물질중독자의 부정적 자기지각과 공격적 태도가 약물문제에 미치는 영향: 갈망조절 자기효능감 매개효과
The Influence of Negative Self-Perception and Aggressive Attitude on Drug Problems in Substance Addicts: The Mediating Effect of Craving Self-Efficacy
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초록
이 연구는 물질중독자의 재발 요인으로 부정적 자기지각, 공격적 태도, 약물문제 간의 관계를 알아보고 이들 사이에서 갈망조절 자기효능감의 매개효과를 살펴보는 것을 목적으로 하였다. 이를 위하여 물질중독자 140명에게 실시한 자기보고 설문지를 수집하였다. 각 변인 간의 관계를 알아보기 위해 변수 간의 상관 분석을 실시하였고, 부정적 자기지각, 공격적 태도, 약물문제의 관계에서 갈망조절 자기효능감의 매개효과를 확인하였다. 분석 결과, 첫째, 부정적 자기지각, 공격적 태도는 약물문제와 정적 상관을, 갈망조절 자기효능감과 약물문제는 부적 상관을 보였다. 둘째, 부정적 자기지각과 공격적 태도는 갈망조절 자기효능감을 예측하였고, 갈망조절 자기효능감도 약물문제를 예측하는 것으로 나타났다. 셋째, 매개효과를 살펴본 결과, 부정적 자기지각과 약물문제의 관계에서 갈망조절 자기효능감이 부분매개를 보였고, 공격적 태도와 약물문제의 관계에서도 갈망조절 자기효능감의 부분매개 효과가 나타났다. 따라서 물질중독자의 약물문제에 대한 치료시 부정적 자기지각 및 공격적 태도와 갈망조절 효능감의 관계를 고려하는 것이 필요하다. 마지막으로 이 연구의 제한점과 시사점을 논의하였고, 후속연구를 위한 제언을 제시하였다.
Abstract
This study investigates the relationship between negative self-perception, aggressive attitude, and drug problems as relapse factors in substance addicts. In particular, the mediating effect of craving self-efficacy was examined. For the purposes of this study, self-reported questionnaires were collected from 140 addicts; correlation analysis was performed to examine the relationship between the obtained variables, and the mediating effect of craving self-efficacy was confirmed in the relationship between negative self-perception, aggressive attitude, and drug problems. Results showed that negative self-perception and aggressive attitude were positively correlated with drug problems, while craving self-efficacy and drug problems were negatively correlated with each other. In addition, negative self-perception and aggressive attitude predicted craving self-efficacy, and craving self-efficacy predicted drug problems. Moreover, craving self-efficacy partially mediated the relationship between negative self-perception and drug problems, and craving self-efficacy was partially mediated in the relationship between aggressive attitudes and drug problems. Therefore, it is necessary to consider the relationship between negative self-perception, aggressive attitude, and craving self-efficacy when approaching drug problems in substance addicts. Finally, we discussed the limitations and implications of this study and suggested recommendations for future studies.
참고문헌 (65)
- "마약중독의 원인" (2021)[URL]
- 김영환, "성격평가 질문지 실시요강" (2001), 학지사
- 김영환, "PAI 표준화 연구 : 신뢰도와 타당도", Korean Journal of Clinical Psychology, 20(2), pp.311~329 (2001)
- 김영환, "PAI의 임상적 해석" (2011), 학지사
- 金容辰, "인지행동 프로그램이 성인약물중독자의 사회심리적 행동에 미치는 영향에 관한 연구", 석사, 사회사업학, pp.1998
- 손정락, "문제음주자의 성격특성에 따른 스트레스관리 프로그램의 효과 비교: 반사회성 성격특성과 수동공격성 성격특성", 한국심리학회지: 건강, 18(1), pp.1~16 (2013), 한국건강심리학회[DOI]
- 문봉규, "알코올 중독자 내 안의 또 다른 나" (2019), 학지사
- 박상규, "마약류 중독자를 위한 자기사랑하기 프로그램" (2003), 학지사
- 박상규, "중독과 마음챙김" (2016), 학지사
- 박선아, "약물사범의 정신건강에 관한 연구 : 상태특성분노, 자아존중감, 가족관계를 중심으로", 석사, 사회복지학, pp.2008
- 박승현, "맹자孟子의 마음공부 - 인간의 자존감 회복의 길 -", 철학탐구, 40, pp.35~70 (2015), 중앙철학연구소[DOI]
- 송미경, "대학생의 분노, 소외감이 알코올중독, 인터넷중독에 미치는 영향 : 행동활성화체계의 매개효과", 청소년문화포럼, (36), pp.59~84 (2013), (사)한국청소년문화연구소
- 안은성, "개인적 특성과 사회환경이 청소년의 흡연에 미치는 영향", 보건교육건강증진학회지, 26(2), pp.1~13 (2009), 한국보건교육건강증진학회
- 유은영, "내면화된 수치심, 자기통제력, 공격성 및 중독가능성의 관계", 석사, 상담학과 상담학전공, pp.2012
- 이춘우, "메스암페타민 사용 환자의 정신과적 증상에 영향을 미치는 요인", 생물치료정신의학, 10(1), pp.58~67 (2004), 대한생물치료정신의학회
