본문 바로가기
KERD
논문

고통 감내력과 심리장애: 경험적 연구 개관

Distress Tolerance and Psychological Disorders:A Review of the Empirical Literature

1

조회

0

다운로드

45

인용

0

참고문헌

키워드

주제분류심리과학

초록

고통 감내력은 다양한 심리장애의 위험요인으로 주목받고 있는 구성개념이다. 이 개념이 제안된 이후로 많은 양의 경험적 연구들이 실시되었으나, 이러한 연구들을 포괄적으로 개관한 연구는 매우 적었다. 비교적 최근에 수행된 개관연구도 고통 감내력과 다른 유사한 개념들의 관계를 탐색한 연구들이나 다양한 심리장애와의 관계에 대한 연구들을 충분히 검토하지 않았다는 한계를 가지고 있다. 따라서 본 연구에서는 이러한 연구들을 포함하는 좀 더 포괄적인 개관 연구를 실시하고자 했다. 이를 달성하기 위해 우선 고통 감내력의 주요이론들을 살펴보면서 각 이론들의 핵심적인 특징을 비교하였으며, 대표적인 측정도구들의 특징을 구체적으로 살펴보았다. 다음으로는 고통 감내력과 유사한 다른 구성개념들과의 관계 분석 연구들을 검토하면서 고통 감내력이 다른 구성개념들과 어떻게 구별되는지를 확인하였다. 마지막으로 심리장애와 고통 감내력의 관계에 대한 연구들을 검토하면서 심리장애에서 고통 감내력이 수행하는 역할에 대해 살펴보았다. 현재까지 수행된 고통 감내력 연구들의 한계를 살펴보고 향후 연구 방향을 제시하였다

Abstract

Distress tolerance is a risk factor to various psychological disorders and numerous empirical studies have focused on evaluating this concept. However, there have been only a few comprehensive reviews of the extant empirical literature studied the concept and most recent literature reviews neither explored the relationships between distress tolerance and other similar constructs, nor included studies examining the role of distress tolerance in the development and maintenance of psychological disorders. This study is conducted to comprehensively examine distress tolerance with the consideration of the previously mentioned issues. In order to achieve this objective, this study reviewed main theories of distress tolerance and compared main arguments of those theories. Further, this study analyzed various measures of distress tolerance and incorporated the studies of the relationships between distress tolerance and other variants in the comparative analyses. This study provides a better understanding of the distress tolerance role in psychological disorders by examining the relationships between distress tolerance and various forms of psychological disorders. In conclusion, this study proposes future directions of the empirical studies on distress tolerance and psychological disorders as discussing the limitations of the previous studies.

참고문헌 (125)

