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고통 과잉 감내 척도의 타당화 연구: 한국 대학생 집단을 대상으로

Validation of the Korean Version of the Distress Overtolerance Scale

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초록

고통 과잉 감내의 경향성은 안녕감이 저하됨에도 불구하고 부정 정서를 참아내는 심리적 특성을 의미한다. 이러한 고통 과잉 감내의 성향은 개인의 정신 건강에 상당한 영향을 미치는 것으로 알려져 있으나 국내에서는 연구가 미비한 실정이다. 따라서 본 연구에서는 부정적인정서를 지속적으로 참아내는 경향성을 측정하기 위해 Gorey, Rojas와 Bornovalova (2016)가 개발한 고통 과잉 감내 척도(Distress Overtolerance Scale)를 번안하고 한국 대학생을 대상으로 타당화하였다. 이를 위해 서강대학교 학부생 286명을 대상으로 고통 과잉 감내 척도, 고통 감내력 척도, 투지(grit) 척도, 단축형 간이정신건강진단검사 우울 및 불안 척도, 인지적 유연성 척도와 알코올 자기조절 척도를 실시하였으며 AMOS 20.0과 SPSS 21.0을 사용하여 확인적 요인분석과 상관 분석을 시행하였다. 그 결과, 원척도에서 도출한 2요인 구조를 토대로고통 과잉 감내 척도의 타당도, 적합도와 내적 합치도가 적절한 수준임을 확인하였다. 또한 상관 분석을 통해 고통 과잉 감내와 다른 심리변인과의 개념적 관련성을 수렴 및 변별 타당도를 통해 살펴본 결과, 고통 과잉 감내는 우울, 불안과는 정적 상관을 나타낸 한편 고통 감내력, 인지적 유연성과는 부적 상관을 나타냈다. 본 연구 결과는 고통 과잉 감내 설문지가 신뢰롭고 타당한 측정도구로서 사용 가능함을 시사한다. 또한, 고통 감내력이 과도한 경우 부적응적인 심리 증상과 결부될 수 있으므로 이에 기반을 둔 치료적 개입의 필요성을 시사한다. 마지막으로 본 연구의 한계 및 후속 연구를 위한 제언에 대하여 논의하였다.

Abstract

Distress overtolerance consists in a tendency to tolerate extreme levels of distress despite the negative consequences on one’s well-being. The present study examined and validated the Korean version of the Distress Overtolerance Scale (Gorey, Rojas, & Bornovalova, 2016). For this purpose, survey data from 286 university students were analyzed. A confirmatory factor analysis was conducted to identify the latent structure of the Korean version of the Distress Overtolerance Scale (K-DOS). Further, its convergent and discriminant validities were examined through a correlation analysis including the Grit Scale, Depression and Anxiety items of the Brief Symptoms Inventory, Cognitive Flexibility Scale, and Failed Control items of the Impaired Control Scale. The results of the confirmatory factor analysis based on a two-factor structure supported the validity, goodness of fit, and internal consistency of the K-DOS. Additionally, distress overtolerance showed a positive correlation with depression and anxiety, and a negative correlation with distress tolerance and cognitive flexibility. These findings suggest that the KDOS is a reliable and valid measure. This study also suggests that if the level of tolerating emotional distress is exceedingly high, it can be related to maladaptive psychological symptoms, including depression or anxiety. Finally, the limitations of the present study and suggestions for future studies are discussed.

