{"id":34636,"date":"2019-11-12T00:22:05","date_gmt":"2019-11-11T16:22:05","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=34636"},"modified":"2019-11-08T13:36:48","modified_gmt":"2019-11-08T05:36:48","slug":"%e8%85%a6%e8%a2%8b%e3%80%8c%e7%95%b6%e6%a9%9f%e3%80%8d%e3%80%81%e8%83%a1%e6%80%9d%e4%ba%82%e6%83%b3%e5%8f%88%e7%84%a6%e6%85%ae%e7%b7%8a%e5%bc%b5%ef%bc%9f%e7%95%b6%e5%bf%83%e5%a4%b1%e7%9c%a0%e7%9a%84","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=34636","title":{"rendered":"\u8166\u888b\u300c\u7576\u6a5f\u300d\u3001\u80e1\u601d\u4e82\u60f3\u53c8\u7126\u616e\u7dca\u5f35\uff1f\u7576\u5fc3\u5931\u7720\u7684\u5f71\u97ff"},"content":{"rendered":"

\"\"\u64b0\u6587\uff5c\u5468\u739f\u8431<\/strong><\/p>\n

\u6839\u64da\u53f0\u7063\u7761\u7720\u91ab\u5b78\u5b78\u6703\u7684\u8abf\u67e5\uff0c\u57282016 \u5e74\uff0c\u81fa\u7063\u9752\u5c11\u5e74\u7684\u6162\u6027\u5931\u7720(insomnia)\u76db\u884c\u7387\u70ba 2.8%\uff0c\u6709\u9ad8\u9054 24%\u7684\u9752\u5c11\u5e74\u53cd\u61c9\u51fa\u81ea\u5df1\u6709\u5931\u7720\u7d93\u9a57\uff0c\u800c\u4e14\u5931\u7720\u554f\u984c\u5df2\u7d93\u986f\u8457\u5e72\u64fe\u4ed6\u5011\u7684\u91cd\u8981\u751f\u6d3b\u529f\u80fd\u3002\u800c2017\u5e74\u7684\u8abf\u67e5\u7d50\u679c\u5247\u986f\u793a\uff0c\u81fa\u7063\u6574\u9ad4\u4f86\u8aaa\u6bcf10\u500b\u4eba\u88e1\u9762\u5c31\u67091\u4eba\u98fd\u53d7\u6162\u6027\u5931\u7720\u4e4b\u82e6\u3002<\/p>\n

\u6839\u64da\u904e\u53bb\u7684\u8a8d\u77e5\u6a21\u578b(cognitive model)\u7814\u7a76\uff0c\u5931\u7720\u8005\u5c0d\u65bc\u300c\u7761\u7720\u76f8\u95dc\u523a\u6fc0(sleep-related stimulus)\u300d\u53ef\u80fd\u6709\u9ad8\u5ea6\u7684\u6ce8\u610f\u529b\u504f\u8aa4(attentional bias)\uff0c\u9019\u4e9b\u523a\u6fc0\u4e5f\u8a31\u662f\u4f86\u81ea\u60a3\u8005\u654f\u611f\u7684\u5167\u5728\u611f\u77e5(\u4f8b\u5982\uff1a\u6211\u597d\u50cf\u8eba\u5728\u5e8a\u4e0a\u5f88\u4e45\u4e86)\uff0c\u6216\u662f\u5916\u754c\u74b0\u5883\u523a\u6fc0(\u4f8b\u5982\uff1a\u8072\u97f3\u3001\u5149\u6e90)\uff0c\u4e0d\u7ba1\u662f\u54ea\u4e00\u7a2e\uff0c\u53ea\u8981\u60a3\u8005\u5c0d\u523a\u6fc0\u7522\u751f\u904e\u5ea6\u7684\u95dc\u6ce8\u3001\u89e3\u8b80\uff0c\u4ed6\u5011\u5c31\u5f88\u5bb9\u6613\u5c0d\u65bc\u81ea\u5df1\u300c\u7761\u4e0d\u8457\u89ba\u300d\u7684\u4e8b\u5be6\u611f\u5230\u66f4\u7126\u616e\uff0c\u540c\u6642\u4e5f\u5bb3\u6015\u81ea\u5df1\u767d\u5929\u7684\u8868\u73fe\u6703\u56e0\u6b64\u5931\u5e38\uff0c\u9019\u6642\u5019\u5c31\u6703\u5f62\u6210\u60e1\u6027\u5faa\u74b0\uff0c\u5c0e\u81f4\u7761\u7720\u54c1\u8cea\u4f4e\u843d\u3002<\/p>\n

