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정서장애 관련 취약성과 우울 및 불안의 관계에서 지각된 스트레스와 자기자비의 조절된 매개효과

Moderated mediation of perceived stress and self-compassion in the relationship between vulnerability related to emotional disorders and depression and anxiety

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초록

본 연구는 일반 성인의 정서장애 관련 취약성이 지각된 스트레스를 매개로 우울, 불안에 미치는 영향이 자기자비 수준에 따라 차이를 보이는지 살펴보는 데 목적이 있다. 이를 위해 현재 정신건강의학과 약물치료 중이거나 상담 중인 경우를 제외한 20세 이상 60세 이하의 일반 성인을 대상으로 온라인 설문조사를 실시하였고, 총 441명의 자료를 분석하였다. 정서장애 관련 취약성은 특성불안과 통제감 척도를 사용하여 측정하였고, 지각된 스트레스, 자기자비, 우울 및 불안을 측정하는 척도들을 사용하여 조절된 매개효과를 살펴보았다. 그 결과, 정서장애 관련 취약성 변인은 지각된 스트레스, 우울, 불안과 유의한 정적 상관을 나타내었고, 자기자비와는 유의한 부적 상관을 나타내었다. 보다 중요하게, 정서장애 관련 취약성이 우울 및 불안에 미치는 영향을 매개하는 지각된 스트레스의 영향력은 자기자비 수준이 높을수록 감소하였다. 이러한 결과를 바탕으로 일반 성인의 우울과 불안을 경감시키기 위한 자기자비의 활용 방안에 대해 논의하였다. 본 연구 결과는 비임상 집단인 일반 성인의 정서장애 관련 취약성과 우울 및 불안의 관계를 살펴보고, 정신건강 증진을 위한 자원으로써 자기자비의 기여를 확인하는 것에 의의가 있다.

Abstract

The purpose of this study was to examine whether the effects of vulnerability to emotional disorders on depression and anxiety, mediated by perceived stress, differ based on levels of self-compassion in the non-clinical population. To accomplish this, an online survey was given to individuals between the ages of 20 and 60, and the data from a total of 441 participants were analyzed. Vulnerability to emotional disorders was measured using scales for trait anxiety and emotional control. Moderated mediation effects were examined using scales for perceived stress, self-compassion, depression, and anxiety. The results showed that the vulnerability to emotional disorders variable had a significant positive correlation with perceived stress, depression, and anxiety, while having a significant negative correlation with self-compassion. More importantly, the influence of perceived stress in mediating the effects of vulnerability to emotional disorders on depression and anxiety was lower with higher levels of self-compassion. The usefulness of self-compassion in alleviating depression and anxiety in the non-clinical population was discussed. The findings are significant in terms of exploring the relationship between vulnerability to emotional disorders and depression/anxiety in a non-clinical population, as well as confirming the role of self-compassion as a resource for promoting mental health.

참고문헌 (88)

