대기업 고성과자 내담자의 정량화 뇌파(qEEG)와 MMPI-2 프로파일의 비교
Comparison between MMPI-2 Profile and Quantitative Encephalogram(qEEG) of High-Performance Subjects working Corporation
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초록
본 연구의 목적은 보조 진단 도구로서 정량화 뇌파의 유용성을 확인하고 내담자에 대한 진단과 이해에 새로운 관점을 제공하고자 하였다. 이를 위하여 상담과 신경과학의 융합적 관점에서 대기업 고성과 내담자의 정량화 뇌파(quantitative electro - encephalogram; qEEG)와 MMPI-2 프로파일을 사례별로 탐색하고, 정량화 뇌파와 MMPI-2 프로파일 간의 상관을 분석하고자 하였다. 연구 참여자는 6명의 25세부터 33세까지의 대기업 고성과자로서, 상담실에 내방할 때 우울, 불안, 분노, 강박 등의 정서적 어려움을 호소하였다. 연구결과 첫째, 연구 참여자들은 주로 폐안 시에 이상 뇌파의 출현과 주호소 증상과의 상관이 유의하였다. 둘째, 대부분의 연구 참여자들은 좌, 우뇌반구의 비대칭성(asymmetry)과 연결성(coherence)에서 있어서 문제가 나타났으며, 이들 중 2명에게서는 위상(phase)의 문제가 드러났다. 마지막으로 MMPI-2 임상척도에서는 알파(alpha)파와 우울간의 상관이 통계적으로 유의하였으며 강박과 편집은 주로 베타(beta)파와의 상관관계가 유의하였다. 이에 본 연구는 상담과 신경과학의 융합적 연구로서 기초연구를 수행하였다는 점, 보조 진단 도구로서의 정량화뇌파의 유용성을 확인한 점, 그리고 뇌파를 활용한 개입의 근거를 마련하였다는 데 그 의의가 있다.
Abstract
The purpose of this study was to identify the usefulness of quantitative EEG as an additional diagnostic tool and to provide a new perspective on the diagnosis and understanding on the client. For this purpose, we investigated the quantitative electroencephalogram (qEEG) and MMPI-2 profiles of high performance subjects working at major corporation on each case and analyzed correlation between quantitative EEG and MMPI-2 profiles from the viewpoint of convergence of counseling and neuroscience. The 6 subjects were 25 to 33 years and doing high performance at major company. They were complaining about emotional difficulties such as depression, anxiety, anger and obsession when they visited the counseling center. The results of this study were as follows. First, the correlation between the appearance of abnormal EEG and the main symptom was significant under closed-eye. Second, most subjects showed problems of asymmetry and coherence of the left and right hemispheres, and two of them revealed phase lock problems. Finally, it was mainly statistically significant to the correlations between alpha wave and depression in the MMPI-2 clinical scale and between beta wave and compulsion and compilation. Therefore, this study is meaningful in that basic research was carried out as a convergence study of counseling and neuroscience, the usefulness of qEEG was identified as a supplementary diagnostic tool, and the basis for intervention was established using brain waves.
참고문헌 (56)
- 김도원, "뇌파의 이해와 응용" (2017), 학지사
- 김현수, "뇌과학 교육을 위한 뇌교육 계발에 관한 소고- OECD-CERI의 뇌과학 포럼과 뇌과학 교육을 중심으로", 한국정신과학학회 제34회 2011년도 춘계학술대회 논문집, pp.1~33 (2011)
- 백용매, "인사선발에서 MMPI의 적용가능성에 관한 탐색적 연구", 상담학연구, 3(2), pp.449~467 (2002), 한국상담학회
- 서정은, "뇌영상법을 활용한 상담 및 심리치료 연구 동향(1992-2014)", 상담학연구, 16(2), pp.27~51 (2015), 한국상담학회[DOI]
- 신연희, "전문적 도움 추구 행동에서 접근요인과 회피요인의 상대적 중요성 고찰", 한국심리학회지: 상담 및 심리치료, 17(1), pp.177~195 (2005), 한국상담심리학회
- 심윤정, "기업 상담자의 기업 내 적응 경험에 대한 내러티브 탐구: 대기업 내 여성 상담자를 중심으로", 상담학연구, 13(4), pp.1819~1843 (2012), 한국상담학회[DOI]
- 유시영, "신경범죄학 : 뇌영상을 활용한 공격성 및 범죄 행동의 이해", 생물정신의학, 23(2), pp.57~62 (2016), 대한생물정신의학회
- 이준석, "주요우울증에서 우울과 불안 증상의 심각도에 따른 뇌파 A1, A2, Percent 비대칭 지표들의 특성 연구", 신경정신의학, 46(2), pp.179~184 (2007), 대한신경정신의학회
- 전은영, "우울장애와 불안장애 환자군의 MMPI-2 특성", 상담학연구, 14(1), pp.555~572 (2013), 한국상담학회[DOI]
- 전정은, "뉴로피드백을 이용한 불면장애 치료: EEG Beta 감소 프로토콜", Korean Journal of Clinical Psychology, 36(3), pp.351~368 (2017), 한국임상심리학회[DOI]
- 정문주, "외상성 뇌손상 후유증으로 인한 좌 우 Alpha파 비대칭성이 유발된 청소년의 Alpha파 비대칭 뉴로피드백 훈련 1례", 한국산학기술학회논문지, 18(8), pp.171~180 (2017), 한국산학기술학회[DOI]
- 정문주, "뉴로 피드백 훈련 프로그램(Neurofeedback Training Programme) 효과에 대한 메타분석", 한국산학기술학회논문지, 17(12), pp.582~593 (2016), 한국산학기술학회[DOI]