\u25cf\u5931\u7720\u8005\u66f4\u5bb9\u6613\u7559\u610f\u751f\u6d3b\u5468\u908a\u7684\u300c\u611b\u774f\u300d\u81c9\u5b54<\/strong><\/span><\/p>\n

\u904e\u53bb\u7684\u5b78\u8005\u5e38\u7528\u60c5\u7dd2\u53eb\u8272\u4f5c\u696d(Emotional Stroop task)\u4f86\u6aa2\u8996\u5931\u7720\u8005\u662f\u5426\u6709\u6ce8\u610f\u529b\u504f\u8aa4\uff0c\u7d20\u6750\u90fd\u662f\u4ee5\u7761\u7720\u76f8\u95dc\u300c\u5b57\u8a5e\u300d\u70ba\u4e3b\uff0c\u5728\u642d\u914d\u4e0a\u4e2d\u6027\u7684\u8a5e\u5f59\uff0c\u4f46\u662fAkram\u7b49\u4eba\u8a8d\u70ba\uff0c\u4ee5\u7126\u616e\u6216\u662f\u6182\u9b31\u75c7\u60a3\u8005\u70ba\u4f8b\uff0c\u4ed6\u5011\u5728\u770b\u898b\u7dca\u5f35\u3001\u54c0\u50b7\u7684\u81c9\u5b54\u6642\uff0c\u6703\u7522\u751f\u986f\u8457\u7684\u6ce8\u610f\u529b\u504f\u8aa4(Bourke, Douglas, & Porter, 2010)\uff0c\u56e0\u6b64\u4ed6\u4e5f\u76f8\u7576\u597d\u5947\uff0c\u5982\u679c\u6539\u6210\u7d66\u5931\u7720\u75c7\u60a3\u8005\u89c0\u770b\u300c\u75b2\u618a\u300d\u7684\u81c9\u5b54\uff0c\u4e26\u4e14\u5229\u7528\u9ede\u5075\u6e2c\u4f5c\u696d(Dot-probe task)\u4f86\u57f7\u884c\u5be6\u9a57\uff0c\u6703\u7522\u751f\u4ec0\u9ebc\u6a23\u5b50\u7684\u7d50\u679c\uff1f\u53d7\u8a66\u8005\u7684\u6ce8\u610f\u529b\u5728\u300c\u812b\u96e2(disengagement)\u300d\u4ee5\u53ca\u300c\u8b66\u6212(vigilance)\u300d\u9019\u5169\u500b\u4e0d\u540c\u6307\u6a19\u4e0a\uff0c\u6703\u4e0d\u6703\u6709\u660e\u986f\u5dee\u8ddd\uff1f<\/p>\n

Akram\u7b49\u4eba\u8acb82\u4f4d\u53d7\u8a66\u8005\u4f86\u9032\u884c\u5be6\u9a57\uff0c\u5176\u4e2d\u5931\u7720\u75c7\u60a3\u8005\u8207\u7761\u7720\u54c1\u8cea\u6b63\u5e38\u7684\u4eba\u5404\u5360\u4e00\u534a\uff0c\u5169\u7d44\u53d7\u8a66\u8005\u7684\u5e73\u5747\u5e74\u9f61\u90fd\u572825\u523027\u6b72\u9593\uff0c\u5305\u542b\u7537\u5973\u3002\u7d20\u6750\u65b9\u9762\u5247\u662f\u63a1\u752812\u5c0d\u300c\u4e2d\u6027\uff0f\u75b2\u5026\u300d\u81c9\u5b54\u7684\u7d44\u5408\uff0c\u76f8\u8f03\u65bc\u4e2d\u6027\u81c9\u5b54\uff0c\u75b2\u5026\u81c9\u5b54\u5e36\u6709\u660e\u986f\u7684\u9ed1\u773c\u5708\u3001\u773c\u77bc\u539a\u91cd\u4e14\u5634\u89d2\u5f80\u4e0b\u5782\u3002<\/p>\n

