MMPI-2 프로파일을 통해 본 남성 병적 도박자의 특성
The Characteristics of Male Pathological Gamblers Based on MMPI-2 Profiles
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본 연구는 서울 소재의 도박중독치료센터 1개소에 내방한 174명의 남자 병적 도박자를 대상으로 다면적 인성검사(MMPI-2) 프로파일을 군집 분석하고 유형별 특징을 살펴보고자 이루어졌다. 이와 더불어 AAS(중독인정) 및 APS(중독가능성) 보충척도가 병적 도박자를 예측할 수 있는 지표로서 유용한지 여부를 알아보고자 하였다. 본 연구에서 밝혀진 주요 결과는 다음과 같다. 첫째, MMPI 타당도척도와 임상척도에 따라 3개 군집으로 분류할 수 있었는데, 군집1(49%)은 병식이 부족하고 방어적인 ‘정상프로파일집단’, 군집2(39%)는 2-4척도가 유의하게 상승하는 ‘정신병질자 집단’, 군집3(12%)은 우울, 불안, 분노 등의 정신병리 증상을 호소하는 ‘정신적 혼란이 심한집단’으로 정의 되었다. 둘째, APS 보충척도가 병적 도박자를 변별해 줄 수 있는 하나의 유용한 지표가 될 수 있음이 시사되었다. 각 집단에서의 특징 및 치료 시 고려해야 할 사항들과 연구의 시사점 및 제한점을 논의하였다.
Abstract
This study identified the personality and pathology subgroups based upon a cluster analysis of MMPI-2 profiles in 174male pathological gamblers. Moreover, this study investigated the effectiveness of APS scale in differentiating between pathological gamblers and non-pathological gambler. Three MMPI subgroups were identified. Group 1(49%), the ‘normal profile subgroup’ did not show elevated scores on any scales. Group 2(39%), the ‘psychopath subgroup’ had significant spikes on scales 4 and 2. Group 3(12%), the ‘mentally confused subgroup’ had more tense, depressive, and emotional confusion and a lower tolerance for stress. Further, APS demonstrated the utility in detecting pathological gambling. Based on these results, the limitation and suggestions for future study were discussed.
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