본문 바로가기
KERD
논문KCI 등재

특성불안과 강박증상의 관계: 추론융합과 역추론의 매개효과

The Relationship between Trait Anxiety and Obsessive-Compulsive Symptoms: Mediating Effects of Inferential Confusion and Inverse Reasoning

이종선|송윤하
한국건강심리학회 (Korean Health Psychological Association)|2021.05|한국심리학회지: 건강 (Korean Journal of Health Psychology)|제26권 제3호|pp. 473-489|DOI 10.17315/kjhp.2021.26.3.003

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

trait anxiety강박증상특성불안추론모델추론융합역추론inference based approachinferential confusioninverse reasoningobsessive compulsive symptom
주제분류심리과학

초록

본 연구는 강박장애를 설명하는 추론 모델에 기반하여 특성불안과 강박증상 간의 관계에서 역추론과 추론융합의 순차적 매개효과를 검증하였다. 이를 위해 대학생과 대학원생 남녀 158명이 본 연구 대상자로 참여하였다. 특성불안(STAI-T), Padua 강박 척도-워싱턴 주립대학 개정판(PI-WSUR), 추론융합 척도(ICQ), 역추론과제(IRT)를 사용하여 자료를 수집하였으며, 본 연구의 결과는 다음과 같다. 첫째, 특성불안과 역추론, 추론융합, 강박증상 간 유의한 정적 상관이 나타났다. 둘째, 특성불안과 강박증상 간의 관계에서 역추론과 추론융합이 순차적으로 매개하는 것으로 나타났다. 이는 특성불안 수준이 높을수록 역추론, 추론융합과 같은 부적응적 인지를 사용할 가능성이 높아지고 따라서 강박증상으로 이어질 수 있음이 시사되었다. 마지막으로 본 연구의 제한점들과 시사점들을 논의하였으며, 후속연구를 위한 제언을 논의하였다.

Abstract

The objective of the present study was to investigated the sequential mediating effect of Inverse Reasoning and Inferential Confusion on the relationship between Trait Anxiety and Obsessive-Compulsive Symptoms using the Inference Based Approach (IBA) for explaining Obsessive-Compulsive Disorder. A total of 158 male and female university students and graduate students participated in this study. Data were collected using State-Trait Anxiety Inventory-Trait (STAI-T), Padua Inventory-Washington State University Revision (PI-WSUR), Inferential Confusion Questionnaire (ICQ), and Inverse Reasoning Task (IRT). Results of this study are as follows. First, there were significant positive correlations among Trait Anxiety, Inverse Reasoning, Inferential Confusion, and Obsessive Compulsive Symptoms. Second, Inverse Reasoning and Inferential Confusion sequentially mediated the relationship between Trait Anxiety and Obsessive Compulsive Symptoms. The higher the level of Trait Anxiety, the higher the likelihood of using maladaptive cognition such as Inverse Reasoning and Inferential Confusion, leading to Obsessive Compulsive Symptoms. Limitations and implications of this study with suggestions for follow-up studies were also discussed.

참고문헌 (46)

