바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

Article Contents

Prev Next
e-Submission

Vol.13 No.4

Citation Share

The Effect of Depression on Somatic Symptoms: The Mediating Role of Physical Interpretation

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2008, v.13 no.4, pp.907-921
https://doi.org/10.17315/kjhp.2008.13.4.005




& (2008). The Effect of Depression on Somatic Symptoms: The Mediating Role of Physical Interpretation. The Korean Journal of Health Psychology, 13(4), 907-921, https://doi.org/10.17315/kjhp.2008.13.4.005

Abstract

The aim of the present study was to investigate the mechanism explaining the relationship between depression and somatic symptoms. There was two questions to be solved to examine the mechanism, that is measure of somatic symptoms and classification of depressive group. To clarify relationship between depression and somatic symptoms, we selected subjects according to only depressive symptoms regardless of the degree of somatization. The somatic symptoms scale in Patient Questionnaire(PQ) of Primary Care Evaluation of Mental Disorders(PRIME-MD), the depression scale of Symptom Checklist-90-Reversion(SCL-90-R), Somato-sensory Amplification Scale(SSAS), and the physical interpretation scale of Symptom Interpretation Questionnaire(SIQ) were administered to 414 patients who complained of somatic symptoms. Compared with each group, depressive group's mean score of the total number of somatic symptoms, SSAS and physical interpretation were significantly higher than non-depressive group's. As a results of mediation analysis, in depressive group, the mediation effect of physical interpretation on the relationship between depression and somatic symptoms was found. These results suggested that physical interpretation was a critical mechanism explaining the relationship between depression and somatic symptoms.

keywords
우울, 신체 증상, 신체적 해석, 신체감각 증폭, depression, somatic symptoms, physical interpretation, somato-sensory amplification

Reference

1.

김광일, (1994) 간이정신진단검사, 중앙적성출판사

2.

김종주, (1992) 신체화 환자의 호소에 관한 언어학적 연구, 신경정신의학

3.

김학렬 ; 조준호 ; 조용래, (1997) 대학교 신입생들에서 지각된 스트레스 및 취약성 변인과 신체화 경향의 관계에 관한 연구, 정신신체의학

4.

김호찬, (1992) 신체화장애의 임상 양상, 신경정신의학

5.

박재순, (1981) 여성 우울환자의 신체 증상에 관한 연구, 신경정신의학

6.

송지영 ; 김태수 ; 오동재 ; 윤도준 ; 염태호, (1994) 동통을 가진 신체형장애 환자에서 감정표현능력과 압통역치, 정신신체의학

7.

신현균, (1998) 신현균, 원호택 (1998). 신체화의 인지 특성 연구(Ⅱ): 신체화 환자의 신체감각에 대한 지각, 귀인 및 기억 편향, 한국심리학회지: 임상

8.

신현균, (2006) 우울한 기분상태가 신체화집단의 자기초점적 주의, 신체감각증폭지각, 신체귀인 및 신체화 증상에 미치는 영향, 한국심리학회지 임상

9.

우이혁, (1996) 당뇨병과 관련된 정신병리: 정신증상, 특히 우울 증상을 중심으로, 신경정신의학

10.

원호택, (1998) 신체화의 인지 특성 연구(Ⅰ): 한국판 신체감각 증폭척도와 증상해석 질문지의 신뢰도와 타당도 연구, 한국심리학회지: 임상

11.

유태욱, (1991) FACESⅢ를 이용한 신체화질환 가족유형에 대한 연구, 가정의학회지

12.

이병욱, (1995) 심인성 신체화 증상의 좌우편재, 신경정신의학

13.

정순평, (1996) 생활사건과 스트레스 지각이 정신증상 및 신체에 미치는 영향에 관한 연구, 신경정신의학

14.

정한용 ; 박준호 ; 이소영, (2004) 우울 증상과 성별에 따른 신체화 환자의 인지적 특성, 신경정신의학

15.

