機構安置少年之生活壓力對憂鬱情緒之影響：以自尊為調節變項

A Research on Relationships of Life Stress and Depression among Adolescents in Residential Care: Self-Esteem as a Moderator

10.6687/JSDS.2010.8.3

常欣怡(Hsin-Yi Chang)；宋麗玉(Li-Yu Song)

安置機構 ； 青少年 ； 憂鬱 ； 生活壓力 ； 自尊 ； residential care ； adolescent ； depression ； life stress ； self-esteem

社會發展研究學刊

8期（2010 / 10 / 01）

51 - 74

繁體中文

研究目的：本研究旨在瞭解安置機構中少年生活壓力與憂鬱情緒的情形，以及機構安置少年之機構生活感受、生活壓力對憂鬱情緒的影響，並進一步分析自尊之調節效果。研究方法：本研究對象為安置機構中之青少年。研究採用問卷調查方式，針對七家同意參與研究之安置機構進行資料收集工作，共計回收243份有效問卷。研究結果：機構安置少年中有49.6%的人具有憂鬱情緒，其中24.4%具有前趨憂鬱徵兆，而有25.2%達臨床憂鬱標準。機構安置少年感到壓力的前三項事件，分別為「學校老師要求太高」、「國、高中畢業要就學或就業感到困擾」以及「與機構同伴吵架」。階層複迴歸分析後發現，女生、生活壓力越大及自尊越低者，其憂鬱情緒越高。機構安置少年之自尊具調節生活壓力與憂鬱情緒之效果。最後，建議機構工作人員應全面且定期對機構安置少年進行憂鬱情緒評估，協助提升其自尊心，並給予壓力因應策略與輔導。

Purpose: The purposes of this study were to explore the life stress and the depression among adolescents in residential care. The study also attempts to examine institutional life experience and using self-esteem as moderate variable to check the effect of life stress and the institutional life experience on depression. Methods: The total numbers of Samples were 243 adolescents, age from 13 to18. They are obtained from 7 residential institutions. Results: A proportion of 49.6% participants suffer from depression, among them, 24.4% were ranked in the middle-level of depression, and 25.2% were showed a high-level of depression. The main sources of adolescents life stress were ”teacher request to be too strict”, ”after graduation they did not know how to be employed or to enter a college”, and ”quarrels with their friends”. Multiple regression analyses indicated that gender differences were found, female adolescents were suffered more depression. Those who had lower self-esteem and higher life stress also had more depression. The moderating effects of self-esteem were supported by the data. Finally, the study suggests institutional worker should do fully and regularly on depression assessment, should help to enhance their self-esteem, and should provide coping strategies and counseling to adolescents in need.

