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특성 분노와 강박적 확인행동의 관계에서 과도한 책임감과 자기자비의 조절된 매개효과

The Effect of Trait Anger on Compulsive Checking : Mediating Effect of Inflated Responsibility and Moderated Mediating Effect of Self-Compassion

정재훈|정승아|정진리
한국임상심리학회 (Korean Clinical Psychology Association)|2023.09|한국심리학회지: 임상심리 연구와 실제 (Clinical Psychology in Korea: Research and Practice)|제9권 제3호|pp. 455-480

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참고문헌

키워드

self-compassion조절된 매개효과자기자비특성분노trait angermoderated mediation effect강박적 확인행동과도한 책임감compulsive checkinginflated responsibility

초록

본 연구의 목적은 과도한 책임감을 통한 자기자비의 조절된 매개효과가 특성분노와 강박적 확인행동의 관계에 미치는 영향을 알아보는 것이다. 이를 위해, 전국에 거주하는 19~35세 성인 남녀376명을 대상으로 파두아 강박증상 질문지, 한국판 상태-특성 분노 표현 척도, 한국어판 강박신념질문지-책임감 척도, 한국판 자기자비 척도를 사용하여 연구를 진행하였고, 조절된 매개효과 검증을 위해 SPSS 26.0과 SPSS PROCESS Macro version 4.0을 이용하여 자료를 분석하였다. 본 연구 결과는 다음과 같이 요약할 수 있다. 첫째, 모든 변인 간의 상관관계가 통계적으로 유의하였다. 특성분노와 과도한 책임감, 강박적 확인행동 사이에는 유의미한 정적 상관관계가 나타났다. 반면, 자기자비와 과도한 책임감, 강박적 확인행동 사이에는 유의미한 부적 상관관계가 나타났다. 둘째, 과도한 책임감이 특성분노와 강박적 확인행동의 관계에서 유의미한 부분매개효과가 있는 것으로 나타났다. 이는 특성 분노가 높을수록 책임감과 강박적 확인행동 수준이 높아진다는 것을 의미한다. 셋째, 과도한 책임감과 강박적 확인행동의 관계에서 자기자비의 조절효과가 나타났다. 넷째, 특성분노, 과도한 책임감, 강박적 확인행동의 관계에서 자기자비의 조절된 매개효과가 나타났다. 이러한 결과를 바탕으로 본 연구의 시사점과 한계를 논의하였다.

Abstract

This study examined the moderated mediating effect of self-compassion through inflated responsibility on the relationship between trait anger and compulsive checking. The survey was conducted with 376 adult men and women aged 19-35 living across the country. The questionnaire included the State-Trait Anger Expression Inventory (STAXI-K), Padua Inventory-Washington State University Revision (PI-WSUR), Obsessive Belief Questionnaire-Responsibility (OBQ-R), and Self-Compassion Scale (K-SCS). Data analyses were conducted using SPSS 26.0 and SPSS PROCESS Macro version 4.0 for verify the moderated mediating effect. The results of this study can be summarized as follows. First, the correlations between all variables were statistically significant. There was a significant positive correlation between trait anger and inflated responsibility, and between inflated responsibility and compulsive checking. However, there was a negative correlation between self-compassion, inflated responsibility and compulsive checking. Second, inflated responsibility had a partially significant mediating effect on the relationship between trait anger and compulsive checking. The higher the trait anger, the higher the level of responsibility and compulsive checking. Third, self-compassion had a moderating effect on the relationship between inflated responsibility and compulsive checking. Fourth, a moderated mediating effect of self-compassion on the relationships between trait anger, inflated responsibility, and compulsive checking was observed. The implications and limitations of this study are discussed based on these results.

참고문헌 (74)

