02-13 | - |
| dc.contributor.author-college | 醫學院 | - |
| dc.contributor.author-dept | 職能治療學系 | - |
| dc.date.embargo-lift | 2030-02-12 | - |
| 顯示於系所單位： | 職能治療學系 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-113-1.pdf 此日期後於網路公開 2030-02-12 | 4.27 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。