  1. 김지혜, "불확실성에 대한 인내력 및 지각된 통제력이 걱정에 미치는 영향: 인지적 회피의 매개효과 검증", 한국심리학회지:일반, 30(4), pp.1149~1164 (2011), 한국심리학회
  2. 박성아, "경계선 성격장애 성향자의 정서에 대한 두려움과 고통감내력", 석사, 임상ㆍ상담심리학, pp.2010
  3. 서장원, "한국판 고통 감내력 부족 척도의 타당화 연구: 한국 대학생 집단을 대상으로", Korean Journal of Clinical Psychology, 33(4), pp.783~798 (2014), 한국임상심리학회
  4. 설승원, "불확실성에 대한 인내력 부족과 정서 통제감이 걱정에 영향을 미치는 기제: 문제 해결 지향의 매개효과를 중심으로", Korean Journal of Clinical Psychology, 27(1), pp.209~235 (2008), 한국임상심리학회
  5. 오영아, "불확실성에 대한 인내력 부족과 걱정의 관계: 경험적 회피의 매개효과 검증", 한국심리학회지: 상담 및 심리치료, 23(3), pp.671~691 (2011), 한국상담심리학회
  6. 유성진, "불안증상의 발현에서 위험회피 기질과 체험회피 시도의 역할 : 불안감내력장애의 개념화", 박사, 임상ㆍ상담심리학, pp.2010
  7. 이경선, "불안민감성의 사회적 염려차원이 발표상황에 대한 불안반응에 미치는 영향", Korean Journal of Clinical Psychology, 25(1), pp.187~203 (2006), 한국임상심리학회
  8. 이정은, "걱정에 대한 부정적 신념과 일반화된 불안증상 간의 관계에서 경험적 회피의 매개효과", Korean Journal of Clinical Psychology, 26(4), pp.939~961 (2007), 한국임상심리학회
  9. 임선영, "한국판 다차원적 충동성 척도(UPPS-P)의 타당화 연구: 대학생 집단을 대상으로", Korean Journal of Clinical Psychology, 33(1), pp.51~71 (2014), 한국임상심리학회
  10. 장하연, "역기능적 신념, 고통수준과 고통감내력이 사회적 수행불안에 미치는 영향 : PASAT-C 과제와 자기보고식 검사를 활용하여", 석사, 심리학과 임상심리학전공, pp.2012
  11. 장하연, "타인의 인정에 대한 과도한 요구 신념과 정서적 고통 감내력이 사회적 수행불안에 미치는 영향", 인지행동치료, 12(3), pp.299~313 (2012), 한국인지행동치료학회
  12. 전주리, "정서조급성과 폭식행동의 관계", 석사, 임상ㆍ상담심리학, pp.2011
  13. 조용래, "정서조절곤란의 평가: 한국판 척도의 심리측정적 속성", Korean Journal of Clinical Psychology, 26(4), pp.1015~1038 (2007), 한국임상심리학회
  14. 조용래, "걱정의 통제 불능성", 위험에 대한 부정적 신념과 시험불안의 관계: 경험 회피의 매개역할, 2008, pp.27(4), 891~909[DOI]
  15. Anderson, E. R., "The relationship among social phobia, objective and perceived physiological reactivity, and anxiety sensitivity in an adolescent population", Journal of Anxiety Disorders, 23(1), pp.18~26 (2009)
  16. Anestis, M. D., "Clarifying the role of emotion dysregulation in the interpersonalpsychological theory of suicidal behavior in an undergraduate sample", Journal of Psychiatric Research, 45(5), pp.603~611 (2011)
  17. Anestis, M. D., "Behaviorally-indexed distress tolerance and suicidality", Journal of Psychiatric Research, 46(6), pp.703~707 (2012)
  18. Anestis, M. D., "The multifaceted role of distress tolerance in dysregulated eating behaviors", International Journal of Eating Disorders, 40(8), pp.718~726 (2007)
  19. Asmundson, G. J., "Pain:psychological perspectives", pp.35~57 (2004), Psychology Press
  20. Bardeen, J. R., "Testing a Hierarchical Model of Distress Tolerance", Journal of Psychopathology and Behavioral Assessment, 35(4), pp.495~505 (2013)
  21. Barkley, R. A., "Attention-deficit", hyperactivity disorder, self-regulation, and time : Toward a more comprehensive theory, 1997, pp.18, 271~279
  22. Birrell, J., "Toward a definition of intolerance of uncertainty : A review of factor analytical studies of the Intolerance of Uncertainty Scale", Clinical Psychology Review, 31(7), pp.1198~1208 (2011)
  23. Boelen, P. A., "Intolerance of uncertainty and social anxiety", Journal of Anxiety Disorders, 23(1), pp.130~135 (2009)
  24. Bornovalova, M. A., "Initial RCT of a distress tolerance treatment for individuals with substance use disorders", Drug and Alcohol Dependence, 122(1), pp.70~76 (2012)
  25. Bornovalova, M. A., "A multimodal assessment of the relationship between emotion dysregulation and borderline personality disorder among inner-city substance users in residential treatment", Journal of Psychiatric Research, 42(9), pp.717~726 (2008)
  26. Bradley, S. J., "Affect regulation and the development of psychopathology" (2000), The Guilford Press
  27. Brown, R. A., "Distress tolerance and early smoking lapse", Clinical Psychology Review, 25(6), pp.713~733 (2005)
  28. Brown, R. A., "Distress tolerance treatment for early-lapse smokers : Rationale, program description, and preliminary findings", Behavioral Modification, 32(3), pp.302~332 (2008)