  1. 고영건, "MMPI와 로샤검사를 활용한 분노의 억압 평가", 한국심리학회지: 건강, 8(1), pp.207~228 (2003), 한국건강심리학회
  2. 김경의, "한국판 자기-자비 척도의 타당화 연구 : 대학생을 중심으로", 한국심리학회지: 건강, 13(4), pp.1023~1044 (2008), 한국건강심리학회[DOI]
  3. 정신질환실태 역학조사, "보건복지부", 보건복지부, ~ (2020)
  4. 설순호, "걱정과 강박사고에 대한 인지적 평가와 통제방략", 석사, 임상·상담심리학, pp.2004
  5. 신민섭, "강박증의 인지치료: 전문가용지침서" (2008), 시그마프레스
  6. 우충환, "강박신념의 강박증상 특이성 검증: 비임상 대학생 집단을 대상으로", Korean Journal of Clinical Psychology, 29(1), pp.35~52 (2010), 한국임상심리학회[DOI]
  7. 이상원, "위협의 과대평가와 기억신뢰가강박적 확인행동에 미치는 영향", 청소년학연구, 27(11), pp.449~477 (2020), 한국청소년학회[DOI]
  8. 이선영, "자기-자비와 불안 및 강박과의 관계에서 매개변인으로서의 사고 억제 -일반인을 대상으로", Korean Journal of Clinical Psychology, 32(4), pp.835~851 (2013), 한국임상심리학회[DOI]
  9. 이은솔, "과도한 책임감과 강박적 확인행동의 관계에서 불안과 분노억제의 매개효과", 인지행동치료, 20(3), pp.323~343 (2020), 한국인지행동치료학회[DOI]
  10. 정선호, "회귀분석을 이용한매개된 조절효과와 조절된 매개효과 검증 방법", 한국심리학회지:일반, 35(1), pp.257~282 (2016), 한국심리학회[DOI]
  11. 정승아, "강박장애: 이론, 현상학, 평가" (2018), 학지사
  12. 조은주, "불완전감과 강박신념이 강박증상에 미치는 영향: 마음챙김의 조절된 매개효과", Korean Journal of Clinical Psychology, 40(3), pp.258~268 (2021), 한국임상심리학회[DOI]
  13. 최혜라, "적대성과 강박증상과의 관계: 충동성의 조절역할을 중심으로", 한국산학기술학회논문지, 19(1), pp.368~378 (2018), 한국산학기술학회[DOI]
  14. 최희영, "MMPI-2와 로샤 검사에나타난 강박장애 환자의 분노 양상", 한국심리학회지 : 일반, 27(2), pp.505~522 (2008)
  15. 하태현, "강박장애의 증상차원과 공존 인격병리의 관련성에 관한 연구", 신경정신의학, 43(1), pp.46~53 (2004), 대한신경정신의학회
  16. 한덕웅, "한국판 STAXI 척도 개발: 분노와 혈압", 한국심리학회지 : 건강, 2(1), pp.60~78 (1997)
  17. Abramowitz, J. S., "Thought control strategies in obsessive-compulsive disorder: A replication and extension", Behaviour Research and Therapy, 41(5), pp.529~540 (2003)[DOI]
  18. Diagnostic and Statistical Manual of Mental Disorder-5, "American Psychiatric Association", American Psychiatric Association, ~ (2013)
  19. Arntz, A., "Responsibility and obsessive-compulsive disorder: An experimental test", Behaviour Research and Therapy, 45(3), pp.425~435 (2007)[DOI]
  20. Barrett, E. L., "Mental health correlates of anger in the general population: Findings from the 2007National Survey of Mental Health and Wellbeing", Australian & New Zealand Journal of Psychiatry, 47(5), pp.470~476 (2013)[DOI]
  21. Besharat, M. A., "Predicting obsessions and compulsions according to superego and ego characteristics:A comparison between scrupulosity and non-religious obsessive-compulsive symptoms", Asian Journal of Psychiatry, 19, pp.73~78 (2016)[DOI]
  22. Burns G. L., "Revision of the Padua Inventory of obsessive compulsive disorder symptoms: distinctions between worry, obsessions, and compulsions", Behav Res Ther, 34(2), pp.163~173 (1996)[DOI]
  23. Cludius, B., "Anger and aggressiveness in obsessive-compulsive disorder (OCD) and the mediating role of responsibility, nonacceptance of emotions, and social desirability", Eur Arch Psychiatry Clin Neurosci, 271, pp.1179~1191 (2021)[DOI]
  24. Cougle, J. R., "Are responsibility beliefs inflated in non-checking OCD patients?", Journal of Anxiety Disorders, 21(1), pp.153~159 (2007)[DOI]
  25. Didonna, A., "The role of neurofilament aggregation in neurodegeneration:lessons from rare inherited neurological disorders", Mol Neurodegeneration, 14(1), pp.1~10 (2019)[DOI]
  26. Eichholz, A., "Self compassion and emotion regulation difficulties in obsessive-compulsive disorder", Clinical Psychology & Psychotherapy, 27(5), pp.630~639 (2020)[DOI]
  27. Fenichel, O., "The Psychoanalytic Theory of Neurosis" (1996), WWNorton &Company
  28. Foa, E. B., "Inflated perception of responsibility for harm in OCD patients with and without checking compulsions: a replication and extension", Journal of Anxiety Disorders, 16(4), pp.443~453 (2002)[DOI]
  29. Freud, S., "The passing of the Oedipus complex", International Journal of Psycho-Analysis, 5, pp.419~424 (1924)
