본문 바로가기
KERD
논문KCI 등재

2차 분리개별화가 폭식 및 자해 행동에 미치는 영향: 자기위로 능력 및 정서조절 곤란의 순차 매개효과

Relationship between Second Separation-Individuation, Binge-eating, and Self-Harm Behaviors: Sequential Mediating Effects of Self-Soothing Ability and Emotional Dysregulation

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류심리과학

초록

본 연구는 2차 분리개별화와 폭식 및 자해 행동의 관계에서 자기위로 능력과 정서조절 곤란의 역할을 탐색하였다. 238명의 대학생으로부터 수집한 자료를 바탕으로 2차 분리개별화, 자기위로 능력, 정서조절 곤란, 폭식 및 자해 행동의 관계를 상관 분석 및 매개 분석을 통해 검증하였다. 그 결과, 2차 분리개별화는 자기위로 능력과 정적 상관을, 정서조절 곤란과 폭식 및 자해 행동과는 부적 상관을 보였으며, 2차 분리개별화가 폭식 행동에 미치는 영향을 자기위로 능력과 정서조절 곤란이 순차 매개하는 것으로 나타났다. 2차 분리개별화와 자해 행동 간 관계에서는 자기위로 능력의 매개효과만 나타났으나, 자해 경험이 있는 대학생만을 대상으로 분석했을 때에는 자기위로 능력과 정서조절 곤란의 순차 매개효과가 유의미했다. 본 연구의 함의, 한계점 및 추후 연구를 위한 제언을 논의하였다.

Abstract

This study explored the roles of self-soothing ability and emotional dysregulation in the relationship between second separation-individuation, binge-eating, and self-harm behavior. Using a sample of 238 college students, we studied the relationships among second separation-individuation, self-soothing ability, emotional dysregulation, binge-eating, and self-harm behavior. The results showed that second separation-individuation was positively correlated with self-soothing ability, and negatively correlated with emotional dysregulation, binge-eating, and self-harm behaviors. Furthermore, self-soothing ability and emotional dysregulation mediated the effect of second separation-individuation on binge-eating sequentially. Self-soothing ability, not emotional dysregulation, mediated the effect of second separation-individuation on self-harm behavior, However, in a sample of 89 participants with a history of self-harm, the sequential mediating effect of self-soothing ability and emotional dysregulation in the relationship between second separation-individuation and self-harm behavior was significant. The implications and limitations of this study and future directions of research are discussed.

참고문헌 (97)

