사회적 배척과 편집 사고의 관계 : 우울과 자아존중감의 중재 및 매개 효과 분석
The Relationship between Social Exclusion and Paranoid Ideation : Analysis of Moderating and Mediating Effects of Depression and Self-Esteem
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본 연구에서는 사회적 배척이 편집 사고에 미치는 영향, 그리고 우울과 자아존중감의 중재 효과와 매개 효과를 알아보기 위해 정신건강의학과 외래에 내원하는 성인 신경증 환자를 대상으로 이전의 사회적 배척 경험과 현재의 편집 사고,우울, 자아존중감을 평가하여 분석하였다. 그 결과, 사회적배척은 편집사고에 미치는 영향이 많았고 특히 고립 배척의영향이 컸다. 또한 사회적 배척의 직접 효과와 동시에 우울의매개를 통한 간접 효과가 확인되었다. 따라서 신경증 환자에서 편집 사고를 보이는 경우 선행한배척 경험에 대한 접근과 매개 변인인 우울에 대한 약물 사용이 편집 사고에 대한 의미 있는 치료 효과를 보일 것으로 예상되며, 이를 검증하기 위한 추가적 실험연구가 필요할 것으로 사료된다.
Abstract
Objectives The aim of this study was to investigate the relationship between social exclusion and paranoid ideation, and to explore moderating and mediating effects of depression and self-esteem in that relationship. Methods Ninety seven neurosis patients receiving treatment in a psychiatric outpatient setting were selected. Social Exclusion Scale, Beck Depression Inventory, paranoia scale of Symptom Checklist-90-Revised, and Rosenberg Self-Esteem Scale were used for evaluation. Results Social exclusion showed highly positive correlation with paranoid ideation, and had significant influence. Among three types of social exclusion, contempt, bullying, and isolation, only isolation showed significant influence on paranoid ideation. Depression showed a partial mediating effect on that relationship indicating that social exclusion affects paranoid ideation not only directly, but also indirectly. On the other hand, self-esteem showed no moderating or mediating effects on that relationship. Conclusion Depression mediates the influence of social exclusion on paranoid ideation. This finding provides an opportunity to decrease paranoid ideation of neurosis patients by not only prescription of antipsychotic agents but also therapeutic approach to social exclusion and depression. An experimental study to verify these findings seems to be needed.
참고문헌 (41)
- Freeman D., "Suspicious minds: the psychology of persecutory delusions", Clin Psychol Rev, 27, pp.425~457 (2007)
- clinical psychiatry, "Kaplan & Sadock’s synopsis of psychiatry:beavioral sciences", pp.2007, Sadock BJ
- Sims A, "Symptoms in the Mind", pp.183~497 (2009), Elsevier Limited
- Freeman D, "Psychological investigation of the structure of paranoia in a non-clinical population", Br J Psychiatry, 186, pp.427~435 (2005)
- Freeman D, "What makes one person paranoid and another person anxious? The differential prediction of social anxiety and persecutory ideation in an experimental situation", Psychol Med, 38, pp.1121~1132 (2008)
- Johnson J, "The validity of major depression with psychotic features based on a community study", Arch Gen Psychiatry, 48, pp.1075~1081 (1991)
- van Os J, "Self-reported psychosis-like symptoms and the continuum of psychosis", Soc Psychiatry Psychiatr Epidemiol, 34, pp.459~463 (1999)
- Hamner MB, "Psychotic features and illness severity in combat veterans with chronic posttraumatic stress disorder", Biol Psychiatry, 45, pp.846~852 (1999)
- Johns LC, "Prevalence and correlates of self-reported psychotic symptoms in the British population", Br J Psychiatry, 185, pp.298~305 (2004)
- Freeman D, "Delusions in the nonclinical population", Curr Psychiatry Rep, 8, pp.191~204 (2006)
- Freeman D, "Concomitants of paranoia in the general population", Psychol Med, 41, pp.923~936 (2011)
- 배활립, "불안장애 외래 환자의 대인관계 외상과 관련된 증상학적 요인", 신경정신의학, 47(6), pp.548~554 (2008), 대한신경정신의학회
- Kwack YS, "Relation between abuse history and psychopathology in runaway sheltered adolescents", J Korean Acad Child Adolesc Psychiatry, 17, pp.149~162 (2006)