  29. Buckner, J. D., "Problematic alcohol and cannabis use among young adults : The roles of depression and discomfort and distress tolerance", Addictive Behaviors, 32(9), pp.1957~1963 (2007)
  30. Buhr, K., "The intolerance of uncertainty scale : Psychometric properties of the English version", Behaviour Research and Therapy, 40(8), pp.931~945 (2002)
  31. Chapman, A. L., "Solving the puzzle of deliberate self-harm : The experiential avoidance model", Behaviour Research and Therapy, 44(3), pp.371~394 (2006)
  32. Chawla, N., "Experiential avoidance as a functional dimensional approach to psychopathology : An empirical review", Journal of Clinical Psychology, 63(9), pp.871~890 (2007)
  33. Corstorphine, E., "Distress tolerance in the eating disorders", Eating Behaviors, 8(1), pp.91~97 (2007)
  34. Cougle, J. R., "Exploring the unique and interactive roles of distress tolerance and negative urgency in obsessions", Personality and Individual Differences, 52(4), pp.515~520 (2012)
  35. Daughters, S. B., "Distress tolerance as a predictor of early treatment dropout in a residential substance abuse treatment facility", Journal of Abnormal Psychology, 114(4), pp.729~734 (2005)
  36. Daughters, S. B., "Psychological distress tolerance and duration of most recent abstinence attempt among residential treatment-seeking substance abusers", Psychology of Addictive Behaviors, 19(2), pp.208~211 (2005)
  37. Daughters, S. B., "The relationship between distress tolerance and antisocial personality disorder among male inner-city treatment seeking substance users", Journal of Personality Disorders, 22(5), pp.509~524 (2008)
  38. Deacon, B. J., "The Anxiety Sensitivity Index-Revised : Psychometric properties and factor structure in two nonclinical samples", Behaviour Research and Therapy, 41(12), pp.1427~1449 (2003)
  39. Dennhardt, A. A., "Associations between depression, distress tolerance, delay discounting, and alcoholrelated problems in European American and African American college students", Psychology of Addictive Behaviors, 25(4), pp.595~604 (2011)
  40. Dugas, M. J., "Intolerance of uncertainty and problem orientation in worry", Cognitive Therapy and Research, 21(6), pp.593~606 (1997)
  41. Dugas, M. J., "Intolerance of uncertainty and worry : Investigating specificity in a nonclinical sample", Cognitive Therapy and Research, 25(5), pp.551~558 (2001)
  42. Ehrlich, D., ""Intolerance of ambiguity, "Walk's A scale : Historical comment", Psychological Reports, 17(2), pp.591~594 (1965)
  43. Eisenberger, R., "Effects of conceptual task difficulty on generalized persistence", The American Journal of Psychology, 93(2), pp.285~298 (1980)
  44. Ellis, A., "Conquering low frustration tolerance" (1978), Institute for Rational Living
  45. Fischer, L., "The protective role of testosterone in the development of temporomandibular joint pain", The Journal of Pain, 8(5), pp.437~442 (2007)
  46. Freeston, M. H., "Why do people worry?", Personality and Individual Differences, 17(6), pp.791~802 (1994)
  47. Frenkel-Brunswik, E., "Review of personality : A biosocial approach to origins and structure", Psycholigical Bulletin, 45, pp.348~351 (1948)
  48. Frenkel-Brunswik, E., "Intolerance of ambiguity as an emotional and perceptual personality variable", Journal of Personality, 18(1), pp.108~143 (1949)
  49. Freud, S., "Sigmund Freud Collected Papers 4", pp.13~21 (1911), Hogarth and Institute of Psycho-Analysis
  50. Furnham, A., "Tolerance of ambiguity : A review of the concept, its measurement and applications", Current Psychology, 14(3), pp.179~199 (1995)
  51. Gentes, E. L., "A meta-analysis of the relation of intolerance of uncertainty to symptoms of generalized anxiety disorder, major depressive disorder, and obsessive-compulsive disorder", Clinical Psychology Review, 31(6), pp.923~933 (2011)
  52. Goodman, A., "Addiction : Definition and implications", British Journal of Addiction, 85(11), pp.1403~1408 (1990)