1. 高民凱、林清文(2008)。中學生解釋風格、生活壓力和憂鬱之關係：從憂鬱的認知特異質－壓力模式探討。輔導與諮商，30(1)，41-59。
   連結：
2. 陳毓文(2008)。國內安置少年自殘行為之探究。社會政策與社會工作學刊，12(1)，145-188。
   連結：
3. 陳毓文(2008)。國內接受機構安置少年憂鬱情緒之探究：問題陳顯與解釋因素。中華心理衛生學刊，21(1)，75-101。
   連結：
4. 陳毓文(2004)。少年憂鬱情緒的危險因子與保護因子之相關性研究。中華心理衛生學刊，17(4)，67-95。
   連結：
5. 彭淑華(2006)。保護為名，權控為實？－少年安置機構工作人員的觀點分析。東吳社會工作學報，15，1-36。
   連結：
6. 曾瓊禛、徐享良(2006)。學習障礙青少年生活壓力、自尊與憂鬱之相關研究。特殊教育學報，23，105-146。
   連結：
7. Allen,E.C.,Combs-Orme, T.,McCarter, R. J.,Grossman, L. S.(2000).Self-reported depressive symptoms in school-age children at the time of entry into foster care.Ambulatory Child Health,6,45-57.
8. Berridge,D.,Brodie, I.(1998).Childrn`s homes.London:Jessica Kingsely.
9. Clausen, J. M.,Landsverk, J.,Ganger, W.,Chadwick, D.,Litrowink, A.(1998).Mental health problems of children in foster care.Journal of Child and Family Studies,7(3),283-296.
10. Cole, D.A.,Nole-Hoeksema, S.,Girgus, J.,Paul, G.(2006).Stress exposure and stress generation in child and adolescent depression: a latent trait-state error approach to longitudinal analyses.Journal of Abnormal Psychology,115(1),40-51.
11. Dimigen, C.,Del Priore, C.,Butler, S.,Evans, S.,Ferguson, L.,Swan, M.(1999).Psychiatric disorder among children at time of entering local authority care: questionnaire survey.British Medical Journal,319(7211),675.
12. Dumont, M.,Provost, M. A.(1999).Resilience in adolescents:Protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression.Journal of Youth and Adolescence,28,343-363.
13. Fergus, S.,Zimmerman, M.A.(2005).Adolescent resilience: A framework for understanding healthy development in the face of risk.Annual Review of Public Health,26,399-419.
14. Gitterman, Alex(Ed.)(2001).Handbook of social work practice with vulnerable and resilient populations.New York:Columbia University Press.
15. Hauser, S. T.(1999).Understanding resilient outcomes: Adolescent lives across time and generations.Journal of Research on Adolescence,9,1-24.
16. Hollister-Wagner, G. H.,Foshee, V. A.,Jackson, C.(2001).Adolescent aggression: Models of resiliency.Journal of Applied Social Psychology,31,445-566.
17. Hotfmann, J. P.,Su, S. S.(1998).Stressful life events and adolescent substance use and depression: Conditional and gender differentiated effects.Substance use & Misuse,38(11),2219-2262.
18. Hussey,D.L.,Guo,S.(2005).Characteristics and trajectories of treatment foster care youth.Child Welfare,84(4),485-506.
19. Kaltiala-Heino, R.,Rimpela, M.,Rantanen, P.,Laippala, P.(2001).Adolescent depression: the role of discontinuities in life course and social support.Journal of Affective Disorders,64,155-166.
20. McFarlane, A. H.,Bellissimo, A.,Norman, G. R.,Lange, P.(1994).Adolescent depression in a school-based community sample: Preliminary findings on contributing social factors.Journal of Youth and Adolescence,23(6),601-620.
21. Metalsky,G. I.,Joiner, T. E.,Hardin, T. S.,Abramson, L.Y.(1993).Dpressive reactions to failure in a naturalistic setting: a test of the hoplessness and self-esteem theories of depression.Journal of Abnormal Psychology,102(1),101-109.
22. Meyerson, L. A.,Long, P. J.,Miranda, J. R.,Marx, B.P.(2002).The influence of childhood sexual abuse, physical abuse, family environment ,and gnder on the psychological adjustment of adolescent.Child Abuse &Neglect,26,387-405.
23. Nicholas,B.,Roberts, S.,Wurr,C.(2003).Looked after children in residential homes.Child and Adolescent Mental Health,8(2),78-83.
24. Orth,U.,Robins, R.W.,Meier, L.L.(2009).Disentangling the effect of low self-esteem and stressful events on depression: finding from three longitudinal studies.Journal of personality and social psychology,97(2),307-321.
25. Petersen, A.C.,Compas, B.E.,Brooks-Gunn, J.,Stemmler, M.,Ey, S.,Grant, K.E.(1993).Depression in adolescence.American Psychologist,48(2),155-168.
26. Robinson, N.S.,Garber, J.,Hillman, R.(1995).Cognitive and stress: direct and moderating effect on depressive versus externalizing symptoms during the junior high school transition.Journal of abnormal psychology,104(3),453-463.
27. Rutter, M.(2000).Children in substitute care : some conceptual considerations and research implications.Children and Young Services Review,22(9/10),685-703.
28. Son, S.E.,Kirchner, J.T.(2000).Depression in children and adolescents.American Family Physician,62,2297-2308+2311-2312.
29. Williamson, J. M.,Borduin, C. M.,Howe, B. A.(1991).The ecology of adolescent maltreatment: A multilevel examination of adolescent physical abuse, sexual abuse, and neglect.Journal of Consulting and Clinical Psychology,59,449-457.
30. 王昭琪、蕭文(2007)。國中生之生活壓力、憂鬱經驗與復原力之相關研究。生活科學學報，11，1-31。
31. 余瑞長(2003)。中正大學社會福利研究所。
32. 杜慈容(1999)。台灣大學社會學研究所。
33. 周妙純、陳美珠、邱彥南、高淑芬(2003)。北台灣某育幼院受虐兒童青少年之精神病理研究。台灣精神醫學，2(17)，118-133。
34. 林俐君(2000)。台灣大學社會學研究所。
35. 林美李(2003)。台北護理學院護理研究所。
36. 邱一峰(1996)。國立政治大學教育研究所。
37. 邱方晞(1985)。私立中國文化大學兒童福利研究所。
38. 施雅薇(2003)。國立成功大學教育研究所。
39. 張紉(2000)。青少年安置服務福利屬性之探討。台大社會工作學刊，2，191-215。
40. 陳柏齡(2000)。高雄，國立高雄師範大學教育研究所。
41. 陳桂絨(2000)。東吳大學社會工作研究所。
42. 黃貞容(2002)。國立暨南國際大學社會政策與社會工作系。
43. 劉樹斐(2000)。國立政治大學心理學研究所。
44. 蔡嘉慧(1998)。高雄，國立高雄師範大學研究所。
45. 鄭貴華(2001)。東海大學社會工作學系。

1. 劉宗幸,陳婉真,許立亞,江守峻(2020)。青少年憂鬱的代間傳遞：個人、家庭與學校保護性因子之相關研究。家庭教育與諮商學刊，22，59-84。
2. 盧鴻文(2015)。表達性藝術治療在安置機構青少女團體諮商之效果研究。臺灣諮商心理學報，3(1)，79-105。