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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
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ISSN : 2466-0787

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6권 1호

긍정정서 반응척도 확장판의 타당화

Validation of the Extended Responses to Positive Affect Questionnaire

장윤정 (한양사이버대학교)
황성훈 (한양사이버대학교)
한국심리학회지: 임상심리 연구와 실제 / Clinical Psychology in Korea: Research and Practice, (P)2466-0787;
2020, v.6 no.1, pp.1-29
https://doi.org/10.15842/CPKJOURNAL.PUB.6.1.1
장윤정, & 황성훈. (2020). 긍정정서 반응척도 확장판의 타당화. 한국심리학회지: 임상심리 연구와 실제, 6(1), 1-29, https://doi.org/10.15842/CPKJOURNAL.PUB.6.1.1

초록

정서조절의 곤란이 다양한 정신병리의 발생 및 유지기제로서 조명되는 가운데, 부정정서 뿐 아니라 긍정정서의 조절곤란이 주목을 받고 있다. 이를 측정하는 자기보고척도 중 하나가 긍정정서 반응척도(Responses to Positive Affect Questionnaire: RPA)이다. 본 연구는 기분장애 평가를 위한 RPA의 타당도를 개량하기 위해 강한 긍정정서에 대한 진화(鎭火) 반응을 반영하는 5개의 문항을 추가하여 확장판 RPA를 개발하고, 그 구성 및 증분 타당도를 검증하고자 한다. 사이버대학생 525명(표집 A 178, 표집 B 120, 표집 C 227명)이 온라인으로 연구에 참여하였다. 표집 A와 표집 B를 합한 표본(N=298)을 대상으로 탐색적 요인분석 및 탐색적 구조방정식 모형(ESEM)을 적용한 결과, 기존 RPA에서 확인된 2개 요인(긍정반추, 찬물끼얹기)에 더해서 추가된 5문항이 또 다른 요인(강한 긍정정서 진화하기)으로 묶여져, 3요인 구조가 얻어졌다. 표집 C를 대상으로 한 확인적 요인분석에서도 3요인 모형의 적합도는 적절한 것으로 지지되었다. 확장판 RPA가 기존판에 비해서 관련 병리를 설명할 때 추가 공헌을 하는지를 살피기 위해 긍정정서 조절곤란 척도(DERS-PA), 기분 장애 질문지(MDQ), 알트만 자기 평정 조증 척도(ASRM) 및 역학연구 우울척도(CES-D) 각각을 종속측정치로, 1차로 RPA 원판이, 2차로 추가된 문항세트가 투입되는 위계적 회귀분석을 하였다. 그 결과, 긍정정서 조절곤란을 설명할 때 추가 문항 세트가 기존 RPA의 설명량을 넘어서는 유의한 공헌을 하여서 확장판 RPA의 증분 타당도가 지지되었다. MDQ로 측정된 (경)조증의 과거력에 대해서는 추가 문항 세트가 증분타당도를 나타냈으나, ASRM으로 측정된 현재의 (경)조증 증상에 대해서는 추가적 설명력을 가지지 못하였다. 우울 증상에 대해서는 예측한 대로 추가 문항 세트의 설명력이 유의하지 않았다. 끝으로 본 연구의 임상적 의미와 한계, 후속 연구의 방향을 제시하였다.

keywords
긍정정서 반응척도(RPA), 긍정반추, 찬물끼얹기(dampening), 강한 긍정정서 진화하기, 양극성 장애, 요인분석, 증분 타당도, Responses to Positive Affect Questionnaire(RPA), Positive Rumination, Dampening, Extinguishing Strong Positive Emotion, Bipolar Disorder, Difficulty in Emotion Regulation for Positive Affect, Incremental Validity

Abstract

While difficulty with emotional regulation is well-known to be one of the mechanisms contributing to onset and maintenance of various mental disorders, difficulties in controlling both positive and negative emotions are also gaining attention. One of the self-reporting measures of difficulty in controlling positive emotions is the Responses to Positive Affect questionnaire (RPA). This study aimed to develop an extended version of the RPA by adding five questions reflecting dampening of strong positive emotion and intended to confirm its construct and incremental validity. The application of the exploratory factor analysis and exploratory structural equation model (ESEM) to 298 cyber university students resulted in a three-factor structure for the extended RPA: positive rumination, dampening, and extinguishing strong positive emotion (the 5 additional questions comprised this factor). After performing confirmatory factor analysis in the separate sample of 227 cyber university students, the suitability of the three-factor model was deemed appropriate. We also performed a hierarchical regression analysis to see if the extended RPA contributed to the explanation of the mechanism of the pathology above the previous version. As a result, the 'extinguishing strong positive emotion’ subscale made a significant additional contribution to the explanation of bipolar disorder and difficulty in controlling positive emotions beyond the existing RPA, supporting an incremental validity. Finally, this study’s clinical implications and limitations were presented, as well as suggested directions for follow-up research.