  1. 권보현, "자기자비 글쓰기가 유방암 환자의 우울, 불안, 주관적 웰빙 및 삶의 질에 미치는 영향", 한국심리학회지: 건강, 27(4), pp.667~688 (2022), 한국건강심리학회[DOI]
  2. 김민정, "고등학생의 대상관계와 학교적응 관계에서 정서조절곤란의 매개효과", 상담학연구, 16(3), pp.415~431 (2015), 한국상담학회[DOI]
  3. 김소정, "한국판 자해 척도(K-SHI) 타당화 연구", 인지행동치료, 19(2), pp.205~228 (2019), 한국인지행동치료학회[DOI]
  4. 김유리, "분리-개별화와 자기위로능력간의 관계: 자기개념명확성의 매개효과", 학습자중심교과교육연구, 19(18), pp.653~673 (2019), 학습자중심교과교육학회[DOI]
  5. 김인경, "청소년기 자아중심성과 관련된 변인연구 : 가족관계·분리개별화 및 자아개념을 중심으로", 박사, 심리학, pp.1994
  6. 김유진, "자기자비 글쓰기가 우울한 대학생의 반추와정서조절에 미치는 영향", 한국심리학회지: 건강, 21(2), pp.299~316 (2016), 한국건강심리학회[DOI]
  7. 노상선, "경계선 성격장애 성향자를 위한 자기자비 함양 프로그램의 개발과 효과", Korean Journal of Clinical Psychology, 32(1), pp.97~121 (2013), 한국임상심리학회[DOI]
  8. 민정향, "비자살적 자해와 폭식에 대한 정서홍수모델의 검증: 부정조급성과 정서홍수 유발요인을 중심으로", 석사, pp.2017
  9. 朴炅淳, "결혼갈등과 우울감에 대한 대상관계 이론적 접근", 박사, 심리학, pp.1998
  10. 박세란, "자기자비가 자기조절과정에 미치는영향: 자기자비 증진 프로그램의 개발 및 효과 검증", 박사, pp.2015
  11. 박지현, "여대생의 사회지향성이 폭식행동에 미치는 영향: 정서조절 곤란의 조절효과를 중심으로", 한국심리학회지:일반, 32(3), pp.653~674 (2013), 한국심리학회
  12. 박초롱, "폭식 경향이 있는 젊은 여자 성인들에 대한 자기자비 함양 프로그램의 효과", 인지행동치료, 20(1), pp.1~26 (2020), 한국인지행동치료학회[DOI]
  13. 박혜원, "부정적 초기 대상관계, 분리-개별화, 유기불안, 관계중독의 구조적 관계", 아시아교육연구, 20(2), pp.569~589 (2019), 교육연구소[DOI]
  14. 박희철, "청소년의 분리-개별화와 심리적 안녕감의 관계에서 자기위로능력의 매개효과", 석사, pp.2016
  15. 변지애, "긍정 및 부정 정서가 남녀 고등학생의 폭식행동에 미치는 영향: 다차원적 충동성(UPPS-P)의 조절효과", Korean Journal of Clinical Psychology, 35(4), pp.784~796 (2016), 한국임상심리학회[DOI]
  16. 양혜미, "대학생의 사회지향성과 폭식행동의 관계에서 고통 감내력의 매개효과", 청소년학연구, 23(1), pp.387~407 (2016), 한국청소년학회
  17. 유병현, "자비로운 글쓰기 개입이 대인관계 역경 경험자의 외상 후 부정적 인지, 정서 및 스트레스 증상에 미치는 효과", 인지행동치료, 20(2), pp.135~159 (2020), 한국인지행동치료학회[DOI]
  18. 윤화영, "여대생의 폭식행동, 우울 및 귀인양식간의 관계", 석사, 심리학, pp.1997
  19. 이종환, "경계선 성격장애 성향군의 정서조절 능력: 억제 기능, 과민반응, 조절곤란을 중심으로", Korean Journal of Clinical Psychology, 32(3), pp.543~565 (2013), 한국임상심리학회[DOI]
  20. 임선영, "부정 긴급성, 부정 정서 및 정서조절곤란이 경계선 성격의 자해 행동에 미치는 영향†", 한국심리학회지: 건강, 22(3), pp.565~585 (2017), 한국건강심리학회[DOI]
  21. 장근영, "청소년기 자아중심성 : 분리-개별화 과정 및 역할취득 수준과의 관계", 한국심리학회지 : 발달, 5(1), pp.157~175 (1992)
  22. 전주리, "정서조급성과 폭식행동의 관계", 석사, 임상ㆍ상담심리학, pp.2011
  23. 전희정, "청소년의 자기위로 능력과 우울 및 불안과의 관계 : 대상관계 이론을 중심으로", 석사, 아동상담, pp.1999
  24. 조승연, "대인관계 역경 경험 대학생들의 역경 후 부정적 정서에 대한 자비로운 글쓰기 개입의 효능 및 조절변인으로서의 개입 전 우울증상", 인지행동치료, 21(2), pp.199~223 (2021), 한국인지행동치료학회[DOI]
  25. 조용래, "정서조절곤란의 평가: 한국판 척도의 심리측정적 속성", Korean Journal of Clinical Psychology, 26(4), pp.1015~1038 (2007), 한국임상심리학회[DOI]
  26. 조용래, "자기 자비 대 주의분산 처치와 특질 자기 자비가 불쾌한 자기관련 사건에 대한 정서반응에 미치는 효과", 한국심리학회지:일반, 30(3), pp.707~726 (2011), 한국심리학회
  27. 조지혜, "청소년이 지각한 모의 공감적 반응이 내현적 자기애에 미치는 영향: 자기위로능력과 자기자비의 매개효과", 한국심리학회지: 상담 및 심리치료, 34(1), pp.135~157 (2022), 한국상담심리학회
  28. 조현주, "한국판 자기비판", 자기공격과 자기위안 형태척도의 신뢰도와 타당도 연구, 2011, pp.11(2), 137~154[DOI]
  29. Albertson, R. E., "Self-compassion and body dissatisfaction in women : A randomized controlled trial of a brief meditation intervention", Mindfulness, 6(3), pp.444~454 (2014)[DOI]
  30. American Psychiatric Association, "Diagnostic and statistical manual of mental disorder" (2000), American Psychiatric Association
  31. Asarian, L., "Sex differences in the physiology of eating", American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 305(11), pp.R1215~R1267 (2013)[DOI]
  32. Basay, B. K., "Non-suicidal self-injury among Turkish high school students : Functions, emotion regulation and separation individuation", Neuropsychiatrie de l'enfance et de l'adolescence, 5(60), pp.S150~ (2012)[DOI]
