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월경전 증상과 신경증 및 정서억제의 관계: 생태순간평가 연구

The Relationship between Premenstrual Symptoms and Neuroticism and Emotion Suppression: An Ecological Momentary Assessment Study

박수현|국민지
한국건강심리학회 (Korean Health Psychological Association)|2023.03|한국심리학회지: 건강 (Korean Journal of Health Psychology)|제28권 제2호|pp. 515-535|DOI 10.17315/kjhp.2023.28.2.013

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참고문헌

키워드

neuroticism신경증ecological momentary assessment (EMA)생태순간평가(EMA)정서억제emotion suppression월경전증후군(PMS)월경전불쾌감장애(PMDD)premenstrual syndrome (PMS)premenstrual dysphoric disorder (PMDD)
주제분류심리과학

초록

월경전 증상에는 생물학적 요인과 더불어 다양한 심리적 요인들이 복합적인 영향을 미치는 것으로 알려졌으나, 월경전 증상에 있어 심리적 요인 및 요인들 간의 관계에 주목한 연구는 많지 않았다. 이에 본 연구에서는 생태순간평가를 사용하여 신경증과 정서억제가 월경전 증상을 유의하게 예측하는지 알아보고, 더 나아가 월경전 증상에 대한 신경증과 정서억제의 상호작용 효과를 검증하고자 하였다. 본 연구에서 신경증은 1회의 자기보고식 설문을 통해 측정되었으며, 정서억제와 월경전 증상은 각 참가자의 월경 예정일을 바탕으로 한 최대 10일간의 생태순간평가를 통해 측정되었다. 생태순간평가를 통해 3일 이상의 월경전 자료가 수집된 20대 여성 80명의 자료를 바탕으로 위계적 선형 모형 분석을 시행한 결과, 개인 내 수준에서 정서억제 수준이 증가할수록 월경전 증상의 심각도가 유의하게 증가하는 것으로 나타났다. 또한, 개인 간 수준에서 신경증 수준이 증가할수록 월경전 증상의 심각도가 유의하게 증가하였다. 그러나 월경전 증상에 대한 신경증과 정서억제의 상호작용 효과는 유의하지 않았다. 이와 같은 결과는 월경전 증상에 있어 개인의 성격 특질과 정서조절전략과 같은 심리적 요인들의 중요성과 요인들 간의 관계에 관한 후속 연구의 필요성을 시사한다. 끝으로 본 연구의 제한점과 후속 연구를 위한 제언을 논의하였다.

Abstract

Although various psychological factors along with biological factors are known to contribute to premenstrual symptoms, only few studies have focused on the role of psychological factors. This study aimed to investigate whether neuroticism and emotion suppression significantly predict premenstrual symptoms using ecological momentary assessment (EMA) and to examine the interaction effect of neuroticism and emotion suppression on premenstrual symptoms. In this study, neuroticism was assessed through a self-report questionnaire prior to EMA. Emotion suppression and premenstrual symptoms were measured using EMA for up to 10 days. Data from 80 women in their 20s whose premenstrual data were collected for three days or more were included in the analysis, and a hierarchical linear model was applied. At the within-person level, emotion suppression positively predicted premenstrual symptoms. At the between-person level, neuroticism positively predicted premenstrual symptoms. However, the interaction effect of neuroticism and emotional suppression on premenstrual symptoms was not significant. These findings suggest the importance of psychological factors, such as personality traits and emotional regulation strategies, in premenstrual symptoms and the need for further research on the relationship between these factors. Finally, limitations of this study and suggestions for future research were discussed.

참고문헌 (86)