- 조성남, "알콜리즘 환자의 인격특성에 관한 연구. MMPI를 중심으로", 신경정신의학, 23(4), pp.452~461 (1984)
- 조성남, "마약류 중독의 이해와 치료" (2021), 학지사
- 조성희, "중독과 동기면담" (2010), 시그마프레스
- 조원준, "알코올중독 입원환자의 공격성에 영향을 미치는 요인", 보건과 복지, 9, pp.47~67 (2007), 한국보건복지학회[DOI]
- 최시은, "자존감과 사회불안의 관계에서 자기효능감의 조절효과", 석사, pp.2021
- 최혜경, "충동성 과제 수행에 대한 아이젱크의 외향성 신경증적 경향성 및 정신병적 경향성의 영향", 성격 및 개인차 연구, 1(1), pp.103~114 (1992)
- 한창우, "갈망 : 생물학적 이해와 치료적 접근", 중독정신의학, 22(2), pp.59~63 (2018), 한국중독정신의학회[DOI]
- Bandura, A., "Aggression : A social learning analysis" (1973), Prentice-Hall
- Bandura, A., "A sociocognitive analysis of substance abuse : An agentic perspective", Psychological science, 10(3), pp.214~217 (1999)
- Baron, R. M., "The moderator mediator variable distinction in social psychological research : Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)
- Beck, A. T., "Depression : Clinical, experimental and theoretical aspects" (1967), Harper & Row
- Beck, A. T., "Cognitive therapy and emotional disorders" (1976), International Universities Press
- Berry, L. M., "Emotional and behavioural reaction to intrusive thoughts", Assessment, 17(1), pp.126~137 (2010)
- Blatt, S., "The destructiveness of perfectionism : Implications for the treatment of depression", American Psychologist, 50(12), pp.1003~1020 (1995)
- Blum, R. H., "Crimes of Violence, National Commission on the Causes & Prevention of Violence" (1969), Government Printing Office
- Courtney Beard, "Associations among interpretation bias, craving, and abstinence self-efficacy in adults with substance use disorders", Drug and Alcohol Dependence, 205, pp.107644~ (2019), Elsevier BV[DOI]
- Chen, G., "Validation of a new general self-efficacy scale", Organizational Research Methods, 4(1), pp.62~83 (2001)
- Chen, G., "General self-efficacy and self-esteem : Toward theoretical and empirical distinction between correlated self-evaluations", Journal of Organizational Behavior, 25(3), pp.375~395 (2004)
- DiClemente, C. C., "The Alcohol Abstinence Self-Efficacy Scale", Journal of Studies on Alcohol and Drugs, 55(2), pp.141~148 (1994)
- Dollard, J., "Frustration and aggression", Psychiatry, 2(3), pp.427~428 (1939)
- Dunkley, D. M., "Self-critical perfectionism and daily affect : Dispositional and situational influences on stress and coping", Journal of Personality and Social Psychology, 84(1), pp.234~252 (2003)
- Flores, P. J., "Group Psychotherapy with Addicted Populations" (2007), Routledge
- Herrenkohl. T. I., "Longitudinal examination of physical and relational aggression as precursors to later problem behaviors in adolescents", Violence & Victims, 24(1), pp.3~29 (2009)
- Hofmann, W., "Everyday temptations : An experience sampling study of desire. conflict, and self-control", Journal of Personality and Social Psychology, 102(6), pp.1318~1335 (2011)
- Kavanagh, D. J., "Tests of the elaborated intrusion theory of craving and desire : Features of alcohol craving during treatment for an alcohol disorder", British Journal of Clinical Psychology, 48(3), pp.241~254 (2009)
- Khantzian, E. J., "Encyclopedic handbook of alcoholism", pp.581~597 (1982), Grander Press
- Khantzian, E. J., "Alcoholics Anonymous-Cult or corrective? Paper presented at Fourth Annual Distinguished Lecture" (1994), Cornell University Press
- Kurtz, E., "Shame and guilt" (2007), iUniverse
- Marlatt, G. A., "Craving notes", British Journal of Addiction, 82(1), pp.42~43 (1987)
