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초기 부적응도식이 비자살적 자해에 미치는 영향: 감정표현불능증과 인지적 정서조절전략의 이중매개효과

Effect of Early Maladaptive Schemas on Non-Suicidal Self-Injury: The Double Mediation Effect of Alexithymia and Cognitive Emotion Regulation Strategies

김지영|최태규|김민경
한국임상심리학회 (Korean Clinical Psychology Association)|2024.09|한국심리학회지: 임상심리 연구와 실제 (Clinical Psychology in Korea: Research and Practice)|제10권 제3호|pp. 459-477

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참고문헌

키워드

감정표현불능증alexithymianon-suicidal self-injury인지적 정서조절전략early maladaptive schema비자살적 자해초기 부적응도식cognitive emotion regulation strategies

초록

본 연구는 초기 부적응도식이 비자살적 자해에 미치는 영향을 확인하고, 그 관계에서 감정표현불능증과 인지적 정서조절전략의 매개효과를 검증하고자 하였다. 이를 위해 정신질환의 진단 및 통계편람 DSM-5에 서 비자살적 자해로 인한 입원율이 가장 높다고 보고되었고, 그동안 국내에서 연구가 부족했던 나이대에 해당하는 초기 성인기의 만 19~29세 국내 대학생 310명을 대상으로 온라인 설문을 시행하였다. 연구 결 과, 각 변인들은 모두 정적인 상관관계를 보였고, 초기 부적응도식과 비자살적 자해의 관계에서 감정표현 불능증과 부적응적 인지적 정서조절전략은 통계적으로 유의한 순차적 이중매개효과를 나타냈다. 즉, 초기 부적응도식이 비자살적 자해에 직접적인 영향을 줄 뿐만 아니라, 감정표현불능증과 부적응적 인지적 정서 조절전략을 거친 순차적 경로를 통해서도 비자살적 자해에 영향을 미치는 것으로 확인할 수 있었다. 이는 초기 부적응도식으로 인해 유발된 정서적 고통을 감정표현불능증의 수준이 높은 사람은 자신의 부정정서 를 인식하고 표현하지 못함으로써 적절히 해소하지 못하고, 부적응적인 인지적 정서조절전략을 사용해 비 자살적 자해를 시도할 수 있다는 세밀한 경로를 파악한 것에 의의가 있다.

Abstract

This study aimed to reveal the effect of early maladaptive schemas on non-suicidal self-injury and verify the mediating effects of alexithymia and cognitive emotion regulation strategies in the relationship between early maladaptive schema and non-suicidal self-injury. A total of 310 undergraduate students in their 20s, identified as having the highest rate of hospital admissions due to non-suicidal self-injury according to DSM-5 criteria, completed self-report surveys. The results were as follows: Each variable was positively correlated with the others. Additionally, alexithymia and maladaptive cognitive emotion regulation strategies were found to have a statistically significant sequential double mediation effect between early maladaptive schema and non-suicidal self-injury. These results highlight the importance of recognizing that individuals with high levels of alexithymia, stemming from early maladaptive schema, struggle to identify and express negative emotions and are unable to regulate these emotions, often resorting to maladaptive cognitive emotion regulation strategies.

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