경계선적 성격특성, 부적응적 완벽주의 및 우울이 자살관련행동에 미치는 영향
The Effect of Borderline Personality Traits, Maladaptive Perfectionism, and Depression on Suicide-Related Behaviors
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초록
본 연구는 경계선적 성격특성, 부적응적 완벽주의가 우울을 매개로 자살생각에 미치는 영향과 이들 자살위험요인들이 자살시도 경험을 잘 판별하는지를 알아보았다. 대학생 709명을 대상으로 이론적으로 가정한 모형들에 대해 구조방정식 모형을 검증하였고, 자살위험요인들이 자살시도를 잘 판별하는지는 위계적 중다판별분석을 통해 살펴보았다. 구조방정식모형 검증에서 대안모형1이 가장 간명하면서도 현상을 잘 설명하는 것으로 나타났다. 대안모형1은 경계선 성격특성은 우울을 통해 간접적으로 자살생각에 영향을 미치지만, 매개변수인 우울의 효과를 통제한 경우에는 자살생각에 영향을 미치지 않는다는 것을 의미하며, 부적응적 완벽주의는 우울을 통해 간접적으로 자살생각에 영향을 미치지만 매개변수인 우울의 효과를 통제한 경우에는 오히려 자살생각에 부적 영향을 미치는 것으로 나타났다. 자살생각, 우울, 부적응적 완벽주의, 경계선 성격특성이 자살시도를 얼마나 잘 판별하는지 알아 본 결과 자살생각, 우울, 경계선적 성격특성 순으로 판별하는 것으로 나타났으며, 부적응적 완벽주의의 판별력은 유의미하지 않았다. 이러한 결과를 바탕으로 본 연구의 의의와 시사점, 제한점, 후속 연구에 대한 제언을 논의하였다.
Abstract
The purpose of this study was to investigate the effects of borderline personality trait and maladaptive perfectionism on suicide ideation through depression as mediator variable, as well as the degree to which suicide-related risk factors discriminate suicide attempts. A total of 709 undergraduate students completed a questionnaire related to borderline personality traits, maladaptive perfectionism, depression, and suicide ideation. In addition, a hierarchical multiple discriminant analysis was conducted to examine the relative contribution of suicide-related risk factors on attempted suicide. The results were as follow: First, the Alternative Model 1 exhibit the highest simplicity and best fitness model among theoretical model and alternative models. This model suggested that borderline personality traits have an indirectly positive effect on suicide ideation through depression; however they don't have any effect when the depression is controlled. Maladaptive perfectionism also had an indirectly positive effect on suicide ideation mediated by depression. However, rather than having no effect, it had a negative effect on suicide ideation when depression was controlled. Second, in a hierarchical multiple discriminant analysis, the suicide attempt group was discriminated in order of suicide ideation, depression, and borderline personality traits. Based on these results, the implications and limitations of this study were discussed along with the suggestions for subsequent research.
참고문헌 (50)
- 김예원, "다차원적 완벽주의와 심리적 부적응 간의 관계에 미치는 지각된 스트레스의 영향", 석사, pp.2008
- 두금주, "스트레스와 우울간의 관계: 자기 효능감과 완벽주의의 매개효과", 석사, pp.2002
- 문수백, "구조방정식모델링의 이해와 적용" (2009), 학지사
- 박경, "부정적 생활스트레스와 우울과의 관계 : 문제해결과 완벽주의의 중재효과와 매개효과", 한국심리학회지: 건강, 9(2), pp.265~284 (2004), 한국건강심리학회
- 배병렬, "구조방정식모델링:원리와 실제" (2007), 청람
- 신민섭, "고등학생의 자살 성향에 관한 연구: 우울-절망-자살간의 구조적 분석", 한국심리학회지:임상, 9(1), pp.1~19 (1990)
- 이승연, "대학생의 스트레스, 부적응적 완벽주의, 자살사고의 관계: 사회적 문제해결능력과 애착유형의 조절효과 중심으로", 한국심리학회지:학교, 5(2), pp.119~136 (2008), 한국심리학회산하학교심리학회
- 육성필, "자살관련변인의 탐색과 치료 프로그램 개발", 박사, pp.2002
- 이영호, "BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구", 한국심리학회지: 임상, 10(1), pp.98~113 (1991)
- 조용해, "한국판 Beck Depression Inventory의 확인적 요인분석: 대학생과 임상표본 간 구조 및 측정동일성 검증", 한국심리학회지 임상, 21(4) (2002), 한국임상심리학회
- 최윤경, "경계선 정신병리와 자기파괴성의 위험요인", 박사, pp.2005
- 최은주, "경계선적 성격특성 척도(PAI- BOR)의 타당화 연구: 대학생 집단을 대상으로", 석사, pp.1998
- 홍상황, "경계선 성격장애 척도의 타당화 연구: 대학생을 대상으로", 한국심리학회지:임상, 17, pp.259~271 (1998)
- 홍세희, "구조 방정식 모형의 적합도 지수 선정기준과 그 근거", 한국심리학회지:임상, 19(1), pp.161~177 (2000)
- Adkins, K. K., "Perfectionism and Suicidal Preoccupation", Journal of Personality, 64(2), pp.529~543 (1996)
- Beck, A., "Depression: clinical, experimental, and theoretical aspects" (1967), Harper & Row
- Beevers, C., "Perfectionism, cognitive bias, and hopelessness as prospective predictors of suicidal ideation", Suicide and Life-Threatening Behavior, 34(2), pp.126~137 (2004)
- Chang, E. C., "Cultural differences‚ perfectionism‚ and suicidal risk in a college population: does social problem solving still matter?", Cognitive Therapy and Research, 22(3), pp.237~254 (1998)
- Cheng, S. K., "Life stress, problem solving, perfectionism, and depressive symptoms in chinese", Cognitive Therapy and research, 25, pp.303~310 (2001)
- Cole, D. A., "Psychological of adolescent suicide: Hopelessness, coping beliefs, and depression", Journal of Abnormal Psychology, 98, pp.248~255 (1989)
