우울 증상이 호전된 비우울 집단과 우울집단 간의 인지요인의 비교
The Comparison of Cognitive Factors between Recently Recovered Non-Depressive Group and Currently Depressive Group：The Characteristics of Cognitive Factors
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본 연구는 우울증으로 진단받고 약물치료 후 우울증상이 잔존하는 우울군과 증상이 관해된 비우울군간의 인지요인의 특성을 비교분석하고자 하였다. 한국형우울척도(KDS)를 사용하여 우울군(n=18)과 비우울군(n=28)으로 나누었다. 자동적 사고 척도, 역기능적 태도척도, 귀인양식 척도를 시행하여 인지적 특성을 살펴보았다. 자동적 사고 척도에서는 두 군간의 유의미한 차이가 있었으며, 자동적 사고척도는 KDS와 강한 상관관계가 있었다. 역기능적 태도 척도와 귀인양식에서는 두 군간 의미있는 차이를 보이지 않았다. 이러한 연구 결과를 토대로 본 저자는 자동적 사고는 기분 상태 의존적인 인지요인이며 역기능적 태도와 귀인양식은 아마도 개인의 영속적인 특질을 반영하며 우울증과 관련하여서 자동적 사고에 비해 보다 지속적으로 영향력을 미치는 것으로 보았다. 따라서 우울 증상의 재발에 취약할 수 있는 기저의 우울 생성적 인지 요소를 제거하기 위해서는 약물치료에 의한 표면적인 우울증상의 감소 외에 － 214 － 보다 적극적인 치료적 개입이 요구됨을 제안하였다.
Abstract
Objectives：This study was performed to compare the cognitive factors between recently recovered non-depressed group and currently depressive group. Methods：To measure the degree of depressive mood, KDS(Korean Depression Scale) was used. We divided patients in two groups. One is recently recovered non-depressive group(n=28) and the other is currently depressive group(n=18) during antidepressant medication. To assess the cognitive state, we administered DAS(dysfunctional attitude scale), ASQ(attributional style questionnaire), and negative ATQ(automatic thought questionnaire). Results：In ATQ score, there was a significant difference between two groups(t=3.453, p=.002). ATQ score strongly correlated with KDS score(r=.786, p<0.01). But, there was no significant differences between two groups in mean scores of DAS and all positive and negative attributional style subscales, even though DAS score correlated with KDS score significantly(r=.383, p<0.01). This means that ATQ score decreased according to remission of depression. But DAS and especially negative attributional style score didn’t changed even though improvement of depression with antidepressant medication. Conclusions：We concluded that automatic thoughts were the mood state-dependent cognitive factor and dysfunctional attitude and attributional styles were cognitive factors that maybe reflect more permanent personal traits and underlying vulnerabilities of depression than automatic thoughts. We also concluded that the additive treatments more than antidepressant medication would be needed to change the dysfunctional attitudes and attribution styles, which could possibly act as the depressogenic factors in recently recovered non-depressive patients during maintenance antidepressant medication.
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