  33. Blos, P., "The adolescent passage:Developmental issues" (1979), International Universities Press
  34. Cassidy, J., "Emotion regulation : Influences of attachment relationships", Monographs of the Society for Research in Child Development, 59(23), pp.228~249 (1994)[DOI]
  35. Chapman, A. L., "Solving the puzzle of deliberate self-harm : The experiential avoidance model", Behaviour Research and Therapy, 44(3), pp.371~394 (2006)[DOI]
  36. Curran, P. J., "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis", Psychological methods, 1(1), pp.16~ (1996)[DOI]
  37. Davis, C., "Evidence that ‘food addiction’ is a valid phenotype of obesity", Appetite, 57(3), pp.711~717 (2011)[DOI]
  38. de Kernier, N., "Suicide attempt during adolescence : A way of killing the"Infans"and a quest for individuation-separation", Crisis, 33(5), pp.290~300 (2012)[DOI]
  39. Demirdogen, E. S., "The association between separation individuation process and binge eating disorder in adolescents aged 12–18", Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, pp.1~8 (2020)[DOI]
  40. Esplen, M. J., "Relationship between selfsoothing, aloneness, and evocative memory in bulimia nervosa", International Journal of Eating Disorders, 27(1), pp.96~100 (2000)[DOI]
  41. Fairburn, C. G., "A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments", Archives of General Psychiatry, 52(4), pp.304~312 (1995)[DOI]
  42. Forbush, K. T., "Development and validation of the Eating Pathology Symptoms Inventory(EPSI)", Psychological Assessment, 25(3), pp.859~ (2013)[DOI]
  43. Gilbert, P., "Compassion:Conceptualizations, research and use in psychopathology" (2005), Routledge
  44. Gilbert, P., "자비중심치료" (2014), 학지사
  45. Gilbert, P., "Criticizing and reassuring oneself : An exploration of forms, styles and reasons in female students", The British Journal of Clinical Psychology, 43, pp.31~50 (2004)[DOI]
  46. Gilbert, P., "Compassionate mind training for people with high shame and self-criticism : Overview and pilot study of a group therapy approach", Clinical Psychology &Psychotherapy, 13(6), pp.353~379 (2006)[DOI]
  47. Gillespie, J., "Rejection of the body in women with eating disorders", The Arts in Psychotherapy, 23(2), pp.153~161 (1996)[DOI]
  48. Glassman, E., "Development of a selfreport measure of soothing receptivity" (1989), ProQuest Dissertations Publishing
  49. Glenn, C. R., "Emotion dysregulation as a core feature of borderline personality disorder", Journal of Personality Disorders, 23(1), pp.20~28 (2009)[DOI]
  50. Goodsitt, A., "Self-regulatory disturbances in eating disorders", International Journal of Eating Disorders, 2(3), pp.51~60 (1983)[DOI]
  51. Gratz, K. L., "Multidimensional assessment of emotion regulation and dysregulation : Development, factor structure, and initial validation of the difficulties in emotion regulation scale", Journal of Psychopathology and Behavioral Assessment, 26(1), pp.41~54 (2004)[DOI]
  52. Grotstein, J. S., "The psychology of powerlessness : Disorders of selfregulation and interactional regulation as a newer paradigm for psychopathology", Psychoanalytic Inquiry, 6(1), pp.93~118 (1986)[DOI]
  53. , 2017
  54. Hazan, C., "Adult attachment: Theory, research, and clinical implications", pp.55~85 (2004), Guilford Publications
  55. Hudson, J. I., "The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication", Biological psychiatry, 61(3), pp.348~358 (2007)[DOI]