keywords
긍정정서 반응척도(RPA), 긍정반추, 찬물끼얹기(dampening), 강한 긍정정서 진화하기, 양극성 장애, 요인분석, 증분 타당도, Responses to Positive Affect Questionnaire(RPA), Positive Rumination, Dampening, Extinguishing Strong Positive Emotion, Bipolar Disorder, Difficulty in Emotion Regulation for Positive Affect, Incremental Validity

참고문헌

1.

김병수, 김성윤, 최재원, 주연호, 윤대현, 한내진, ... 및 김선옥 (2010). 양극성 경향과 스트레스 취약성: 기분장애설문지 양성 반응군과 음성 반응군에서 지각된 스트레스, A형 행동, 그리고 생활습관의 비교. 정신신체의학, 18(1), 19-29.

2.

김빛나 (2016). 양극성 장애 위험군을 대상으로 한 행동활성화체계 모형의 검증. 서울대학교 박사학위논문.

3.

김빛나, 권석만 (2014). 한국판 긍정 정서 반응 척도(K-RPA)의 예비 타당화 연구. Korean Journal of Clinical Psychology, 33(2), 243-260.

4.

김수영 (2016). 구조방정식 모형의 기본과 확장. 서울: 학지사.

5.

김원우, 권영준, 심세훈, 정희연, 권완준, 이화영 (2012). 주요우울장애 환자에서 기분장애 질문지를 이용한 양극성 스펙트럼장애 선별에 관한 연구. Journal of the Korean Neuropsychiatric Association, 51, 291-299.

6.

김효선 (2013). 긍정정서 억제와 주관적 안녕감의 관계에서 자기해석 양식의 조절효과. 가톨릭대학교 대학원 석사학위논문.

7.

박종영, 손인기, 남범우, 민경준, 함웅 (2011). 관해기 양극성 외래 환자에서 한국형 기분장애 질문지 위음성군의 특성. Journal of the Korean Neuropsychiatric Association, 50, 187-192.

8.

서원진, 이수민, 김미리혜, 김제중 (2018). 탐색적 요인분석 연구의 현황과 제언: 심리학 분야를 중심으로. 사회과학연구, 29(1), 177-193.

9.

이순묵, 윤창영, 이민형, 정선호 (2016). 탐색적 요인분석: 어떻게 달라지나?. 한국심리학회지: 일반, 35(1), 217-255.

10.

장윤정 (2019). 행동활성화체계 민감성이 양극성 장애 증상에 미치는 영향: 긍정반추와 찬물끼얹기의 직렬다중매개효과. 한양사이버대학교 휴먼서비스대학원 석사학위논문.

11.

전덕인, 윤보현, 정한용, 하규섭, 신영철, 박원명 (2005). 한국형 기분장애 질문지의 타당화 연구. 신경정신의학, 44, 583-590.

12.

조맹제, & 김계희 (1993). 주요우울증환자 예비평가에서 the Center for Epidemiologic studies Depression scale (CES-D) 의 진단적 타당성 연구. 신경정신의학, 32(3), 381-399.

13.

조현석, 권석만, 임영진 (2010). 한국판 향유신념 척도의 타당화 연구. Korean Journal of Clinical Psychology, 29(2), 349-365.

14.

황성훈 (2019). 긍정 정서 조절 곤란 척도의 타당화. 한국임상심리학회 봄 학술대회 구연/포스터 초록집. 36. 4월 25-27일. 광주: 김대중 컨벤션센터. 미간행.

15.

홍세희 (2000). 구조 방정식 모형의 적합도 지수 선정기준과 그 근거. Korean Journal of Clinical Psychology, 19(1), 161-177.

16.

Altman, E. G., Hedeker, D., Peterson, J. L., & Davis, J. M. (1997). The Altman self-rating mania scale. Biological Psychiatry, 42(10), 948-955.

17.

American Psychiatric Association. (2015). 정신질환의 진단 및 통계편람 제5판 [Diagnostic and statistical manual of mental disorders, Fifth Edition. Washington, DC: Author]. (권준수). 서울: 학지사. (원전은 2013년에 출판).

