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긍정, 부정 정서 반응성이 우울 및 신체화에 미치는 영향: 감정표현불능증의 조절된 매개효과

Effect of Positive and Negative Emotional Reactivity on Depression and Somatization: Moderated Mediating Effects of Alexithymia

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주제분류심리과학

초록

본 연구에서는 기질적 취약요인으로 알려진 정서 반응성이 우울 및 신체화에 어떤 영향을 미치는지, 또한 세 변인 간 관계에서 감정표현불능증이 어떤 역할을 하는지 파악하고자 하였다. 이를 위해 만 19세 이상의 성인 247명을 대상으로 조사를 진행하였고, 조절된 매개분석을 통해 변인 간 관계를 파악하였다. 연구 결과, 정서 반응성은 우울을 매개로 신체화에 간접 영향을 미쳤고, 이 영향은 감정표현불능증 수준에 따라 달라지는 것으로 나타났다. 부정 정서 차원에서는 감정표현불능증이 위험요인이었으나, 긍정 정서 차원에서는 다른 양상을 보였다. 이는 정서가에 따라 감정표현불능증의 영향이 달라지며, 긍정 정서와 부정 정서를 처리하는 효과적인 방법이 다를 수 있음을 시사한다. 상기 결과를 바탕으로 본 연구의 의의와 한계를 논하고 후속 연구를 제안하였다.

Abstract

The purpose of this study is to examine the relationship between Emotional Reactivity(ER) which is considered a temperamental vulnerability, depression, somatization and alexithymia. The study was conducted on 247 adults over the age of 19 and analyzed using Moderated-Mediation analysis with SPSS Process Macro. As a result, depression mediated the relationship between ER and somatization, and the indirect effect of ER through depression on somatization was moderated by alexithymia. In negative valence, a high level of alexithymia was a risk factor, but in positive valence, it showed different patterns. This suggests that the effect of alexithymia varies depending on the emotional valence, and the effective way of dealing with positive and negative emotions may be different. Based on the finding, research limitations, implications, and suggestions for future research were suggested.

참고문헌 (81)