참고문헌 (57)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Publication
  2. Anestis, M. D., "The multifaceted role of distress tolerance in dysregulated eating behaviors", International Journal of Eating Disorders, 40, pp.718~726 (2007)
  3. Bae, B. R., "Structural equation modeling with AMOS 17.0:principles and practice" (2009), Chungram
  4. Baumeister, R. F., "The strength model of self-control", Current Directions in Psychological Science, 16, pp.351~355 (2007)
  5. Berking, M., "Handbook of emotion regulation", pp.529~547 (2014), Guilford Publications
  6. Boffa, J. W., "Distress tolerance as a mechanism of PTSD symptom change : Evidence for mediation in a treatment-seeking sample", Psychiatry Research, 267, pp.400~408 (2018)
  7. Campbell-Sills, L., "Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders", Behaviour Research and Therapy, 44, pp.1251~1263 (2006)
  8. 장선주, "제2형 당뇨노인을 대상으로 한 당뇨 자가 관리 측정도구(The Summary of Diabetes Self-Care Activities Questionnaire, SDSCA) 한국어 버전의 타당도와 신뢰도 검증", 성인간호학회지, 21(2), pp.235~244 (2009), 한국성인간호학회
  9. 최명애, "한국판 노인 신체활동 측정도구의 평가", 여성건강간호학회지, 16(1), pp.47~59 (2010), 한국여성건강간호학회
  10. Choi, S. C., "Social Psychology of Koreans", pp.151~162 (2004), The Korean Psychological Association
  11. Choi, S. C., "Psychology of Ingo for Koreans : Accompaniment of rewards and Reimbursement of faults", Korean Journal of Psychological and Social Issues, 7, pp.21~38 (2001)
  12. Clarke, H. F., "Cognitive inflexibility after prefrontal serotonin depletion", Science, 304, pp.878~880 (2004)
  13. Cooper, M. L., "Coping, expectancies, and alcohol abuse : A test of social learning formulations", Journal of Abnormal Psychology, 97, pp.218~230 (1988)
  14. Davis, D., "Interrogation-related regulatory decline:Ego depletion, failures of self-regulation, and the decision to confess", Psychology, Public Policy, and Law, 18, pp.673~704 (2012)
  15. Derogatis, L. R., "Brief Symptom Inventory (BSI)-18: Administration, scoring and procedures manual" (2001), NCS Pearson
  16. Duckworth, A. L., "Grit : perseverance and passion for long-term goals", Journal of Personality and Social Psychology, 92, pp.1087~1101 (2007)
  17. Duckworth, A. L., "Development and validation of the Short Grit Scale(GRIT-S)", Journal of Personality Assessment, 91, pp.166~174 (2009)
  18. Elmes, D. G., "Research Methods in Psychology", pp.2012, Wadsworth
  19. Flett, G., "The Psychology of Perfectionism: Theory, Research, Applications", pp.101~123 (2018), Routledge
  20. Gliem, J. A., "Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales", Midwest Research-to-Practice Conference in Adult, Continuing, and Community Education, pp.82~88 (2003)
  21. Gorey, C. M., "More of a good thing is not always better : Validation of a distress overtolerance measure", Assessment, 25, pp.446~457 (2016)
  22. Gratz, K. L., "Distress Tolerance: Theory, research, and clinical applications", pp.198~220 (2011), The Guilford Press
  23. Hair, J. F., "Multivariate data analysis" (1998)
  24. Hair, J. F., "Multivariate data analysis" (2006), Pearson University Press
  25. 한민, "부당한 상황에서 경험되는 정서의 문화 차이: 한국, 중국, 일본, 미국을 중심으로", 한국심리학회지: 문화 및 사회문제, 24(2), pp.251~272 (2018), 한국문화및사회문제심리학회[DOI]
  26. Heather, N., "Development of a scale for measuring impaired control over alcohol consumption : a preliminary report", Journal of Studies on Alcohol, 54, pp.700~709 (1993)
  27. Heo, S. Y, "Role of cognitive flexibility in the relationship between perfectionism and psychological maladjustment", master, pp.2011
  28. Hong, S. H., "The criteria for selecting appropriate fit indices in structural equation modeling and their rationales", Korean Journal of Clinical Psychology, 19, pp.161~177 (2000)
  29. Hu, L. T., "Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives", Structural Equation Modeling : A Multidisciplinary Journal, 6, pp.1~55 (1999)