  56. Kelly, A. C., "Soothing oneself and resisting self-attacks : The treatment of two intrapersonal deficits in depression vulnerability", Cognitive Therapy and Research, 33(3), pp.301~ (2009)[DOI]
  57. Khantzian, E. J., "Understanding addictive vulnerability : An evolving psychodynamic perspective", Neuropsychoanalysis, 5(1), pp.5~21 (2003)[DOI]
  58. Kins, E., "When the separation-individuation process goes awry : Distinguishing between dysfunctional dependence and dysfunctional independence", International Journal of Behavioral Development, 37(1), pp.1~12 (2013)[DOI]
  59. Klonsky, E. D., "Deliberate selfharm in a nonclinical population : Prevalence and psychological correlates", American Journal of Psychiatry, 160(8), pp.1501~1508 (2003)[DOI]
  60. Koepke, S., "Dynamics of identity development and separation-individuation in parent-child relationships during adolescence and emerging adulthood-A conceptual integration", Developmental Review, 32(1), pp.67~88 (2012)[DOI]
  61. Kohut, H., "The Analysis of the Self" (1971), International Universities Press, Inc
  62. Laye-Gindhu, A., "Nonsuicidal self-harm among community adolescents : Understanding the"whats"and"whys"of self-harm", Journal of Youth and Adolescence, 34(5), pp.447~457 (2005)[DOI]
  63. Leary, M. R., "Selfcompassion and reactions to unpleasant self-relevant events : The implications of treating oneself kindly", Journal of Personality and Social Psychology, 92(5), pp.887~904 (2007)[DOI]
  64. Lee, W. K., "Psychological characteristics of self-harming behavior in Korean adolescents", Asian Journal of Psychiatry, 23, pp.119~124 (2016)[DOI]
  65. Levine, J. B., "The separation-individuation test of adolescence", Journal of Personality Assessment, 50(1), pp.123~139 (1986)[DOI]
  66. Linehan, M. M., "Cognitive behavioral treatment of borderline personality disorder" (1993), The Guilford Press
  67. Mahler, M. S., "The psychological birth of the human infant: Symbiosis and individuation" (1975), Basic Books
  68. Mattanah, J. F., "The contributions of parental attachment bonds to college student development and adjustment : A metaanalytic review", Journal of Counseling Psychology, 58(4), pp.565~ (2011)[DOI]
  69. McCarthy, M., "The thin ideal, depression and eating disorders in women", Behaviour Research and Therapy, 28(3), pp.205~214 (1990)[DOI]
  70. McGee, K., "Examining the role of ego development, individuation, and resilency on symptomatology following a traumatic event", Order No. 357321. Pace University, ~ (2013)
  71. Mennin, D. S., "Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder", Behaviour Research and Therapy, 43(10), pp.1281~1310 (2005)[DOI]
  72. Mikulincer, M., "An attachment perspective on psychopathology", World Psychiatry, 11(1), pp.11~15 (2012)[DOI]
  73. Milrod, B., "Childhood separation anxiety and the pathogenesis and treatment of adult anxiety", American Journal of Psychiatry, 171(1), pp.34~43 (2014)[DOI]
  74. Moser, M., "Transitional objects and their relationship to self-soothing mechanisms in latency-aged children" (1991), ProQuest Dissertations Publishing
  75. Neff, K. D., "The development and validation of a scale to measure self-compassion", Self and Identity, 2(3), pp.223~250 (2003)[DOI]
  76. Neff, K. D., "The role of selfcompassion in development : A healthier way to relate to oneself", Human Development, 52(4), pp.211~214 (2009)[DOI]