\u5be6\u9a57\u4e00\u958b\u59cb\uff0c\u756b\u9762\u4e2d\u592e\u6703\u5448\u73fe\u4e00\u500b\u5341\u5b57\u51dd\u8996\u5c0f\u9ede\uff0c\u53d7\u8a66\u8005\u5fc5\u9808\u89c0\u770b\u5b83\u7d041000\u6beb\u79d2\uff0c\u96a8\u5f8c\u6703\u51fa\u73fe\u4e00\u5c0d\u81c9\u5b54\uff0c\u81c9\u5b54\u6d88\u5931\u5f8c\u756b\u9762\u6703\u5448\u73fe\u7a7a\u767d\uff0c\u5927\u7d04\u904e\u4e86100\u6beb\u79d2\uff0c\u53d7\u8a66\u8005\u5c31\u6703\u770b\u898b\u87a2\u5e55\u4e0a\u9762\u51fa\u73fe\u4e00\u500b\u5c0f\u9ede\uff0c\u5b83\u53ef\u80fd\u51fa\u73fe\u5728\u5148\u524d\u4e2d\u6027\u81c9\u5b54\u986f\u793a\u7684\u4f4d\u7f6e\u4e0a\uff0c\u4e5f\u53ef\u80fd\u662f\u986f\u793a\u5728\u4e4b\u524d\u75b2\u5026\u81c9\u5b54\u51fa\u73fe\u7684\u4f4d\u7f6e\uff0c\u9806\u5e8f\u4e00\u5f8b\u90fd\u662f\u96a8\u6a5f\u5b89\u6392\u7684\uff0c\u53d7\u8a66\u8005\u5fc5\u9700\u5728\u6642\u9650\u5167\u53cd\u61c9\u51fa\u9ede\u7684\u4f4d\u7f6e\u3002<\/p>\n

\u7814\u7a76\u7d50\u679c\u767c\u73fe\uff0c\u5169\u7d44\u53d7\u8a66\u8005\u7684\u6ce8\u610f\u529b\u812b\u96e2(disengagement)\u9084\u6709\u8b66\u89ba(vigilance)\uff0c\u90fd\u6709\u986f\u8457\u5dee\u8ddd\uff0c\u6709\u5931\u7720\u554f\u984c\u7684\u53d7\u8a66\u8005\u5728\u57f7\u884c\u4f5c\u696d\u6642\uff0c\u6ce8\u610f\u529b\u5f88\u96e3\u5f9e\u75b2\u5026\u7684\u81c9\u5b54\u4e0a\u812b\u96e2(disengagement)\u51fa\u4f86\uff0c\u4f46\u8ddf\u6c92\u6709\u5931\u7720\u554f\u984c\u7684\u53d7\u8a66\u8005\u6bd4\u8d77\u4f86\uff0c\u4ed6\u5011\u5c0d\u65bc\u7761\u7720\u76f8\u95dc\u523a\u6fc0\u7684\u8b66\u89ba(vigilance)\u7a0b\u5ea6\u662f\u8f03\u5f31\u7684\uff0c\u9700\u8981\u82b1\u6bd4\u8f03\u591a\u7684\u6642\u9593\u624d\u80fd\u505a\u51fa\u53cd\u61c9\u3002Akram\u7b49\u4eba\u63a8\u8ad6\uff0c\u9019\u53ef\u80fd\u662f\u56e0\u70ba\u5931\u7720\u8005\u5df2\u7d93\u6295\u6ce8\u592a\u591a\u6ce8\u610f\u529b\u5728\u75b2\u5026\u7684\u81c9\u5b54\u4e0a\uff0c\u5c0e\u81f4\u56de\u7b54\u901f\u5ea6\u8b8a\u6162(Akram, Beattie et al. 2018)\u3002<\/p>\n

\u25cf\u9577\u671f\u7761\u7720\u4e0d\u8db3\u5982\u4f55\u5f71\u97ff\u57f7\u884c\u529f\u80fd<\/strong><\/span><\/p>\n

\u9664\u4e86\u6ce8\u610f\u529b\u504f\u8aa4\u4ee5\u5916\uff0c\u5931\u7720\u9084\u53ef\u80fd\u5c0d\u6211\u5011\u7522\u751f\u54ea\u4e9b\u5f71\u97ff\u5462\uff1f\u6839\u64daBallesio\u7b49\u4eba\u7684\u6587\u737b\u56de\u9867\uff0c\u5931\u7720\u75c7\u60a3\u8005\u8ddf\u7761\u7720\u6b63\u5e38\u7684\u4eba\u6bd4\u8d77\u4f86\uff0c\u4ed6\u5011\u7684\u6291\u5236\u63a7\u5236(inhibitory control)\u8868\u73fe\u7a0d\u5fae\u5dee\u4e00\u9ede\uff0c\u6216\u8a31\u4ed6\u5011\u5728\u57f7\u884c\u67d0\u4e9b\u751f\u6d3b\u4e2d\u7684\u91cd\u8981\u4efb\u52d9\u6642\uff0c\u6703\u611f\u89ba\u6709\u6642\u5019\u6bd4\u8f03\u96e3\u63a7\u5236\u81ea\u5df1\u5c0d\u65bc\u7121\u95dc\u4e8b\u7269\u7684\u53cd\u61c9\uff1b\u9664\u6b64\u4e4b\u5916\uff0c\u5931\u7720\u75c7\u60a3\u8005\u7684\u77ed\u671f\u8a18\u61b6\u8868\u73fe\u4e5f\u6bd4\u4e00\u822c\u7684\u4eba\u4e0d\u597d\u3002\u800c\u6839\u64daHarvey(2002)\u7b49\u4eba\u7684\u7814\u7a76\uff0c\u5931\u7720\u75c7\u60a3\u8005\u767d\u5929\u6642\u8f03\u96e3\u4ee5\u63a7\u5236\u4e0d\u5fc5\u8981\u7684\u4fb5\u5165\u5f0f\u60f3\u6cd5(intrusive thoughts)\uff0c\u9019\u5c31\u5305\u542b\u8a31\u591a\u8ca0\u9762\u7684\u8a0a\u606f\uff0c\u50cf\u662f\u64d4\u6182\u3001\u53cd\u82bb\u601d\u8003(rumination)\u7b49\uff0c\u6240\u4ee5\u8aaa\u665a\u4e0a\u6c92\u8fa6\u6cd5\u597d\u597d\u7761\u89ba\u3001\u767d\u5929\u4e0d\u53ea\u8166\u888b\u5bb9\u6613\u300c\u7576\u6a5f\u300d\uff0c\u4e5f\u66f4\u5bb9\u6613\u80e1\u601d\u4e82\u60f3\uff0c\u9019\u4e9b\u90fd\u662f\u771f\u7684\u554a(Ballesio, Aquino et al. 2019)\u3002<\/p>\n

