정서적 학대와 정서적 불안정성이 경계선 성격 성향에 미치는 영향: 단절 및 거절 도식의 매개효과
The Relationships among Emotional Maltreatment, Emotional Instability, and Borderline Personality Traits: The Mediating Effect of Disconnection/Rejection Schemas
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
본 연구는 대학생을 대상으로 정서적 학대와 정서적 불안정성이 경계선 성격 성향에 미치는 영향에서 단절 및 거절 도식이 매개하는지를 검증하였다. 이를 위해 366명의 대학생들(남자 163명, 여자 203명)이 정서적 학대, 정서적 불안정성(ALS-SF), 단절 및 거절 도식(YSQ-SF), 경계선 성격 성향(PAI-BOR)을 평가하는 설문지를 실시하였으며, 수집된 자료를 구조방정식 모형을 통해 분석하였다. 연구 결과, 정서적 학대는 경계선 성격 성향에 직접적으로 영향을 미치는 동시에 단절 및 거절 도식을 매개하여 경계선 성격 성향에 간접적으로도 영향을 미치는 것으로 나타났다. 정서적 불안정성도 경계선 성격 성향에 직접적으로 영향을 미치는 동시에 단절 및 거절 도식을 매개하여 경계선 성격 성향이 간접적으로도 영향을 미치는 것으로 나타났다. 또한 부분매개모형과 완전매개모형을 비교한 결과, 부분매개모형이 보다 더 적합한 것으로 나타났다. 이러한 결과는 환경 및 기질적 요인과 경계선 성격 성향 사이의 관계를 단절 및 거절 도식이 매개한다는 것을 검증함으로써, 경계선 성격 성향의 발달과정을 이해함과 동시에 도식양식(schema mode)을 활용한 치료적 개입의 필요성을 시사한다. 이후 본 연구의 제한점 및 후속 연구를 위한 방향을 제시하였다.
Abstract
This study examined whether disconnection/rejection schemas mediate the relationship between emotional maltreatment, emotional instability, and borderline personality traits. A total of three hundred and sixty-six undergraduate students (163 male and 203 female) completed a battery assessing emotional, maltreatment, emotional instability (ALS-SF), disconnection/rejection schemas (YSQ-SF) and borderline personality traits (PAI-BOR). Structural Equation Modeling was used to test the mediation effect of disconnection/rejection schemas. The results indicated that emotional maltreatment had a direct effect on borderline personality traits. Meanwhile, it had an indirect effect on borderline personality traits that were mediated by disconnection/rejection schemas. Emotional instability also had a direct effect on borderline personality traits. Concurrently, it had an indirect effect on borderline personality traits, which was mediated by disconnection/rejection schemas. In addition, a partial-mediation demonstrated a better model fit than the full-mediation model. By examining whether the relationship between environmental and temperamental factors and borderline personality traits was mediated by disconnection/rejection schemas, the results of this study allow as to understand development of borderline personality traits. Further, they highlight the importance of using a schema mode within the therapeutic intervention. Finally, the implications, limitations, and future direction of this study were suggested.
참고문헌 (44)
- 高性蕙, "兒童虐待 槪念規定 및 兒童虐待에 대한 母·子女의 知覺性向", 박사, 소비자아동학, pp.1992
- 홍상황, "경계선 성격장애 척도의 타당화 연구", Korean Journal of Clinical psychology, 17(1), pp.259~271 (1998)
- 홍세희, "구조 방정식 모형의 적합도 지수 선정기준과 그 근거", Korean Journal of Clinical psychology, 19(3), pp.161~177 (2000)
- 황성훈, "한국판 정서적 불안정성 척도-단축판의 타당화", Korean Journal of Clinical Psychology, 34(3), pp.625~648 (2015), 한국임상심리학회[DOI]
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
- Baranoff, J., "Factor structure and internal consistency of the young schema questionnaire (short form) in Korean and Australian samples", Journal of Affective Disorders, 93(1-3), pp.133~140 (2006)
- Beck, A. T., "Cognitive therapy of personality disorders" (2015), Guilford Press
- Bernstein, D. P., "Cognitive therapy of personality disorders in patients with histories of emotional abuse or neglect", Psychiatric Annals, 32(10), pp.618~628 (2002)
- Bornovalova, M. A., "Tests of a direct effect of childhood abuse on adult borderline personality disorder traits : A longitudinal discordant twin design", Journal of Abnormal Psychology, 122(1), pp.180~ (2013)
- Browne, M. W., "Single sample cross-validation indices for covariance structures", Multivariate Behavioral Research, 24(4), pp.445~455 (1989)
- Browne, M. W., "Testing structural equation models", pp.136~162 (1993), Sage
- Calvete, E., "Emotional abuse as a predictor of early maladaptive schemas in adolescents:Contributions to the development of depressive and social anxiety symptoms", Child Abuse &Neglect, 38(4), pp.735~746 (2014)
- Cohen, L. J., "Maladaptive interpersonal schemas as sensitive and specific markers of borderline personality disorder among psychiatric inpatients", Psychiatry Research, 242, pp.395~403 (2016)
- Cole, P. M., "Emotional instability, poor emotional awareness, and the development of borderline personality", Development and Psychopathology, 21(4), pp.1293~1310 (2009)
- Crowell, S. E., "A biosocial developmental model of borderline personality : Elaborating and extending linehan’s theory", Psychological Bulletin, 135(3), pp.495~ (2009)
- Crystal, S, "The effect of emotional vulnerability and invalidation on emotion dysregulation in early adolescence : An empirical investigation of Linehan’s biosocial theory of borderline personality disorder", Doctor’s, pp.2017
