본 연구는 대학생을 대상으로 아동기 정서적 학대와 성인기 우울증상의 관계에서 인지적 취약성과 경험회피가 순차적으로 매개하는지를 검증하였다. 이를 위해 325명의 대학생들은 아동기 정서적 학대, 인지적 취약성, 경험회피, 그리고 우울을 평가하는 설문지를 작성하였다. 연구 결과, 아동기 정서적 학대와 성인기 우울 증상의 관계를 인지적 취약성과 경험회피가 연속매개하였다. 또한 완전매개 모형과 부분매개모형을 비교한 결과, 완전매개모형이 보다 더 적합한 것으로 나타났다. 이러한 결과는 인지적 취약성에 초점을 맞추는 것뿐만 아니라 내적 경험 수용 능력을 발달시키는데 초점을 둔 개입의 중요성을 시사한다. 이후 본 연구의 제한점 및 후속 연구의 방향을 제시하였다.
This study examined if the relationship between childhood emotional maltreatment and adult depressive symptoms in college students was mediated by cognitive vulnerabilities and experiential avoidance. A total of 325 college students completed questionnaires to assess childhood emotional maltreatment, cognitive vulnerability, experiential avoidance, and depression. Results indicated that cognitive vulnerability and experiential avoidance mediated the relationship between childhood emotional maltreatment and depressive symptoms. In addition, a full-mediation model demonstrated a better model fit than a partial-mediation model. These findings suggest the importance of focusing intervention on the development of internal experience acceptance capacity, as well as on cognitive vulnerabilites. The limitations of the study and future directions were discussed.
고성혜 (1992). 아동학대 개념규정 및 아동학대에 대한 모․자녀의 지각형성. 서울대학교 대학원, 박사학위 논문.
김은정 (2010). 아동기 외상과 초기성인기 우울수준과의 관계. 경북대학교 대학원, 박사학위 논문.
김은정, 김진숙 (2008). 아동기 정서적 외상경험과 우울수준간의 관계에서 정서조절곤란의 매개효과. 상담학연구, 9, 1505-1520.
김현주 (2002). 어머니의 언어적 학대와 유아의 사회적 유능감에 관한 연구. 중앙대학교 대학원, 석사학위 논문.
김혜인, 신민섭, 김은정 (2012). 정서적 학대 경험과 성인기 심리적 부적응간의 관계: 정서 인식의 어려움과 정서 표현 억제의 매개효과. 정서․행동장애연구, 28, 353-380.
문현미 (2006). 심리적 수용 촉진 프로그램의 개발과 효과. 가톨릭대학교 대학원, 박사학위 논문.
보건복지부⋅중앙아동보호전문기관 (2017). 2016 전국아동학대현황보고서.
서민정, 김도연 (2012). 수용-전념 치료가 아동기 정서적 학대 경험이 있는 대학생의 정서인식과 표현 및 부정적 신념에 미치는 효과. 한국심리학회지: 건강, 17, 557-572.
유정헌, 현명호 (2010). 한국판 추론양식 척도(Csq)의 신뢰도 및 타당도. 한국심리학회지 건강, 15, 243-259.
전겸구, 최상진, 양병창 (2001). 통합적 한국판 Ces-d 개발. 한국심리학회지 건강, 6, 59-76.
조용래 (2013). 가정폭력 피해여성들의 외상 후 부정적 인지와 대처전략이 외상 후 스트레스증상과 정서증상에 미치는 효과. 인지행동치료, 13, 445-467.
조은정 (2004). 아동기의 정서적 학대 경험이 대인관계 문제해결능력에 미치는 영향. 연세대학교 대학원, 석사학위 논문
홍세희 (2000). 구조 방정식 모형의 적합도 지수 선정기준과 그 근거. Korean Journal of Clinical Psychology, 19(1), 161-177.
Abramson, L. Y., Metalsky, G. I., & Alloy, L. B. (1989). Hopelessness depression: A theory- based subtype of depression. Psychological Review, 96, 358-372.
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217-237.
Barnhofer, T., Brennan, K., Crane, C., Duggan, D., & Williams, J. M. G. (2014). A comparison of vulnerability factors in patients with persistent and remitting lifetime symptom course of depression. Journal of Affective Disorders, 152-154, 155-161.
Briere, J. (1992). Child abuse trauma: Theory and treatment of the lasting effects. Thousand Oaks, CA: IPN.
Browne, M. W., & Cudeck, R. (1989). Single sample cross-validation indices for covariance structures. Multivariate Behavioral Research, 24, 445-455.