  1. 권석만, "현대 이상심리학" (2013), 학지사
  2. 김예슬, "외상 후 스트레스 장애에 대한 외상 경험과 침습적 반추의 효과: 미래 인지와 성차의 조절된 조절된 매개", Korean Journal of Clinical Psychology, 36(3), pp.325~338 (2017), 한국임상심리학회[DOI]
  3. 김정택, "STAI 의 한국표준화에 관한 연구", 최신의학, 21(11), pp.69~75 (1978)
  4. 설순호, "걱정과 강박사고에 대한 인지적 평가와 통제방략", 석사, 임상·상담심리학, pp.2004
  5. 양병화, "다변량 데이터 분석법의 이해" (2006), 커뮤니케이션북스
  6. 이학식, "구조방정식 모형분석과 AMOS 7. 0" (2008), 법문사
  7. Aardema, F., "Inferential confusion in obsessive–compulsive disorder : the inferential confusion questionnaire", Behaviour Research and Therapy, 43(3), pp.293~308 (2005)
  8. Aardema, F., "Inferential confusion and obsessive beliefs in obsessive-compulsive disorder", Cognitive Behaviour Therapy, 35(3), pp.138~147 (2006)
  9. Aardema, F., "Processes of inference, schizotypal thinking, and obsessivecompulsive behaviour in a normal sample", Psychological Reports, 99(1), pp.213~220 (2006)
  10. Aardema, F., "The expanded version of the Inferential Confusion Questionnaire : further development and validation in clinical and non-clinical samples", Journal of Psychopathology and Behavioral Assessment, 32(3), pp.448~462 (2010)
  11. Abramowitz, J. S., "Presidential Address: Are the Obsessive-Compulsive Related Disorders Related to Obsessive-Compulsive Disorder? A Critical Look at DSM-5’s New Category", Behavior Therapy, 49(1), pp.1~11 (2018)
  12. Aardema, F., "Imaginative, dissociative, and schizotypal processes in obsessive‐compulsive symptoms", Journal of Clinical Psychology, 67(1), pp.74~81 (2011)
  13. Diagnostic and statistical manual of mental disorders, "American Psychiatric Association", American Psychiatric Pub, ~ (2013)
  14. Browne, M. W., "Testing structural equation models", pp.136~162 (1993), Sage
  15. Burns, G. L., "Revision of the Padua Inventory of obsessive compulsive disorder symptoms: distinctions between worry, obsessions, and compulsions", Behaviour Research and Therapy, 34(2), pp.163~173 (1996)
  16. Carroll, C. D., "Evaluating the inverse reasoning account of object discovery", Cognition, 139, pp.130~153 (2015)
  17. Emmelkamp, P. M., "Metacognition, specific obsessive–compulsive beliefs and obsessive–compulsive behaviour", Clinical Psychology & Psychotherapy : An International Journal of Theory & Practice, 6(2), pp.139~145 (1999)
  18. Fergus, T. A., "Do symptoms of generalized anxiety and obsessive-compulsive disorder share cognitive processes", Cognitive Therapy and Research, 34(2), pp.168~176 (2010)
  19. Finch, J. F., "The investigation of personality structure : Statistical models", Journal of Research in Personality, 31(4), pp.439~485 (1997)
  20. Fisher, P. L., "How effective are cognitive and behavioral treatments for obsessive –compulsive disorder? A clinical significance analysis", Behaviour Research and Therapy, 43(12), pp.1543~1558 (2005)
  21. Freeston, M. H., "Correcting faulty appraisals of obsessional thoughts", Behaviour Research and Therapy, 34(5-6), pp.433~446 (1996)
  22. Hair, J. F., "Multivariate data analysis: Pearson new international edition" (2014), Pearson Education Limited
  23. Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis second edition: A regression-based approach" (2018), Guilford publications
  24. O'Connor, K., "Intrusions and inferences in obsessive compulsive disorder", Clinical Psychology & Psychotherapy, 9(1), pp.38~46 (2002)
  25. O'Connor, K., "Beyond reasonable doubt: Reasoning processes in obsessive-compulsive disorder and related disorders" (2005), John Wiley & Sons
  26. O'Connor, K., "An inference-based approach to treating obsessive-compulsive disorders", Cognitive and Behavioral Practice, 16(4), pp.420~429 (2009)
  27. O'Connor, K., "A review of the inference-based approach to obsessive compulsive disorder", Verhaltenstherapie, 22, pp.47~55 (2012)
  28. O'Connor, K., "Inference processes in obsessive-compulsive disorder: Some clinical observations", Behaviour Research and Therapy, 33(8), pp.887~896 (1995)
  29. O’Connor, K., "A cognitive approach to the treatment of primary inferences in obsessive-compulsive disorder", Journal of Cognitive Psychotherapy, 13(4), pp.359~375 (1999)
  30. Parrish, C. L., "Anxiety-control strategies: Is there room for neutralization in successful exposure treatment?", Clinical Psychology Review, 28(8), pp.1400~1412 (2008)
  31. Pélissier, M. C., "Deductive and inductive reasoning in obsessive-compulsive disorder", British Journal of Clinical Psychology, 41(1), pp.15~27 (2002)
  32. Pélissier, M. C., "When doubting begins : Exploring inductive reasoning in obsessive-compulsive disorder", Journal of Behavior Therapy and Experimental Psychiatry, 40(1), pp.39~49 (2009)
  33. Rachman, S., "Oxford Medical Publications Science and Practice of Cognitive Behaviour Therapy", pp.3~26 (1997), Oxford University Press
  34. Rachman, S., "A cognitive theory of obsessions:Elaborations", Behaviour Research and Therapy, 36(4), pp.385~401 (1998)
  35. Rachman, S., "How to remain neutral: An experimental analysis of neutralization", Behaviour Research and Therapy, 34(11-12), pp.889~898 (1996)
  36. Rachman, S., "Perceived responsibility:Structure and significance", Behaviour Research and Therapy, 33(7), pp.779~784 (1995)
  37. Röper, G., "Obsessionalcompulsive checking : experimental replication and development", Behaviour Research and Therapy, 14(1), pp.25~32 (1976)
  38. Salkovskis, P. M., "Obsessional-compulsive problems : A cognitive-behavioural analysis", Behaviour Research and Therapy, 23(5), pp.571~583 (1985)
  39. Spielberg, C., "The state–trait anxiety inventory" (1970), Consulting Psychologists Press
  40. Taylor, S., "Do dysfunctional beliefs play a role in all types of obsessive–compulsive disorder?", Journal of Anxiety Disorders, 20(1), pp.85~97 (2006)
  41. Thomsen, P. H., "Obsessive–compulsive disorders", European child & adolescent psychiatry, 22(1), pp.23~28 (2013)
  42. Tolin, D. F., "Are “obsessive” beliefs specific to OCD?: A comparison across anxiety disorders", Behaviour Research and Therapy, 44(4), pp.469~480 (2006)
  43. Torres, A. R., "Treatment seeking by individuals with obsessive-compulsive disorder from the British Psychiatric Morbidity Survey of 2000", Psychiatric Services, 58(7), pp.977~982 (2007)
  44. Wong, S. F., "Inverse reasoning processes in obsessive-compulsive disorder", Journal of Anxiety Disorders, 47, pp.75~82 (2016)
  45. Wong, S. F., "Causal role for inverse reasoning on obsessive-compulsive symptoms : Preliminary evidence from a cognitive bias modification for interpretation bias study", Journal of Behavior Therapy and Experimental Psychiatry, 57, pp.143~155 (2017)
  46. Wu, K. D., "Inferential confusion, obsessive beliefs, and obsessive-compulsive symptoms : A replication and extension", Journal of Anxiety Disorders, 23(6), pp.746~752 (2009)

