대인관계 외상 경험자들의 사회적 유대감, 정서 조절과 자살 생각의 관계
Social Connections and Emotion Regulation in Suicidal Ideation among Individuals with Interpersonal Trauma
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본 연구는 대인관계 외상사건을 경험한 후 관련기관에서 보호 또는 치료를 받고 있는 사람들을 대상으로 이들의 자살생각과 관련 있는 심리적 변인을 사회적 유대감과 정서조절의 두 가지 측면에서 살펴보았다. 본 연구를 위해 서울과 지방소재 성폭력 관련기관과 쉼터에서 성폭력, 가정폭력 등의 대인관계 외상사건을 경험한 85명을 대상으로 연구를 실시하였다. 자기보고식 질문지를 통해 외상사건의 유형과 경험빈도, 자살생각, 사회적 유대감의 두 가지 변인인 좌절된 소속감과 짐이 되는 느낌, 정서조절의 두 가지 변인인 부적응적인 인지적 정서조절과 충동성을 측정하였다. 연구결과 짐이 되는 느낌, 좌절된 소속감과 같은 사회적 유대감의 상실감과 관련된 자기 지각이 이들의 현재 자살생각과 정적으로 유의한 관계가 있음이 밝혀졌고, 부적응적인 인지적 정서조절 중 극단적으로 생각하는 경향성인 파국화, 충동성의 한 영역인 부정적 긴급성이 이들의 현재 자살생각과 유의한 관계가 있는 것으로 나타났다. 현재 자살생각과 유의한 관계가 있었던 변인 중 좌절된 소속감을 제외한 모든 변인은 대인관계 외상경험자들의 과거 자살 생각력과도 유의한 관계가 있는 것으로 나타났다. 본 연구의 결과를 바탕으로 대인관계 외상사건 경험자들의 자살위험과 관련 있는 심리적 변인들에 대한 개입의 필요성을 논의하였다.
Abstract
The current study examined the role of social connections and emotion regulation in suicidal ideation among individuals with interpersonal trauma. Based on the interpersonal-psychological theory of suicide (Joiner, 2005), we hypothesized that two indices of social connections, thwarted belongingness and perceived burdensomeness, would be associated with current and lifetime suicidal ideation. Further, we hypothesized that cognitive emotion dysregulation and impulsivity would be associated with current and lifetime suicidal ideation. Participants were recruited from community mental health centers and local shelters for victims of domestic violence and sexual/physical abuse. A total of eighty-five participants completed a set of self-report questionnaires assessing current and lifetime suicidal ideation, traumatic events, perceived burdensomeness, thwarted belongingness, cognitive emotion dysregulation, and impulsivity. Results showed that perceived burdensomness, catastrophizing, and negative urgency were significantly associated with current and lifetime history of suicidal ideation. Thwarted belongingness was associated only with current suicidal ideation. Findings suggest the need for psychosocial intervention to reduce suicide risk among individuals with interpersonal trauma.
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