18.

Bijttebier, P., Raes, F., Vasey, M. W., & Feldman, G. C. (2012). Responses to positive affect predict mood symptoms in children under conditions of stress: A prospective study. Journal of Abnormal Child Psychology, 40(3), 381-389.

19.

Browne, M. W. (2001). An overview of analytic rotation in exploratory factor analysis. Multivariate Behavioral Research, 36(1), 111-150.

20.

Bryant, F. B. (2003). Savoring Beliefs Inventory (SBI): A scale for measuring beliefs about savouring. Journal of Mental Health, 12(2), 175-196.

21.

Byrne, B. M. (2012). Multivariate applications series. Structural equation modeling with Mplus: Basic concepts, applications, and programming. New York, NY: Routledge/Taylor & Francis Group.

22.

Carl, J. R., Soskin, D. P., Kerns, C., & Barlow, D. H. (2013). Positive emotion regulation in emotional disorders: A theoretical review. Clinical Psychology Review, 33(3), 343-360.

23.

Cuellar, A. K., Johnson, S. L., & Winters, R. (2005). Distinctions between bipolar and unipolar depression. Clinical Psychology Review, 25(3), 307-339.

24.

Depue, R. A., & Iacono, W. G. (1989). Neurobehavioral aspects of affective disorders. Annual Review of Psychology, 40(1), 457-492.

25.

Edge, M. D., Miller, C. J., Muhtadie, L., Johnson, S. L., Carver, C. S., Marquinez, N., & Gotlib, I. H. (2013). People with bipolar I disorder report avoiding rewarding activities and dampening positive emotion. Journal of Affective Disorders, 146(3), 407-413.

26.

Feldman, G. C., Joormann, J., & Johnson, S. L. (2008). Responses to positive affect: A self-report measure of rumination and dampening. Cognitive Therapy and Research, 32(4), 507-525.

27.

Fletcher, K., Parker, G. B., & Manicavasagar, V. (2013). Coping profiles in bipolar disorder. Comprehensive Psychiatry, 54(8), 1177-1184.

28.

Fredrickson, B. L. (2001). The Role of Positive Emotions in Positive Psychology: The Broaden-and-Build Theory of Positive Emotions. American Psychologist, 56(3), 218-226.

29.

Gilbert, K. E., Nolen-Hoeksema, S., & Gruber, J. (2013). Positive emotion dysregulation across mood disorders: How amplifying versus dampening predicts emotional reactivity and illness course. Behaviour Research and Therapy, 51(11), 736-741.

30.

Gratz, K. L., & Roemer, L. (2004). 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), 41-54.

31.

Gross, J. J. (1998). The Emerging Field of Emotion Regulation: An Integrative Review. Review of General Psychology, 2(3), 271-299.

32.

Gruber, J. (2011). Can feeling too good be bad? Positive emotion persistence (PEP) in bipolar disorder. Current Directions in Psychological Science, 20(4), 217-221.

33.

Gruber, J., Eidelman, P., Johnson, S. L., Smith, B., & Harvey, A. G. (2011). Hooked on a feeling: Rumination about positive and negative emotion in inter-episode bipolar disorder. Journal of Abnormal Psychology, 120(4), 956-961.

34.

Hanssen, I., Regeer, E. J., Schut, D., & Boelen, P. A. (2018). Ruminative and dampening responses to positive affect in bipolar disorder and major depressive disorder. Comprehensive Psychiatry, 85, 72-77.

35.

Hirschfeld, R. M., Williams, J. B., Spitzer, R. L., Calabrese, J. R., Flynn, L., Keck Jr, P. E., ... & Russell, J. M. (2000). Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. American Journal of Psychiatry, 157(11), 1873-1875.

36.

Hopkins, W. G. (1997). [On-Line]. New view of statistics. Retrieved August 23, 2002 from http://www.sportsci.org/resource/stats/effectmag.html.에서 2019. 9. 6 자료 얻음.

37.

Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30(2), 179-185.

38.

Johnson, S. L., McKenzie, G., & McMurrich, S. (2008). Ruminative responses to negative and positive affect among students diagnosed with bipolar disorder and major depressive disorder. Cognitive Therapy and Research, 32(5), 702-713.

39.

Kim, B. N., & Kwon, S. M. (2017). Initial psychometric properties of the Korean Altman Self-Rating Mania Scale: Preliminary validation study in a non-clinical sample. Psychiatry Investigation, 14(5), 562-567.

40.