Browne, M. W., Cudeck, R., Bollen, K. A., & Long, J. S. (1993). Alternative ways of assessing model fit. Sage Focus Editions, 154, 136-136.
Burns, E. E., Jackson, J. L., & Harding, H. G. (2010). Child maltreatment, emotion regulation, and posttraumatic stress: The impact of emotional abuse. Journal of Aggression, Maltreatment and Trauma, 19, 801-819.
Coates, A. A., & Messman-Moore, T. L. (2014). A structural model of mechanisms predicting depressive symptoms in women following childhood psychological maltreatment. Child Abuse and Neglect, 38, 103-113.
Dickson, K. S., Ciesla, J. A., & Reilly, L. C. (2012). Rumination, worry, cognitive avoidance, and behavioral avoidance: Examination of temporal effects. Behavior Therapy, 43, 629-640.
Gibb, B. E., Chelminski, I., & Zimmerman, M. (2007). Childhood emotional, physical, and sexual abuse, and diagnoses of depressive and anxiety disorders in adult psychiatric outpatients. Depression and Anxiety, 24, 256-263.
Harkness, K. L., & Wildes, J. E. (2002). Childhood adversity and anxiety versus dysthymia co-morbidity in major depression. Psychological Medicine, 32, 1239-1249.
Hayes, S.C., Strosahl, K., & Wilson, K.G. (1999). Acceptance and commitment therapy: An experiential approach to behaviour change. New York: Guilford Press.
Hayes, S. C., Strosahl, K. D., Wilson, K. G., Bissett, R. T., Pistorello, J., Tomarino, D., ... McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553-578.
Jacobson, N. S., Martell, C. R., & Dimidjian, S. (2001). Behavioral activation treatment for depression: Returning to contextual roots. Clinical Psychology: Science and Practice, 8, 255-270.
Johnson, J. G., Cohen, P., Smailes, E. M., Skodol, A. E., Brown, J., & Oldham, J. M. (2001). Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood. Comprehensive Psychiatry, 42, 16-23.
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hachette UK.
Moulds, M. L., Kandris, E., Starr, S., & Wong, A. C. M. (2007). The relationship between rumination, avoidance and depression in a non-clinical sample. Behaviour Research and Therapy, 45, 251-261.
Palm, K. M., & Follette, V. M. (2011). The roles of cognitive flexibility and experiential avoidance in explaining psychological distress in survivors of interpersonal victimization. Journal of Psychopathology and Behavioral Assessment, 33, 79-86.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717- 731.
Raftery, A. E. (1995). Bayesian model selection in social research. Sociological Methodology, 111-163.
Saarni, C. (1999). The development of emotional competence. New York, NY: Guilford Press.
Sachs-Ericsson, N., Verona, E., Joiner, T., & Preacher, K. J. (2006). Parental verbal abuse and the mediating role of self-criticism in adult internalizing disorders. Journal of Affective Disorders, 93, 71-78.
Shahar, B., Doron, G., & Szepsenwol, O. (2015). Childhood maltreatment, shame-proneness and self-criticism in social anxiety disorder: A sequential mediational model. Clinical Psychology and Psychotherapy, 22, 570-579.
Shenk, C. E., Griffin, A. M., & O'Donnell, K. J. (2015). Symptoms of major depressive disorder subsequent to child maltreatment: Examining change across multiple levels of analysis to identify transdiagnostic risk pathways. Development and Psychopathology, 27, 1503-1514.
Shrout, P. E., &Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7(4), 422.
Thompson, R. A., Flood, M. F., & Lundquist, L. (1995). Emotional regulation: Its relations to attachment and developmental psychopathology. In D Cicchetti, & S. Toth (Eds.), Emotion, cognition, and representation (p. 261-299). Rochester, NY: University Press.
van Oppan, P., & Arntz, A. (1994). Cognitive therapy for obsessive-compulsive disorder. Behaviour Research and Therapy, 32, 79-87.
Whittal, M. L., & McLean, P.D. (1999). CBT for OCD: The rationale, protocol, and challenges. Cognitive and Behavioral Practice, 6, 383-396.
Wolgast, M., Lundh, L., & Viborg, G. (2013). Experiential avoidance as an emotion regulatory function: An empirical analysis of experiential avoidance in relation to behavioral avoidance, cognitive reappraisal, and response suppression. Cognitive Behaviour Therapy, 42, 224-232.
Wright, M. O., Crawford, E., & Del Castillo, D. (2009). Childhood emotional maltreatment and later psychological distress among college students: The mediating role of maladaptive schemas. Child Abuse and Neglect, 33, 59-68.
