복합외상경험과 경계선 성격특성의 관계에서 자기개념의 중재효과와 매개효과
The moderating and mediating effect of self concept on relationship between Complex Posttraumatic Stress Disorder and Borderline Personality trait
0
조회
0
다운로드
31
인용
0
참고문헌
키워드
초록
본 연구의 목적은 반복적이고 지속적인 외상사건 노출에 의한 아동, 청소년기의 복합외상경험이 경계선 성격특성에 영향을 미치는지를 검증하여 경계선 성격특성의 원인으로서의 복합외상경험을 검증하고, 두 변인 사이에서 자기개념의 역할을 알아보고자 한다. 이에 서울 소재 4년제 대학에 재학 중인 650명 여대생에게 복합외상경험과 자기개념, 경계선 성격특성을 측정하는 설문을 실시하였다. 그 결과, 복합외상경험이 경계선 성격특성에 영향을 미치는 것으로 나타났다. 이후 복합외상경험과 경계선 성격특성간의 관계에서 자기개념의 중재효과를 알아보기 위해 회귀분석을 실시한 결과, 두 변인관계에서 자기개념의 중재효과가 검증되었고, 낮은 자기개념 집단이 높은 자기개념 집단보다 경계선 성격특성에 더욱 영향을 미치는 것으로 밝혀졌다. 마지막으로 구조방정식 모델 접근법으로 두 변인 사이의 매개효과를 알아보았는데, 자기개념은 두 변인사이를 부분 매개하는 것으로 밝혀져 복합외상경험이 자기개념을 거쳐 경계선 성격특성에 영향을 미치는 경로가 있음이 시사되었다. 이 연구는 경계선 성격특성의 원인으로서 복합외상경험을 검증함과 동시에 두 변인 사이에서 자기개념의 역할을 밝혀 경계선 성격특성을 가진 임상집단에서의 치료방법 개발의 토대를 마련하고 비 임상집단에서는 예방적 개입의 토대를 마련한다는 점에서 의의가 있겠다.
Abstract
This study aimed to demonstrate relation between Complex Posttraumatic Stress Disorder(hereinafter called "C-PTSD") experiences and Borderline Personality trait and investigate a role of Self Concept between two variables. It was hypothesized that C-PTSD experience have an effect on Borderline Personality trait and self-concept moderate & mediate between two variables. Personality assessment inventory-borderline features scale, self-concept scale, traumatic antecedents questionnaire were implemented to 650 woman's university students. The results are as follows. First, C-PTSD experiences have effects on Borderline Personality trait. Second, Self Concept was proved to have moderator effect between C-PTSD experiences and Borderline Personality traits of childhood and adolescent period. In addition, it was proved that as one had lower self concept, he was more influenced by C-PTSD experiences and showed more Borderline Personality traits. Third, Self Concept was proved to have partial mediator effects between C-PTSD experiences and Borderline Personality traits of childhood and adolescent period. That is, while there were mediator effect of Self Concept as it was proved that C-PTSD experiences made Self Concept negative and the negative concept increased Borderline Personality traits, the effect of C-PTSD experiences on Borderline Personality traits appeared to be significant, which showed that Self Concept partially mediates between two variables.
참고문헌 (54)
- 고나래, "아동, 청소년기 복합외상경험이 정서조절과 대인관계문제에 미치는 영향", 석사, pp.2008
- 권보배, "외상적 사건 및 애착과 경계선 성격특성의 관계", 석사, pp.2002
- 한수정, "성인기 애착 양식원형과 내적 작동 모델 요소간 관련성에 대한 탐색적 연구", 한국심리학회지 임상, 21(1), pp.93~124 (2002), 한국임상심리학회
- 權允珠, "경계선 성격 소유자의 대인관계 불안 감소를 위한 집단사회사업적 중재 효과", 석사, pp.1995
- 김상선, "경계선 성격장애 성향자의 자기 및 타인 표상", 석사, pp.2005
- 김상선, "경계선 성격장애 성향자의 자기 및 타인 표상과 지각된 부모 양육행동", 한국심리학회지 임상, 26(3), pp.703~715 (2007), 한국임상심리학회
- 김윤숙, "부적응 도식을 매개로 한 초기 부모 애착과 경계선 성격 간의 관계", 석사, pp.2005
- 박진미, "경계선 성격장애 성향자의 부적응적 정서조절", 한국심리학회지 임상, 26(3), pp.717~730 (2007), 한국임상심리학회
- 안현의, "청소년의 심리적 외상에 관한 탐색적 연구: 외상후 스트레스 증상과 성격 특성을 중심으로", 한국심리학회지: 상담 및 심리치료, 17(1), pp.217~231 (2005), 한국상담심리학회
- 안현의, "복합외상(complex trauma)의 개념과 경험적 근거", 한국심리학회지:일반, 26(1), pp.105~119 (2007), 한국심리학회
- 이순묵, "공변량 구조분석" (1990), 성원사
- 이훈진, "편집증과 자기개념 및 귀인양식", 박사, pp.1997
- 조성호, "경계선 성격장애" (2000), 학지사
- 최윤경, "경계선 정신병리와 자기 파괴성의 위험요인", 박사, pp.2005
- 홍상황, "경계선 성격장애 척도의 타당화 연구; 대학생을 대상으로", 한국심리학회지: 임상, 17, pp.295~271 (1998)
- 홍세희, "구조방정식 모형의 적합도 지수 선정기준과 그 근거", 한국심리학회지:임상, 19, pp.161~177 (2000)
- American Psychiatric Association, "Dignostic and Staticstical Manual of Mental Disorders, 4th ed" (1994), American Psychiatric Association
- Arntz, A., "Treatment of borderline personality disorder: A challenge for cognitive-behavioral therapy", Behaviour Research and Therapy, 32, pp.419~430 (1994)
- Bradley, R., "Etiology of borderline personality disorder disorder disentangling the contributions of intercorrelated antecedents", The Journal of Nervous and Mental Disease, 193(1), pp.24~31 (2005)
- Baron, R. M., "The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51, pp.1173~1182 (1986)
- Brown, M. W., "Alternative ways of assessing model fit, In Testing structural equation models", pp.136~162 (1993), Sage
- Ekstein, R., "Vicissitudes of the “internal image” in the recovery of a borderline schizophrenic adolescent", Bulletin of the Menninger Clinic, 19, pp.86~92 (1955)
- Grinker, R. R., "The borderline syndrome" (1968), Basic Books
- Gunderson, J. G., "Current overview of the borderline diagnosis", Archives of Genderal Psychiatry, 48, pp.5~11 (1987)
- Helgeland, M. I., "Developmental antecedents of borderline personality disorder", Comprehensive Psychiatry, 45(2), pp.138~147 (2004)
