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請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/97295
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dc.contributor.advisor洪巧菱zh_TW
dc.contributor.advisorChiao-Ling Hungen
dc.contributor.author林志賢zh_TW
dc.contributor.authorChih-Hsien Linen
dc.date.accessioned2025-04-02T16:20:37Z-
dc.date.available2025-04-03-
dc.date.copyright2025-04-02-
dc.date.issued2025-
dc.date.submitted2025-02-13-
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/97295-
dc.description.abstractADHD是最普及的神經發展型疾病之一,多數患者的症狀會持續至成年,成人患者多面臨生活、社會與人際挫折導致其有更高的憂鬱、焦慮共病乃至自殺風險。研究指出,運動介入不僅能改善ADHD患者的症狀,也能改善其情緒指標。近年也發現阻力訓練可以改善健康族群乃至憂鬱症、焦慮症等患者的憂鬱及焦慮指標。此外,腦波提供的額葉與頂葉不對稱指標或能進一步釐清運動介入後,情緒變化的機轉。鑑於目前仍未有阻力訓練與急性阻力運動介入與ADHD患者之相關研究,本研究目的為探討急性自由重量阻力介入對成人ADHD患者憂鬱、焦慮指標及額葉、頂葉不對稱之影響。方法:招募 20 至 40 歲ADHD成人患者,使用DASS-21與STAI-S評估參與者基線情緒,採隨機交叉設計,參與者須至實驗室2次進行控制情境與阻力運動介入。控制情境為訓練影片結合指導員口頭指導共 28分鐘;阻力運動情境為進行 40 分鐘(包括暖身與放鬆)之中至高強度背槓深蹲、槓鈴臥推、滑輪下拉與坐姿划船共12組,由兩位指導員提供指導與鼓勵。使用 5RM最大肌力推估訓練負荷,並由指導員及 RPE/RIR確保強度保持在高強度 (RPE/RIP 7-9)。並於介入前、後以及後 60分填寫 POMS-D與 STAI-S量表來收集憂鬱與焦慮指標,於介入前與後收集腦波。結果:16名ADHD成人參與者中,過半符合高憂鬱、焦慮指標,而阻力運動情境與對照情境皆在介入後顯著改善情緒,其效果維持至 60分鐘,但兩情境無顯著差距,額葉 (F3、F4、F7、F8) 與頂葉 (P3、P4、P7、P8) 不對稱之相對功率皆無顯著差距。結論:急性阻力運動與教學指導皆改善ADHD患者之憂鬱、焦慮指標,兩者無差異。腦波沒有任何變化。zh_TW
dc.description.abstractBackground: Adult ADHD is associated with higher risks of depression, anxiety comorbidities, and even suicide. Studies have shown that exercise interventions can improve ADHD symptoms and positively affect on well-being. Recent research suggests that resistance training may reduce depressive and anxiety symptoms in both healthy and those diagnosed with mood disorders. Additionally, frontal and parietal alpha asymmetry (brainwave activity) may help clarify the mechanisms behind these improvements. Given the lack of research on acute resistance exercise interventions for adults with ADHD, this study aims to investigate the effects of acute free-weight resistance training on depressive and anxiety symptoms, as well as frontal and parietal alpha asymmetry in adults with ADHD. Methods: We recruited adult ADHD (aged 20 to 40) as participants. Baseline emotional states were assessed using the Depression Anxiety Stress Scales (DASS-21) and the State-Trait Anxiety Inventory (STAI-S). A randomized crossover design was employed, consisting of two sessions: a control condition and a resistance exercise condition. The control condition involved a 28-minute instructional video combined with verbal guidance from trainers. The resistance exercise condition consisted of a 40-minute session (including warm-up and cool-down) of moderate-to-high intensity exercises, including back squat, barbell bench press, lat pulldown, and seated row. Training intensity was estimated using 5RM and monitored with RPE/RIR to maintain high-intensity levels (RPE/RIR 7-9). Participants completed the Profile of Mood States-Depression (POMS-D) and STAI-S questionnaires before, immediately after, and 60 minutes post-intervention to assess changes in mood. Brainwave data were collected before and after the interventions. Results: Over half of the 16 adult ADHD