  1. 강상진, "다층모형" (2016), 학지사
  2. 김태희, "부천지역 직장여성의 월경곤란증과 월경전증후군 실태조사", Obstetrics & Gynecology Science, 54(09), pp.523~528 (2011), 대한산부인과학회
  3. 박홍석, "정적정서 부적정서 척도(PANAS)의 타당화", 한국심리학회지:일반, 35(4), pp.617~641 (2016), 한국심리학회[DOI]
  4. 손재민, "정서조절 방략 사용에서의 개인차 : 인지적 재해석인과 정서표현 억제인의 비교", 석사, 성격심리, pp.2005
  5. 유태용, "한국판 HEXACO 성격검사의 구성타당화 연구", 한국심리학회지: 사회및성격, 18(3), pp.61~75 (2004), 한국사회및성격심리학회
  6. 이문수, "여대생에서의 월경전기증후군 및 월경전불쾌장애의 특성", 정신신체의학, 20(1), pp.22~31 (2012), 한국정신신체의학회[DOI]
  7. 이진희, "월경전증후군을 겪는 여성들의 삶의 질 및 일상생활기능: 전향적 평가를 중심으로", 한국웰니스학회지, 17(1), pp.203~209 (2022), 한국웰니스학회[DOI]
  8. 장희진, "간호대학생의 월경태도, 월경전증후군 및스트레스반응이 삶의 질에 미치는 영향", 여성건강간호학회지, 24(4), pp.346~354 (2018), 한국여성건강간호학회[DOI]
  9. 정범석, "서울 지역 여자대학교 집단에서 월경전기 증후군 및 월경전 불쾌기분장애의 유병율", 신경정신의학, 40(4), pp.551~558 (2001), 대한신경정신의학회
  10. 최정미, "제 1형 및 제 2형 양극성 장애에서 계절성과 월경전 증상의 양상과 상호 연관성에 관한 연구", 박사, 의학과 정신보건의학전공, pp.2012
  11. 현홍대, "폐경 단계에 따른 월경전 증후군", 월경전 불쾌장애의 과거력과 혈관운동증상의 차별적 연관성, 2015, pp.23(1), 57~65[DOI]
  12. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Publisher
  13. Aldao, A., "The future of emotion regulation research : Capturing context", Perspectives on Psychological Science, 8(2), pp.155~172 (2013)
  14. Aldao, A., "Emotion regulation strategies across psychopathology : A meta-analysis", Clinical Psychology Review, 30(2), pp.217~237 (2010)
  15. Aolymat, I., "COVID-19-associated mental health impact on menstrual function aspects : Dysmenorrhea and premenstrual syndrome, and genitourinary tract health : A cross sectional study among Jordanian medical students", International Journal of Environmental Research and Public Health, 19(3), pp.1439~ (2022)
  16. Appleton, A. A., "Divergent associations of adaptive and maladaptive emotion regulation strategies with inflammation", Health Psychology, 32(7), pp.748~756 (2013)
  17. Appleton, A. A., "Divergent associations of antecedentand response-focused emotion regulation strategies with midlife cardiovascular disease risk", Annals of Behavioral Medicine, 48(2), pp.246~255 (2014)
  18. Barańczuk, U., "The five factor model of personality and emotion regulation : A meta-analysis", Personality and Individual Differences, 139, pp.217~227 (2019)
  19. Barlow, D. H., "The origins of neuroticism", Perspectives on Psychological Science, 9(5), pp.481~496 (2014)
  20. Choi, J., "Association of seasonality and premenstrual symptoms in bipolar I and bipolar II disorders", Journal of Affective Disorders, 129(1-3), pp.313~316 (2011)
  21. Craner, J. R., "Premenstrual disorders and rumination", Journal of Clinical Psychology, 70(1), pp.32~47 (2014)
  22. Craner, J. R., "Self-Focused attention and symptoms across menstrual cycle phases in women with and without premenstrual disorders", Cognitive Therapy and Research, 40, pp.118~127 (2016)
  23. Dawel, A., "Cause or symptom? A longitudinal test of bidirectional relationships between emotion regulation strategies and mental health symptoms", Emotion, 21(7), pp.1511~1521 (2021)
  24. María del Mar Fernández, "Psychological factors and premenstrual syndrome: A Spanish case-control study", PLOS ONE, 14(3), pp.e0212557~ (2019), Public Library of Science (PLoS)[DOI]
  25. DeSteno, D., "Affective science and health : The importance of emotion and emotion regulation", Health Psychology, 32(5), pp.474~486 (2013)
  26. Di Giulio, G., "Premenstrual dysphoric disorder : Prevalence, diagnostic considerations, and controversies", Journal of Psychosomatic Obstetrics & Gynecology, 27(4), pp.201~210 (2006)
  27. Direkvand-Moghadam, A., "Epidemiology of premenstrual syndrome(PMS)-A systematic review and meta-analysis study", Journal of Clinical & Diagnostic Research, 8(2), pp.106~109 (2014)
  28. Eggert, L., "Emotion regulation in women with premenstrual syndrome(PMS) : Explicit and implicit assessments", Cognitive Therapy and Research, 40(6), pp.747~763 (2016)
  29. Eisenlohr-Moul, T., "Premenstrual disorders : A primer and research agenda for psychologists", The Clinical Psychologist, 72(1), pp.5~17 (2019)
  30. Eissa, M., "Personality and psychosocial factors affecting premenstrual syndrome", Current Psychiatry, 17(1), pp.55~62 (2010)
  31. Freeman, E. W, "Premenstrual syndrome and premenstrual dysphoric disorder : Definitions and diagnosis", Psychoneuroendocrinology, 28, pp.25~37 (2003)
  32. Gingnell, M., "Neuroticism-related personality traits are related to symptom severity in patients with premenstrual dysphoric disorder and to the serotonin transporter gene-linked polymorphism 5-HTTPLPR", Archives of Women's Mental Health, 13(5), pp.417~423 (2010)