 <\/p>\n

\u53c3\u8003\u8cc7\u6599\uff1a<\/strong><\/p>\n

    \n
  1. Akram, U., et al. (2018). \"Sleep-related attentional bias for tired faces in insomnia: Evidence from a dot-probe paradigm.\" Behav Res Ther 103<\/strong>: 18-23.<\/a><\/li>\n
  2. Ballesio, A., et al. (2019). \"Executive Functions in Insomnia Disorder: A Systematic Review and Exploratory Meta-Analysis.\" Front Psychol 10<\/strong>: 101.<\/a><\/li>\n
  3. Harvey, A. G.(2002).\u201dA cognitive model of insomnia.\u201d Behav Res Ther 40(8) : 869-93.<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    \u6839\u64da\u904e\u53bb\u7684\u8a8d\u77e5\u6a21\u578b(cognitive model)\u7814\u7a76\uff0c\u5931\u7720\u8005\u5c0d\u65bc\u300c\u7761\u7720\u76f8\u95dc\u523a\u6fc0(sleep-related stimulus)\u300d\u53ef\u80fd\u6709\u9ad8\u5ea6\u7684\u6ce8\u610f\u529b\u504f\u8aa4(attentional bias)\uff0c\u9019\u4e9b\u523a\u6fc0\u4e5f\u8a31\u662f\u4f86\u81ea\u60a3\u8005\u654f\u611f\u7684\u5167\u5728\u611f\u77e5(\u4f8b\u5982\uff1a\u6211\u597d\u50cf\u8eba\u5728\u5e8a\u4e0a\u5f88\u4e45\u4e86)\uff0c\u6216\u662f\u5916\u754c\u74b0\u5883\u523a\u6fc0(\u4f8b\u5982\uff1a\u8072\u97f3\u3001\u5149\u6e90)\uff0c\u4e0d\u7ba1\u662f\u54ea\u4e00\u7a2e\uff0c\u53ea\u8981\u60a3\u8005\u5c0d\u523a\u6fc0\u7522\u751f\u904e\u5ea6\u7684\u95dc\u6ce8\u3001\u89e3\u8b80\uff0c\u4ed6\u5011\u5c31\u5f88\u5bb9\u6613\u5c0d\u65bc\u81ea\u5df1\u300c\u7761\u4e0d\u8457\u89ba\u300d\u7684\u4e8b\u5be6\u611f\u5230\u66f4\u7126\u616e\uff0c\u540c\u6642\u4e5f\u5bb3\u6015\u81ea\u5df1\u767d\u5929\u7684\u8868\u73fe\u6703\u56e0\u6b64\u5931\u5e38\uff0c\u9019\u6642\u5019\u5c31\u6703\u5f62\u6210\u60e1\u6027\u5faa\u74b0\uff0c\u5c0e\u81f4\u7761\u7720\u54c1\u8cea\u4f4e\u843d\u3002<\/p>\n","protected":false},"author":20,"featured_media":34637,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[257,3293],"tags":[2516,4440,4436,4439,4438,4437],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2019\/11\/pain-and-insomnia.jpg","_links":{"self":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/34636"}],"collection":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=34636"}],"version-history":[{"count":2,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/34636\/revisions"}],"predecessor-version":[{"id":34639,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/34636\/revisions\/34639"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/media\/34637"}],"wp:attachment":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34636"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34636"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34636"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}