- Dixon-Gordon, K. L., "Parent emotion socialization and child emotional vulnerability as predictors of borderline personality features", Journal of Abnormal Child Psychology, 48(1), pp.135~147 (2020)
- Dobson, K. S., "Handbook of Cognitive-Behavioral Therapies" (2009), Guilford press
- Ebner-Priemer, U. W., "State affective instability in borderline personality disorder assessed by ambulatory monitoring", Psychological Medicine, 37(7), pp.61~ (2007)
- Frias, A., "Anxious adult attachment may mediate the relationship between childhood emotional abuse and borderline personality disorder", Personality and Mental Health, 10(4), pp.74~284 (2016)
- Gilbert, F., "The association between early maladaptive schema and personality disorder traits in an offender population", Psychology, Crime & Law, 19(10), pp.933~946 (2013)
- Gratz, K. L., "Factors associated with co-occurring borderline personality disorder among inner-city substance users : The roles of childhood maltreatment, negative affect intensity", reactivity, and emotion dysregulation, 2008, pp.49(6), 603~615
- Gunderson, J. G., "Major depressive disorder and borderline personality disorder revisited : Longitudinal interactions", Journal of Clinical Psychiatry, 65(8), pp.1049~ (2004)
- Harvey, P. D., "The affective lability scales : Development, reliability, and validity", Journal of Clinical Psychology, 45(5), pp.786~793 (1989)
- Koenigsberg, H. W., "Are the interpersonal and identity disturbances in the borderline personality disorder criteria linked to the traits of affective instability and impulsivity", Journal of Personality Disorders, 15(4), pp.358~370 (2001)
- Lieb, K., "Borderline personality disorder", The Lancet, 364(9432), pp.453~461 (2004)
- Linehan, M. M., "Skills training manual for treating borderline personality disorder" (1993), Guilford press
- MacKinnon, D. F., "Affective instability as rapid cycling : Theoretical and clinical implications for borderline personality and bipolar spectrum disorders", Bipolar Disorders, 8(1), pp.1~14 (2006)
- Mairet, K., "How important is temperament? the relationship between coping styles, early maladaptive schemas and social anxiety", International Journal of Psychology and Psychological Therapy, 14(2), pp.171~190 (2014)
- Oliver, M. N., "The affective lability scales : Development of a short-form measure", Personality and Individual Differences, 37(6), pp.1279~1288 (2004)
- Preacher, K. J., "Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models", Behavior Research Methods, 40(3), pp.879~891 (2008)
- Raftery, A. E., "Bayesian model selection in social research", Sociological Methodology, 25, pp.111~163 (1995)
- Siever, L. J., "A psychobiological perspective on the personality disorders", The American Journal of Psychiatry, 148(12), pp.1647~1658 (1991)
- Soloff, P. H., "Childhood abuse as a risk factor for suicidal behavior in borderline personality disorder", Journal of Personality Disorders, 16(3), pp.201~214 (2002)
- Speidel, R., "Maternal sensitive guidance during reminiscing in the context of child maltreatment : Implications for child self-regulatory processes", Developmental Psychology, 55(1), pp.110~ (2019)
- Thatcher, D. L., "Adolescent alcohol use disorders predict adult borderline personality", Addictive Behaviors, 30(9), pp.1709~1724 (2005)
- Tragesser, S. L., "The role of affective instability and impulsivity in predicting future BPD features", Journal of Personality Disorders, 21(6), pp.603~614 (2007)
- Trull, T. J., "Affective instability : Measuring a core feature of borderline personality disorder with ecological momentary assessment", Journal of Abnormal Psychology, 117(3), pp.647~ (2008)
- Wolke, D., "Bullied by peers in childhood and borderline personality symptoms at 11 years of age : A prospective study", Journal of Child Psychology and Psychiatry, 53(8), pp.846~855 (2012)
- Wright, M. O., "Childhood emotional maltreatment and later psychological distress among college students : The mediating role of maladaptive schemas", Child Abuse & Neglect, 33(1), pp.59~68 (2009)
- Yen, S., "Borderline personality disorder criteria associated with prospectively observed suicidal behavior", American Journal of Psychiatry, 161(7), pp.1296~1298 (2004)
- Young, J., "Cognitive therapy for personality disorders : A schema-focused approach" (1990), Professional Resource Press
- Young, J., "Schema therapy : A practitioner’s guide" (2003), Guilford press
- Zanarini, M. C., "The longitudinal course of borderline psychopathology : 6-year prospective follow-up of the phenomenology of borderline personality disorder", American Journal of Psychiatry, 160(2), pp.274~283 (2003)