  33. Goldberg, L. R., "A broad-bandwidth, public domain, personality inventory measuring the lower-level facets of several five-factor models", Personality Psychology in Europe, 7(1), pp.7~28 (1999)
  34. Gresham, D., "Emotion regulation strategy use in children and adolescents : The explanatory roles of personality and attachment", Personality and Individual Differences, 52(5), pp.616~621 (2012)
  35. Gross, J. J., "Antecedent-and response-focused emotion regulation : Divergent consequences for experience, expression, and physiology", Journal of Personality and Social Psychology, 74(1), pp.224~237 (1998)
  36. Gross, J. J., "Individual differences in two emotion regulation processes : Implications for affect, relationships, and well-being", Journal of Personality and Social Psychology, 85(2), pp.348~362 (2003)
  37. Gross, J. J., "Emotional suppression : Physiology, self-report, and expressive behavior", Journal of Personality and Social Psychology, 64(6), pp.970~986 (1993)
  38. Halbreich, U., "The prevalence, impairment, impact, and burden of premenstrual dysphoric disorder(PMS", PMDD), 2003, pp.28, 1~23
  39. Hantsoo, L., "Premenstrual dysphoric disorder : Epidemiology and treatment", Current Psychiatry Reports, 17(11), pp.1~9 (2015)
  40. Hautamäki, H., "Premenstrual symptoms in fertile age are associated with impaired quality of life, but not hot flashes, in recently postmenopausal women", Menopause, 21(12), pp.1287~1291 (2014)
  41. Izadi, M., "Personality characteristics in female students with premenstrual dysphoric disorder and premenstrual syndrome", Advances in Nursing and Midwifery, 28(3), pp.40~45 (2019)
  42. John, O. P., "Healthy and unhealthy emotion regulation : Personality processes, individual differences, and life span development", Journal of Personality, 72(6), pp.1301~1334 (2004)
  43. Kotov, R., "Linking"big"personality traits to anxiety, depressive, and substance use disorders : A meta-analysis", Psychological Bulletin, 136(5), pp.768~821 (2010)
  44. Lahey, B. B., "Public health significance of neuroticism", American Psychologist, 64(4), pp.241~256 (2009)
  45. Lumley, M. A., "Pain and emotion : A biopsychosocial review of recent research", Journal of Clinical Psychology, 67(9), pp.942~968 (2011)
  46. Malouff, J. M., "The relationship between the five-factor model of personality and symptoms of clinical disorders : A meta-analysis", Journal of Psychopathology and Behavioral Assessment, 27(2), pp.101~114 (2005)
  47. Manikandan, S., "The role of emotion regulation in the experience of menstrual symptoms and perceived control over anxiety-related events across the menstrual cycle", Archives of Women's Mental Health, 19(6), pp.1109~1117 (2016)
  48. Marván, M. L., "Women's beliefs about the prevalence of premenstrual syndrome and biases in recall of premenstrual changes", Health Psychology, 20(4), pp.276~280 (2001)
  49. Matsumoto, T., "Biopsychosocial aspects of premenstrual syndrome and premenstrual dysphoric disorder", Gynecological Endocrinology, 29(1), pp.67~73 (2013)
  50. McMahon, T. P., "Ecological validity of trait emotion regulation strategy measures", Psychological Assessment, 32(8), pp.796~802 (2020)
  51. Meaden, P. M., "Timing and severity of symptoms associated with the menstrual cycle in a community-based sample in the Midwestern United States", Psychiatry Research, 134(1), pp.27~36 (2005)
  52. Merino, H., "Cognitive vulnerability to emotional symptoms : Reconsidering the role of worry and rumination", Journal of Psychopathology and Behavioral Assessment, 36(1), pp.136~142 (2014)
  53. Nasiri, F., "Premenstrual syndrome : The role of emotion regulation strategies and trait meta-mood", Journal of Rational-Emotive & Cognitive-Behavior Therapy, 40, pp.1~12 (2021)
  54. Oh, J. Y., "Clinical implications of menstrual cycle length in oligomenorrhoeic young women", Clinical Endocrinology, 80(1), pp.115~121 (2014)
  55. Zeynep Emine Okur Güney, "Emotion regulation in patients with somatic symptom and related disorders: A systematic review", PLOS ONE, 14(6), pp.e0217277~ (2019), Public Library of Science (PLoS)[DOI]
  56. Ormel, J., "Neuroticism and common mental disorders : Meaning and utility of a complex relationship", Clinical Psychology Review, 33(5), pp.686~697 (2013)
  57. Osborn, E., "Suicidality in women with premenstrual dysphoric disorder : A systematic literature review", Archives of Women's Mental Health, 24(2), pp.173~184 (2021)