관련 논문AI추천

강박신념의 강박증상 특이성 검증: 비임상 대학생 집단을 대상으로권석만, 신민섭, 우충환한국임상심리학회 · Korean Journal of Clinical Psychology2010 · 제29권 제1호걱정의 병리적 진행과정에서 인지적 회피의 매개 특성이상일한국재활심리학회 · 재활심리연구2020 · 제27권 제4호애착 불안이 강박증상에 미치는 영향: 자기 양가감과 강박사고의 이중매개효과이시현, 임종민, 장문선한국심리치료학회 · 한국심리치료학회지2025 · 제17권 제2호불확실성에 대한 인내력 부족과 걱정의 관계에서 체계적 정보처리의 매개효과강규림, 김두리, 현명호한국건강심리학회 · 한국심리학회지: 건강2020 · 제25권 제6호과도한 사고통제욕구, 인지적 자의식과 강박사고: 침투사고중심 대처방략의 매개효과오경자, 이서정한국임상심리학회 · Korean Journal of Clinical Psychology2008 · 제27권 제4호대학생의 불확실성에 대한 인내력 부족과 내재화 증상의 관계에서 역기능적 상위인지신념과 경험회피의 순차매개효과김은정, 조나영한국건강심리학회 · 한국심리학회지: 건강2023 · 제28권 제4호

이 간행물의 다른 논문 (9건)

자살 위험 평가에서 암묵적 연합 검사의 신뢰도 및 타당도 연구심은정, 장지연pp. 429-449생도 생활 스트레스 요인 척도 단축형의 개발과 타당화이종환, 강성록, 최윤영, 구자일, 이현엽pp. 451-471사회불안이 웃음, 비웃음 지각에 미치는 영향: 우울 증상의 통제 효과임효정, 양재원pp. 491-507한국 중년기 노화불안에 영향을 미치는 요인오은아, 박기환pp. 509-528청소년의 도박 위험환경 노출이 도박문제 발달에 미치는 영향: 성별의 조절효과장은진, 김성아, 김예나pp. 529-541
원문 보기