우울 증상이 호전된 비우울 집단과 우울집단 간의 우울 기분 반응 양식의 비교
The Comparison of the Differences in Depressed Mood Response Style between Non-Depressive and Depressive Group
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초록
본 연구에서 비우울군이 우울군에 비하여 문제해결 반응양식과 기분조절반응양식을 많이 보였고, 반추 반응양식은 덜 보였다. 기분회피반응양식에서는 두 집단간의 차이는 없었다. 이는 긍정적인 반추반응양식인 문제해결 반응양식과 능동적인 전환방식인 기분조절 반응양식이 우울증 치료 중 증상의 완화와 연관을 가지고 있음을 말한다. 한편, 반추적인 반응양식은 우울 기분의 지속과 연관을 가지고 있다고 할 수 있다.
Abstract
Objectives：Nolen-Hoeksema asserted that people have a consistent and unique response style to depression. The interpersonal differences in vulnerability and persisting time of depression can be explained by such a variability of interpersonal response style to depressive mood. We compared the differences of depressed mood response style between acutely remitted non-depressive group(n=28) and currently depressive group(n=18). We tried to investigate what kind of response style is most responsible for the remission and persisting of depression. Methods：We divided patients who were diagnosed as depression with ICD-10 criteria and being treated by pharmacotherapy into two groups by KDS(Korean Depression Scale). One is acutely remitted non-depressive group and another is currently depresssive group. And we checked depressed mood response style questionnaire(DMRQ). Results：There were significant differences in DMRQ subscales between two groups. Non-depressive group showed more problem-solving(t=2.325, sig.=.026), more mood-controlling(t=2.054, sig.=.046) and less ruminative(t=-3.619, sig.=.001) response style subscale than depressive group. There was no significant difference in the mood-avoiding response style(t=-1.406, sig.=.167). Conclusion：We concluded that problem-solving and mood controlling response styles can act as a mediator that decrease the severity of depression during treatment of depressive patients. On the while, the ruminative response style can be a mediator that persist depressive symptom and prohibit the recovery of patient from depression.
참고문헌 (20)
- "Nolen-Hoeksema S. Response to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology 1991", pp.~82
- Morrow J, "Nolen-Hoeksema S. Effects of responses to depresion on the remediation of depressive affect. Jo-urnal of Personality and Social Psychology 1990", pp.~27
- "Heiby EM. Toward a prediction of mood change. Behav-ior Therapy 1993", pp.~5
- Libet J. Pleasant events, "activity sched-ules and depression. Journal of Abnormal Psychology 1972", pp.~5
- Ed, "Rehm LP. A self-control model of depression. In J. C. Coyne Essential papers on depresion. New York: New York University Press" (1986)
- 김은정, "오경자. 우울증상의 지속에 영향을 주는 인지 및 행동요인들: 3개월간 추적 연구. 한국심리학회: 임상", pp.~19 (1994)
- 문현미, "인지행동치료의 제 3 동향: 한국심리학회: 상담 및 심리치료", 17, pp.15~33 (2005)
- Sakamoto S, "The Preoccupation scale: Its development and relationship with depression scales", 54, pp.645~654 (1998)
- 김진영, "우울한 기분에 대한 두 가지 내부초점적 반응양식: 반추적 반응양식 대 반성적 반응양식" (2000)
- 박윤아, "우울 기분 반응양식 질문지의 타당화 연구" (2004)
- 이민수, "한국우울증척도의 개발", 신경정신의학, 42(4) (2003), 대한신경정신의학회
- Eshun S, "Cultural and gender differences in responses to depressive mood: A study of college students in Ghana and the U.S.A", 24, pp.581~583 (1998)
- Hunt MG, "The only way out is through emotional processing and recovery after a depressing life event", 36, pp.361~384 (1998)
- "Neimeyer RA. An appraisal of constructivist therapies. Journal of Consulting and Clinical Psychology 1993", pp.~34
- "Meichenbaum D. Changing conceptions of cognitive behavior modifications: Retrospect and prospect. Jour-nal of Consulting and Clinical Psychology 1993", pp.~4
- Goldfried MR, "Cognitive-behavior therapy: Reflections on the evolution of therapeutic orientation", 27, pp.53~69 (2003)
- Hayes SC, "Emotional avoidance and behavioral disor-ders; A functional dimensional approach to diagnosis and treatment", 64, pp.1152~1168 (1996)
- Roemer L, "Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness", acceptance-based approaches with existing cognitive-behavioral models, 2002, pp.9, 54~68
- Wegner DM, "Fanning old flames: Emotional and cognitive effects of suppressing thoughts of a past relationship", 68, pp.782~792 (1995)
- Aspinwall LG, "Taylor SE. Modeling cognitive adaptation: a longitudinal investigation of the impact of the individual differences and coping on college adjustment and performance. J Pers Soc Psychol 1992", pp.~1003