participants exhibited elevated depressive and anxiety indicators. Both the resistance exercise and control conditions significantly improved emotional states post-intervention, with these effects lasting up to 60 minutes. However, no significant differences were found between the two conditions. Similarly, there were no significant differences in frontal (F3, F4, F7, F8) and parietal (P3, P4, P7, P8) alpha asymmetry. Conclusion: Both acute resistance exercise and instructional guidance improved depressive and anxiety indicators in adults with ADHD, with no significant differences between the two interventions. However, no changes were observed in brainwave activity.en
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dc.description.tableofcontents致謝 I
摘要 II
ABSTRACT III
目次 V
圖次 IX
表次 X
第壹章、緒論 1
第一節、前言 1
第二節、研究目的 4
第三節、研究問題與假設 4
第四節、名詞定義 5
第貳章、文獻探討 7
第一節、成人ADHD患者介紹 7
一、成人ADHD患者簡介 7
二、成人患者面臨的憂鬱症與焦慮症風險 8
(ㄧ)憂鬱症 8
(二)ADHD與憂鬱症 9
(三)焦慮症 10
(四)ADHD與焦慮症 11
(五)ADHD、焦慮與憂鬱的共病 12
(六)小結 12
三、ADHD患者常見的治療處方 12
第二節、運動對改善ADHD族群情緒之研究 13
一、運動介入對成人ADHD患者情緒的影響 14
二、運動介入對ADHD未成年患者情緒的影響 15
三、小結 19
第三節、阻力訓練與憂鬱、焦慮情緒 21
ㄧ、阻力訓練與憂鬱 21
二、急性阻力運動與憂鬱 21
三、阻力訓練與焦慮 25
四、急性阻力運動與焦慮 26
五、小結 32
(一)測驗安排與時間 32
(二)強度 32
(三)性別 32
(四)族群與情緒基線 33
(五)偏好、挑戰性與難度 33
(六)指導者 34
第四節、總結 36
第參章、研究方法 38
第一節、研究架構 38
第二節、研究參與者 38
一、參與者樣本數 38
二、參與者條件 39
第三節、研究工具 39
一、參與者背景變項 39
(一)基本資料 39
(二)中文版情緒自評量表 DASS-21 40
(三)肌肉適能 40
二、憂鬱與焦慮指標 41
(一) 中文短版盤斯心情量表:憂鬱/沮喪子量表 POMS-D 41
(二) 中文版情境–特質焦慮量表:情境焦慮子量表STAI-S 41
三、腦波 42
四、其他工具 43
(一)運動自覺強度量表 Rating of Perceived Exertion, RPE 43
第四節、實驗流程 45
一、動作教學與肌力測試 46
二、實驗情境:阻力與控制 46
(一)阻力運動情境 46
(二)控制情境 47
(三)指導員指導語 47
三、介入後至60分鐘 48
第五節、 資料處理與統計分析 48
一、資料處理 48
(ㄧ)參與者變項 48
(二)阻力運動操弄結果 49
(三)主要結果 49
二、統計分析 50
第肆章、結果 51
第一節、參與者變項 51
一、參與者背景資料 51
二、DASS-21與STAI-S 51
第二節、阻力運動實際操弄 53
一、參與者運動習慣 53
二、運動執行結果 53
第三節、主要結果 54
一、憂鬱 54
二、焦慮 56
三、額葉與頂葉不對稱 58
(ㄧ) 額葉不對稱 58
(二) 頂葉不對稱 59
第伍章、討論 60
第一節、急性阻力運動對憂鬱、焦慮與腦波之影響 60
ㄧ、憂鬱 60
二、焦慮 61
三、額葉與頂葉不對稱 62
(一)、額葉不對稱 62
(二)、頂葉不對稱 62
第二節、綜合討論 63
一、自由重量之適應與習慣 63
二、控制情境造成的淨效應 (net effect) 64
三、參與者人數 65
第三節、限制與未來方向 65
第陸章、結論 67
參考文獻 68
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dc.language.isozh_TW-
dc.subject自由重量zh_TW
dc.subject腦電圖zh_TW
dc.subject急性阻力運動zh_TW
dc.subjectAcute resistance exerciseen
dc.subjectelectroencephalogramen
dc.subjectfree weighten
dc.title急性自由重量阻力運動介入對成人注意力缺陷過動症憂鬱、焦慮與額葉/頂葉不對稱之影響zh_TW
dc.titleAcute Effects of Free-weight Resistance Exercise on Depression, Anxiety and Frontal/ Parietal Alpha Asymmetry in Adult Attention-Deficit/Hyperactivity Disorder (ADHD)en
dc.typeThesis-
dc.date.schoolyear113-2-
dc.description.degree碩士-
dc.contributor.oralexamcommittee洪聰敏;張育愷;黃崇儒zh_TW
dc.contributor.oralexamcommitteeTsung-Min Hong;Yu-Kai Chang;Chung-Ju Huangen
dc.subject.keyword急性阻力運動,自由重量,腦電圖,zh_TW
dc.subject.keywordAcute resistance exercise,free weight,electroencephalogram,en
dc.relation.page98-
dc.identifier.doi10.6342/NTU202500677-
dc.rights.note同意授權(全球公開)-
dc.date.accepted2025-02-14-
dc.contributor.author-college共同教育中心-
dc.contributor.author-dept運動設施與健康管理碩士學位學程-
dc.date.embargo-lift2025-04-03-
顯示於系所單位:運動設施與健康管理碩士學位學程

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