- 최승원, "우울증 환자와 정상인의 전두엽 알파파 비대칭 현상 연구", Korean Journal of Clinical Psychology, 27(4), pp.1053~1069 (2008), 한국임상심리학회[DOI]
- Al-Ansari, K. J., "A Descriptive Study of the Use of Neurofeedback in Counseling", Doctor, pp.2015
- Bares, M., "The change of prefrontal qEEG theta cordance as a predictor of response to bupropion treatment in patients who had failed to respond to previous antidepressant treatments", European Neuro psycho-pharmacology, 20(7), pp.459~466 (2010)
- Bares, M., "The change of qEEG prefrontal cordance as a response predictor to antidepressive intervention in bipolar depression. A pilot study", Journal of Psychiatric Research, 46(2), pp.219~225 (2012)
- Ben-Porath, Y. S., "Part 7: A Test of Normal Personality (MPQ) and the MMPI-2-RF", ~ (2016)
- Biederman, J., "Psychiatric comorbidity among referred juveniles with major depression: fact or artifact?", Journal of the American Academy of Child and Adolescent Psychiatry, 34(5), pp.579~590 (1995)
- Buckholtz, J. W., "Psychopathology and the human connectome : toward a transdiagnostic model of risk for mental illness", Neuron, 74(6), pp.990~1004 (2012)
- Deslandes, A., "Quantitative electroencephalogaphy(qEEQ)to discriminate primary degenerative dementia from major depressive disorder(depression)", Arquivos de Neuro-Psiquiatria, 62(1), pp.44~50 (2004)
- Dutt, S., "LORETA Neurofeedback Combined with Biofeedback as a Treatment for Agenesis of the Corpus Callosum : A Single Case Study", Biofeedback, 44(4), pp.206~211 (2016)
- Etkin, A., "Toward a neurobiology of psychotherapy : basic science and clinical applications", The Journal of Neuropsychiatry and Clinical Neurosciences, 17(2), pp.145~158 (2005)
- Field, T., "Relative right frontal EEG activation in 3-to 6-month-old infants of"depressed"mothers", Developmental Psychology, 31(3), pp.358~ (1995)
- Flor-Henry, P., "Neuropsychological and power spectral EEG investigations of the obsessive-compulsive syndrome", Biological Psychiatry, 14(1), pp.119~130 (1979)
- Ghougassian, D. F., "Evaluating the Utility of Inpatient Video‐EEG Monitoring", Epilepsia, 45(8), pp.928~932 (2004)
- Goncalves, O. F., "A neuroscience agenda for counseling psychology research", Journal of Counseling Psychology, 61(4), pp.507~512 (2014)
- Hill, C. E., "A perspective on the history of process and outcome research in counseling psychology", Journal of Counseling Psychology, 40(1), pp.3~24 (1993)
- "Grey Matter Inc", 1999
- John, E. R., "Neurometrics : computer-assisted differential diagnosis of brain dysfunctions", Science, 239(4836), pp.162~169 (1988)
- Knott, V., "EEG power, frequency, asymmetry and coherence in male depression", Psychiatry Research : Neuroimaging, 106(2), pp.123~140 (2001)
- Koek, R. J., "Hemispheric asymmetry in depression and mania : A longitudinal qEEG study in bipolar disorder", Journal of Affective Disorders, 53(2), pp.109~122 (1999)
- Krakow, K., "EEG-triggered functional MRI of interictal epileptiform activity in patients with partial seizures", Brain, 122(9), pp.1679~1688 (1999)
- Krause, D., "Prediction of treatment outcome in patients with obsessive-compulsive disorder with low-resolution brain electromagnetic tomography : a prospective EEG study", Frontiers in Psychology, 6, pp.1993~ (2016)
- Kuperman, S., "Quantitative EEG differences in a nonclinical sample of children with ADHD and undifferentiated ADD", Journal of the American Academy of Child & Adolescent Psychiatry, 35(8), pp.1009~1017 (1996)