  53. Gorka, S. M., "The role of distress tolerance in the relationship between depressive symptoms and problematic alcohol use", Psychology of Addictive Behaviors, 26(3), pp.621~626 (2012)
  54. Gratz, K. L., "An experimental investigation of emotional willingness and physical pain tolerance in deliberate self-harm : The moderating role of interpersonal distress", Comprehensive Psychiatry, 52(1), pp.63~74 (2011)
  55. Gratz, K. L., "Multidimensional assessment of emotion regulation and dysregulation : Development, factor structure, and initial validation of the difficulties in emotion regulation scale", Journal of Psychopathology and Behavioral Assessment, 26(1), pp.41~54 (2004)
  56. Gratz, K. L., "An experimental investigation of emotion dysregulation in borderline personality disorder", Journal of Abnormal Psychology, 115(4), pp.850~855 (2006)
  57. Grenier, S., "Intolerance of uncertainty and intolerance of ambiguity : Similarities and differences", Personality and Individual Differences, 39(3), pp.593~600 (2005)
  58. Gronwall, D. M., "The psychological effects of concussion" (1974), Aukland University Press
  59. Gross, J. J., "The emerging field of emotion regulation : An integrative review", Review of General Psychology, 2(3), pp.271~299 (1998)
  60. Gross, J. J., "Individual differences in two emotion regulation processes : Implications for affect, relationships, and well-being", Journal of Personality and Social Psychology, 85(2), pp.348~362 (2003)
  61. Gross, J. J., "Hiding feelings: The acute effects of inhibiting negative and positive emotion", Journal of Abnormal Psychology, 106(1), pp.95~103 (1997)
  62. Gross, J. J., "Handbook of emotion regulation", pp.3~24 (2007), The Guilford Press
  63. Hall, K. R. L., "The varying response to pain in psychiatric disorders: A study in abnormal psychology", British Journal of Medical Psychology, 27(12), pp.48~60 (1954)
  64. Hambrook, D., "Emotional expression, self‐silencing, and distress tolerance in anorexia nervosa and chronic fatigue syndrome", British Journal of Clinical Psychology, 50(3), pp.310~325 (2011)
  65. Hancock, P. A., "A meta-analysis of performance response under thermal stressors", Human Factors : The Journal of the Human Factors and Ergonomics Society, 49(5), pp.851~877 (2007)
  66. Harrington, N., "It’s too difficult!Frustration intolerance beliefs and procrastination", Personality and Individual Differences, 39(5), pp.873~883 (2005)
  67. Hayes, S. C., "Acceptance and Commitment Therapy: An experiential approach to behavior change" (1999), Guilford Press
  68. Hayes, S. C., "Measuring experiential avoidance : A preliminary test of a working model", The Psychological Record, 54(4), pp.553~578 (2004)
  69. Heaton, R. K., "Wisconsin card sorting test manual" (1993), Psychological Assessment Resources
  70. Hines, E. A., "A standard stimulus for measuring vasomotor reactions : Its application in the study of hypertension", Mayo Clinic Proceedings, 7, pp.332~335 (1932)
  71. Hocking, C., "Evaluation of cognitive performance in the heat by functional brain imaging and psychometric testing", Comparative Biochemistry and Physiology Part A : Molecular & Integrative Physiology, 128(4), pp.719~734 (2001)
  72. Hooley, J. M., "Pain perception and nonsuicidal self-injury: A laboratory investigation", Personality Disorders: Theory, Research, and Treatment, 1(3), pp.170~179 (2010)
  73. Joiner, T., "Why people die by suicide" (2009), Harvard University Press
  74. Kalat, J., "Emotion" (2011), Cengage Learning
  75. Kane, E. M., "Response to cutaneous pain in mental hospital patients", Journal of Abnormal Psychology, 77(1), pp.52~60 (1971)
  76. Kernberg, O., "Borderline personality organization", Journal of the American Psychoanalytic Association, 15(3), pp.641~685 (1967)
  77. Kirton, M. J., "A reanalysis of two scales of tolerance of ambiguity", Journal of Personality Assessment, 45(4), pp.407~414 (1981)
