불확실성에 대한 인내력 부족이 우울에 미치는 영향 : 부적응적 완벽주의의 매개효과
The Effect of Intolerance of Uncertainty on Depression: Mediating Effect of Maladaptive Perfectionism
1
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
본 연구는 불확실성에 대한 인내력 부족과 우울의 관계를 알아보고, 이 둘의 관계에서 부적응적 완벽주의가 매개효과를 갖는지 여부를 검증하고자 하였다. 본 연구의 대상자는 서울과 충청도 소재 대학교의 대학생 429명(평균=21.79, 표준편차=2.29)으로, 한국판 불확실성에 대한 인내력 척도(K-IUS-14), 다차원적 완벽주의 척도(MPS), Beck의 우울 척도(BDI)를 사용하여 자기보고식 설문지를 실시하였다. 자료 분석은 상관관계 분석, 중다회귀분석 및 위계적 회귀분석을 사용하였다. 주요 연구 결과는 다음과 같다. 첫째, 불확실성에 대한 인내력 부족, 우울, 부적응적 완벽주의 간에는 통계적으로 유의한 정적 상관관계가 존재하였다. 둘째, 불확실성에 대한 인내력 부족과 부적응적 완벽주의가 우울에 유의한 정적 영향을 주는 것을 확인하였다. 셋째, 불확실성에 대한 인내력 부족이 우울에 영향을 미치는데 있어서 부적응적 완벽주의가 부분 매개 역할을 하는 것으로 확인되었다. 끝으로 본 연구의 의의와 제한점, 추후 연구를 위한 제언점 등을 논의하였다.
Abstract
The purpose of this study was to examine the mediation effects of maladaptive perfectionism on the relationship between intolerance of uncertainty and depression. The subjects of this study were 429 college students (M=21.79, SD=2.29) in Seoul and Chungcheong-do. Self-report questionnaires were conducted using the Korean version Intolerance of Uncertainty Scale(K-IUS-14), Multidimensional Perfectionism Scale (MPS), and Beck's Depression Scale (BDI). The data were analyzed using correlation analysis, multiple regression analysis and hierarchical multiple regression analysis. The results are as follows. First, intolerance of uncertainty, depression, and maladaptive perfectionism showed statistically significant positive correlation. Second, intolerance of uncertainty and maladaptive perfectionism have a significant positive effect on depression. Third, maladaptive perfectionism has a mediating effect on the relationship between intolerance of uncertainty and depression. Finally, the implications and limitations of this study were discussed.
참고문헌 (70)
- Affrunti, N.W, "Perfectionism in pediatric anxiety and depressive disorder", Clinical Child Family Psychology Review, 17, pp.299~317 (2014)
- Ashby, J. S., "Perfectionism, shame, and depressive symptoms", Journal of Counseling & Development, 84(2), pp.148~156 (2006)
- Baron, R. M., "The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)
- Beck, A. T., "An inventory for measuring depression", Archives of general psychiatry, 4(6), pp.561~571 (1961)
- Beck, I. C., "The roles of coping strategies for uncertainty on depression and anxiety", Master, pp.2016
- Bergman, A. J., "Correlates with perfectionism and the utility of a dual process model", Personality and Individual Differences, 43(2), pp.389~399 (2007)
- 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)
- Blat, S. J., "The destructiveness of perfectionism: Implications for the treatment of depression", American Psychologist, 50, pp.103~1020 (1995)
- Boelen, P. A., "Intolerance of uncertainty and social anxiety", Journal of Anxiety Disorders, 23(1), pp.130~135 (2009)
- Bomyea, J., "Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder", Journal of Anxiety Disorders, 33, pp.90~94 (2015)
- Buhr, K., "The intolerance of uncertainty scale: Psychometric properties of the English version", Behaviour Research and Therapy, 40(8), pp.931~945 (2002)
- Buhr, K., "Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry", Journal of Anxiety Disorders, 20(2), pp.222~236 (2006)
- Burns, D. D., "The perfectionist's script for self-defeat", Psychology Today, 34~52 (1980)
- Burns, L. R., "Cognitive styles: Links with perfectionistic thinking", Personality and Individual Differences, 38(1), pp.103~113 (2005)
- Carleton, R. N., "Increasingly certain about uncertainty: Intolerance of uncertainty across anxiety and depression", Journal of Anxiety Disorders, 26(3), pp.468~479 (2012)
- Carleton, R. N., "Fearing the unknown: A short version of the intolerance of uncertainty scale", Journal of Anxiety Disorders, 21(1), pp.105~117 (2007)
- Chung, S. J., "A Study of the Development of Cognitive - Behavioral Group Counseling Program for Reducing the Perfectionism", Doctor, pp.1991
