부적응적 완벽주의와 반추가 비자살적 자해에 미치는 영향: 속박감의 조절된 매개효과
Effects of Maladaptive Perfectionism and Rumination on Non-Suicidal Self-Injury: Moderated Mediating Effect of Entrapment
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본 연구의 목적은 부적응적 완벽주의와 비자살적 자해의 관계에서 속박감에 의해 조절된 반추의 매개 효과를 검증하는 것이다. 이를 위해 19~35세 초기 성인을 대상으로 자해 기능 평가지, 부적응적 완벽주의 척도, 한국판 반추적 반응 척도, 속박감 척도를 활용하여 연구를 진행하였다. 450명의 참여자를 모집하였으며, 이 중 제외기준에 의해 분류되지 않은 참여자 320명의 데이터는 IBM SPSS Statistics v22.0와 Hayes(2022)의 PROCESS Macro v4.0을 사용하여 분석하였다. 연구의 요약된 결과는 다음과 같다. 첫째, 부적응적 완벽주의와 비자살적 자해의 관계에서 반추의 매개 효과는 유의하지 않았다. 둘째, 반추와 비자살적 자해의 관계에서 속박감의 조절 효과는 유의하였다. 셋째, 부적응적 완벽주의, 반추, 비자살적 자해의 관계에서 속박감의 조절된 매개 효과는 유의하였다. 마지막으로, 본 연구의 임상적 의의와 치료적 시사점 및 한계점에 대해 논의하였다.
Abstract
The purpose of this study was to examine the mediating effect of rumination moderated by entrapment in the relationship between maladaptive perfectionism and Non-Suicidal Self-Injury (NSSI). This study selected young adults aged 19 to 35 years as study subjects utilizing The Functional Assessment of Self-Mutilation, Maladaptive Perfectionism Scale, Korean- Ruminative Response Scale, and Entrapment Scale. Data of 320 participants were analyzed using IBM SPSS Statistics v22.0 and Hayes (2022) PROCESS Macro v4.0. Results of this study are summarized as follows. First, the mediating effect of rumination in the relationship between maladaptive perfectionism and NSSI was insignificant. Second, the moderating effect of entrapment in the relationship between rumination and NSSI was significant. Third, the moderated mediating effect of entrapment in the relationship between maladaptive perfectionism, rumination, and NSSI was significant. Finally, clinical significance, therapeutic implications, and limitations of this study are discussed.
참고문헌 (86)
- 권혁진, "비자살적 자해에 영향을 미치는 정서적·인지적 요인의 탐색", 박사, pp.2014
- 김내환, "대학생의 평가염려 완벽주의와우울 간의 관계 : 자기비난과 반추의 연속매개효과", 청소년학연구, 27(2), pp.225~252 (2020)
- 김소정, "한국판 반추적 반응 척도(K-RRS)의 타당화 연구", Korean Journal of Clinical Psychology, 29(1), pp.1~19 (2010)
- 김수연, "대학생의 완벽주의 성향과 우울 및 자아존중감과의 상관연구 : 완벽성향 척도(APS-R)를 중심으로", 석사, pp.2005
- 김지윤, "심리적디스트레스와 비자살적 자해 심각도의 관계에서 반추의 매개효과 : 정서홍수모델을 중심으로", 한국심리학회지 : 상담 및 심리치료, 32(4), pp.2065~2089 (2020)
- 신혜원, "부적응적 완벽주의가 우울 증상에 미치는 영향 : 반추와 내적 속박감의 연속매개효과", 인지행동치료, 17(4), pp.489~506 (2017)
- 이승희, "완벽성향 척도 개정판(APS-R)의 구인타당도", 석사, pp.2012
- 이종선, "한국판 내적 속박감 및 외적 속박감 척도의 신뢰도와 타당도 연구", 한국심리학회지 : 일반, 31(1), pp.239~259 (2012)
- 정승진, "완벽성 감소를 위한 인지행동 집단상담프로그램 개발", 박사, pp.1999
- 한기연, "다차원적 완벽성 : 개념, 측정 및 부적응과의 관련성", 박사, pp.1993
- Akõn, A., "The predictive role of self-compassion on entrapment in turkish university students", Universitas Psychologica, 14(2), pp.423~431 (2015)
- American Psychiatric Association., "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
- Ammerman, B. A., "Characterizing the choice to disclose nonsuicidal self-injury", Journal of Clinical Psychology, 77(3), pp.683~700 (2021)
- Andrewes, H. E., "Relationships between the frequency and severity of non-suicidal self-injury and suicide attempts in youth with borderline personality disorder", Early Intervention in Psychiatry, 13(2), pp.194~201 (2019)
- Barrocas, A. L., "Nonsuicidal self-injury in adolescence : Longitudinal course, trajectories, and intrapersonal predictors", Journal of Abnormal Child Psychology, 43, pp.369~380 (2015)
- Baumeister, R. F., "Suicide as escape from self", Psychological Review, 97(1), pp.90~113 (1990)
- Blankstein, K. R., "Perfectionism: Theory, research, and treatment", pp.285~315 (2002), American Psychological Association