- Herman, J. L., "Childhood Trauma in Borderline Personality Disorder", American Journal of Psychiatry, 146, pp.490~495 (1989)
- Herman, J. L., "Complex PTSD: A syndrome in survivors of prolonged and repeated trauma", Journal of Trauma Stress, 5, pp.377~391 (1992)
- Hurt, S. W., "Borderline personality disorder: Prototypic typology and the development of treatment manuals", Psychiatric Annals, 20, pp.13~18 (1990)
- Kernberg. O. F., "Borderline conditions and pathological narcissism" (1975), Aronson
- Linehan, M. M., "Cognitive-begavioral treatment of borderline personality disorder" (1993), Guilford Press
- Linehan, M. M., "Borderline personality disorder: Costs, course, and treatment outcomes, In Cost-effectiveness of psychotherapy: A guide for practitioners, reserarchers, and policymakers", pp.291~305 (1990), Oxford University Press
- Lopez, M, "Self-concept and social competence of university student victims of childhood physical abuse", Child Abuse & Neglect, 22, pp.183~195 (1998)
- Mahler, M. S., "On Child psychosis and schizophrenia: Autistic and symbiotic infantile psychosis", Psychoanalytic Study of the Child, 7, pp.289~305 (1952)
- Morey, L. C., "Borderline personality: Search for core elements of the concept", Paper presented at the 96th Annual Convention of the American Psychological Association, Mew Orleans, LA (1988)
- Morey, L. C., "Personality Assessment Inventory: Professional manual" (1991), Psychological Assessment Resources
- Noble, D., "A study of dreams in schizophrenia and allied states", American Journal of Psychiatry, 107, pp.612~616 (1951)
- Ogata, S., "The childhood experiences of the borderline patient, in Family Environment and borderline Personality Disorder" (1990), American Psychiatic Press
- Paris, J., "The treatment of borderline personality disorder in light of the research on its long term outcome", Canadian Journal of Psychiatry, 38(suppl. 1), pp.S28~S34 (1993)
- Rado, S., "Schiaotypal organizaion: Preliminary report on a clinical study of schizophrenia, In Changing concepts of psychoanalytic medicine" (1956), Grune & Strantton
- Shearer, S. L., "Frequency and correlates of childhood sexual and physical abuse histories in adult female borderline patients", Am J Psychiatry, 147, pp.214~216 (1990)
- Silk, K. R., "Borderline personality disorder symptoms and severitity of sexual abuse", American Journal of Psychiatry, 152, pp.1059~1064 (1995)
- Stone, M. H., "The fate of borderline patients: Successful outcome and psychiatic practice" (1990), Guilford Press
- Taylor, S., "Simple versus complex PTSD: A cluster analytic investigation", Journal of Anxiety Disorders, 20, pp.459~472 (2006)
- Trull. T. J., "Borderline personality disorder features in nonclinical young adults: 1. Identification and Validation", Psychological assessment, 7(1), pp.33~41 (1995)
- Trull. T. J., "Structural relations between borderline personality disorder features and putative etiological correlate", Journal of Abnormal Psychology, 110(3), pp.471~481 (2001)
- Van der Kolk, B. A, "Psychological trauma Washington" (1987), American Psychiatric Press
- Van der Kolk, B. A, "The complexity of adaptation to trauma: Self-regulation, stimulus discrimination and characterlogical development, In Traumatic stress: the effect of overwhelming experience on mind, body, and society", pp.182~213 (1996), Guildford Press
- Widiger, T. A., "Borderline and narcissistic personality disorders, In Comprehensive hand book of psychopathology(2nd ed.)", pp.371~394 (1993), Plenum Press
- Weiss, M., "Psychopathology in offspring of mothers with borderline personality disorder: Apirot study", Canadian Journal of Psychiatry, 41, pp.285~290 (1996)
- Western, D., "Psysical and sexual abuse in adolescent girls with borderline personality disorder", Am J Orthopsychiatry, 60, pp.55~66 (1990)
- Wind, T., "Type and extent of child abuse as predictors of adult functioning", journal of family violence, 7(4), pp.261~281 (1992)
- Zanarini, M. C., "Childhood experiences of borderline patients", Compr Psychiatry, 30, pp.18~25 (1989)
- John G. Gunderson, "The Collaborative Longitudinal Personality Disorders Study: Development, Aims, Design, and Sample Characteristics", Journal of Personality Disorders, 14(4), pp.300~315 (2000)
- Zananrini, M. C., "Severity of reported childhood sexual abuse and its relationship to severity of borderline psychopathology and psychosocial impairment among borderline inaptients", Journal of Nervous and Mental Disease, 190(6), pp.381~387 (2002)
