MMPI-II와 로샤 검사에 나타난 강박장애 환자의 분노 양상
The Anger-pattern of OCD patient in MMPI-II and Rorschach Test
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강박장애 환자들이 경험하는 의식적, 무의식적 차원의 분노 수준과 강박 증상 간의 관련을 알아보고, 이를 우울장애 환자들과 비교하였다. 의식적인 수준에서 보고하는 분노 수준은 MMPI-II로 측정하였고, 무의식적인 차원에서 경험하는 분노 수준은 로샤 검사로 측정하였다. 그 결과, 강박 증상은 MMPI-II, 로샤 검사 모두에서 유의미한 관련을 보였고, 이는 우울 증상을 통제하여도 마찬가지였다. 부적정서 수준을 통제했을 때에는, 강박 증상과 로샤 검사와의 관련성은 사라졌지만 MMPI-II와는 여전히 유의미한 관련을 보였다. 우울장애 환자들과 비교한 결과에서도 로샤 검사에서 나타난 분노 수준은 비슷하였지만, MMPI-II에서는 강박장애 환자 집단이 유의미하게 높은 수준의 분노를 보고하였다. 결론적으로, 강박증 환자는 의식적, 무의식적인 차원에서 경험하는 분노 수준이 모두 높지만, 특히 의식적인 차원에서 지각하는 분노 수준이 더욱 높으며, 이는 강박 증상으로 인한 고통감에 영향을 주는 것으로 보인다.
Abstract
This study investigated the relation of the obsessive compulsive(OC) symptoms and the level of conscious and unconscious anger experiences in Obsessive compulsive disorder(OCD) patients, with depressive patients as the control group. The MMPI-II was used to assess conscious anger experience, and the Rorschach Test was used to assess unconscious anger experience. Results indicated that the OC symptoms were associated with both conscious/unconscious anger experience, even controlling for the depressive symptoms. When controlling negative affect, the association between the OC symptoms and the unconscious anger experience showed no significance, but association between the OC symptoms and the conscious anger experience remained significant. The unconscious anger experience of the depressive patients were parallel to the OCD patients, but OCD patients seemed to report more conscious anger experience than the depressive patients. Thus, OCD patients may experience high level of conscious and unconscious anger, and more likely to experience conscious anger than the depressive patients. In addition, conscious anger seemed to impact the distressfulness of the OC symptoms in OCD patients.
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