절망감 이론의 우울증 예측 특정성 검증
A Prospective Study of Hopelessness Theory of Anxiety and Depression
현명호 (중앙대학교)
초록
본 연구는 절망감 이론에서 우울증에 대한 인지취약성 요인으로 제안된 우울생성적 추론양식의 우울증 예측 특정성을 검증하였다. 3개월간의 전향적 종단연구로 우울생성적 추론양식과 부정적 생활사건 간의 상호작용 효과가 절망감 우울증만을 예측하는지 아니면 우울증과의 공존이환율이 높은 불안장애까지 유의하게 예측하는지 검증하였다. 검증결과에서 3개월 동안 경험한 부정적 생활사건은 절망감 우울증과 불안을 모두 예측하였으나, 우울생성적 추론양식과 부정적 생활사건의 상호작용은 절망감 우울증만을 유의하게 예측하였다. 따라서 우울생성적 추론양식이 우울증에 대한 위험요인이며, 절망감 이론이 우울증 유발과정을 설명하는 유용한 이론임을 확인하였다. 연구결과를 인지취약성-스트레스 모델의 이론적 관점에서 논의한 후 연구의 제한점과 임상적 함의에 대해 언급하였다.
- keywords
- Hopelessness theory, Inferential style, Depression, Anxiety, Discrimination Validity, 절망감 이론, 추론양식, 절망감 우울증, 불안, 판별타당도
Abstract
We tested the cognitive vulnerability from hopelessness theory of depression for specificity in predicting depression compared with anxiety. In the study, we sought to provide a more rigorous prospective test of cognitive vulnerability-stress model with a long-term(3 months) longitudinal data from female employees. Results showed that negative events were the general risk factors for both anxiety and depression. Cognitive vulnerability for depression interacted with negative events to predict future hopelessness depression specifically but not anxiety. These results suggest that depressed women were more likely than nondepressed women (1)to attribute negative events to global and stable causes (2)to perceive negative events as having many disastrous consequences, and (3)to view themselves as flawed or deficient after the occurrence of negative events. The clinical implications and limitations of this study were also discussed.
- keywords
- Hopelessness theory, Inferential style, Depression, Anxiety, Discrimination Validity, 절망감 이론, 추론양식, 절망감 우울증, 불안, 판별타당도
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