  30. Keough, M. E., "Anxiety symptomatology : The association with distress tolerance and anxiety sensitivity", Behavior Therapy, 41, pp.567~574 (2010)
  31. Kwon, S. M., "Contemporary abnormal psychology" (2013), Hakjisa
  32. Lee, S. R, "Effects of grit, deliberate practice and contingencies of self-worth on academic achievement", doctor, pp.2015
  33. Lee, S. W., "Courage to give up" (2013), Sam & Parkers
  34. Leyro, T. M., "Distress tolerance and psychopathological symptoms and disorders : A review of the empirical literature among adults", Psychological Bulletin, 136, pp.576~600 (2010)
  35. Lim, E. Y, "Relative of effectiveness back translation procedure in cross-cultural adaptation of attitude measures", master, pp.1998
  36. Liverant, G. I., "Rumination in clinical depression : A type of emotional suppression", Cognitive Therapy and Research, 35, pp.253~265 (2011)
  37. Lynch, T. R., "Distress Tolerance: Theory, research, and clinical applications", pp.52~79 (2011), The Guilford Press
  38. McHugh, R. K., "Refining the measurement of distress intolerance", Behavior Therapy, 43, pp.641~651 (2012)
  39. Muraven, M., "Self-regulation and depletion of limited resources : Does self-control resemble a muscle", Psychological Bulletin, 126, pp.247~259 (2000)
  40. 박기쁨, "대학생 집단을 통한 단축형 간이정신진단 검사-18(BSI-18)의 타당화 연구", Korean Journal of Clinical Psychology, 31(2), pp.507~521 (2012), 한국임상심리학회[DOI]
  41. Park, K. S., "The problem is lethargy: A prescription for life toxins completed by a cognitive psychologist after more than 10years of experience" (2013), Wiseberry
  42. Park, S. A, "Fear of emotions and distress tolerance in young adults with borderline personality disorder features", master, pp.2010
  43. 서장원, "고통 감내력과 심리장애: 경험적 연구 개관", 한국심리학회지:일반, 34(2), pp.397~427 (2015), 한국심리학회
  44. 서장원, "고통을 견디는 과정에 대한 이론적 고찰: 정동적 판단 모델의 개발", 한국심리학회지:일반, 34(3), pp.641~666 (2015), 한국심리학회[DOI]
  45. Serpell, L., "The roles of persistence and perseveration in psychopathology", Behavior Therapy, 40, pp.260~271 (2009)
  46. Simons, J. S., "The Distress Tolerance Scale : Development and validation of a self-report measure", Motivation and Emotion, 29, pp.83~102 (2005)
  47. Simons, R. M., "The role of distress tolerance in the relationship between cognitive schemas and alcohol problems among college students", Addictive Behaviors, 78, pp.1~8 (2018)
  48. Spokas, M., "Social anxiety and emotional suppression : The mediating role of beliefs", Journal of Behavior Therapy and Experimental Psychiatry, 40, pp.283~291 (2009)
  49. Tran, L., "Unhealthy perfectionism, negative beliefs about emotions, emotional suppression, and depression in students : A mediational analysis", Personality and Individual Differences, 110, pp.144~147 (2017)
  50. Vohs, K. D., "Self-regulation and self-presentation : Regulatory resource depletion impairs impression management and effortful self-presentation depletes regulatory resources", Journal of Personality and Social Psychology, 88, pp.632~657 (2005)
  51. Vujanovic, A. A., "Distress Tolerance: Theory, research, and clinical applications", pp.126~148 (2011), The Guilford Press
  52. Weisholtz, D. S., "Executive Functions in Health and Disease", pp.219~248 (2017), Academic Pre
  53. Williams, A. D., "The impact of psychological distress tolerance in the treatment of depression", Behaviour Research and Therapy, 51, pp.469~475 (2013)
  54. Won, S. D, "The effects of goal–focused self-regulation program for patients with alcohol use disorder", doctor, pp.2016
  55. Woo, J. P., "Professor Woo Jong-Pil’s concept and understanding of structural equation model" (2012), Hannarae
  56. Zvolensky, M. J., "Distress tolerance: Theory, research, and clinical applications" (2011), The Guilford Press
  57. Zvolensky, M. J., "Distress tolerance : Theory, measurement, and relations to psychopathology", Current Directions in Psychological Science, 19, pp.406~410 (2010)

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