본문 바로가기
KERD
논문KCI 등재

우울 장애 환자 중 자살 고위험군의 심리적 특성: MMPI-2-RF를 이용하여

Psychological Characteristics of Patients in Depression with High Suicide Risk: Using MMPI-2-RF

김은경|최준호|박초연
대한신경정신의학회 (Korean Neuropsychiatric Association)|2020.08|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제59권 제3호|pp. 268-276|DOI https://doi.org/10.4306/jknpa.2020.59.3.268

1

조회

0

다운로드

0

인용

0

참고문헌

주제분류정신과학

초록

Objectives The purpose of this study was to examine whether or not MMPI-2-RF can be used as a useful tool to differentiate between the subtypes of high suicide risk among patients with depression. Methods Patients were recruited from the department of psychiatry at a university hospital. Participants were diagnosed using DSM-5 criteria by board certified psychiatrists. Their medical records were reviewed, and participants were put into three groups (Depression with suicide attempt, Depression with suicide ideation, and Normal as a control group). For statistical comparison, MANCOVA with gender as a covariate was used. Results Similar to pervious research, the two Depression groups with high suicide risk showed significantly higher Emotional/Internalizing Dysfunction, Negative Emotionally/Neuroticism-Revised, Demoralization, Dysfunctional Negative Emotions, Suicidal/Death Ideation, Helplessness/ Hopelessness, Self-Doubt, Stress/Worry, and Cognitive complaints than the normal group. In the Depression with suicide attempt group, Behavioral/Externalizing Dysfunction scales were significantly higher than the Depression with suicide ideation group. Conclusion The results show the significant prediction of MMPI-2-RF scales for suicide risk. Severity of mental pain (EID) and impulsive acting-out tendency of mental pain (BXD) were identified as important psychological characteristics of depression patients with suicide risk. The limitations of this study and suggested directions for future research are also discussed.

Abstract

Objectives The purpose of this study was to examine whether or not MMPI-2-RF can be used as a useful tool to differentiate between the subtypes of high suicide risk among patients with depression. Methods Patients were recruited from the department of psychiatry at a university hospital. Participants were diagnosed using DSM-5 criteria by board certified psychiatrists. Their medical records were reviewed, and participants were put into three groups (Depression with suicide attempt, Depression with suicide ideation, and Normal as a control group). For statistical comparison, MANCOVA with gender as a covariate was used. Results Similar to pervious research, the two Depression groups with high suicide risk showed significantly higher Emotional/Internalizing Dysfunction, Negative Emotionally/Neuroticism-Revised, Demoralization, Dysfunctional Negative Emotions, Suicidal/Death Ideation, Helplessness/ Hopelessness, Self-Doubt, Stress/Worry, and Cognitive complaints than the normal group. In the Depression with suicide attempt group, Behavioral/Externalizing Dysfunction scales were significantly higher than the Depression with suicide ideation group. Conclusion The results show the significant prediction of MMPI-2-RF scales for suicide risk. Severity of mental pain (EID) and impulsive acting-out tendency of mental pain (BXD) were identified as important psychological characteristics of depression patients with suicide risk. The limitations of this study and suggested directions for future research are also discussed.

참고문헌 (53)