  58. Ozimek, N., "Impact of stress on menstrual cyclicity during the COVID-19 pandemic : A survey study", Journal of Women's Health, 31(1), pp.84~90 (2022)
  59. Phelan, N., "The impact of the COVID-19 pandemic on women's reproductive health", Frontiers in Endocrinology, 12, pp.642~755 (2021)
  60. Rapkin, A. J., "Premenstrual syndrome and premenstrual dysphoric disorder : Quality of life and burden of illness", Expert Review of Pharmacoeconomic and Outcomes Research, 9(2), pp.157~170 (2009)
  61. "Scientific Software International, Inc", 2019
  62. Reed, B. G., "The normal menstrual cycle and the control of ovulation" (2000), MDText.com, Inc
  63. Roelofs, J., "Rumination and worrying as possible mediators in the relation between neuroticism and symptoms of depression and anxiety in clinically depressed individuals", Behaviour Research and Therapy, 46(12), pp.1283~1289 (2008)
  64. Rosmalen, J. G., "The association between neuroticism and self-reported common somatic symptoms in a population cohort", Journal of Psychosomatic Research, 62(3), pp.305~311 (2007)
  65. Ryu, A., "Premenstrual syndrome : A mini review", Maturitas, 82(4), pp.436~440 (2015)
  66. Salari, N., "Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic : A systematic review and meta-analysis", Globalization and health, 16(1), pp.57~ (2020)
  67. Schmalenberger, K. M., "How to study the menstrual cycle : Practical tools and recommendations", Psychoneuroendocrinology, 123, pp.104895~ (2021)
  68. Sharp, G. C., "The COVID-19 pandemic and the menstrual cycle : Research gaps and opportunities", International Journal of Epidemiology, 51(3), pp.691~700 (2022)
  69. Shiffman, S., "Ecological momentary assessment", Annual Review of Clinical Psychology, 4, pp.1~32 (2008)
  70. Smith, T. W., "Personality and risk of physical illness", Annual Review of Clinical Psychology, 2, pp.435~467 (2006)
  71. Smyth, J. M., "Ecological momentary assessment research in behavioral medicine", Journal of Happiness Studies, 4(1), pp.35~52 (2003)
  72. Spink Jr, G. L., "Cognitive and affective factors predicting daily somatic complaints in college students", Journal of Counseling Psychology, 65(1), pp.110~ (2018)
  73. Steiner, M., "The premenstrual symptoms screening tool(PSST)for clinicians", Archives of Women's Mental Health, 6(3), pp.203~209 (2003)
  74. Stone, A. A., "Ecological momentary assessment(EMA)in behavorial medicine", Annals of Behavioral Medicine, 16(3), pp.199~202 (1994)
  75. Stone, A. A., "Capturing momentary, self-report data : A proposal for reporting guidelines", Annals of Behavioral Medicine, 24(3), pp.236~243 (2002)
  76. Taylor, D., "Perimenstrual symptoms and syndromes : Guidelines for symptom management and self-care", Advanced Studies in Medicine, 5(5), pp.228~241 (2005)
  77. Thuillard, S., "The simultaneous use of emotional suppression and situation selection to regulate emotions incrementally favors physiological responses", BMC Psychology, 8(1), pp.1~19 (2020)
  78. Tschudin, S., "Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample", Archives of Women's Mental Health, 13(6), pp.485~494 (2010)
  79. Vigod, S. N., "Understanding and treating premenstrual dysphoric disorder : An update for the women's health practitioner", Obstetrics and Gynecology Clinics, 36(4), pp.907~924 (2009)
  80. Vindegaard, N., "COVID-19pandemic and mental health consequences: Systematic review of the current evidence", Brain, Behavior, and Immunity, 89, pp.531~542 (2020)
  81. Watson, D., "Development and validation of brief measures of positive and negative affect : The PANAS scales", Journal of Personality and Social Psychology, 54(6), pp.1063~1070 (1988)
  82. Woltman, H., "An introduction to hierarchical linear modeling", Tutorials in Quantitative Methods for Psychology, 8(1), pp.52~69 (2012)
  83. Emotion dysregulation of women with premenstrual syndrome, "Wu, M.", ~ (2016)
  84. Yang, M., "Burden of premenstrual dysphoric disorder on health-related quality of life", Journal of Women's Health, 17(1), pp.113~121 (2008)
  85. Yoon, K. L., "A pathway from neuroticism to depression: Examining the role of emotion regulation", Anxiety, Stress & Coping: An International Journal, 26(5), pp.558~572 (2013)
  86. Zhang, J., "Neuroticism and extraversion are differentially related to between-and within-person variation of daily negative emotion and physical symptoms", Personality and Individual Differences, 141, pp.138~142 (2019)

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