- Enns, M. W., "Adaptive and maladaptive perfectionism: Developmental origins and association with depression proneness", Personality and Individual Differences, 33(6), pp.921~935 (2002)
- de Jong-Meyer, R., "Relationships between rumination, worry, intolerance of uncertainty and metacognitive beliefs", Personality and Individual Differences, 46(4), pp.547~551 (2009)
- Dugas, M. J., "Further validation of a cognitive-behavioral model of generalized anxiety disorder: diagnostic and symptom specificity", Journal of Anxiety Disorders, 19, pp.329~343 (2005)
- Dugas, M. J., "Cognitive-behavioral treatment for generalized anxiety disorder: From science to practice" (2007), Taylor & Francis
- Dugas, M. J., "Intolerance of uncertainty, worry, and depression", Cognitive Therapy and Research, 28, pp.835~842 (2004)
- Fedewa, B. A., "Positive and negative perfectionism and the shame", guilt distinction: Adaptive and maladaptive characteristics, 2005, pp.38(7), 1609~1619
- Flett, G. L., "Perfectionism: Theory, research, and treatment" (2002), American Psychological Association
- Flett, G. L., "Dimensions of perfectionism, psychosocial adjustment, and social skill", Personality and Individual Differences, 20, pp.143~150 (1996)
- Fotinos, K., "Predicting OCD: An analysis of the conceptually related measures of intolerance of uncertainty, perfectionism, and coping", EC Psychology and Psychiatry, 7, pp.270~280 (2018)
- Freeston, M. H., "Why do people worry?", Personality and individual differences, 17(6), pp.791~802 (1994)
- Frost, R. O., "A comparison of two measures of perfectionism", Personality and Individual Difference, 13, pp.119~126 (1993)
- Frost, R. O., "The dimensions of perfectionism", Cognitive Therapy and Research, 14, pp.449~468 (1990)
- Gotwals, J. K., "An examination of perfectionism and self-esteem in intercollegiate athletes", Journal of Sport Behavior, 26(1), pp.17~38 (2003)
- Hamacheck, D. E., "Psychodynamics of normal and neurotic perfectionism", Psychology: A Journal of Human Behavior, 15(1), pp.27~33 (1978)
- Han, J. Y., "The mediating effects of shame and cognitive coping strategies between maladaptive perfectionism and depression", Master, pp.2010
- Hewitt, P. L., "Perfectionism in the self and social context: conceptualization, assessment and association with Psychopathology", Journal of Personality and Social Psychology, 60, pp.456~470 (1991)
- Hock, M., "Coping with threat and memory for ambiguous information: testing the repressive discontinuity hypothesis", Emotion, 4, pp.65~86 (2004)
- Kessler, R. C., "Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey", Journal of Affective Disorders, 45, pp.19~30 (1997)
- Kim, D. Y., "The effects of the mindfulness meditation and the rational emotive behavior therapy on the reduction of maladaptive perfectionism and stress", Master, pp.2006
- 김현정, "평가염려 완벽주의와 불안 및 우울간의 관계에서 스트레스와 반복사고의 매개효과", 한국심리학회지:일반, 26(2), pp.183~205 (2007), 한국심리학회
- Kim, J. B., "New trend in cognitive behavior therapy for depressive disorders", Cognitive Behavior Therapy in Korea, 6(2), pp.131~144 (2006)
- 김정은, "수용전념치료가 평가염려 완벽주의적 대학생들의 평가염려 완벽주의, 부정적 평가에 대한 두려움, 경험 회피 및 자기효능감에 미치는 효과", Korean Journal of Clinical Psychology, 31(3), pp.749~771 (2012), 한국임상심리학회[DOI]
- 김가희, "불확실성에 대한 인내력 부족이 우울에 미치는 영향: 자기자비의 매개효과를 중심으로", 한국심리학회지: 건강, 21(4), pp.861~875 (2016), 한국건강심리학회[DOI]
- 고민위, "불확실성에 대한 인내력 부족이 남녀 대학생의 진로장벽에 미치는 영향: 완벽주의의 조절효과", 인간이해, 36(2), pp.21~40 (2015), 학생생활상담연구소
- Kutlesa, N., "A group intervention with university students who experience difficulties with perfectionism", pp.2002
- Ladouceur, R., "Experimental manipulation of intolerance of uncertainty: a study of a theoretical model of worry", Behaviour Research and Therapy, 38(9), pp.933~941 (2000)
- Lee, S., "Validation study of the korean version of the intolerance of uncertainty scale", Master, pp.2016
- Lee, S. J., "The influences of intolerance of uncertainty on depression: The moderating effects of emotion regulation strategy", Master, pp.2013
- Lee, Y. H., "A Study of the reliability and the validity of the BDI, SDS, and MMPI-D Scales", Korean Journal of Clinical Psychology, 10(1), pp.98~113 (1991)
