본문 바로가기
KERD
논문KCI 등재

아동과 청소년의 사회불안과 우울 증상간의 시간적 관계

The Temporal Relationship between Symptoms of Social Anxiety and Depression in Children and Adolescents

양재원|오경자|양윤란
한국임상심리학회 (Korean Clinical Psychology Association)|2008.02|Korean Journal of Clinical Psychology|제27권 제1호|pp. 35-50|DOI 10.15842/kjcp.2008.27.1.003

1

조회

0

다운로드

28

인용

0

참고문헌

키워드

청소년AdolescentsChildren아동우울Depression사회불안Social Anxiety시간적 관계Temporal Relationship
주제분류심리과학

초록

아동과 청소년의 사회불안 증상과 우울 증상간의 시간적 관계를 밝히고자 초등학교 4, 5학년 364명과 고등학교 1, 2학년 373명을 대상으로 6개월 간격으로 두 차례에 걸쳐 사회불안 증상과 우울 증상을 측정하였다. 연구 결과, 사회불안 증상의 안정성은 아동 .48, 청소년 .70 이었으며, 우울 증상의 안정성은 아동 .54, 청소년 .65 이었다. 아동 자료에서 1차시기의 우울 수준을 통제한 후에도 사회불안 증상은 6개월 후의 우울 증상의 증가에 영향을 주었으며, 우울 증상 또한 1차시기의 사회불안 수준을 통제한 후에도 6개월 후의 사회불안 증상의 증가에 영향을 주었다. 청소년 자료에서 1차시기의 사회불안 증상은 6개월 후의 우울 증상에 영향을 주지 않았고, 1차시기의 우울 증상은 6개월 후의 사회불안 증상에 영향을 주었으나 중복 문항을 제외하고 재분석한 결과, 그 영향은 유의하지 않았다.

Abstract

The objective of this study was to examine the temporal relationship between the symptoms of social anxiety and depression in children and adolescents, and to investigate the effect of age on the temporal relationship. Children(364 4th-5th graders) and adolescents(373 10th-11th graders) were given self-report measures of social anxiety and depression. The same measures were repeated 6 months later. The results of the structural equation modeling indicated that the path coefficient from T1 social anxiety to T2 social anxiety and the path coefficient from T1 depression to T2 depression were significant in both children and adolescents. The path coefficients from T1 social anxiety to T2 depression and from T1 depression to T2 social anxiety were significant in the children's model. T1 social anxiety was not associated with T2 depression, but T1 depression was significantly associated with T2 social anxiety in the adolescent model. However, in the adolescent model with modified scales, the path coefficient from T1 depression to T2 social anxiety was not significant.

참고문헌 (43)