  1. "최근 5년(2017∼2021년)우울증과 불안장애 진료현황 분석" (2022), 건강보험심사평가원[URL]
  2. "우울증 외래평가 결과보고서(2021년)" (2022), 건강보험심사평가원[URL]
  3. 고은정, "자기자비와 자존감이 부정적 생활사건경험 시 정서에 미치는 영향", 박사, pp.2014
  4. 김경의, "한국판자기-자비 척도의 타당화 연구 : 대학생을 중심으로", 한국심리학회지 : 건강, 13(4), pp.1023~1044 (2008)
  5. 박영남, "우울장애와 불안장애의 공유 특성", 생물치료정신의학, 9(1), pp.118~128 (2003)
  6. 박준호, "대학생을 대상으로 한 한국판지각된 스트레스 척도 타당화 연구", 한국심리학회지일반, 29(3), pp.611~629 (2010)
  7. 안제용, "한국어판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 표준화 연구", 생물치료정신의학, 19(1), pp.47~56 (2013)
  8. 오윤희, "개정된 한국판 불안통제 질문지의 요인구조 : 임상, 비임상표본간 형태 및 측정동일성 검증", 한국심리학회지 : 임상, 28(4), pp.995~1010 (2009)
  9. 조현주, "자기비판과 우울관계에서 지각된 스트레스와 자기자비 효과", 한국심리학회지 : 건강, 16(1), pp.49~62 (2011)
  10. 최미경, "생활 스트레스와 지각된 불안통제감 및 대처양식이 대학생의 불안에 미치는 영향", 한국심리학회지 : 임상, 24(2), pp.281~298 (2005)
  11. 한덕웅, "Spielberger 상태-특성 불안 검사의 표준화", 한국심리학회 학술대회 자료집, 1993(1), pp.505~512 (1993)
  12. Aas, M., "Affective lability mediates the association between childhood trauma and suicide attempts, mixed episodes and co-morbid anxiety disorders in bipolar disorders", Psychological Medicine, 47(5), pp.902~912 (2017)
  13. Allen, A. B., "Self-Compassion, stress, and coping", Social and Personality Psychology Compass, 4(2), pp.107~118 (2010)
  14. Allen, L. B., "Cognitive-behavior therapy(CBT)for panic disorder : Relationship of anxiety and depression comorbidity with treatment outcome", Journal of Psychopathology and Behavioral Assessment, 32, pp.185~192 (2010)
  15. Andrews, G., "Exploring the feasibility of a meta-structure for DSM-V and ICD-11 : could it improve utility and validity? : Paper 1 of 7 of the thematic section : ‘A proposal for a meta-structure for DSM-V and ICD-11’", Psychological Medicine, 39(12), pp.1993~2000 (2009)
  16. Åström, E, "Getting “stuck” in the future or the past:relationships between dimensions of time perspective, executive functions, and repetitive negative thinking in anxiety", Psychopathology, 51(6), pp.362~370 (2018)
  17. Bachmann, S., "Epidemiology of suicide and the psychiatric perspective", International Journal of Environmental Research and Public Health, 15(7), pp.1425~1448 (2018)
  18. Bar-Haim, Y., "Threat-related attentional bias in anxious and nonanxious individuals : a metaanalytic study", Psychological Bulletin, 133(1), pp.1~24 (2007)
  19. Barlow, D. H., "Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory", American Psychologist, 55(11), pp.1247~1263 (2000)
  20. Barlow, D. H., "Anxiety and its disorders : The nature and treatment of anxiety and panic" (2004), Guilford Press
  21. Barlow, D. H., "Applications of the unified protocol for transdiagnostic treatment of emotional disorders" (2017), Oxford University Press
  22. Beck, A. T., "A cognitive model of anxiety formation and anxiety resolution", Issues in Mental Health Nursing, 7(1-4), pp.349~365 (1985)
  23. Brown, T. A., "Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample", Journal of Abnormal Psychology, 110(4), pp.585~599 (2001)
  24. Brown, T. A., "Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal", Journal of Abnormal Psychology, 107(2), pp.179~192 (1998)
  25. Brown, T. A., "Reliability of DSM-IV anxiety and mood disorders : implications for the classification of emotional disorders", Journal of Abnormal Psychology, 110(1), pp.49~58 (2001)
  26. Burns, R. A., "Subjective well-being mediates the effects of resilience and mastery on depression and anxiety in a large community sample of young and middle-aged adults", Australian & New Zealand Journal of Psychiatry, 45(3), pp.240~248 (2011)
  27. Chambers, J. A., "The relationship between trait vulnerability and anxiety and depressive diagnoses at long-term follow-up of Generalized Anxiety Disorder", Journal of Anxiety Disorders, 18(5), pp.587~607 (2004)
  28. Chorpita, B. F., "The development of anxiety : the role of control in the early environment", Psychological Bulletin, 124(1), pp.3~21 (1998)
  29. Clark, L. A., "Tripartite model of anxiety and depression : psychometric evidence and taxonomic implications", Journal of Abnormal Psychology, 100(3), pp.316~336 (1991)
  30. Clark, L. A., "Temperament, personality, and the mood and anxiety disorders", Journal of Abnormal Psychology, 103(1), pp.103~116 (1994)
  31. Cohen, S., "A global measure of perceived stress", Journal of Health and Social Behavior, 24(4), pp.385~396 (1983)
  32. Connor, K. M., "Perceived stress in anxiety disorders and the general population : A study of the Sheehan stress vulnerability scale", Psychiatry Research, 151(3), pp.249~254 (2007)
