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반사회성 성격장애 경향군의 사회인지 결함

Social Cognition Deficit of Individuals with Antisocial Personality Disorder Tendencies

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초록

본 연구는 반사회성 성격장애의 사회인지 능력 결함을 알아보기 위해, 통합적 사회인지 측정도구인 사회인지 측정을 위한 영상과제(KMASC) 와 TAT를 활용한 사회인지 및 대상관계 척도(SCORS-G)를 통해 상반된 선행연구의 결과를 재검증하여 어떠한 양상으로 나타나는지 알아보았다. 또한, 반사회적 성격특성이 사회인지 능력에 미치는 고유한 영향을 알아보기 위해 수행되었다. 본 연구에서는 대학생 494 명을 대상으로 성격평가질문지(PAI), 기질 및 성격 검사(TCI)로 구성된 설문지를 실시한 후, 반사회성 성격장애 척도(PAI-ANT) 점수를기준으로 반사회성 성격장애 경향 집단(37명)과 통제집단(38명)을 선정하였다. 먼저, 두 집단을 대상으로 사회인지 측정을 위한 영상과제(K-MASC)와 주제통각검사(TAT)를 활용한 사회인지 및 대상관계척도(SCORS-G)를 실시하여 집단 간 사회인지 능력을 비교하였다. 다음으로, 반사회적 성격 특성이 사회인지에 미치는 고유한 영향을 알아보기 위해 기질적 변인을 공변량으로 투입하여 다변량공분산분석(MANCOVA)을 실시하였다. 연구결과, 반사회성 성격장애 경향 집단은 통제집단에 비해 인지적, 정서적 측면의 사회인지 능력에서 전반적인 결함을 보이는 것으로 나타났으나, 기질적 특성을 통제한 후에는 인지적 측면의 사회인지 능력에서만 집단 간의 유의한 차이가 나타났다. 이런 결과는 반사회성 성격장애 경향 집단이 통제집단에 비해 사회인지 능력에서 전반적인 결함을 보이지만, 인지적 측면에서의 사회인지 결함이 반사회성 성격장애와 관련된 핵심적 결함임을 시사한다.

Abstract

This study investigated the social cognition deficit of antisocial personality disorder, through both K-MASC which is an integrative measuring tool for social cognition and SCORS-G using TAT, retesting the conflicting results of previous studies. A group of participants with antisocial personality tendencies (n=37) and a control group (n=38) were selected based on PAIANT scores, after carrying out a survey that consisting of PAI and TCI among 494 undergraduate students. First, SCORS-G using TAT and K-MASC was administered and social cognitive ability was compared between these two groups. Thereafter, temperamental characteristics were controlled through a MANCOVA, to determine the effect of antisocial personality characteristics on social cognition. Results showed that the group with antisocial personality disorder tendencies displayed an overall deficit in cognitive and emotional aspects of social cognitive ability, compared to the control group. However, after the temperamental characteristics were controlled there was a significant difference between groups only in the cognitive aspect of social cognitive ability. The results indicated that individuals with antisocial personality disorder tendencies are likely to display an overall deficit in social cognitive ability compared to the control group, but the cognitive aspect of this ability is the core deficit related to antisocial personality disorder.

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