  1. 강상건, "기능성 소화불량증 환자의 분노, 감정표현불능증과 우울", Korean Journal of Family Medicine, 23(7), pp.881~889 (2002), 대한가정의학회
  2. 김광일, "간이정신진단검사 실시요강" (1984), 중앙적성출판사
  3. 김대혁, "십이지장궤양 환자의 정신신체의학적 특성-감정표현불능증을 중심으로-", 신경정신의학, 35(6), pp.1443~1458 (1996)
  4. 김빛나, "한국판 긍정 정서 반응 척도(K-RPA)의 예비 타당화 연구", Korean Journal of Clinical Psychology, 33(2), pp.243~260 (2014), 한국임상심리학회[DOI]
  5. 김석주, "주요 우울장애와 준임상적 우울증에서의 감정표현불능증", 정신신체의학, 15(2), pp.100~106 (2007), 한국정신신체의학회
  6. 박영남, "신체 증상을 주소로 하는 정신과 외래환자의 임상적 고찰", 계명의대학술지, 3(27), pp.169~174 (1984)
  7. 박지선, "정서자각 결함, 정서 표현성, 정서 표현에 대한 양가감정이 신체화, 우울, 스트레스 경험빈도에 미치는 영향", 한국심리학회지: 건강, 13(3), pp.571~581 (2008), 한국건강심리학회[DOI]
  8. 신동인, "긴장성 두통 환자에서의 감정표현 불능증", 수면정신생리, 9(1), pp.56~60 (2002)
  9. 신현균, "부정적 정서, 감정표현불능증, 신체감각증폭지각, 및 신체적 귀인이 신체화에 미치는 영향 : 매개모델의 검증", 한국심리학회지 : 임상, 19(1), pp.17~32 (2000)
  10. 신현균, "한국판 아동 신체화척도의 신뢰도, 타당도 및 초등 고학년생의 신체증상 경험 특성", Korean Journal of Clinical Psychology, 22(4), pp.829~846 (2003), 한국임상심리학회
  11. 신현균, "우울한 기분상태가 신체화집단의 자기초점적 주의, 신체감각증폭지각, 신체귀인 및 신체화 증상에 미치는 영향", Korean Journal of Clinical Psychology, 25(2), pp.467~488 (2006), 한국임상심리학회
  12. 신현균, "신체 증상 및 관련장애_아무 이유도 없이 몸이 아프다면" (2016), 학지사
  13. 엄현정, "우울, 분노억제, 감정표현불능증 및 신체화의 구조적 관계", 상담학연구, 22(4), pp.105~128 (2021), 한국상담학회[DOI]
  14. 이선주, "여자 청소년의 우울증상과 신체화 증상의 관계에서 인지적 요인의 매개효과", 한국심리학회지:학교, 7(1), pp.55~68 (2010), 한국심리학회산하학교심리학회[DOI]
  15. 이지영, "정서조절과 정신병리의 관계: 연구 현황과 과제", 한국심리학회지: 상담 및 심리치료, 18(3), pp.461~493 (2006), 한국상담심리학회
  16. 전겸구, "통합적 한국판 CES-D 개발", 한국심리학회지 : 건강, 6(1), pp.59~76 (2001)
  17. 정운선, "TAS-20의 한국판 3종간의 신뢰도 및 타당도 비교", 정신신체의학, 11(1), pp.77~88 (2003), 한국정신신체의학회
  18. 조현영, "Alexithymia in Depressive, Psychotic, Anxiety, and Somatoform Disorder in Korea", 석사, pp.2008
  19. 허주연, "경계선 성격성향에서 초기 외상과 정서적 반응성의 작용 -한국판 Perth 정서적 반응성 척도의 타당화를 중심으로", 석사, pp.2021
  20. 홍세희, "회귀분석과 구조방정식 모형에서의 상호작용효과 검증 : 이론과 절차", 인간발달연구, 21(4), pp.1~24 (2014), 한국인간발달학회[DOI]
  21. 히든그레이스 논문통계팀, "한번에 통과하는 논문: AMOS 구조방정식 활용과 SPSS 고급 분석" (2020), 한빛아카데미
  22. Aldao, A., "Emotion-regulation strategies across psychopathology : A meta-analytic review", Clinical Psychology Review, 30(2), pp.217~237 (2010)
  23. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
  24. Aronson, K. R., "Emotional reactivity and the overreport of somatic symptoms: somatic sensitivity or negative reporting style?", Journal of Psychosomatic Research, 60(5), pp.521~530 (2006)
  25. Asl, E. M., "The mediating role of self-compassion in the relationship between positive reactivity, negative reactivity, and perfectionism with disordered eating", Journal of Education and Health Promotion, 10(249), pp.1~6 (2021)
  26. Esmaeil Mousavi Asl, "Assessment of the Emotional Reactivity Through the Positive and Negative Emotions: The Psychometric Properties of the Persian Version of the Perth Emotional Reactivity Scale", Iranian Journal of Psychiatry and Behavioral Sciences, 14(2), pp.e98057~ (2020), Briefland[DOI]
  27. Bagby, R. M., "The twenty-item Toronto Alexithymia Scale—I : Item selection and cross-validation of the factor structure", Journal of Psychosomatic Research, 38(1), pp.23~32 (1994)
  28. Balaban, G., "Psychometric properties of Perth Emotional Reactivity Scale-Short Form in Turkish community sample", Current Approaches in Psychiatry, 2021, pp.13(1), 281~297
  29. Wesley R. Barnhart, "Negative and positive emotional eating uniquely interact with ease of activation, intensity, and duration of emotional reactivity to predict increased binge eating", Appetite, 151, pp.104688~ (2020), Elsevier BV[DOI]
  30. Barsky, A. J., "The somatosensory amplification scale and its relationship to hypochondriasis", Journal of Psychiatric Research, 24(4), pp.323~334 (1990)
  31. Becerra, R., "Emotional reactivity : Critical analysis and proposal of a new scale", International Journal of Applied Psychology, 3(6), pp.161~168 (2013)