- Sun YP, "Psychiatric state of college students with a history of childhood sexual abuse", World J Pediatr, 4, pp.289~294 (2008)
- Read J, "Hallucinations, delusions, and thought disorder among adult psychiatric inpatients with a history of child abuse", Psychiatr Serv, 50, pp.1467~1472 (1999)
- Fuchs T, "Life events in late paraphrenia and depression", Psychopathology, 32, pp.60~69 (1999)
- Son JW, "The preliminary study on the adolescent psychiatric patients that show the chracteristics of peer group neglect or rejection", J Korean Acad Child Adolesc Psychiatry, 11, pp.240~251 (2000)
- Shin SW, "A survey of the psychosis among school violence victims", J Korean Acad Child Adolesc Psychiatry, 11, pp.124~143 (2000)
- 권기준, "사회적 배척이 친족에 대한 자기 유용성 지각에 미치는 효과", 한국심리학회지: 사회및성격, 23(4), pp.27~45 (2009), 한국사회및성격심리학회
- Ellett L, "Paranoia in a nonclinical population of college students", J Nerv Ment Dis, 191, pp.425~430 (2003)
- Fowler D, "The Brief Core Schema Scales (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples", Psychol Med, 36, pp.749~759 (2006)
- Martin JA, "Social cognition and subclinical paranoid ideation", Br J Clin Psychol, 40(Pt 3), pp.261~265 (2001)
- Bentall RP, "The cognitive and affective structure of paranoid delusions:a transdiagnostic investigation of patients with schizophrenia spectrum disorders and depression", Arch Gen Psychiatry, 66, pp.236~247 (2009)
- Freeman D, "The psychology of persecutory ideation I: a questionnaire survey", J Nerv Ment Dis, 193, pp.302~308 (2005)
- Chadwick PD, "Phenomenological evidence for two types of paranoia", Psychopathology, 38, pp.327~333 (2005)
- Derogatis LR., "SCL-90-R, administration, scoring & procedures manual-I for the revised version" (1977), Johns Hopkins University School of Medicine
- Kim KI, "Korean manual of Symptom Checklist-90-Revision" (1984), Jung Ang Juk Sung Publisher
- Beck AT, "Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Rhee MK, "A standardization study of Beck Depression Inventory I-Korean version (K-BDI): reliability and factor analysis", Korean J Psychopathol, 4, pp.77~95 (1995)
- Rosenberg M., "Society and the adolescent self-image" (1965), Princeton University Press
- Bentler PM, "Comparative fit indexes in structural models", Psychol Bull, 107, pp.238~246 (1990)
- Baumeister RF, "The need to belong: desire for interpersonal attachments as a fundamental human motivation", Psychol Bull, 117, pp.497~529 (1995)
- Freeman D, "Connecting neurosis and psychosis: the direct influence of emotion on delusions and hallucinations", Behav Res Ther, 41, pp.923~947 (2003)
- Garety PA, "Delusions: Investigations into the psychology of delusional reasoning" (1994), Oxford University Press
- Gerhard T, "National trends in second-generation antipsychotic augmentation for nonpsychotic depression", J Clin Psychiatry, 75, pp.490~497 (2014)
- Mihanović M, "Suicidality and side effects of antidepressants and antipsychotics", Psychiatr Danub, 22, pp.79~84 (2010)
- Dadić-Hero E, "Antipsychotic side-effect-potential risk of patients rejecting their treatments", Psychiatr Danub, 22, pp.105~107 (2010)
- Voruganti L, "Neuroleptic dysphoria: towards a new synthesis", Psychopharmacology (Berl), 171, pp.121~132 (2004)
- Gervin M, "Dysphoric subjective response to neuroleptics in schizophrenia: relationship to extrapyramidal side effects and symptomatology", Eur Psychiatry, 14, pp.405~409 (1999)
- Buis W, "Patients’ opinions concerning side effects of depot neuroleptics", Am J Psychiatry, 149, pp.844~845 (1992)
- Thewissen V, "Instability in self-esteem and paranoia in a general population sample", Soc Psychiatry Psychiatr Epidemiol, 42, pp.1~5 (2007)