  78. Klonsky, E. D., "The functions of deliberate self-injury : A review of the evidence", Clinical Psychology Review, 27(2), pp.226~239 (2007)
  79. Klonsky, E. D., "Deliberate self-harm in a nonclinical population : Prevalence and psychological correlates", American Journal of Psychiatry, 160(8), pp.1501~1508 (2003)
  80. Kozak, A. T., "Beyond alcohol and drug addiction. Does the negative trait of low distress tolerance have an association with overeating?", Appetite, 57(3), pp.578~581 (2011)
  81. Lejuez, C. W., "A modified computer version of the Paced Auditory Serial Addition Task(PASAT)as a laboratory-based stressor", The Behavior Therapist, 26(4), pp.290~293 (2003)
  82. Leyro, T. M., "Distress tolerance and psychopathological symptoms and disorders : A review of the empirical literature among adults", Psychological Bulletin, 136(4), pp.576~600 (2010)
  83. 임영진, "Korean Anxiety Sensitivity Index-3: Its Factor Structure, Reliability, and Validity in Non-Clinical Samples", PSYCHIATRY INVESTIGATION, 9(1), pp.45~53 (2012), 대한신경정신의학회
  84. Lim, Y. J., "Korean Anxiety Sensitivity Index-Revised : Its factor structure, reliability, and validity in clinical and nonclinical samples", Depression and Anxiety, 24(5), pp.331~341 (2007)
  85. Linehan, M. M., "Cognitive-behavioral treatment of borderline personality disorder" (1993), The Guilford Press
  86. Linehan, M. M., "Skills training manual for treating borderline personality disorder" (1993), Guilford Press
  87. Linehan, M. M., "Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder", Archives of General Psychiatry, 63(7), pp.757~766 (2006)
  88. MacDonald, A., "Revised scale for ambiguity tolerance : Reliability and validity", Psychological Reports, 26, pp.791~198 (1970)
  89. Matthews, K. A., "Influences of sex and age on cardiovascular responses during stress", Psychosomatic Medicine, 50(1), pp.46~56 (1988)
  90. McHugh, R. K., "A novel method for assessing distress intolerance : Adaptation of a measure of willingness to pay", Journal of Behavior Therapy and Experimental Psychiatry, 42(4), pp.440~446 (2011)
  91. McHugh, R. K., "Refining the measurement of distress intolerance", Behavior Therapy, 43(3), pp.641~651 (2012)
  92. McHugh, R. K., "An examination of the association of distress intolerance and emotion regulation with avoidance", Cognitive Therapy and Research, 37(2), pp.363~367 (2013)
  93. Mennin, D. S., "Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder", Behaviour Research and Therapy, 43(10), pp.1281~1310 (2005)
  94. Neufeld, R. W., "Effects of perceived efficacy of a prophylactic controlling mechanism on self-control under pain stimulation", Canadian Journal of Behavioural Science, 9(3), pp.224~232 (1977)
  95. Nock, M. K., "Physiological arousal, distress tolerance, and social problem-solving deficits among adolescent self-injurers", Journal of Consulting and Clinical Psychology, 76(1), pp.28~38 (2008)
  96. Norton, R. W., "Measurement of ambiguity tolerance", Journal of Personality Assessment, 39(6), pp.607~619 (1975)
  97. O'Connor, P., "Ethnocentrism," intolerance of ambiguity," and abstract reasoning ability", The Journal of Abnormal and Social Psychology, 47(2S), pp.526~530 (1952)
  98. Ocañez, K. L., "A meta‐analytic review of the association between anxiety sensitivity and pain", Depression and Anxiety, 27(8), pp.760~767 (2010)
  99. Pednekar, J. R., "Role of testosterone on pain threshold in rats", Indian Journal of Physiology and Pharmacology, 39(4), pp.423~424 (1995)
  100. Peterson, R. A., "The anxiety sensitivity index : Construct validity and factor analytic structure", Journal of Anxiety Disorders, 1(2), pp.117~121 (1987)
  101. Peterson, R. A., "Anxiety Sensitivity Index revised manual" (1992), International Diagnostic Systems Publishing Corporation
