바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

logo

스트레스, 반추, 수면에 대한 역기능적 사고 및 경계가 대학생들의 수면의 질에 미치는 영향

The Effects of Stress, Rumination, Dysfunctional Beliefs and Boundary on University Students' Sleep Quality

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2013, v.18 no.1, pp.121-142
https://doi.org/10.17315/kjhp.2013.18.1.008
이영호 (가톨릭대학교)
이경진 (가톨릭대학교)

초록

본 연구는 수면의 질을 구성하는 수면 잠재기, 지각된 수면의 질, 수면 중 방해 등 3가지 요인에 스트레스, 반추, 수면에 대한 역기능적 사고 및 경계가 어떠한 영향을 미치는지 알아보고자 하였다. 이를 위해 경기도 소재 대학의 대학생 321명을 대상으로 피츠버그 수면의 질 척도(PSQI), 경계 질문지(Boundary Questionnaire) 단축형, 반추척도(RDQ), 주요사건 스트레스 질문지, 일상생활 스트레스 질문지, 수면에 대한 역기능적인 사고 단축형(DBAS-10)을 실시하였다. 그 결과, 일상생활 스트레스, 수면에 대한 역기능적 사고 및 경계가 수면의 질을 예측하는 것으로 나타났다. 수면 잠재기에는 일상생활 스트레스, 반추 및 수면에 대한 역기능적인 사고가 영향을 미쳤고, 지각된 수면의 질에는 수면에 대한 역기능적인 사고와 경계가 영향을 미쳤으며, 수면 중 방해에는 일상생활 스트레스, 반추 및 경계가 영향을 미치는 것으로 나타났다. 연구 결과를 토대로 수면 문제에 대한 차별적인 치료 개입의 필요성을 제안하고, 연구의 제한점과 후속 연구 방향을 제언하였다.

keywords
sleep quality, sleep latency, perceived sleep quality, sleep disturbance, stress, rumination, dysfunctional beliefs for sleep, boundary, 수면의 질, 수면 잠재기, 지각된 수면의 질, 수면 중 방해, 스트레스, 반추, 수면에 대한 역기능적 사고, 경계

Abstract

The purpose of this study is to determine how stress, rumination, dysfunctional beliefs about sleep and boundaries have a differential effect on sleep quality, which consists of sleep latency, perceived sleep quality, and sleep disturbance. In the study, 321 college students completed several measures: the Daily Stress Scale, the Major Life event Scale, the Responses to Depressed Mood Questionnaire, the Pittsburgh Sleep Quality Index, the Boundary Questionnaire, and the Dysfunctional Beliefs and Attitudes about Sleep Scale. Results showed that daily stress, dysfunctional beliefs about sleep and boundaries predicted sleep quality. Sleep latency was influenced by daily stress, rumination and dysfunctional beliefs about sleep. Perceived sleep quality was influenced by dysfunctional beliefs of sleep and boundary. Sleep disturbance was influenced by daily stress, rumination and boundary. Finally, the implications and limitations of this study were discussed.

keywords
sleep quality, sleep latency, perceived sleep quality, sleep disturbance, stress, rumination, dysfunctional beliefs for sleep, boundary, 수면의 질, 수면 잠재기, 지각된 수면의 질, 수면 중 방해, 스트레스, 반추, 수면에 대한 역기능적 사고, 경계

참고문헌

1.

김경덕(2000). 양로시설 입소노인의 수면의 질에 관한연구. 노인복지연구, 10, 247-270.

2.

김교헌, 전겸구(1991). 대학생용 생활 스트레스 척도의개발 : 제어이론적 접근. 한국심리학회지: 임상,10(1), 137-158.

3.

김진영(2000). 우울한 기분에 대한 두 가지 내부 초점적반응양식 : 반추적 반응양식 대 반성적 반응양식. 서울대학교 대학원 석사학위 논문.

4.

송혜수(1994). 불안성격에 따른 각성의 변화: 각성감소계통의 기능을 중심으로. 중앙대학교 대학원박사학위 논문.

5.