  30. Fullana, M. A., "Obsessions and compulsions in the community: prevalence, interference, help-seeking, developmental stability, and co-occurring psychiatric conditions", American Journal of Psychiatry, 166(3), pp.329~336 (2009)[DOI]
  31. Germer, C. K., "Self compassion in clinical practice", Journal of clinical psychology, 69(8), pp.856~867 (2013)[DOI]
  32. Haciomeroglu, B., "The role of reassurance seeking in obsessive compulsive disorder: the associations between reassurance seeking, dysfunctional beliefs, negative emotions, and obsessive-compulsive symptoms", BMC Psychiatry, 20(1), pp.1~13 (2020)[DOI]
  33. "PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling" (2012)[URL]
  34. Hayes, A. F., "An index and test of linear moderated mediation", Multivariate Behavioral Research, 50(1), pp.1~22 (2015)[DOI]
  35. Kabat-Zinn, J., "Mindfulness and democracy", Mindfulness, 3(3), pp.249~250 (2012)[DOI]
  36. Kempke, S., "Psychodynamic and cognitive-behavioral approaches of obsessivecompulsive disorder: Is it time to work through our ambivalence?", Bull Menninger Clin, 71(4), pp.291~311 (2007)[DOI]
  37. Key, B. L., "Mindfulness based cognitive therapy as an augmentation treatment for obsessive-compulsive disorder", Clinical Psychology & Psychotherapy, 24(5), pp.1109~1120 (2017)[DOI]
  38. Koster, E. H. W., "How to control a white bear? Individual differences involved in self-perceived and actual thought-suppression ability", Cognition and Emotion, 22(6), pp.1068~1080 (2008)[DOI]
  39. Kulz, A. K., "Mindfulness-based cognitive therapy (MBCT)in patients with obsessive-compulsive disorder (OCD) and residual symptoms after cognitive behavioral therapy (CBT): a randomized controlled trial", European Archives of Psychiatry and Clinical Neuroscience, 269(2), pp.223~233 (2019)[DOI]
  40. Ladouceur, R., "Correction of inflated responsibility in the treatment of obsessive-compulsive disorder", Behaviour Research and Therapy, 34(10), pp.767~774 (1996)[DOI]
  41. Leeuwerik, T., "The association of trait mindfulness and selfcompassion with obsessive-compulsive disorder symptoms: results from a large survey with treatment-seeking adults", Cognitive Therapy and Research, 44(1), pp.120~135 (2020)[DOI]
  42. Lopatka, C., "Perceived responsibility and compulsive checking: An experimental analysis", Behaviour Research and Therapy, 33(6), pp.673~684 (1995)[DOI]
  43. MacDonald, C. B., "A mood-as-input account of perseverative checking: The relationship between stop rules, mood and confidence in having checked successfully", Behaviour Research and Therapy, 43(1), pp.69~91 (2005)[DOI]
  44. Martin, R., "A three factor model of trait anger: Dimensions of affect, behavior, and cognition", Journal of Personality, 68(5), pp.869~897 (2000)[DOI]
  45. McCubbin, R. A., "The relationship between obsessive-compulsive symptoms and appraisals of emotional states", Journal of Anxiety Disorders, 20(1), pp.42~57 (2006)[DOI]
  46. Moritz, S., "Was Freud partly right on obsessive-compulsive disorder (OCD)? Investigation of latent aggression in OCD", Psychiatry Research, 187(1-2), pp.180~184 (2011)[DOI]
  47. Moritz, S., "Quality of life in obsessive-compulsive disorder before and after treatment", Comprehensive Psychiatry, 46(6), pp.453~459 (2005)[DOI]
  48. Muller, D., "When moderation is mediated and mediation is moderated", Journal of Personality and Social Psychology, 89(6), pp.852~863 (2005)[DOI]
  49. Neff, K. D., "Self-compassion: An alternative conceptualization of a healthy attitude toward oneself", Self and Identity, 2(2), pp.85~101 (2003)[DOI]
  50. Neff, K. D., "The development and validation of a scale to measure selfcompassion", Self and Identity, 2(3), pp.223~250 (2003)[DOI]