  1. 문혜신, "한국판 아동청소년용 사회 불안 척도의 타당화 연구", 한국심리학회지 임상, 21(2) (2002), 한국임상심리학회
  2. 홍세희, "구조 방정식 모형의 적합도 지수 선정기준과 그 근거", 한국심리학회지:임상, 19, pp.161~177 (2000)
  3. Arbuckle, J. L., "AMOS 5.0 computer software" (2003), SmallWaters
  4. Brady, E. U., "Comorbidity of anxiety and depression in children and adolescents", Psychological Bulletin, 111, pp.244~255 (1992)
  5. Brown, T. A., "Structural relationships among dimensions of the DSM-Ⅳ anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal", Journal of Abnormal Psychology, 107, pp.179~192 (1998)
  6. Browne, M. W., "Alternative ways of assessing model fit", pp.136~162 (1993), Sage Publication
  7. Byrne, B. M., "Structural Equation Modeling with AMOS: Basic Concepts, Application, and Programming" (2001), Lawrence Erlbaum Association
  8. Chorpita, B. F., "The structure of negative emotions in a clinical sample of children and adolescents", Journal of Abnormal Psychology, 107, pp.74~85 (1998)
  9. Clark, L. A., "Tripartite model of anxiety and depression: Psycho metric evidence and taxonomic implication", Journal of Abnormal Psychology, 100, pp.316~336 (1991)
  10. Cole, D. A., "A longitudinal look at the relation between depression and anxiety in children and adolescents.Journal of Consulting and Clinical", Journal of Consulting and Clinical Psychology, 66, pp.451~460 (1998)
  11. Cole, D. A., "Relation between symptoms of anxiety and depression in children: A multipletrait- multimethod-multigroup assessment", Journal of Consulting and Clinical Psychology, 65, pp.110~119 (1997)
  12. Dobson, K., "The relationship between anxiety and depression", Clinical Psychology Review, 5, pp.307~324 (1985)
  13. Eley, T. C., "Exploring the covariation between anxiety and depression symptoms: A genetic analysis of the effects of age and sex", Journal of Child Psychology and Psychiatry, 40, pp.1273~1282 (1999)
  14. Eley, T. C., "Using genetic analyses to clarify the distinction between depressive and anxious symptoms in children", Journal of Abnormal Child Psychology, 27, pp.105~114 (1999)
  15. Essau, C. A., "Frequency and co-morbidity of social phobia and social fears in adolescents", Behavior Research and Therapy, 37, pp.831~843 (1999)
  16. Essau, C. A., "Frequency, comorbidity, and psychosocial impairment of anxiety disorders in german adolescents", Journal of Anxiety Disorder, 14, pp.263~279 (2000)
  17. Essau, C. A., "Course and outcome of anxiety disorders in adolescents", Journal of Anxiety Disorder, 16, pp.67~81 (2002)
  18. Faulstich, M. E., "Assessment of depression in children and adolescence: An evaluation of the Center for Epidemiological Studies Depression Scales for Children", American Journal of Psychiatry, 143, pp.1024~1027 (1986)
  19. Fendrich, M., "Screening for depressive disorder in children and adolescents: Validating the Center for Epidemiology Studies Depression Scales for Chirldren", American Journal of Epidemiology, 131, pp.528~551 (1990)
  20. Giaconia, R. M., "Ages of onset of psychiatric disorders in a community population of older adolescents", Journal of the American Academy of Child and Adolescent Psychiatry, 33, pp.706~717 (1994)
  21. Hu, L., "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)
  22. Joiner, T. E., "Tripartite structure of positive and negative affect, depression and anxiety in child and adolescent psychiatric inpatients", Journal of Abnormal Psychology, 105, pp.401~409 (1996)
  23. Kendall, P. C., "Comorbidity in the anxiety disorders of childhood", pp.3~36 (1995), Sage
  24. Kessler, R. C., "Lifetime comorbidities between social phobia and mood disorders in the US national comorbidity survey", Psychological Medicine, 29, pp.555~567 (1999)
  25. Kovacs, M., "A longitudinal prospective study of characteristic and recovery", Archives of General Psychiatry, 41, pp.229~237 (1984)
  26. Kovacs, M., "Depressive disorders in childhood", Archives of General Psychiatry, 46, pp.776~782 (1989)
  27. LaGreca, A. M., "Manual for the social anxiety scales for children and adolescents" (1998), Author
  28. Last, C., "DSM III-R anxiety disorders in children: Socioeconomic and clinical characteristics", Journal of American Academy of Child and Adolescent Psychiatry, 31, pp.1070~1076 (1992)
  29. Laurent, J., "A measure of positive and negative affect for children: Scale development and preliminary validation", Psychological Assessment, 11, pp.326~338 (1999)
  30. Lewinsohn, P. M., "Major depression in community adolescents: Age at onset, episode duration, and time to recurrence", Journal of the American Academy of Child and Adolescent Psychiatry, 33, pp.809~818 (1994)
  31. Liebowitz, N. R., "Social Phobia: Review of a neglected anxiety disorder", Archives of General Psychiatry, 42, pp.729~736 (1985)
  32. Lonigan, C. J., "Positive and negative affectivity in children: Confirmatory factor analysis of a two-factor model and its relation to symptoms of anxiety and depression", Journal of Consulting and Clinical Psychology, 67, pp.374~386 (1999)
  33. Orvaschel, H., "Continuity of psychopathology in a community sample of adolescents", Journal of the American Academy of Child and Adolescent Psychiatry, 34, pp.1525~1535 (1995)
  34. Pine, D. S., "The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders", Archives of General Psychiatry, 55, pp.56~64 (1998)
  35. Riskind, J. H., "Taking the measure of anxiety and depression: Validity of the reconstructed Hamilton scales", Journal of Nervous and Mental Disease, 175, pp.893~897 (1988)
  36. Silberg, J. L., "Genetic and environmental influences on the temporal association between earlier anxiety and later depression in girls", Biology of Psychiatry, 49, pp.1040~1049 (2001)
  37. Thapar, A., "Anxiety and depressive symptoms in childhood: A genetic study of comorbidity", Journal of Child Psychology and Psychiatry, 38, pp.651~656 (1997)
  38. Watson, D., "Toward a consensual structure of mood", Psychological Bulletin, 98, pp.219~235 (1985)
  39. Watson, D., "Positive and negative affectivity and their relation to anxiety and depressive disorders", Journal of Abnormal Psychology, 97, pp.346~353 (1988)
  40. Weissman, M. M., "Children's symptom and social functioning self-report scales: Comparison of mother's and children's reports", Journal of Nervous and Mental Disease, 168, pp.736~740 (1980)
  41. Wittchen, H., "Social fears and social phobia in a community sample of adolescents and young adults: Prevalence, risk factors and comorbidity", Psychological Medicine, 29, pp.309~323 (1999)
  42. Wolfe, V. V., "Negative affectivity in children:A multitrait-multimethod investigation.Journal of Consulting and Clinical", Journal of Consulting and Clinical Psychology, 55, pp.245~250 (1987)
  43. Yang, J. W., "Psychometric properties of Social Anxiety Scale for Adolescents (SAS-A) adapted for use with Korean children and adolescents. International Conference on Asia’s Educational Miracle: Child development in family, school and cultural contexts, Incheon, Korea", ~ (2006)