조성수, (1997) 가정주부에서 우울 경향과 신체 증상 및 약물 사용과의 관계, 가정의학회지

16.

최성일 ; 김중술 ; 신민섭 ; 조맹제, (2001) 분노표현방식과 우울 및 신체화 증상과의 관계, 신경정신의학

17.

한덕웅, (1992) 대학생들의 생활 부적응에 관한 연구: 불안, 우울 및 신체형 장애를 중심으로, 한국심리학회 연차대회 학술발표논문집

18.

한오수, (1995) 신체형장애 환자의 통각예민도와 정신증상 및 주의집중도의 상관관계에 관한 연구, 울산의대학술지

19.

한진희, (1993) Alexithymia의 평가, 정신의학

20.

허통욱, (1993) 내과 입원 중 정신과에 자문 의뢰된 신경증 환자에 대한 임상적 고찰, 신경정신의학

21.

황을지, (1999) 신체화 환자에서 경도의 스트레스 요인:신체형 장애 환자들을 중심으로, 인제의학

22.

Baron,R.B., (1986) The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations, Journal of Personality and Social Psychology

23.

Barsky,A.J., (1988) A cognitive-educational treatment for hypochondriasis, General Hospital Psychiatry

24.

Barsky,A.J., (1990) The somatosensory amplification scale and its relationship to hypochondriasis, Journal of Psychiatry Research

25.

Bellenger,J.C., (2001) Consensus statement on depression, anxiety and cardiovascular disease, Journal of Clinical Psychiatry

26.

Biby,E.L., (1998) The relationship between body dysmorphic disorder and depression, self-esteem, somatization, and obsessive- compulsive disorder, Journal of Clinical Psychology

27.

Carrol,B.J., (1976) Neuroendocrine regulation in depression. II. Discrimination of depressed from nondepressed patients, Archives of General Psychiatry

28.

Cioffi,D., (1991) Beyond attention strategies: A cognitive-perceptual model of somatic interpretation, Psychological Bulletin

29.

Cloninger,C.R., (1986) A prospective follow-up and family study of somitization in men and women, American Journal of Psychiatry

30.

Greco,T., (2004) The outcome of physical symptoms with treatment of depression, Journal of General Internal Medicine

31.

Grippo,A.J., (2002) Biological mechanisms in the relationship between depression and heart disease, Neuroscience and Biobehavioral Reviews

32.

Kellner,R., (1987) Hypochondriasis and somatization, The Journal of the American Medical Association

33.

Kirmayer,L.J., (1994) Somatoform disorder: Personality and the social matrix of somatic distress, Journal of Abnormal Psychology

34.

Lipowski,Z.J., (1988) Somatization: The concept and its application, American Journal of Psychiatry

35.

Lustman,P.J., (1988) Depression in adults with Diabetes: Results of a 5-year follow up study, Diabetes Care

36.

Minuchin,S., (1975) A conceptual model of psychosomatic illness in children: Family organization and family therapy, Archives of General Psychiatry

37.

Robbins,J.M., (1991) Attributions of common somatic symptoms, Psychological Medicine

38.

Sartorius,N., (2003) Physical symptoms of depression as a public health concern, Journal of Clinical Psychiatry

39.

Sayar, K., (2003) Predictors of somatic symptoms in depressive disorder, General Hospital Psychiatry

40.

Spinhoven, P., (1997) Somatization and somatosensory amplification in psychiatric outpatients: An explorative study, Comprehensive Psychiatry

41.

Spitzer, R.L., (1994) Utility of a new procedure for diagnosing mental disorders in primary care: The Prime-MD 1000 study, The Journal of the American Medical Association

42.

Walker,L.S., (1988) Functional illness and family functioning: A comparison of healthy and somitizing adolescence, Family Process

43.

Watson,D., (1989) Health complaints, stress, and distress: Exploring the central role of negative affectivity, Psychological Review

The Korean Journal of Health Psychology

e-Submission OA Policy