- Leocani, L., "Abnormal pattern of cortical activation associated with voluntary movement in obsessive-compulsive disorder : an EEG study", American Journal of Psychiatry, 158(1), pp.140~142 (2001)
- Leslie, L. K., "Implementing the American Academy of Pediatrics attention-deficit", hyperactivity disorder diagnostic guidelines in primary care settings, 2004, pp.114(1), 129~140
- Leuchter, A. F., "Changes in Brain Function of Depressed Subjects During Treatment With Placebo", American Journal of Psychiatry, 159(1), pp.122~129 (2002)
- Linden, D. E., "How psychotherapy changes the brain-the contribution of functional neuroimaging", Molecular Psychiatry, 11(6), pp.528~538 (2006)
- McHenry, B., "A Counselor's Introduction to Neuroscience" (2014), Routledge
- Nagel, C., "State of Cerebrovascular Autoregulation Correlates with Outcome in Severe Infant", Pediatric Traumatic Brain Injury. Acta Neurochirurgica, 2016, pp.122, 239~244
- Nuwer, M., "Assessment of digital EEG, quantitative EEG, and EEG brain mapping : report of the American Academy of Neurology and the American Clinical Neurophysiology Society", Neurology, 49(1), pp.277~292 (1997)
- Oberman, L. M., "EEG evidence for mirror neuron dysfunction in autism spectrum disorders", Cognitive Brain Research, 24(2), pp.190~198 (2005)
- Özçoban, M. A, "Decreased global field synchronization of multichannel frontal EEG measurements in obsessive-compulsive disorders", Medical & Biological Engineering & Computing, pp.1~8 (2017)
- Petchkovsky, L., "Using qEEG parameters(asymmetry, coherence, and P3a Novelty response)to track improvement in depression after choir therapy", Advances in Mental Health, 11(3), pp.257~267 (2013)
- Pizzagalli, D., "Anterior cingulate activity as a predictor of degree of treatment response in major depression : evidence from brain electrical tomography analysis", American Journal of Psychiatry, 158(3), pp.405~415 (2001)
- Pollock, V. E., "Topographic quantitative EEG in elderly subjects with major depression", Psychophysiology, 27(4), pp.438~444 (1990)
- Prichep, L. S., "QEEG profiles of psychiatric disorders", Brain Topography, 4(4), pp.249~257 (1992)
- Prichep, L. S., "Quantitative Electroencephalographic Subtyping of Obsessive-Compulsive Disorder", Psychiatry Research : Neuroimaging, 50(1), pp.25~32 (1993)
- Rabiner, D., "Do qEEG scan results differentiate ADHD from other psychiatric disorders?", Attention Research Update, April, ~ (2001)
- Soutar, R. G., "Doing Neurofeedback: An Introduction" (2011), ISNR Research Foundation
- Sterman, M. B., "Basic concepts and clinical findings in the treatment of seizure disorders with EEG operant conditioning", Clinical Electroencephalography, 31(1), pp.45~55 (2000)
- Surmeli, T., "qEEG guided neurofeedback therapy in personality disorders : 13 case studies", Clinical EEG and Neuroscience, 40(1), pp.5~10 (2009)
- Townsend, A. L., "qEEG and MMPI-2 profiles of adults reporting childhood sexual abuse: determining differences and predictor models", Dotor, pp.2003
- Trudeau, D. L., "Abstracts of General Conference Presentations Presented at the 2003 International Society for Neuronal Regulation(ISNR)11th Annual Conference, Houston, Texas", Journal of Neurotherapy, 8(4), pp.85~132 (2005)
- Velikova, S., "Dysfunctional brain circuitry in obsessive-compulsive disorder : Source and coherence analysis of EEG rhythms", NeuroImaging, 49(1), pp.977~983 (2010)
- Walker, J. E., "A modular activation", coherence approach to evaluating clinical, Journal of Neurotherapy, pp.2007, 11(1)[DOI]
