健康促進與憂鬱之關係

The Relationship between Health Promotion and Depression

健康行為的問題可能與憂鬱症相關，因此如何增強正向的健康與預防負向的健康之議題，成為全球心理健康所重視的主題。本研究旨在瞭解全民健康促進與憂鬱的關係。研究者以全國1948 位民眾為研究對象，使用「健康促進量表」與「臺灣憂鬱症量表」為研究工具，蒐集實證資料，所得資料利用結構方程模式，進行驗證性與相關性分析。研究結果：驗證性因素分析顯示全民健康促進、憂鬱是一個二階因素概念模式，路徑分析顯示健康促進與憂鬱有顯著負向關聯。研究結論：全民在臺灣憂鬱症量表得分高於37 分(含)以上者，屬於潛在憂鬱症患者的人數，約佔全體有效樣本的11.1%；健康促進對憂鬱具有負向且直接的影響力，最後根據研究結果提出建議，以供實務工作及未來研究參考。

Mental， social， and behavior health problems may interact to intensify their effects on depression. Especially， health promotion is a very important issue of global mental health.The purpose of this study is to explore the relationship between health promotion and depression. The data are collected via questionnaires from a sample of 1，948 Taiwanese.The major instruments for this study include “Health Promotion Scale，” and “Taiwan Depression Scale.” The Health Promotion Scale has three subscales: “health responsibility，” “stress managements，” and “social support.” And the Taiwan Depression Scale has foursubscales: “cognitive，” “emotional，” “physiological，” and “interpersonal.”\rResults: Structural equation modeling (SEM) is applied to make parameter estimations and model comparisons. The confirmatory factor analysis (CFA) supports a two-order factor model for both health promotion and depression in Taiwan. Path analysis reveals a negative relationship between Taiwanese health promotion and depression. We need toenhance protection factors and reduce risk factors in order to promote health and to prevent depression for all people. Conclusions: First， there were 11.1% of Taiwanese who might have depression disorder. Second， the health promotion control had significantly negative and direct influence on the Taiwanese depression. Third， suggestions for clinicalapplication and future research were proposed.