  32. Becerra, R., "The assessment of emotional reactivity across negative and positive emotions : Development and validation of the Perth Emotional Reactivity Scale(PERS)", Assessment, 26(5), pp.867~879 (2019)
  33. Beck, A. T., "Depression: Clinical, experimental, and theoretical aspects" (1967), Hoeber
  34. Beck, J. G., "Differentiating anxiety and depression in older adults with generalized anxiety disorder", Psychological Assessment, 15(2), pp.184~192 (2003)
  35. Nadia Bounoua, "A longitudinal investigation of the impact of emotional reactivity and COVID-19 stress exposure on substance use during the pandemic", Journal of Affective Disorders Reports, 6, pp.100284~ (2021), Elsevier BV[DOI]
  36. Buck, R., "Emotion inhibition and health", pp.32~56 (1993), Hogrefe &Huber Publishers
  37. Bylsma, L. M., "A meta-analysis of emotional reactivity in major depressive disorder", Clinical Psychology Review, 28(4), pp.676~691 (2008)
  38. Clark, D. A., "Scientific foundations of cognitive theory and therapy of depression" (1991), John Wiley & Sons
  39. Cohen, S., "Positive affect and health", Current Directions in Psychological Science, 15(3), pp.122~125 (2006)
  40. Cohen, S., "Emotional style and susceptibility to the common cold", Psychosomatic Medicine, 65(4), pp.652~657 (2003)
  41. Davidson, R. J., "The emotional life of your brain: How its unique patterns affect the way you think, feel, and live--and how you can change them" (2012), Hudson Street Press
  42. Faul, F., "Statistical power analyses using G*Power 3. 1 : Tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)
  43. Feldman, G. C., "Responses to positive affect : A self-report measure of rumination and dampening", Cognitive Therapy and Research, 32(4), pp.507~525 (2008)
  44. Freud, A., "The ego and the mechanisms of defence" (2019), Routledge
  45. Giovanelli, A., "Impulsive responses to positive mood and reward are related to mania risk", Cognition & Emotion, 27(6), pp.1091~1104 (2013)
  46. Gross, J. J., "Handbook of emotion regulation", pp.3~20 (2014), The Guilford Press
  47. Gross, J. J., "Emotion generation and emotion regulation : One or two depends on your point of view", Emotion Review, 3(1), pp.8~16 (2011)
  48. Gruber, J., "Can feeling too good be bad? Positive emotion persistence(PEP)in bipolar disorder", Current Directions in Psychological Science, 20(4), pp.217~221 (2011)
  49. Chloe A. Hamza, "Stressful Experiences in University Predict Non-suicidal Self-Injury Through Emotional Reactivity", Frontiers in Psychology, 12, pp.610670~ (2021), Frontiers Media SA[DOI]
  50. Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis: A Regression-based approach" (2022), The Guilford Press
  51. Hayes, A. F., "The analysis of mechanisms and their contingencies : PROCESS versus structural equation modeling", Australasian Marketing Journal, 25(1), pp.76~81 (2017)
  52. Honkalampi, K., "Depression is strongly associated with alexithymia in the general population", Journal of Psychosomatic Research, 48(1), pp.99~104 (2000)
  53. Johnson, S. L., "Mania and dysregulation in goal pursuit : A review", Clinical Psychology Review, 25(2), pp.241~262 (2005)
  54. Katon, W., "Depression and somatization : A review : Part I", The American Journal of Medicine, 72(1), pp.127~135 (1982)
  55. Kellner, R., "Psychosomatic syndromes and somatic symptoms" (1991), American Psychiatric Press
  56. Kline, R. B., "Principles and practice of structural equation modeling" (2016), Guilford Publications
  57. Kooiman, C. G., "The status of alexithymia as a risk factor in medically unexplained physical symptoms", Comprehensive Psychiatry, 39(3), pp.152~159 (1998)
  58. Kroenke, K., "Multisomatoform disorder : an alternative to undifferentiated somatoform disorder for the somatizing patient in primary care", Archives of General Psychiatry, 54(4), pp.352~358 (1997)
