注意力不足過動症，為兒童常見的神經異常行為，是一個症狀群的交集，本研究將三種主要的症狀列為評判依據，分別為注意力缺損、過動及行為障礙。目前沒有導致這種病症的定論，主要認為的問題是來自腦部部份功能異常，造成孩子有不專心、衝動、情緒控制失調、以及社交能力不佳等問題。治療過動兒的方法是多元性的，主要是以藥物治療為主。
  本研究將採用廣義結構方程模式結合仲介效應，來探討注意力不足過動症之患童經藥物治療後達到緩解之可能影響因素，本文所考量的影響因素主要以治療前疾病檢查相關項目及少數治療後之結果，所有可能會影響注意力不足過動症之患童療效之因素，有助於注意力不足過動症之患童針對不同症狀進行治療。

Attention Deficit Hyperactivity Disorder(ADHD),which is a common neurological abnormal behavior of children, a intersection of symptom clusters. In this research, three main types of symptoms as a basis for evaluation are attention deficit, hyperactivity and behavioral disorders. There is no conclusive cause of ADHD. The main problem is considered part from the brain dysfunction, resulting in children have not concentrate, impulsivity, emotional control disorders, and poor social skills and other issues. Method of treatment of ADHD, mainly drug therapy.
     This study will use the generalized structural equation modeling(GSEM) and  mediation.The research discussed in the ADHD factors that children's illness reach remission after the drug treatment. Factors considered in this study are mainly the result of disease before treatment and few treatment-related projects. To find all the possible factors that affect children with ADHD help attention ADHD children with the treatment for different symptoms.

目錄
圖目錄	II
表目錄	III
第一章	緒論	1
第一節	研究背景與目的	1
第二節	研究之相關變數與資料解釋	3
第二章	結構方程式與仲介效應	8
第一節	結構方程式	8
第二節	廣義結構方程模式	10
第三節	仲介效應	11
第三章	研究方法	12
第一節	分析方法	12
第二節	分析步驟	12
第四章	研究結果	13
第一節	注意力缺損( INATTENTION )的緩解	13
第二節	過動( HYPERACTIVITY )的緩解	15
第三節	行為障礙( OPPOSITIONAL DEFIANT DISORDER )的緩解	17
第四節	仲介效應之廣義結構方程模式	19
第五章	討論與建議	22
參考文獻	24

圖目錄
圖 2.1.1 典型結構方程模式	8
圖 2.3.1 仲介效應關係圖	11
圖 4.1.1 注意力缺損緩解影響因素之廣義結構方程模式( GSEM )	14
圖 4.2.1 過動緩解影響因素之廣義結構方程模式( GSEM )	16
圖 4.3.1行為障礙緩解影響因素之廣義結構方程模式( GSEM )	18
圖 4.4.1仲介效應之廣義結構方程模式	20
圖 4.1.2 過動緩解是注意力缺損對行為障礙之仲介因子	21

表目錄
表 4.1.1注意力缺損緩解之影響因素評估	13
表 4.3.1行為障礙緩解之影響因素評估	17
表 4.4.1仲介效應之廣義結構方程模式	19
表 5.1.1  CGI-S 之值	23
表 5.1.2  CGI-S 之值	23

American Psychiatric Association (APA), (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.).
Arbuckle, J. L. (2012). IBM SPSS Amos 21.0 User's Guide. : AMOS Development Corporation.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness-of-fit in the analysis of covariance structures. Psychological Bulletin, 88, 588-600.
Elia J, Borcherding BG, Potter WZ, Mefford IN, et al. (1990). Stimulant drug treatment of hyperactivity: biochemical correlates. Clin Pharmacol Ther, 48(1): 57-66.
Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural Equation Modelling:  Guidelines for Determining Model Fit. . The Electronic Journal of Business Research Methods, 6, 53-60.
James, L. R., & Brett, J. M. (1984).  Mediators, moderators and tests for mediation. Journal of Applied Psychology, 69, 307-321
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717-731.
Shapiro, E.S., DuPaul, G.J., & Bradley-Klug, K.I. (1998). Self-management as a strategy to improve classroom behavior of adolescents with ADHD. Journal of Learning Disabilities, 31, 545-555.
Silver LB (2004). Attention Deficit Hyperactivity Disorder: A Clinical Guide to Diagnosis and Treatment for Health and Mental Health Professionals. American Psychiatric Association.
StataCorp. (2013). Stata: Release 13. Statistical Software. College Station, TX: StataCorp LP.