- Blankstein, K. R., "Evaluative concerns and personal standards perfectionism : Self-esteem as a mediator and moderator of relations with personal and academic needs and estimated GPA", Current Psychology, 27(1), pp.29~61 (2008)
- Boccia, A., "The associations among perfectionism, rumination, and affect after participation in a cognitive failure task", Doctor, pp.2008
- Brinker, J. K., "Ruminative thought style and depressed mood", Journal of Clinical Psychology, 65(1), pp.1~19 (2009)
- Brocklesby, M., "A longitudinal investigation of non-suicidal self-injury and perfectionism in a sample of new zealand adolescents", Doctor, pp.2017
- Brown, G. W., "Life events, vulnerability and onset of depression : some refinements", The British Journal of Psychiatry, 150(1), pp.30~42 (1987)
- Brown, M. Z., "Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder", Journal of Abnormal Psychology, 111(1), pp.198~202 (2002)
- Brown, E. J., "Relationship of perfectionism to affect, expectations, attributions and performance in the classroom", Journal of Social and Clinical Psychology, 18(1), pp.98~120 (1999)
- Burke, T. A., "Identifying a physical indicator of suicide risk : Non-suicidal self-injury scars predict suicidal ideation and suicide attempts", Comprehensive Psychiatry, 65, pp.79~87 (2016)
- Clarke, M., "A descriptive study of feelings of arrested escape(entrapment)and arrested anger in people presenting to an emergency department following an episode of self-harm", Frontiers in Psychiatry, 7, pp.155~ (2016)[DOI]
- Cloos, M., "Mental images, entrapment and affect in young adults meeting criteria of nonsuicidal self-injury disorder(nssid)-a daily diary study", Borderline Personality Disorder and Emotion Dysregulation, 7(1), pp.1~15 (2020)
- Curran, P. J., "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis", Psychological Methods, 1(1), pp.16~29 (1996)
- Davis, M., "A cognitive experiential avoidance model(c-eam) : Understanding non-suicidal self-injury as a form of avoidance", Doctor, pp.2012
- Dixon, A. K., "Ethological strategies for defence in animals and humans : Their role in some psychiatric disorders", British Journal of Medical Psychology, 71(4), pp.417~445 (1998)
- Egan, S., "The transdiagnostic process of perfectionism", Revista de Psicopatología y Psicología Clínica, 17(3), pp.279~294 (2012)
- Flett, G. L., "Predictors of deliberate self-harm behavior among emerging adolescents : An initial test of a self-punitiveness model", Current Psychology, 31(1), pp.49~64 (2012)
- Frost, R. O., "The dimensions of perfectionism", Cognitive Therapy and Research, 14(5), pp.449~468 (1990)
- Gilbert, P., "Introducing compassion-focused therapy", Advances in Psychiatric Treatment, 15(3), pp.199~208 (2009)
- Gilbert, P., "The role of defeat and entrapment(arrested flight)in depression : an exploration of an evolutionary view", Psychological Medicine, 28(3), pp.585~598 (1998)
- Gyori, D., "Nonsuicidal self-injury and perfectionism : A systematic review", Frontiers in Psychiatry, 12, pp.691147~ (2021)[DOI]
- Halicka, J., "Non-suicidal selfinjury(nssi)and suicidal : Criteria differentiation", Advances in Clinical and Experimental Medicine, 27(2), pp.257~261 (2018)
- Hatzopoulos, K., "Relationships between dimensions of emotional experience, rumination, and nonsuicidal self-injury : An application of the emotional cascade model", Journal of Clinical Psychology, 78(4), pp.692~709 (2021)
- Hayes, A. F., "An index and test of linear moderated mediation", Multivariate Behavioral Research, 50(1), pp.1~22 (2015)
- Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis: A regression-based approach" (2022), Guilford Press
