| 研究生: |
楊旻鑫 Yang, Min-Hsin |
|---|---|
| 論文名稱: |
壓力情境對入睡過程主觀知覺的影響 The Subjective Perception during Sleep Onset Period on Stress Situation |
| 指導教授: | 楊建銘 |
| 學位類別: |
碩士
Master |
| 系所名稱: |
理學院 - 心理學系 Department of Psychology |
| 論文出版年: | 2009 |
| 畢業學年度: | 97 |
| 語文別: | 中文 |
| 論文頁數: | 64 |
| 中文關鍵詞: | 入睡起始 、壓力 、入睡主觀心理 、高激發 |
| 相關次數: | 點閱:196 下載:281 |
| 分享至: |
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入睡過程(sleep onset process)可視為連續性生理與心理的轉變過程。在這過程中,主觀心理的面向包括對環境刺激(例如聲音)的察覺程度,與內在思緒及影像的出現與否,以及主觀上的睡眠深度。這些主觀心理向度的變化,會隨著不同入睡階段而產生各自的轉變,同時這些向度也可能受生理與心理狀態的影響而有所不同,而可能使得主、客觀睡眠狀態差異出現更為明顯的情形。因此,本研究透過給予受試者壓力情境,讓受試者產生過度激發的特徵,來試圖探討在壓力下對於入睡主觀知覺造成的影響。
本實驗之樣本為13名大學生與研究生,年齡18-30歲 (平均年齡22.2歲)。受試者在白天至睡眠實驗室小睡,依據多頻道睡眠檢查 (polysomnography , PSG)的記錄,分別在受試者出現慢速眼動 (slow eye movement , SEM)、階段一睡眠、階段二睡眠、以及進入睡眠階段二後五分鐘時,叫醒受試者四次,進行問卷訪談。問卷為自行編製的結構性問卷,內容詢問受試者在喚醒當時的各類知覺經驗、睡眠知覺(例如睡著與否的判定)、思考狀態等不同向度的主觀感受。每一位受試者皆會進行兩次測試,一次為控制情境,一次為壓力情境,順序採對抗平衡。然後比較在兩情境下,各面向心理狀態的差異。
由於受試者樣本較小的緣故,本研究以無母數統計,來分析比較四種入睡階段在兩種情境下主觀感受的差異程度。結果發現當入睡進入慢速眼動期,『聲音有無』在兩組會出現顯著差異;階段一時,『外在環境刺激的清晰度』、『聲音清晰度』、『感官與今天經驗關連度』實驗組高於控制組;在階段二時,『思考有無』實驗組高於控制組,在階段二過後五分鐘時,『感官與今天經驗關連度』,實驗組高於控制組。其餘指標則有接近顯著的傾向,進入慢速眼動期時『聲音清晰度』、『感官控制』,實驗組可能有高於控制組的傾向,接近顯著;在階段一時, 『入睡程度』,實驗組有高於控制組的傾向;在入睡腦波的階段二,『影像清晰度』及『情緒程度』,實驗組有高於控制組的傾向;當入睡進入階段二後五分鐘,『感官真實』,實驗組有高於控制組的傾向。
本研究發現壓力所造成對入睡主觀經驗的影響,會讓個體的知覺與現實生活有更多的連結相關,對外在環境會出現更多的警覺。另外對於睡眠知覺的判斷,也許則會有維持更清醒意識狀態的傾向,並可能出現更多的情緒及想法。在早期入睡心理歷程被認為與入睡腦波變化有著不同的進程,而在高激發或壓力狀態下的入睡心理狀態研究,雖然看到更為明顯的主客觀不一致現象,但僅侷限於主觀睡著率與入睡時間點的判斷,並未研究其他更多的心理面向。本研究發現入睡初期,對於外在有著更加的警覺度,對現實有更多的連結,可以解釋為何在壓力狀態下,受試者的睡眠知覺會出現更明顯的清醒狀態。研究結果除確認了腦波變化與心理感受有各自的進程,並顯示腦波變化並不能完全反映入睡時心理狀態的變化,而且入睡時的心理感受不穩定,極易受到個體狀態的影響。此結果可進一步為日後探討入睡心理歷程及相關異常現象作為基礎。
摘要……………………………………………………………………………………1
Abstract……………………………………………………………………………….3
第一章 前言…………………………………………………………………………5
第二章 文獻探討……………………………………………………………………7
壹、入睡歷程的定義與腦波的分期…………………………………………..7
一、行為的變化…………………………………………………………..7
二、入睡腦波的分期…………………………………………………….10
貳、入睡時各面向的變化……………………………………………………13
一、入睡時的生理變化………………………………………………….13
1.呼吸改變…………………………………………………………14
2.心血管活動………………………………………………………14
3.肌肉張力的變化…………………………………………………15
4.慢速眼動…………………………………………………………15
二、主觀的心理變化……………………………………………………16
參、高激發狀態的SO 心理狀態……………………………………………22
肆、研究目的…………………………………………………………………26
第三章 研究方法………………………………………………………………….28
壹、研究對象…………………………………………………………………28
貳、研究流程…………………………………………………………………28
參、測量工具…………………………………………………………………31
一、PSG…………………………………………………………………31
二、睡前激發程度量表…………………………………………………31
三、入睡主觀經驗量表…………………………………………………32
肆、統計分析…………………………………………………………………34
第四章 研究結果
壹、實驗者基本資料…………………………………………………………35
貳、各時期兩組的差異比較…………………………………………………38
第五章 結果討論………………………………………………………………...47
壹、研究結果代表的意義……………………………………………………47
一、各指標差異的意義探討…………………………………………….47
二、高激發狀態下的睡眠知覺與主觀心理各面向的關係……………49
貳、研究限制與未來方向…………………………………………………….51
參考文獻…………………………………………………………………………….53
附錄
附錄一:PSAS量表…………………………………………………………….59
附錄二、入睡主觀經驗量表……………………………………………………61
表目錄
表4-1-1一般情境下四階段差異二元變項卡方檢定表……………………….36
表4-1-2一般情境下四階段差異ANOVA比較表…………………………….37
表4-2-1-a慢速眼動期實驗組與控制組兩組無母數統計摘要表…………….39
表4-2-1-b慢速眼動期實驗組與控制組兩組二元變項卡方檢定摘要表…….40
表4-2-2-a階段一實驗組與控制組兩組無母數統計摘要表……………………41
表4-2-2-b階段一實驗組與控制組兩組二元變項卡方檢定摘要表………….42
表4-2-3-a階段二實驗組與控制組兩組無母數統計摘要表……………………43
表4-2-3-b階段二實驗組與控制組兩組二元變項卡方檢定摘要表………….44
表4-2-4-a階段二後五分鐘實驗組與控制組兩組無母數統計摘要表…………45
表4-2-4-b階段二後五分鐘實驗組與控制組兩組二元變項卡方檢定摘要表…46
圖目錄
圖3-2-1:實驗流程圖………………………………………………………….25
圖3-3-1、分類向度架構圖…………………………………………………….27
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