- Liao, K. Y. H., "Intolerance of uncertainty, depression, and anxiety: The moderating and mediating roles of rumination", Journal of Clinical Psychology, 67(12), pp.1220~1239 (2011)
- Lieberman, L., "Cognitive flexibility mediates the relation between intolerance of uncertainty and safety signal responding in those with panic disorder", Cognition and Emotion, 24, pp.1~9 (2015)
- Lind, C., "Intolerance of uncertainty mediates the relationship between responsibility beliefs and compulsive checking", Journal of Anxiety Disorders, 23(8), pp.1047~1052 (2009)
- Nichols, B., "Cognitive flexibility and resilience: Relationships among intolerance of uncertainty, world assumptions, and PTSD symptoms", Journal Contents, 20(2), pp.69~80 (2015)
- McEvoy, P. M., "To be sure, to be sure: Intolerance of uncertainty mediates symptoms of various anxiety disorders and depression", Behavior Therapy, 43(3), pp.533~545 (2012)
- Miranda, R., "Depression, generalized anxiety disorder, and certainty in pessimistic predictions about the future", Cognitive Therapy and Research, 31(1), pp.71~82 (2007)
- Park, J. H., "The moderating effects of self-absorption on the relationship between maladaptive perfectionism and depression among university students", Master, pp.2013
- Park, K., "Review on relationship between dispositional optimism, mindfulness, metacognition and depression", The Journal of the Korean Association of Psychotherapy, 2(1), pp.1~12 (2010)
- Pi, S. B., "The effect of maladaptive perfectionism and emotional dysregulation on obsessive-compulsive symptoms: mediating effect of experiential avoidance", Master, pp.2016
- Reuther, E. T., "Intolerance of uncertainty as a mediator of the relationship between perfectionism and obsessive‐compulsive symptom severity", Depression and Anxiety, 30(8), pp.773~777 (2013)
- Rho, H. J., "The relationship between maladaptive perfectionism and depression in undergraduate students: The mediating effect of rumination and experiential avoidance", Master, pp.2015
- Rice, K. G., "Perfectionism and self‐development: Implications for college adjustment", Journal of Counseling & Development, 80(2), pp.188~196 (2002)
- Rice, K. G., "Self-esteem as a mediator between perfectionism and depression: A structural equations analysis", Journal of Counseling Psychology, 45(3), pp.304~314 (1998)
- Salzman, L., "Sullivan's views on the obsessional states", Contemporary Psychoanalysis, 16(3), pp.271~286 (1980)
- Sarawgi, S., "Intolerance of uncertainty and obsessive-compulsive symptom expression", Journal of Behavior Therapy and Experimental Psychiatry, 44(4), pp.456~462 (2013)
- Sexton, K. A., "Defining distinct negative beliefs about uncertainty: Validating the factor structure of the intolerance of uncertainty scale", Psychological Assessment, 21(2), pp.176~186 (2009)
- Sherry, S. B., "Social support as a mediator of the relationship between perfectionism and depression: A preliminary test of the social disconnection model", Personality and Individual Differences, 45(5), pp.339~344 (2008)
- Shin, E. K., "Intolerance of uncertainty, depression, and anxiety: The mediating role of experiential Avoidance", Master, pp.2012
- 신혜원, "부적응적 완벽주의가 우울 증상에 미치는 영향: 반추와 내적 속박감의 연속매개효과", 인지행동치료, 17(4), pp.489~506 (2017), 한국인지행동치료학회
- Sobel, M. E., "Asymptotic confidence intervals for indirect effects in structural equation models", Sociological Methodology, 13, pp.290~312 (1982)
- Sternheim, L., "experimental exploration of behavioral and cognitive– emotional aspects of intolerance of uncertainty in eating disorder patients", Journal of Anxiety Disorders, 25(6), pp.806~812 (2011)
- Wittchen, H. U., "DSM-III-R generalized anxiety disorder in the National Comorbidity Survey", Archives of General Psychiatry, 51(5), pp.355~364 (1994)
- Yoo, S. J., "Personality traits of worriers", Psychological Science, 9(1), pp.15~37 (2000)
- Yook, K., "Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder", Journal of Anxiety Disorders, 24(6), pp.623~628 (2010)