이영호(1993). 귀인양식, 생활사건, 사건귀인 및 무망감과 우울의 관계: 공변량구조모형을 통한 분석.서울대학교 박사학위 논문.

6.

이종명(2006). 악몽과 정신병리에 관한 연구. 가톨릭대학교 대학원 석사학위 논문.

7.

천지혜(2008). 악몽빈도가 악몽고통과 정신병리에 미치는 영향 : 악몽대처방식의 중재효과 검증. 가톨릭 대학교 석사학위 논문.

8.

최소현, 김인, 서광윤 (1992). 서울거주 일반 성인의 수면양상에 관한 연구. 신경정신의학, 32,289-310.

9.

최용석, 이영호(2001). 반복꿈을 보이는 사람들의 불안수준, 스트레스 수준 및 심리적 특성. 사회과학연구, 17, 49-65.

10.

Akerstedt, T., Kecklund, G., & Axelsson, J. (2007). Impaired sleep after bedtime stress and worries. Biological Psychology, 76, 170-173.

11.

Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469– 480.

12.

Berger, L., Hunter, I., & Lane, R. (1971). The effect of stress on dreams. Psychological Issues, 7, 213.

13.

Bootzin, R. R. (1972). Stimulus control treatment for insomnia. Proceedings of the 80th annual convention of the American Psychological Association, 395-396.

14.

Borkovec, T. D. (1982). Insomnia. Journal of Consulting and Clinical Psychology, 50, 880-895.

15.

Buysse, D. J., Reynolds Ⅲ, C. F., Monk, T. H., Berman. S. R., & Kupfer D. J. (1998). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Joural of Psychiatry Research, 28, 193-213.

16.

Cartwright, R. D., & Wood, E. (1991). Adjustment disorders of sleep: The sleep effects of a major stressful event and its resolution. Psychiatry Research, 39, 199-209.

17.

Cernovsky, Z. (1984). Life stress measures and reported frequency of sleep disorders. Perceptual and Motor Skills, 58, 39-49.

18.

Chuman, M. A. (1983). The neurological basis of sleep. Heart Lung, 12, 177-182.

19.

Cole, J., Motivala, S., Buysse, D., Oxman, M., Levin, M., & Irwin, M. (2006). Validation of a 3-factor scoring model for the Pittsburgh Sleep Quality Index in older adults. Journal of Sleep and Sleep Disorders Research, 29, 112-116.

20.

Dagan, Y., Zinger, Y., & Lavie, P. (1997). Actigraphic sleep monitoring in posttraumatic stress disorder (PTSD) patients. Journal of Psychosomatic Research, 42, 577-581.

21.

Edinger J. D., & Wohlgemuth W. K. (1999). The significance and management of persistent primary insomnia: The past present and future of behavioral insomnia therapies. Sleep Medicine Review, 3, 1-18.

22.

Edinger J. D., Stout A. L., & Hoelscher T. J. (1988). Cluster analysis of insomniacs' MMPI profile: Relation of subtypes to sleep history and treatment outcdme. Psychosomatic Medicine, 50, 77-87.

23.

Edinger, J. D., & Wohlgemuth, W. K. (2001). Psychometric comparisons of the standard and abbreviated DBAS-10 versions of the dysfunctional beliefs and attitudes about sleep questionnaire. Sleep Medicine, 2, 493-500.

24.

Fortunato, V., & Harsh, J. (2006). Stress and sleep quality: The moderating role of negative affectivity. Personality and Individual Differences, 41, 825–836.

25.

Groeger, J. A., Zijlstra, F. R., & Dijk, D. J. (2004). Sleep quantity, sleep difficulties and their perceived consequences in a representative sample of some 2000 British adults. Journal of Sleep Research, 13, 359-371.

26.

Hartmann, E. (1973). The functions of sleep. Chicago: Chicago University Press.

27.

Hartmann, E. (1984). The nightmare: The psychology and biology of terrifying dreams. New York: Basic Books.

28.

Hartmann, E. (1991). Boundaries in the mind: A new psychology of personality. New York: Basic Books.

29.