  102. Quinn, E. P., "Is task persistence related to smoking and substance abuse? The application of learned industriousness theory to addictive behaviors", Experimental and Clinical Psychopharmacology, 4(2), pp.186~190 (1996)
  103. Reiss, S., "Anxiety sensitivity, anxiety frequency and the prediction of fearfulness", Behaviour Research and Therapy, 24(1), pp.1~8 (1986)
  104. Richards, J. M., "Distress Tolerance: Theory, research, and clinical applications", pp.171~197 (2011), The Guilford Press
  105. Rydel, S. T., "Measurement and come correlates of need-cognition", Psychological Reports, 19(1), pp.139~165 (1966)
  106. Sargeant, M. N., "Unique roles of antisocial personality disorder and psychopathic traits in distress tolerance", Journal of Abnormal Psychology, 120(4), pp.987~992 (2011)
  107. Schmidt, N. B., "Prospective evaluation of psychological risk factors as predictors of functional impairment during acute stress", Journal of Occupational Rehabilitation, 8(3), pp.199~212 (1998)
  108. Schmidt, N. B., "The role of anxiety sensitivity in the pathogenesis of panic : prospective evaluation of spontaneous panic attacks during acute stress", Journal of Abnormal Psychology, 106(3), pp.355~364 (1997)
  109. Schmidt, N. B., "Discomfort intolerance : Development of a construct and measure relevant to panic disorder", Journal of Anxiety Disorders, 20(3), pp.263~280 (2006)
  110. Selye, H., "The stress of life" (1956), McGraw Hill
  111. Simon, N. M., "The relationship of anxiety disorders, anxiety sensitivity and pulmonary dysfunction with dyspnea-related distress and avoidance", The Journal of Nervous and Mental Disease, 194(12), pp.951~957 (2006)
  112. Simons, J. S., "The Distress Tolerance Scale : Development and validation of a self-report measure", Motivation and Emotion, 29(2), pp.83~102 (2005)
  113. Stöber, J., "Worry, problem elaboration and suppression of imagery : The role of concreteness", Behaviour Research and Therapy, 36(7), pp.751~756 (1998)
  114. Taylor, S., "Robust dimensions of anxiety sensitivity : Development and initial validation of the Anxiety Sensitivity Index-3", Psychological Assessment, 19(2), pp.176~188 (2007)
  115. Timpano, K. R., "Exploration of anxiety sensitivity and distress tolerance as vulnerability factors for hoarding behaviors", Depression and Anxiety, 26(4), pp.343~353 (2009)
  116. Tolin, D. F., "Intolerance of uncertainty in obsessive-compulsive disorder", Journal of Anxiety Disorders, 17(2), pp.233~242 (2003)
  117. Tombaugh, T. N., "A comprehensive review of the paced auditory serial addition test(PASAT)", Archives of Clinical Neuropsychology, 21(1), pp.53~76 (2006)
  118. Trafton, J. A., "Distress tolerance: Theory, research, and clinical applications", pp.80~102 (2011), The Guilford Press
  119. Tull, M. T., "The role of experiential avoidance in posttraumatic stress symptoms and symptoms of depression, anxiety, and somatization", The Journal of Nervous and Mental Disease, 192(11), pp.754~761 (2004)
  120. Tull, M. T., "Development and initial examination of a brief intervention for heightened anxiety sensitivity among heroin users", Behavior Modification, 31(2), pp.220~242 (2007)
  121. Vujanovic, A. A., "Cognitive-affective characteristics of smokers with and without posttraumatic stress disorder and panic psychopathology", Addictive Behaviors, 35(5), pp.419~425 (2010)
  122. Wegner, D. M., "Paradoxical effects of thought suppression", Journal of Personality and Social Psychology, 53(1), pp.5~13 (1987)
  123. Whiteside, S. P., "The five factor model and impulsivity : Using a structural model of personality to understand impulsivity", Personality and Individual Differences, 30(4), pp.669~689 (2001)
  124. Woodrow, K. M., "Pain tolerance : Differences according to age, sex and race", Psychosomatic Medicine, 34(6), pp.548~556 (1972)
  125. Zvolensky, M. J., "Distress tolerance: Theory, research, and clinical applications", pp.3~27 (2011), The Guilford Press

관련 논문AI추천

이 간행물의 다른 논문 (10건)