  77. Neff, K. D, "Self-compassion, selfesteem, and well-being", Social and Personality Compass, 5(1), pp.1~12 (2011)[DOI]
  78. O’Connor, R. C., "Self-harm in adolescents : Self-report survey in schools in Scotland", The British Journal of Psychiatry, 194(1), pp.68~72 (2009)[DOI]
  79. Pascual-Leone, A., "Measuring subtypes of emotion regulation : From broad behavioural skills to idiosyncratic meaning-making", Clinical Psychology &Psychotherapy, 23(3), pp.203~216 (2016)[DOI]
  80. Peh, C. X., "Emotion dysregulation as a mechanism linking child maltreatment exposure and self-harm behaviors in adolescents", Child Abuse & Neglect, 67(35), pp.383~390 (2017)[DOI]
  81. Polivy, J., "Distress and eating : Why do dieters overeat?", International Journal of Eating Disorders, 26(2), pp.153~164 (1999)[DOI]
  82. Polivy, J., "Causes of eating disorders", Annual Review of Psychology, 53(1), pp.187~213 (2002)[DOI]
  83. Poudel, A., "Non suicidal self injury and suicidal behavior among adolescents : co-occurrence and associated risk factors", BMC psychiatry, 22(1), pp.96~ (2022)[DOI]
  84. Raevuori, A., "A review of eating disorders in males", Current Opinion in Psychiatry, 27(6), pp.426~430 (2014)[DOI]
  85. Sansone, R. A., "An empirical examination of soothing tactics in borderline personality disorder", Comprehensive Psychiatry, 32(5), pp.431~439 (1991)[DOI]
  86. Sansone, R. A., "The self-harm inventory(SHI) : Development of a scale for identifying self-destructive behaviors and borderline personality disorder", Journal of Clinical Psychology, 54(7), pp.973~983 (1998)[DOI]
  87. Smith, M. C., "Development and validation of a test for bulimia", Journal of Consulting and Clinical Psychology, 52(5), pp.863~872 (1984)[DOI]
  88. Speranza, M., "Depressive psychopathology and adverse childhood experiences in eating disorders", European Psychiatry, 18(8), pp.377~383 (2003)[DOI]
  89. Speranza, M., "Depressive personality dimensions and alexithymia in eating disorders", Psychiatry Research, 135(2), pp.153~163 (2005)[DOI]
  90. Stänicke, L. I., "The punished self, the unknown self, and the harmed selftoward a more nuanced understanding of self-harm among adolescent girls", Frontiers in psychology, 12, pp.543303~ (2021)[DOI]
  91. Steindl, S. R., "Compassion focused therapy for eating disorders : A qualitative review and recommendations for further applications", Clinical Psychologist, 21(2), pp.62~73 (2017)[DOI]
  92. Suyemoto, K. L., "The functions of self-mutilation", Clinical Psychology Review, 18(5), pp.531~554 (1998)[DOI]
  93. Taylor, G. J., "Disorders of affect regulation:Alexithymia in medical and psychiatric illness" (1999), Cambridge University Press
  94. Thelen, M. H., "A revision of the Bulimia Test : The BULIT—R", Psychological Assessment : A Journal of Consulting and Clinical Psychology, 3(1), pp.119~124 (1991)[DOI]
  95. Westen, D., "Cognitive-behavioral interventions in the psychoanalytic psychotherapy of borderline personality disorders", Clinical Psychology Review, 11(3), pp.211~230 (1991)[DOI]
  96. Whiteside, U., "Difficulties regulating emotions : Do binge eaters have fewer strategies to modulate and tolerate negative affect", Eating Behaviors, 8(2), pp.162~169 (2007)[DOI]
  97. Yates, T. M., "The developmental psychopathology of self-injurious behavior : Compensatory regulation in posttraumatic adaptation", Clinical Psychology Review, 24(1), pp.35~74 (2004)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (4건)