- Cornelius, J. R., "Disproportionate suicidal patients with comorbid major depression and alcoholism", American Journal of Psychiatry, 152, pp.358~364 (1995)
- Emery, Steer, "Depression, Hopelessness, and Suicidal Intent among Heroin", Addicts Substance Use & Misuse, 16(3), pp.425~429 (1981)
- Ellis, T. E., "Cognitive characteristics of suicidal and nonsuicidal psychiatric inpatients", Cognitive Therapy and Research, 10(6), pp.625~634 (1986)
- Enns, M. W ., "Adaptive and maladaptive perfectionism in medical students: a longitudinal investigation", Medical Education, 35, pp.1034~104 (2001)
- Espostto, C. L., "Psychiatric symptoms and their relationship to suicidal ideation in a high-risk adolescent community sample", Journal of the American Academy of Child & Adolescent psychiatry, 41(1), pp.44~51 (2001)
- Flamenbaum, R., "Psychache as a mediator in the relationship between perfectionism and suicidality", Journal of Counseling Psychology, 54, pp.51~61 (2007)
- Frost, R. O., "The dimensions of perfectionism", Cognitive Therapy and Research, 14, pp.449~468 (1990)
- Fyer, M. R., "Suicide attempts in patients with borderline personality disorder", American Journal of Psychiatry, 145, pp.737~739 (1988)
- Grzegorek, J. L., "Self-criticism, dependency, self-esteem, and grade point average satisfaction among clusters of perfectionists and nonperfectionists", Journal of Counseling Psychology, 51(2), pp.192~200 (2004)
- Haines, J., "The psychophysiology of self-mutilation", Journal of Abnormal Psychology, 104(3), pp.471~489 (1995)
- Hewitt, P. L., "Perfectionism in the self and social contexts: Conceptualization, assessment and association with psychopathology", Journal of Personality and Social Psychology, 60, pp.456~470 (1991)
- Hewitt P. L., "Dimensions of perfectionism, hopelessness and attempted suicide in a sample of alcoholics", Suicide and Life -Threatening Behavior, 28, pp.395~406 (1998)
- Hewitt, P. L., "Turnbull-Donovan, W. (1992). Perfectionism and suicide potential", British Journal of Clinical Psychology, 31, pp.181~190 (1992)
- Hewitt P. L., "Dimensions of perfectionism and suicide ideation", Cognivtve Therapy and Research, 18, pp.439~460 (1994)
- Klerman, G., "Clinical epidemiology of suicide", Journal of Clinical Psychiatry, 48, pp.33~38 (1987)
- Linehan, M. M., "Cognitive-behavioral treatment of boderline personality disorder" (1993), Guilford Press
- Malone, K. M., "Major depression and the risk of attempted suicide", Journal of Affective Disorder, 34, pp.173~185 (1995)
- Minkoff, K., "Hopelessness, Depression, and Attempted Suicide", American Journal of Psychiatry, 130, pp.455~459 (1973)
- O' Carroll, P. W., "Beyond the tower of Babel: a nomenclature for suicidology", suicide and Life-Threatening Behavior, 26(3), pp.237~252 (1996)
- Oquendo M. A., "Suicide: risk factors and prevention in refractory major depression", Depression and Anxiety, 5, pp.202~211 (1997)
- Petrie, K., "Hopelessness and social Desirability as Modertor Variables in Predicting Suicidal Behavior", ~ (1983)
- Journal of Consulting and Clinical Psychology, 51, Salters-Pedneault, K, "Suicidality in borderline personality disorder" (2008), Medical Review Board
- Slaney, R. B., "Perfectionists: Study of criterion group", Journal of Couseling and Development, 74, pp.393~398 (1996)
- Soloff, P. H., "Characteristics of suicide attempts of patients With major depressive episode and borderline personality disorder: a comparative study", American Journal of Psychiatry, 157, pp.601~608 (2000)
- Stone, M. H., "The PI 500: long-term follow-up of borderline inpatients meeting DSM-Ⅲ criteria, Ⅰ: global outcome", Journal of personality Disorder, 1, pp.291~298 (1987)
- Strosahl, K., "Prediction of suicide intent in hospitalized parasuicides: reason for living, hopelessness, and depression", Comprehensive Psychiatry, 33(6), pp.366~373 (1992)
- Wetzel, R. D., "Hopelessness, depression, and suicide intent", Journal of Clinical Psychiatry, 41, pp.159~160 (1980)
- Yoona, J., "Maladaptive perfectionism and depressive symptoms among Asian American college students: ontributions of interdependence and parental relations", Cultural Diversity and Ethnic Minority Psychology, 14(2), pp.92~101 (2008)