- Marlatt, G. A., "Relapse prevention for alcohol and drug problems : that was Zen, this is Tao", American Psychologist, 59(4), pp.224~235 (2004)
- Meulenbeek, P. A. M., "Addiction problems and methadone treatment", Journal of substance abuse treatment, 19(2), pp.171~174 (2000)
- Miczek, K. A., "Understanding and Preventing Violence, Social Influences. Alcohol, Drugs of Abuse, Aggression, and Violence" (1994), National Academy Press
- Mofrad, S. H. K., "The role of self-efficacy and assertiveness in aggression among high-school students in Isfahan", Journal of Medicine and Life, 8(4), pp.225~231 (2015)
- Moss, H. B., "Substance Abuse, Aggression, and Violence", Journal on Addictions, 2(2), pp.149~160 (1993)
- Najavits, L. M., "Seeking safety. A treatment manual for PTSD and substance Abuse" (2002), Guilford Press
- Niaura, R., "Cognitive social learning and related perspectives on drug craving", Addiction, 95(2), pp.155~163 (2000)
- Pulkkinen, L., "Proactive and reactive aggression in early adolescents : Social psychological adjustment of aggressors and victims", Journal of Clinical Child Psychology, 30(4), pp.479~491 (1994)
- Robins, L. N., "Deviant Children Grown Up: A Sociological and Psychiatric Study of Sociopathic Personality" (1974), Krieger Publishing
- Roozen, H. G., "The impact of craving and impulsivity on aggression in detoxified cocaine-dependent patients", Journal of Substance Abuse Treatment, 40(4), pp.414~418 (2011)
- Roozen, H. G., "Does Alcohol Craving Mediate the Impulsivity-Aggression Relationship in Recently Detoxified Alcohol-Dependent Patients", The American Journal of Drug and Alcohol Abuse, 39(1), pp.57~60 (2013)
- Shaffer, H. J., "Toward a syndrome model of addiction : Multiple expression, common etiology", Harvard Review of Psychiatry, 12(6), pp.367~374 (2004)
- Sherer, M., "The self-efficacy scale : Construction and validation", Psychological Reports, 51(2), pp.663~671 (1982)
- Shoptaw, S., "Psychiatric and substance dependence comorbidities, sexually transmitted diseases, and risk behaviors among methamphetamine dependent gay and bisexual men seeking outpatient drug abuse treatment", Journal Psychoactive Drug, 35(1), pp.161~168 (2003)
- Shrout, P. E., "Mediation in experimental and nonexperimental studies : new procedures and recommendations", Psychological methods, 7(4), pp.422~ (2002)
- Skorka-Brown, J., "Playing Tetris decreases drug and other cravings in real world settings", Addictive behaviors, 51, pp.165~170 (2015)
- Twerski, A. J., "Addictive thinking : understanding self-deception" (1997), Hazelden Publishing
- Urschel, H. C., "Healing the Addicted Brain : The revolutionary, science-based alcoholism and addiction recovery program" (2009), Sourcebooks
- Veilleux, J. C., "Negative affect intensity influences drinking to cope through facets of emotion dysregulation", Personality and Individual Differences, 59, pp.96~101 (2014)
- M Willemse, "The relationship between self-efficacy and aggression in a group of adolescents in the peri-urban town of Worcester, South Africa: Implications for sport participation", African Journal for Physical, Health Education, Recreation and Dance, 17(3) (2011), African Journals Online (AJOL)[DOI]
- Worminton, S. V., "Alcohol and other drug use in middle school : The interplay of gender, peer victimization, and supportive social relationships", Journal of Early Adolescence, 33(5), pp.610~634 (2012)