  51. Neff, K. D., "Selfcompassion and psychological resilience among adolescents and young adults", Self and Identity, 9(3), pp.225~240 (2010)[DOI]
  52. Obsessive Compulsive Cognitions Working Group, "Development and initial validation of the obsessive beliefs questionnaire and the interpretation of intrusions inventory", Behaviour Research and Therapy, 39(8), pp.987~1006 (2001)[DOI]
  53. Painuly, N. P., "Anger attacks in obsessive compulsive disorder", Industrial Psychiatry Journal, 20(2), pp.115~ (2011)[DOI]
  54. Rachman, S. J., "Obsessions, responsibility and guilt", Behaviour Research and Therapy, 31(2), pp.149~154 (1993)[DOI]
  55. Rachman, S. J., "A cognitive theory of obsessions: Elaborations", Behaviour Research and Therapy, 36(4), pp.385~401 (1998)[DOI]
  56. Rachman, S. J., "A cognitive theory of compulsive checking", Behaviour Research and Therapy, 40(6), pp.625~639 (2002)[DOI]
  57. Rachman, S. J., "Abnormal and normal obsessions", Behaviour Research and Therapy, 16(4), pp.233~248 (1978)[DOI]
  58. Rachman, S. J, "Obsessions and Compulsions" (1980), Prentice Hall
  59. Radomsky, A. S., "Relationships between anger, symptoms, and cognitive factors in OCD checkers", Behaviour Research and Therapy, 45(11), pp.2712~2725 (2007)[DOI]
  60. Rassin. E., "How to suppress obsessive thoughts", Behavior Research and Therapy, 41(1), pp.97~103 (2003)[DOI]
  61. Ruscio, A. M., "The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication", Mol Psychiatry, 15(1), pp.53~63 (2010)[DOI]
  62. Salkovskis, P. M., "Obsessional-compulsive problems: A cognitive-behavioural analysis", Behaviour Research and Therapy, 23(5), pp.571~583 (1985)[DOI]
  63. Shahi S. F., "A Phenomenological Study of experience of the anger in individual with Obsessive Compulsive Disorder", Journal of Research in Psychological Health, 12(4), pp.28~47 (2018)[DOI]
  64. Shapiro, S. L., "Mechanisms of mindfulness", Journal of clinical psychology, 62(3), pp.373~386 (2006)[DOI]
  65. Spielberger, C. D., "Individual Differences, Stress, and Health Psychology", pp.89~108 (1988), Springer
  66. Spielberger, C. D., "The experience and expression of anger: Construction and validation of an anger expression scale", Anger and Hostiliry in Cardiovascular and Behavioral Disorders, pp.5~30 (1985)
  67. Stein, M. B., "Obsessive-compulsive disorder in the community: an epidemiologic survey with clinical reappraisal", American Journal of Psychiatry, 154(8), pp.1120~1126 (1997)[DOI]
  68. Stewart, S. E, "Pathological guilt: A persistent yet overlooked treatment factor in obsessive-compulsive disorder", Annals of Clinical Psychiatry, 23(1), pp.63~70 (2011)
  69. Weingarden, H., "Shame in the obsessive compulsive related disorders:A conceptual review", Journal of Affective Disorders, 171, pp.74~84 (2015)[DOI]
  70. West, S. G., "Structural equation modeling: Concepts, issues, and applications", pp.56~75 (1995), Sage Publications
  71. Wetterneck, C. T., "Courage, self-compassion, and values in obsessive-compulsive disorder", Journal of Contextual Behavioral Science, 2(3-4), pp.68~73 (2013)[DOI]
  72. Wetterneck, C. T., "Obsessive-compulsive personality traits: How are they related to OCD severity?", Journal of Anxiety Disorders, 25(8), pp.1024~1031 (2011)[DOI]
  73. Whiteside, S. P., "Obsessive-compulsive symptoms and the expression of anger", Cognitive Therapy and Research, 28(2), pp.259~268 (2004)[DOI]
  74. Williams, T. I., "Changes in symptoms of OCD and appraisal of responsibility during cognitive behavioural treatment: A pilot study", Behavioural and Cognitive Psychotherapy, 30(1), pp.69~78 (2002)[DOI]

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