  3. clinical psychiatry, "Kaplan and Sadock’s synopsis of psychiatry:Behavioral sciences", pp.2011, Sadock BJ
  4. Matthews K, "Role of doctors in the prevention of suicide: the final consultation", Br J Gen Pract, 44, pp.345~348 (1994)
  5. Luoma JB, "Contact with mental health and primary care providers before suicide: a review of the evidence", Am J Psychiatry, 159, pp.909~916 (2002)
  6. Miller M, "Geriatric suicide: the Arizona study", Gerontologist, 18, pp.488~495 (1978)
  7. Nock MK, "Suicide and suicidal behavior", Epidemiol Rev, 30, pp.133~154 (2008)
  8. Hathaway SR, "The MMPI manual" (1951), Psychological Corporation
  9. Butcher J, "MMPI-2: Minnesota Multiphasic Personality Inventory-2: manual for administration and scoring" (1989), University of Minnesota Press
  10. Han K, "The Korean Version of Minnesota Multiphasic Personality Inventory-2-RF Manual" (2011), Maumsarang, Co. Ltd
  11. 이건석, "대학생의 자살위험도와 MMPI-2의 관계", 대한불안의학회지, 11(2), pp.120~128 (2015), 대한불안의학회
  12. 이주영, "대학생의 자살사고와 관련된 MMPI-2 프로파일", 인간이해, 33(2), pp.53~69 (2012), 학생생활상담연구소
  13. Kopper BA, "Assessment of suicidal ideation in young men and women: the incremental validity of the MMPI-2content scales", Death Stud, 25, pp.593~607 (2001)
  14. Sepaher I, "Codetype base rates for the"I Mean Business"suicide items on the MMPI-2", J Clin Psychol, 55, pp.1167~1173 (1999)
  15. 문경주, "MMPI-2-RF 척도로 본대학생 자살 위험군의 심리적 특성", Korean Journal of Clinical Psychology, 34(3), pp.809~827 (2015), 한국임상심리학회[DOI]
  16. Tarescavage AM, "Minnesota Multiphasic Personality Inventory-2-Restructured Form markers of future suicidal behavior in a forensic psychiatric hospital", Psychol Assess, 30, pp.170~178 (2018)
  17. Stanley IH, "A distinct configuration of MMPI-2-RF scales RCd and RC9", ACT is associated with suicide attempt risk among suicide ideators in a psychiatric outpatient sample, 2018, pp.30, 1249~1254
  18. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-5" (2013), American Psychaitric Association
  19. Go HJ, "A validation study of the Suicide Probability Scale for adolescents (SPS-A)", J Korean Neuropsychiatr Assoc, 39, pp.680~690 (2000)
  20. Beck AT, "Clinical predictors of eventual suicide: a 5- to 10-year prospective study of suicide attempters", J Affect Disord, 17, pp.203~209 (1989)
  21. Phillips MR, "Risk factors for suicide in China: a national case-control psychological autopsy study", Lancet, 360, pp.1728~1736 (2002)
  22. 강봉진, "교정시설에서의 자살시도 특징 및 정신사회적 위험요인", 신경정신의학, 48(5), pp.368~373 (2009), 대한신경정신의학회
  23. Isometsä ET, "Suicide attempts preceding completed suicide", Br J Psychiatry, 173, pp.531~535 (1998)
  24. Leon AC, "Statistical issues in the identification of risk factors for suicidal behavior:the application of survival analysis", Psychiatry Res, 31, pp.99~108 (1990)
  25. Suominen K, "Completed suicide after a suicide attempt : a 37-year follow-up study", Am J Psychiatry, 161, pp.562~563 (2004)
  26. Goldston DB, "Suicide attempts among formerly hospitalized adolescents : a prospective naturalistic study of risk during the first 5 years after discharge", J Am Acad Child Adolesc Psychiatry, 38, pp.660~671 (1999)
  27. Foley DL, "Proximal psychiatric risk factors for suicidality in youth : the Great Smoky Mountains Study", Arch Gen Psychiatry, 63, pp.1017~1024 (2006)
  28. Ben-Porath YS, "MMPI-2-RF, Minnesota Multiphasic Personality Inventory-2 Restructured Form: manual for administration, scoring and interpretation" (2008), University of Minnesota Press
  29. Han K, "Minnesota Multiphasic Personality Inventory-2 Manual" (2011), Maeumsarang
  30. 한경희, "한국판 MMPI-2의 개발 연구", Korean Journal of Clinical Psychology, 25(2), pp.533~564 (2006), 한국임상심리학회
  31. Hawton K, "Sex and suicide. Gender differences in suicidal behaviour", Br J Psychiatry, 177, pp.484~485 (2000)
  32. Oquendo MA, "Ethnic and sex differences in suicide rates relative to major depression in the United States", Am J Psychiatry, 158, pp.1652~1658 (2001)
  33. Wunderlich U, "Gender differences in adolescents and young adults with suicidal behaviour", Acta Psychiatr Scand, 104, pp.332~339 (2001)
  34. 전은영, "우울장애와 불안장애 환자군의 MMPI-2 특성", 상담학연구, 14(1), pp.555~572 (2013), 한국상담학회[DOI]
  35. 장한아, "다면적 인성검사 II 재구성판(MMPI-2-RF)으로 살펴본 노인 우울장애의 임상적 특성", 한국심리학회지: 건강, 20(3), pp.643~664 (2015), 한국건강심리학회[DOI]
  36. 문경주, "MMPI-2-RF 척도의 진단적 유용성: 양극성장애, 주요우울장애, 조현병 집단의 비교", Korean Journal of Clinical Psychology, 34(1), pp.103~123 (2015), 한국임상심리학회[DOI]
  37. Ribeiro JD, "An empirically based approach to the assessment and management of suicidal behavior", J Psychother Integr, 23, pp.207~221 (2013)
  38. Orbach I, "Mental pain: a multidimensional operationalization and definition", Suicide Life Threat Behav, 33, pp.219~230 (2003)
  39. Moras K, "Perspectives and promises of clinical psychology" (1991), Springer
  40. Haber JC, "Minnesota Multiphasic Personality Inventory-2restructured form (MMPI-2-RF) Scales as predictors of psychiatric diagnoses", S Afr J Psychol, 44, pp.439~453 (2014)
  41. 정윤경, "임상현장에서 MMPI-2의 진단적 유용성: 우울증 환자군과 정신분열증 환자군의 비교", Korean Journal of Clinical Psychology, 28(2), pp.339~362 (2009), 한국임상심리학회[DOI]
  42. Kisch J, "Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey", Suicide Life Threat Behav, 35, pp.3~13 (2005)
  43. 노명선, "대학생들의 자살관련행동에 관한 연구", 신경정신의학, 46(1), pp.35~40 (2007), 대한신경정신의학회
  44. 강석화, "대학생의 대학생활스트레스와 자살생각의 관계에서 우울의 매개효과", 청소년학연구, 20(4), pp.49~71 (2013), 한국청소년학회
  45. 김성완, "자살시도 위험요인 및 자살에 대한 태도 연구", 신경정신의학, 49(4), pp.367~373 (2010), 대한신경정신의학회
  46. Beck AT, "Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness", J Consult Clin Psychol, 57, pp.309~310 (1989)
  47. Gottfried E, "The clinical utility of the MMPI-2-RF Suicidal", Death Ideation Scale, 2014, pp.26, 1205~1211
  48. Goldney R, "Anger, suicidal ideation, and attempted suicide: a prospective study", Compr Psychiatry, 38, pp.264~268 (1997)
  49. Langhinrichsen-Rohling J, "Suicidal behavior, negative affect, gender, and self-reported delinquency in college students", Suicide Life Threat Behav, 34, pp.255~266 (2004)
  50. Ahmedani BK, "Major physical health conditions and risk of suicide", Am J Prev Med, 53, pp.308~315 (2017)
  51. Lam RW, "Cognitive dysfunction in major depressive disorder : effects on psychosocial functioning and implications for treatment", Can J Psychiatry, 59, pp.649~654 (2014)
  52. 허은혜, "정신건강의학과 환자의 자살사고와 우울 수준에 따른MMPI-2 프로파일 비교와 우울 및 자살사고 예언지표", 신경정신의학, 57(1), pp.86~95 (2018), 대한신경정신의학회[DOI]
  53. Munley PH, "MMPI—2 findings in schizophrenia and depression", Psychol Assess, 9, pp.508~511 (1997)