- Hewitt, P. L., "Perfectionism in the self and social contexts : Conceptualization, assessment, and association with psychopathology", Journal of Personality and Social Psychology, 60(3), pp.456~470 (1991)
- Hewitt, P. L., "Perfectionism:Theory, research, and treatment", pp.255~284 (2002), American Psychological Association
- Hjemdal, O., "A randomized controlled trial of metacognitive therapy for depression : Analysis of 1-year follow-up", Frontiers in Psychology, 10, pp.1842~ (2019)[DOI]
- Hoff, E. R., "Nonsuicidal self-injury in college students : The role of perfectionism and rumination", Suicide and Life-Threatening Behavior, 39(6), pp.576~587 (2009)
- Hooley, J. M., "Why do people hurt themselves? A new conceptual model of nonsuicidal self-injury", Clinical Psychological Science, 6(3), pp.428~451 (2018)
- Hooley, J. M., "Nonsuicidal self-injury, pain, and self-criticism : Does changing self-worth change pain endurance in people who engage in self-injury?", Clinical Psychological Science, 2(3), pp.297~305 (2014)
- Ilieff, M. E. P., "Maladaptive and Adaptive Perfectionism and Nonsuicidal Self-injury", Doctor, pp.2019
- International Business Machines, "Transforming different likert scales to a common scale", ~ (2020)
- International Society for the Study of Self-Injury, "What is self-injury?", ~ (2018)
- Janssen, W. F., "What do we still need to know? Pressing issues and promising directions in research on perfectionism and nonsuicidal self-injury", Frontiers in psychology, 13, pp.873410~ (2022)[DOI]
- Kaur, J., "Non-Suicidal Self-injury in Medical Students", Suicidology Online, 8(2), pp.37~46 (2017)
- Klonsky, E. D., "The relationship between nonsuicidal self-injury and attempted suicide : Converging evidence from four samples", Journal of Abnormal Psychology, 122(1), pp.231~237 (2013)
- Limburg, K., "The relationship between perfectionism and psychopathology : A metaanalysis", Journal of Clinical Psychology, 73(10), pp.1301~1326 (2017)
- Lloyd, E. E., "Self-mutilation in a community sample of adolescents: Descriptive characteristics and provisional prevalence rates", Poster session presented at the annual meeting of the Society for Behavioral Medicine (1997)
- Lucas, A. G., "Perfectionism and social problem solving as predictors of nonsuicidal self-injury in ethnoracially diverse college students : findings controlling for concomitant suicide risk", Social Work, 64(2), pp.165~174 (2019)
- McEvoy, P. M., "Trait repetitive negative thinking : A brief transdiagnostic assessment", Journal of Experimental Psychopathology, 5(3), pp.1~17 (2014)
- Moberly, N. J., "Ruminative self-focus and negative affect : An experience sampling study", Journal of Abnormal Psychology, 117(2), pp.314~323 (2008)
- Muller, D., "When moderation is mediated and mediation is moderated", Journal of Personality and Social Psychology, 89(6), pp.852~863 (2005)
- Nagy, L. M., "Nonsuicidal selfinjury and rumination : A meta-analysis", Journal of Clinical Psychology, 79(1), pp.7~27 (2022)
- Nicolai, K. A., "Identifying risk for self-harm : Rumination and negative affectivity in the prospective prediction of nonsuicidal self-injury", Suicide and Life-Threatening Behavior, 46(2), pp.223~233 (2016)
- Nock, M. K., "Why do people hurt themselves? New insights into the nature and functions of self-injury", Current Directions in Psychological Science, 18(2), pp.78~83 (2009)
- Nock, M. K., "Self-injury", Annual Review of Clinical Psychology, 6, pp.339~363 (2010)