  33. Costa, J., "Validation of the psychometric properties of the Self-Compassion Scale. Testing the factorial validity and factorial invariance of the measure among borderline personality disorder, anxiety disorder, eating disorder and general populations", Clinical Psychology & Psychotherapy, 23(5), pp.460~468 (2016)
  34. Diedrich, A., "Self-compassion as an emotion regulation strategy in major depressive disorder", Behaviour Research and Therapy, 58, pp.43~51 (2014)
  35. Emmelkamp, P. M., "Advancing psychotherapy and evidence-based psychological interventions", International Journal of Methods in Psychiatric Research, 23(S1), pp.58~91 (2014)
  36. Gallagher, M. W., "Perceived control and vulnerability to anxiety disorders : A meta-analytic review", Cognitive Therapy and Research, 38, pp.571~584 (2014)
  37. Gamez, W., "Abnormal personality and the mood and anxiety disorders : Implications for structural models of anxiety and depression", Journal of Anxiety Disorders, 21(4), pp.526~539 (2007)
  38. Gilbert, P., "Introducing compassion-focused therapy", Advances in Psychiatric Treatment, 15(3), pp.199~208 (2009)
  39. Gilbert, P., "An introduction to compassion focused therapy in cognitive behavior therapy", International Journal of Cognitive Therapy, 3(2), pp.97~112 (2010)
  40. Gray, J. A., "The psychology of fear and stress" (1987), Cambridge University Press
  41. Hong, R. Y., "Developmental Trajectories and Origins of a Core Cognitive Vulnerability to Internalizing Symptoms in Middle Childhood", Clinical Psychological Science, 5(2), pp.299~315 (2017)
  42. Inwood, E., "Mechanisms of change in the relationship between self-compassion, emotion regulation, and mental health : A systematic review", Applied Psychology : Health and Well-Being, 10(2), pp.215~235 (2018)
  43. Isyanov, E. V., "Does stress perception mediate the relationship between anxiety sensitivity and anxiety and depression symptoms?", Anxiety, Stress & Coping, 17(2), pp.153~162 (2004)
  44. Javaid, S. F., "Epidemiology of anxiety disorders : global burden and sociodemographic associations", Middle East Current Psychiatry, 30(1), pp.44~54 (2023)
  45. Kennedy, B. L., "Assessment of state and trait anxiety in subjects with anxiety and depressive disorders", Psychiatric Quarterly, 72, pp.263~276 (2001)
  46. Kline, R. B., "Principles and practice of structural equation modeling" (2015), Guilford Publications
  47. Knowles, K. A., "Specificity of trait anxiety in anxiety and depression : Meta-analysis of the State-Trait Anxiety Inventory", Clinical Psychology Review, 82, pp.101928~ (2020)
  48. Kotov, R., "The Hierarchical Taxonomy of Psychopathology(HiTOP) : A dimensional alternative to traditional nosologies", Journal of Abnormal Psychology, 126(4), pp.454~477 (2017)
  49. Kroenke, K., "Improvements in Pain or Physical Function and Changes in Depression and Anxiety Symptoms", JAMA Network Open, 6(6), pp.e2320474~ (2023)[DOI]
  50. Lazarus, R. S., "Stress, appraisal, and coping" (1984), Springer publishing company
  51. Leary, M. R., "Self-compassion and reactions to unpleasant self-relevant events : the implications of treating oneself kindly", Journal of Personality and Social Psychology, 92(5), pp.887~904 (2007)
  52. Lefèvre, H. K., "Time perspective differences between depressed patients and non-depressed participants, and their relationships with depressive and anxiety symptoms", Journal of Affective Disorders, 246, pp.320~326 (2019)
  53. Levey, A. B., "A model for personality", pp.123~168 (1981), Springer Berlin Heidelberg
  54. Luo, X., "Concurrent TMS-EEG and EEG reveal neuroplastic and oscillatory changes associated with selfcompassion and negative emotions", International Journal of Clinical and Health Psychology, 23(1), pp.100343~ (2023)[DOI]
  55. MacBeth, A., "Exploring compassion : A meta-analysis of the association between self-compassion and psychopathology", Clinical Psychology Review, 32(6), pp.545~552 (2012)
  56. MacLeod, C., "Selective attention and emotional vulnerability : assessing the causal basis of their association through the experimental manipulation of attentional bias", Journal of Abnormal Psychology, 111(1), pp.107~123 (2002)
  57. Mansell, W., "Conceptual foundations of the transdiagnostic approach to CBT", Journal of Cognitive Psychotherapy, 23(1), pp.6~19 (2009)
  58. Mineka, S., "Nebraska Symposium on Motivation, 1995: Perspectives on anxiety, panic, and fear", pp.135~210 (1996), University of Nebraska Press
  59. Mineka, S., "A contemporary learning theory perspective on the etiology of anxiety disorders : it's not what you thought it was", American Psychologist, 61(1), pp.10~26 (2006)
  60. Mineka, S., "Psychopathology : Comorbidity of anxiety and unipolar mood disorders", Annual Review of Psychology, 49, pp.377~412 (1998)