관련 논문AI추천

정신건강의학과 환자의 자살사고와 우울 수준에 따른MMPI-2 프로파일 비교와 우울 및 자살사고 예언지표강희양, 정성훈, 허은혜대한신경정신의학회 · 신경정신의학2018 · 제57권 제1호MMPI-2-RF 척도로 본대학생 자살 위험군의 심리적 특성문경주, 이주영, 허자영한국임상심리학회 · Korean Journal of Clinical Psychology2015 · 제34권 제3호우울증 환자에서 자살 시도 유무에 따른 방어기제와 심리적 특성 차이구본훈, 김지연, 김혜금, 박희정, 이영지, 천은진, 최재화한국정신분석학회 · 정신분석2017 · 제28권 제4호대학생의 자살위험도와 MMPI-2의 관계김대호, 김석현, 이건석, 이혜경, 장은영대한불안의학회 · 대한불안의학회지2015 · 제11권 제2호응급실내원 자살시도자에서 MMPI 특성강석훈, 김태훈, 서형철, 오성범, 이준형, 임명호대한불안의학회 · 대한불안의학회지2012 · 제8권 제2호MMPI-2-RF 척도의 진단적 유용성: 양극성장애, 주요우울장애, 조현병 집단의 비교김지혜, 문경주, 육근영, 한경희한국임상심리학회 · Korean Journal of Clinical Psychology2015 · 제34권 제1호

이 간행물의 다른 논문 (13건)

소아청소년정신의학 분야에서 시행되는 정책적 접근 및 인접 분야와의 통섭박민현pp. 175-175영유아건강검진 사업에서 소아정신과 전문의의 역할반건호pp. 176-184정신건강의학과 의사가 문화적 역량을 갖추고 다양한 문화적 배경을 가진 소아청소년 환자와 가족을 면담하는 법정운선pp. 185-195아동 성폭력과 정부지원 아동 성폭력 지원기관 (해바라기센터)송동호pp. 196-201소아·청소년에 대한 만사형통형 모델조수철pp. 202-207
원문 보기