Kline, R. B. (2011). Principles and practice of structural equation modeling. (3rd ed.). New York, NY: The Guilford Press.

41.

Lam, D., & Wong, G. (2005). Prodromes, coping strategies and psychological interventions in bipolar disorders. Clinical Psychology Review, 25(8), 1028-1042.

42.

Lam, D. H., Wong, G., & Sham, P. (2001). Prodromes, coping strategies and course of illness in bipolar affective disorder-a naturalistic study. Psychological Medicine, 31, 1397-1402.

43.

Larsen, R. J. (2000). Toward a science of mood regulation. Psychological Inquiry, 11(3), 129-141.

44.

Lauren B., A., Lyn Y., A., Patricia D., W., Alex, C., Jeannette M., S., Amy M., N., & ... Robin, N. (2006). Behavioral Approach System (BAS) Sensitivity and Bipolar Spectrum Disorders: A retrospective and concurrent behavioral high-risk design. Motivation and Emotion, 30(2), 143-155.

45.

Mansell, W. (2006). Hypomanic Attitudes and Positive Prediction Inventory (HAPPI): A pilot study to select cognitions that are elevated in individuals with bipolar disorder compared to non-clinical controls. Behavioral and Cognitive Psychotherapy, 34, 467-476.

46.

Mansell, W., Morrison, A. P., Reid, G., Lowens, I., & Tai, S. (2007). The interpretation of, and responses to, changes in internal states: An integrative cognitive model of mood swings and bipolar disorders. Behavioural and Cognitive Psychotherapy, 35(5), 515-539.

47.

Meyer, B., Johnson, S. L., & Winters, R. (2001). Responsiveness to threat and incentive in bipolar disorder: Relations of the BIS/BAS scales with symptoms. Journal of Psychopathology and Behavioral Assessment, 23(3), 133-143.

48.

Mitchell, P. B., Goodwin, G. M., Johnson, G. F., & Robert, M. A. (2008). Diagnostic guidelines for bipolar depression: a probabilistic approach. Bipolar Disorders, 10, 144-152.

49.

Nelis, S., Luyckx, K., Feldman, G., Bastin, M., Raes, F., & Bijttebier, P. (2016). Assessing response styles to positive affect: One or two dimensions of positive rumination in the Responses to Positive Affect questionnaire?. Personality and Individual Differences, 89, 40-46.

50.

Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569-582.

51.

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and post- traumatic stress symptoms after a natural disaster: The 1989 loma prieta earthquake. Journal of Personality and Social Psychology, 61, 115-121.

52.

Olofsson, M. E., Boersma, K., Engh, J., & Wurm, M. (2014). A psychometric evaluation of the Swedish version of the Responses to Positive Affect questionnaire. Nordic Journal of Psychiatry, 68(8), 588-593.

53.

Parker, G., Roy, K., Wilhelm, K., Mitchell, P., & Hadzi-Pavlovic, D. (2000). The nature of bipolar depression: implications for the definition of melancholia. Journal of Affective Disorders, 59(3), 217-224.

54.

Pelizza, L. (2005). Anedonia: Un concetto transnosografico?. Minerva Psichiatrica, 46(4), 285-300.

55.

Pelizza, L., Pupo, S., & Ferrari, A. (2012). Anhedonia in schizophrenia and major depression: state or trait? Review of the literature. Journal of Psycopathology, 18, 145-155.

56.

Perlis, R. H., Brown, E., Baker, R. W., & Nierenberg, A. A. (2006). Clinical features of bipolar depression versus major depressive disorder in large multicenter trials. American Journal of Psychiatry, 163(2), 225-231.

57.

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401.

58.

Raes, F., Daems, K., Feldman, G. C., Johnson, S. L., & Van Gucht, D. (2009). A psychometric evaluation of the Dutch version of the responses to positive affect questionnaire. Psychologica Belgica, 49(4), 293-310.

59.

Timmerman, M. E., & Lorenzo-Seva, U. (2011). Dimensionality assessment of ordered polytomous items with parallel analysis. Psychological Methods, 16(2), 209.

60.

World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.

61.

Yang, H., & Guo, W. (2014). Chinese version of the Responses to Positive Affect Questionnaire: Testing the factor structure, reliability, and validity in a college student sample. Psychological Reports, 115(2), 467-484.

62.

Yu, C. Y. (2002). Evaluating Cutoff Criteria of Model Fit Indices for Latent Variable Models with Binary and Continuous Outcomes. (Doctoral dissertation). University of California, Los Angeles, CA.

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