  61. Monroe, S. M., "Diathesis-stress theories in the context of life stress research : implications for the depressive disorders", Psychological Bulletin, 110(3), pp.406~425 (1991)
  62. "Major Depressive Episode with Impairment Among Adults" (2021)[URL]
  63. Neff, K. D., "The development and validation of a scale to measure self-compassion", Self and Identity, 2(3), pp.223~250 (2003)
  64. Neff, K. D., "Self-compassion : An alternative conceptualization of a healthy attitude toward oneself", Self and Identity, 2(2), pp.85~101 (2003)
  65. Neff, K. D., "Self-compassion and adaptive psychological functioning", Journal of Research in Personality, 41(1), pp.139~154 (2007)
  66. Neff, K. D., "An examination of self-compassion in relation to positive psychological functioning and personality traits", Journal of Research in Personality, 41(4), pp.908~916 (2007)
  67. Nes, L. S., "Dispositional optimism and coping : A meta-analytic review", Personality and Social Psychology Review, 10(3), pp.235~251 (2006)
  68. Norton, P. J., "Transdiagnostic models of anxiety disorder : Theoretical and empirical underpinnings", Clinical Psychology Review, 56, pp.122~137 (2017)
  69. Norton, P. J., "Effects of a transdiagnostic group treatment for anxiety on secondary depression", Depression and Anxiety, 20(4), pp.198~202 (2004)
  70. Pelissolo, A., "Personality factors in depressive disorders : contribution of the psychobiologic model developed by Cloninger", L'encephale, 28(4), pp.363~373 (2002)
  71. Pereira-Morales, A. J., "Perceived stress as a mediator of the relationship between neuroticism and depression and anxiety symptoms", Current Psychology, 38, pp.66~74 (2019)
  72. Phillips, W. J., "Selfcompassion : A resource for positive aging", Journals of Gerontology Series B : Psychological Sciences and Social Sciences, 68(4), pp.529~539 (2013)
  73. Rapee, R. M., "Measurement of perceived control over anxiety-related events", Behavior Therapy, 27(2), pp.279~293 (1996)
  74. Rönnlund, M., "Perceived stress in adults aged 65 to 90 : Relations to facets of time perspective and COMT Val158Met polymorphism", Frontiers in Psychology, 9, pp.378~ (2018)[DOI]
  75. Ruscio, A. M., "Rumination predicts heightened responding to stressful life events in major depressive disorder and generalized anxiety disorder", Journal of Abnormal Psychology, 124(1), pp.17~26 (2015)
  76. Spielberger, C. D., "Stai Manual for the State-Trait Anxiety Inventory (“Self Evaluation Questionnaire”)" (1970), Consulting Psychologist press
  77. Spielberger, C. D., "Manual for the State-Trait Anxiety Inventory" (1983), Consulting Psychologists Press
  78. Spitzer, R. L., "Group PHQPCS. Validation and utility of a self-report version of PRIME-MD : the PHQ primary care study", JAMA, 282(18), pp.1737~1744 (1999)
  79. Spitzer, R. L., "A brief measure for assessing generalized anxiety disorder : the GAD-7", Archives of Internal Medicine, 166(10), pp.1092~1097 (2006)
  80. Stutts, L. A., "A longitudinal analysis of the relationship between self-compassion and the psychological effects of perceived stress", Self and Identity, 17(6), pp.609~626 (2018)
  81. Suárez, L., "Oxford handbook of anxiety and related disorders", pp.153~172 (2009), Oxford University Press
  82. Thompson, S. C., "Maintaining perceptions of control : finding perceived control in low-control circumstances", Journal of Personality and Social Psychology, 64(2), pp.293~304 (1993)
  83. Trompetter, H. R., "Why does positive mental health buffer against psychopathology? An exploratory study on self-compassion as a resilience mechanism and adaptive emotion regulation strategy", Cognitive Therapy and Research, 41, pp.459~468 (2017)
  84. Van Den Hout, M., "Responding to subliminal threat cues is related to trait anxiety and emotional vulnerability : A successful replication of MacLeod and Hagan(1992)", Behaviour Research and Therapy, 33(4), pp.451~454 (1995)
  85. Vollrath, M., "Personality types and coping", Personality and Individual Differences, 29(2), pp.367~378 (2000)
  86. Yu, N. X., "Stress and psychosomatic symptoms in chinese adults with sleep complaints: Mediation effect of self-compassion", Psychology, Health &Medicine, 24(2), pp.241~252 (2019)
  87. Zbozinek, T. D., "Diagnostic overlap of generalized anxiety disorder and major depressive disorder in a primary care sample", Depression and Anxiety, 29(12), pp.1065~1071 (2012)
  88. Zhou, L., "Negative cognitive style as a mediator between self-compassion and hopelessness depression", Social Behavior and Personality : an International Journal, 41(9), pp.1511~1518 (2013)

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