관련 논문AI추천

청소년기 사회불안의 발생과 유지의 심리적 기제 Ⅱ: 6개월 추적조사양윤란, 오경자한국임상심리학회 · Korean Journal of Clinical Psychology2003 · 제22권 제3호자기회귀 교차지연 모형을 적용한 또래관계 형성의 어려움과 우울/불안의 종단관계 연구권석만, 김윤희, 서수균한국청소년정책연구원 · 한국청소년연구2008 · 제19권 제4호아동, 청소년기 사회불안의 측정: 한국판 청소년 사회불안척도(K-SAS-A)의 타당화양윤란, 양재원, 오경자한국임상심리학회 · Korean Journal of Clinical Psychology2008 · 제27권 제4호한국 청소년들의 우울 및 불안에 대한 성차 연구: 발현시기와 연령별 변화를 중심으로김은성, 신민정, 정경미한국임상심리학회 · Korean Journal of Clinical Psychology2012 · 제31권 제1호사회불안장애 위험 청소년의 사회불안정서에 영향을 미치는 변인 분석오언, 방명애한국정서행동장애학회 · 정서·행동장애연구2012 · 제28권 제2호아동의 자기보고 우울과 불안의 예측요인-인구통계학적 변인과 부모의 행동평가를 통한박정희, 신윤미, 조선미한국건강심리학회 · 한국심리학회지: 건강2006 · 제11권 제4호

이 간행물의 다른 논문 (19건)

걱정과 정서조절이 수면 및 피로에 미치는 영향이정임, 권정혜pp. 1-14부모이혼을 겪은 대학생의 경험에 관한 질적 분석: 탄력성을 중심으로김정희, 송옥선, 권혁철pp. 15-33시공간 재활 훈련이 정신분열병 환자의 인지 기능에 미치는 효과김선경, 김명선, 장희진, 박혜정pp. 51-68부부의 외적 속박감 및 상대적 지위 지각에 따른 분노표현과 결혼만족도권정혜, 이소영pp. 69-84강박사고 유형에 따른 의미점화효과백민정, 현명호pp. 85-102
원문 보기