감정표현불능증이 청소년의 비자살적 자해에 미치는 영향: 부모에 의한 학대경험의 조절효과
The Effect of Alexithymia on Non-suicidal Self Injury in Adolescents: The Moderating Role of Child Abuse
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구는 감정표현불능증과 청소년의 비자살적 자해의 관계를 살펴보고, 이 관계에서 부모에 의한 학대경험이 조절효과를 갖는지 살펴보았다. 총 530명의 중⋅고등학생이 연구에 참여하였으며, 자기보고식 질문지를 통하여 비자살적 자해, 감정표현불능증 그리고 부모에 의한 학대에 대한 최근 1년 동안의 경험을 보고하였다. 연구결과에 따르면 부에 의한 학대경험 변인이 청소년의 비자살적 자해에 상대적으로 가장 높은 영향력을 가지는 것으로 나타났다. 또한, 감정표현불능증은 비자살적 자해에 영향을 미쳤으며, 이 관계에서 부모에 의한 학대경험 변인이 조절효과를 가지는 것으로 확인되었다. 본 연구는 감정표현불능증과 비자살적 자해의 사이에서 역기능적인 부모환경의 조절효과를 확인하였으며, 이를 바탕으로 자해 감소 및 예방을 위한 시사점을 제공한다.
Abstract
This study investigated the associations of alexithymia with non-suicidal self-injury (NSSI). Further, the study explored the moderating role of child abuse in the association between alexithymia and NSSI. The participants (age of 13 to 18 middle and high school students, n=530) completed a self-report questionnaire to measure their NSSI, alexithymia and child abuse. As a result, abuse by father was identified to be the most important predictor variable on NSSI in adolescents. And, the association of alexithymia with NSSI was found to be moderated by child abuse.
참고문헌 (53)
- 구훈정, "아동기 정서적 학대경험, 정서강도와 자해의 관계에서 부적응적 인지정서조절과 부정정서의 매개효과", 인지행동치료, 14(2), pp.191~216 (2014)
- 권경인, "청소년 비자살적 자해 위기상담경험에 관한 현상학 연구 : 상담자 경험을 중심으로", 상담학연구, 20(3), pp.369~393 (2019)
- 권혁진, "한국판 자해기능 평가지(The Functional Assessment of Self-Mutilation)의 타당화연구 : 대학생을 중심으로", 한국심리학회지 : 임상심리연구와 실제, 3(1), pp.187~205 (2017)
- 김은진, "우리나라 학생들이 경험하는 학업상황의 정서 연구", 교육심리연구, 25(3), pp.501~521 (2011)
- 김화정, "청소년의 비자살적 자해와 수치심경향성, 죄책감경향성의 관계", 한국심리치료학회지, 11(1), pp.1~20 (2017)
- "청소년 자해는 ‘사회적 재난’...“대책마련 시급”" (2018)[URL]
- 박은미, "아동학대 행위자의 특성에 대한내용분석 연구– 인터넷 상담 사례를 중심으로-", 상담학연구, 8(1), pp.299~316 (2007)
- 배수현, "중학생의 비자살적 자해에 영향을 미치는 요인 : 자해의 심각성을 중심으로", 정신건강과 사회복지, 48(2), pp.122~148 (2020)
- 신현균, "한국판 감정표현불능증 척도 개발 연구", 한국심리학회지 : 임상, 16(2), pp.219~231 (1997)
- 안영신, "청소년의 비자살적 자해행동에관한 연구", 정서⋅행동장애연구, 33(4), pp.257~281 (2017)
- 엄태완, "청소년의 스트레스, 무망감, 우울, 자살생각과 사회적 지지 : 성차를 중심으로", 인문논총, 22, pp.5~30 (2008)
- 이근영, "가정폭력 노출청소년의 정신건강 증진과공격성 감소를 위한 TSL 프로그램 효과 연구", 박사, pp.2013
- 이동귀, "청소년 자해행동 : 여중생의 자살적 자해와 비자살적 자해", 한국심리학회지 : 상담 및 심리치료, 28(4), pp.1171~1192 (2016)
- 정은희, "감정표현불능증이 인지통제력에 미치는 영향", 사회과학연구, 31(4), pp.273~293 (2020)
- 조한익, "초기 청소년기 정서조절 변화에대한 종단연구 : 부모애착의 동시 및 지연효과", 청소년학연구, 19(6), pp.315~337 (2012)
- 함병주, "감정표현불능증 : 그 개념과 치료적함의", 수면⋅정신생리, 9(1), pp.18~23 (2002)
- "Diagnostic and statistical manual of mental disorders", American Psychiatric Association, ~ (2013)
- Barlow, K. M., "Late neurologic and cognitive sequelae of inflicted traumatic brain injury in infancy", Pediatrics, 116(2), pp.174~185 (2005)
- Bresin, K., "Gender differences in the prevalence of nonsuicidal self-injury : A meta-analysis", Clinical Psychology Review, 38, pp.55~64 (2015)
- Cerutti, R., "The role of difficulty in identifying and describing feelings in non-suicidal self-injury behavior(NSSI) : Associations with perceived attachment quality, stressful lift events, and suicidal ideation", Frontier in Psychology, 9 (2018)[DOI]
- Croyle, K. L., "Subclinical Self-Harm : Range of Behaviors, Extent, and Associated Characteristics", American Journal of Orthopsychiatry, 77(2), pp.332~342 (2007)
- Eisenberg, D., "Prevalence and correlates of depression, anxiety, and suicidality among university students", American Journal of Orthopsychiatry, 77(4), pp.534~542 (2007)
- Francis, K. J., "Cognitive and emotional differences between abusive and non-abusive fathers", Child Abuse & Neglect, 32(12), pp.1127~1137 (2008)
- Garisch, J. A., "Vulnerabilities to deliberate self-harm among adolescents : The role of alexithymia and Victimization", The British Journal of Clinical Psychology, 49(2), pp.151~162 (2010)
- Garisch, J. A., "Prevalence, correlates, and prospective predictors of non-suicidal self-injury among New Zealand adolescents : Cross-sectional and longitudinal survey data", Child and Adolescent Psychiatry and Mental Health, 9 (2015)[DOI]
- Giletta, M., "Adolescent non-suicidal self-injury:A cross-national study of community samples from Italy, the Netherlands and the United States", Psychiatry Research, 197(1-2), pp.66~72 (2012)
