| 研究生: |
黃華妮 |
|---|---|
| 論文名稱: |
利用神經心理作業初探臺灣地區海洛因戒治者之認知功能研究 The cognitive function research of the abstinent heroin users in Taiwan by using neuropsychological task |
| 指導教授: | 許文耀 |
| 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: | 2010 |
| 畢業學年度: | 98 |
| 語文別: | 中文 |
| 論文頁數: | 122 |
| 中文關鍵詞: | 海洛因 、注意力偏誤 、執行功能 、成癮嚴重度 |
| 相關次數: | 點閱:217 下載:56 |
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本研究主要是利用國內的海洛因戒治者,透過神經心理作業探討長期使用海洛因對於個體在注意力偏誤、轉換彈性和抑制能力上的影響。
根據Robinson和Berridge(1993, 2003)的理論認為成癮嚴重度越高,藥物相關線索的注意力偏誤越明顯;然而,根據Di Chiara(2000)提出關於整合誘因和習慣的觀點,認為成癮的注意力偏誤和趨向行為會受到不同的成癮嚴重度(輕度或重度成癮)或成癮階段(早期或習慣化後期)而有不同的結果,另外,以往的執行功能損害也支持Robinson和Berridge(1993, 2003)成癮嚴重度的觀點,因此本研究企圖同時檢驗上述兩者觀點。
本研究篩選111名台中戒治所和看守所的海洛因戒治者,分別根據不同的成癮嚴重程度分類方式分組(依賴嚴重度量表、不同頻率、施用方式),加上29名健康對照組,共140名受試均需完成自陳氏量表、紙筆測驗和各項神經心理測驗(Stroop叫色作業、威斯康辛卡片分類測驗、Go/No Go作業)。
研究結果指出海洛因戒治者相較對照組確實在注意力偏誤、認知彈性轉換、以及反應抑制能力有損害的趨勢,而且似乎較符合Di Chiara(2000)提出整合誘因和習慣的觀點,認為成癮者的認知功能會與成癮嚴重度成負向關係。
第一章 緒論 1
第一節 研究背景與動機 1
第二章 文獻探討 5
第一節 海洛因成癮者的認知功能 5
第二節 注意力偏誤 14
第三節 海洛因成癮者的執行功能問題 20
第四節 研究目的與架構 30
第五節 研究假設 32
第四章 研究結果 47
第一節 受試者的基本資料描述 47
第二節 海洛因戒治者與控制組在神經心理作業表現上的比較 62
第三節 成癮嚴重度與神經心理作業表現的相關 79
第五章 綜合討論 82
第一節 國內海洛因戒治者的神經心理作業表現 82
第二節 成癮嚴重度與神經心理作業表現的相關 85
第三節 研究限制 88
第四節 未來研究方向 92
參考文獻 93
附錄一 受試者研究參與同意書 104
附錄二 海洛因戒治者之基本資料問卷以及中文版依賴嚴重度量表 106
附錄三 對照組之基本資料問卷 108
附錄四 各項神經心理測驗之指導語 109
附錄五 Go/ No Go圖片刺激材料之選取 111
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