- Nock, M. K., "Contextual Features and Behavioral Functions of Self-Mutilation Among Adolescents", Journal of Abnormal Psychology, 114(1), pp.140~146 (2005)
- Nolen-Hoeksema, S., "The role of rumination in depressive disorders and mixed anxiety", depressive symptoms, 2000, pp.109(3), 504~511
- Nolen-Hoeksema, S., "Rethinking rumination", Perspectives on Psychological Science, 3(5), pp.400~424 (2008)
- O'Connor, R. C., "The integrated motivational-volitional model of suicidal behaviour", Philosophical Transactions of the Royal Society B : Biological Sciences, 373(1754), pp.20170268~ (2018)[DOI]
- "Suicide rates" (2022)[URL]
- Papageorgiou, C., "Metacognitive beliefs about rumination in recurrent major depression", Cognitive and Behavioral Practice, 8(2), pp.160~164 (2001)
- Papageorgiou, C., "Positive beliefs about depressive rumination : Development and preliminary validation of a self-report scale", Behavior Therapy, 32(1), pp.13~26 (2001)
- Selby, E. A., "Cascades of emotion : The emergence of borderline personality disorder from emotional and behavioral dysregulation", Review of General Psychology, 13(3), pp.219~229 (2009)
- Selby, E. A., "Understanding the relationship between emotional and behavioral dysregulation : Emotional cascades", Behaviour Research and Therapy, 46(5), pp.593~611 (2008)
- Selby, E. A., "An exploration of the emotional cascade model in borderline personality disorder", Journal of Abnormal Psychology, 118(2), pp.375~387 (2009)
- Slaney, R. B., "The revised almost perfect scale", Measurement and Evaluation in Counseling and Development, 34(3), pp.130~145 (2001)
- Stoeber, J., "Perfectionism, achievement motives, and attribution of success and failure in female soccer players", International Journal of Psychology, 43(6), pp.980~987 (2008)
- Stoeber, J., "The advantages of partialling perfectionistic strivings and perfectionistic concerns : Critical issues and recommendations", Personality and Individual Differences, 104, pp.379~386 (2017)
- Stoeber, J., "Positive conceptions of perfectionism : Approaches, evidence, challenges", Personality and Social Psychology Review, 10(4), pp.295~319 (2006)
- Stoeber, J., "Encyclopedia of personality and individual differences", pp.3471~3477 (2020), Springer International Publishing
- 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)
- Tonta, K. E., "Modeling pathways to non-suicidal self-injury : The roles of perfectionism, negative affect, rumination, and attention control", Journal of Clinical Psychology, 78(7), pp.1463~1477 (2022)
- Tonta, K. E., "Measurement invariance of three brief measures of rumination in young adults with and without a history of self-injury", European Journal of Psychological Assessment, 37(4), pp.266~273 (2021)
- Treynor, W., "Rumination reconsidered : A psychometric analysis", Cognitive Therapy and Research, 27(3), pp.247~259 (2003)
- Van Vliet, K., "A compassion-focused approach to nonsuicidal self-injury", Journal of Mental Health Counseling, 33(4), pp.295~311 (2011)
- Watkins, E. R., "Reflecting on rumination : Consequences, causes, mechanisms and treatment of rumination", Behaviour Research and Therapy, 127, pp.103573~ (2020)[DOI]
- Wells, A., "Metacognitive therapy for anxiety and depression" (2011), Guilford press
- Wielgus, M. D., "Does shame influence nonsuicidal self-injury among college students? An investigation into the role of shame, negative urgency, and brooding", Journal of College Student Psychotherapy, 33(3), pp.237~256 (2019)
- Zerach, G., "Moral injury process and its psychological consequences among Israeli combat veterans", Journal of Clinical Psychology, 74(9), pp.1526~1544 (2018)