- Greene, D., "The associations between alexithymia, non-suicidal self-injury, and risky drinking : The moderating roles of experiential avoidance and biological sex", Stress Health, 35(4), pp.457~467 (2019)
- Heath, N. L., "An examination of nonsuicidal self-injury among college students", Journal of Mental Health Counseling, 30(2), pp.137~156 (2008)
- Hildyard, K. L., "Child neglect:Developmental issues and outcomes", Child Abuse &Neglect, 26(6-7), pp.679~695 (2002)
- In-Albon, T., "Emotion regulation in adolescents with nonsuicidal self-injury", Praxis der Kinderpsychologie und Kinderpsychiatrie, 64(5), pp.386~403 (2015)
- Jacobson, C. M., "The Oxford Handbook of Suicide and Self-Injury", pp.308~320 (2014), Oxford University Press
- Jacobson, C. M., "The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents : A critical review of the literature", Archives of Suicide Research, 11(2), pp.129~147 (2007)
- Joiner, T. E., "Why People Die by Suicide" (2005), Harvard University Press
- Karanikola, M., "The association between deliberate self-harm and school bullying victimization and the mediating effect of depressive symptoms and self-stigma: A systematic review", BioMed Research International, 2018 (2018)[DOI]
- Klonsky, E. D., "Non-suicidal self-injury : An introduction", Journal of Clinical Psychology, 63(11), pp.1039~1043 (2007)
- Laye-Gindhu, A., "Nonsuicidal self-harm among community adolescents : Understanding the"whats"and"whys"of self-harm", Journal of Youth and Adolescence, 34(5), pp.447~457 (2005)
- Lee, W. K., "Psychological characteristics of self-harming behavior in Korean", Asian Journal of Psychiatry, 23, pp.119~124 (2016)
- Linehan, M, "Cognitive-behavioral treatment of borderline personality disorder" (1993), Guilford Press
- Lloyd, E. E, "Self-Mutilation in a Community Sample of Adolescents", pp.1997
- Muehlenkamp, J. J., "Self-injury age of onset : A risk factor for NSSI severity and suicidal behavior", Archives of Suicide Research:Official Journal of the International Academy for Suicide Research, 23(4), pp.551~563 (2018)
- Nock, M. K., "Why do people hurt themselves? New insight into the nature and functions of self-injury", Current Directions in Psychological Science, 18(2), pp.78~83 (2009)
- Norman, H., "The relationship between self-harm and alexithymia : A systematic review and meta-analysis", Scandinavian Journal of Psychology, 61(6), pp.855~876 (2020)
- Prasad, M. K., "Cognitive and neuroimaging findings in physically abused preschoolers", Archives of Disease in Childhood, 90(1), pp.82~85 (2005)
- Rodham, K., "Reasons for deliberate self-harm : Comparison of self-poisoners and self-cutters in a community sample of adolescents", Journal of the American Academy of Child & Adolescent Psychiatry, 43(1), pp.80~87 (2004)
- Sifneos, P. E., "The prevalence of"alexithymic"characteristics in psychosomatic patients", Psychotherapy and Psychosomatics, 22(2), pp.255~262 (1973)
- Sornberger, M. J., "Nonsuicidal self-injury and gender : Patterns of prevalence, methods, and locations among adolescents", Suicide and Life-Threatening Behavior, 42(3), pp.266~278 (2012)
- Straus, M. A., "Identification of child maltreatment with the parent-child conflict tactics scales : Development and psychometric data for a national sample of american parents", Child Abuse & Neglect, 22(4), pp.249~270 (1998)
- Swannell, S. V., "Prevalence of nonsuicidal self-injury in nonclinical samples : Systematic review, meta-analysis and meta-regression", Suicide and Life-Threatening Behavior, 44(3), pp.273~303 (2014)
- Taylor, G. J., "Disorders of affect regulation: Alexithymia in medical and psychiatric illness" (1997), Cambridge University Press
- Taylor, G. J., "Toward the development of a new self-report alexithymia scale", Psychotherapy and Psychosomatics, 44(4), pp.191~199 (1985)
- Victor, S., "Parent and peer relationships as longitudinal predictors of adolescent non-suicidal self-injury onset", Child and Adolescent Psychiatry and Mental Health, 13 (2019)[DOI]
- Wang, Q., "Peer victimization, depressive symptoms and non-suicidal self-injury behavior in Chinese migrant children : The roles of gender and stressful life events", Psychology Research and Behavior Management, 12, pp.661~673 (2019)
- Whitlock, J., "Self-injurious behaviors in a college population", Pediatrics, 117(6), pp.1939~1948 (2006)