  59. Larionov, P. M., "Psychometric Properties of the Russian Version of the Perth Emotional Reactivity Scale-Short Form", Neurology, Neuropsychiatry & Psychosomatics, 13(2), pp.26~33 (2021)
  60. Linehan, M. M., "Cognitive-behavioral treatment of borderline personality disorder" (1993), Guilford Press
  61. McFarland, B. R., "Emotional reactivity in depression : diminished responsiveness to anticipated reward but not to anticipated punishment or to nonreward or avoidance", Depression and Anxiety, 26(2), pp.117~122 (2009)
  62. Mendelson, G., "Alexithymia and chronic pain : prevalence, correlates and treatment results", Psychotherapy and Psychosomatics, 37(3), pp.154~164 (1982)
  63. Nock, M. K., "The emotion reactivity scale : Development, evaluation, and relation to self-injurious thoughts and behaviors", Behavior Therapy, 39(2), pp.107~116 (2008)
  64. Pennebaker, J. W., "Inhibition and psychosomatic processes" (1993), Hogrefe & Huber Publishers
  65. Preece, D., "Assessing emotional reactivity : Psychometric properties of the Perth Emotional Reactivity Scale and the development of a short form", Journal of Personality Assessment, 101(6), pp.589~597 (2019)
  66. Radloff, L. S., "The CES-D scale : A self-report depression scale for research in the general population", Applied Psychological Measurement, 1(3), pp.385~401 (1977)
  67. Richman, L. S., "Positive emotion and health : going beyond the negative", Health Psychology, 24(4), pp.422~429 (2005)
  68. Ripper, C. A., "Emotional reactivity, intensity, and perseveration : Independent dimensions of trait affect and associations with depression, anxiety, and stress symptoms", Personality and Individual Differences, 121, pp.93~99 (2018)
  69. Rottenberg, J., "Emotion and Psychopathology: Bridging affective and clinical science" (2007), American Psychological Association
  70. Schnabel, K., "Emotional reactivity, emotion regulation, and regulatory choice in somatic symptom disorder", Psychosomatic Medicine, 84(9), pp.1077~1086 (2022)
  71. Scicchitano, J., "Illness behavior and somatization in general practice", Journal of Psychosomatic Research, 41(3), pp.247~254 (1996)
  72. Seyrek, Ö. D., "Examining the relationship between the teachers' emotional reactivity and aggression levels", International Journal of Progressive Education, 16(5), pp.459~471 (2020)
  73. Shapero, B. G., "Emotional reactivity and internalizing symptoms : Moderating role of emotion regulation", Cognitive Therapy and Research, 40(3), pp.328~340 (2016)
  74. Shapero, B. G., "Understanding the effects of emotional reactivity on depression and suicidal thoughts and behaviors : Moderating effects of childhood adversity and resilience", Journal of Affective Disorders, 245(2019), pp.419~427 (2019)
  75. Shaw, A. M., "Hoarding and emotional reactivity : The link between negative emotional reactions and hoarding symptomatology", Journal of Psychiatric Research, 63, pp.84~90 (2015)
  76. Sifneos, P. E., "Short-term psychotherapy and emotional crisis" (1972), Harvard University Press
  77. Smith, K. E., "Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury", Psychiatry Research, 257(2017), pp.519~525 (2017)
  78. Strauman, T. J., "Self-regulation and depression", Self and Identity, 1(2), pp.151~157 (2002)
  79. Taylor, G. J., "The alexithymia construct : a potential paradigm for psychosomatic medicine", Psychosomatics, 32(2), pp.153~164 (1991)
  80. Thomas, J., "Response styles to depressed mood in bipolar affective disorder", Journal of Affective Disorders, 100(2007), pp.249~252 (2007)
  81. Yildirim, A., "Alexithymia in depressive, anxiety, somatoform, and psychotic disorders: a comparative study", Journal of Psychiatric Nursing, 7(2), pp.75~81 (2016)

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