Harvey, A. G. (2000). Pre-sleep cognitive activity: A comparison of sleeponset insomniacs and good sleepers. The British Journal of Clinical Psychology, 39, 275-286.

30.

Hawkins, J. (1992). Self-reported sleep quality in college students: A reported measures approach. Sleep, 15, 545-549.

31.

Haynes, S., Adams, A., & Franzen, M. (1981). The effects of presleep stress on sleep-onset insomnia. Journal of Abnormal Psychology, 90, 601-606.

32.

Hicks, R. A., Fernandez, C., & Pellegrini, R. J. (2001). Striking changes in the sleep satisfaction of university students over the last two decades. Perceptual and Motor Skills, 93, 660.

33.

Horowitz, M. (1986). Stress-response syndromes: A review of posttraumatic and adjustment disorders. Hospital & Community Psychiatry, 37, 241-249.

34.

Johns, M. (1975). Factor analysis of objective and subjective characteristics of a night's sleep. Psychological Medicine, 5, 413-418.

35.

Johnson, L. C., Spinweber, C. L., Seidel, W. F., & Dement, W. C. (1983). Sleep spindle and delta changes during chronic use of a short-acting and a long-acting benzodiazepine hypnotic. Electroencephalography and Clinical Neurophysiology, 55, 662-667.

36.

Karacan, I., Thornby, J. I., & Williams, R. L. (1983). Sleep disturbance: A community survey. In C. Guilleminault,, & E. Lugaresi(Eds.), Sleep/wake disorders: Natual history, epidemiology, and long-term evolution, New York: Raven Press.

37.

Koninck, J. D. (1997). Sleep, the common denominator for psychological adaption. Canadian Psychology, 38, 191-195.

38.

Koninck, J. D., Gagnon, P., & Lallier, S. (1983). Sleep position in the young adults and their relationship with the subjective quality of sleep. Sleep, 6, 52-59.

39.

Kuiper, N., Olinger, L., & Air, P. (1989). Stressful events, dysfunctional attitudes, coping styles, and depression. Personality and Individual Differences, 10, 229-237.

40.

Lavie, P., Carmeli, A., Mevorach, L., & Liberman, N. (1991). Sleeping under the threat of the Scud: War-related environmental insomnia. Israel Journal of Medical Sciences, 27, 681-686.

41.

Lavie, P. (2001). Sleep disturbances in the wake of traumatic events. New England Journal of Medicine, 345, 1825-1832.

42.

Lichstein, K., & Rosentahl, T. (1980). Insomniacs' perceptions of cognitive versus somatic determinants of sleep disturbance. Journal of Abnormal Psychology, 89, 105-107.

43.

Lundh, L., & Broman, J. (2000). Insomnia as an interaction between sleep-interfering and sleep-interpreting processes. Journal of Psychosomatic Research, 49, 299-310.

44.

Mayers, A. G., Van Hoff, J. C., & Baldwin, D. S. (2003). Quantifying subjective assessment of sleep and life-quality in antidepressant treated depressed patients. Human Psychopharmacology, 18, 21-27.

45.

Mellinger, G. D., Balter, M. B., & Uhienhuth, E. H. (1985). Insomnia and its treatment: Prevalence and correlates. Archives of General Psychiatry, 42, 225-232.

46.

Moldofssky, H., & Scarisbrick, P. (1986). Induction of neurasthenic musculoskeletal pain syndrome by selective sleep stage deprivation. Psychosomatic Medicine, 38, 35-44.

47.

Morin C. M., LeBlanc, M., Daley, M., Gregoire, J. P., & Merette, C. (2006). Epidemiology of insomnia: Prevalence, self-help treatment, consultations, and determinants of help-seeking behaviors. Sleep Medicine, 7, 123-130.

48.

Morin, C. M. (1993). Insomnia: Psychological assessment and management. New York: The Guilford Press.

49.

Morin, C. M., Rodrigue S., & Ivers, H. (2003). Role of stress, arousal, and coping skills in primary insomnia. Psychosomatic Medicine, 65, 259-267.

50.

Morin, C. M., Stone, J., Trinkle, D., Mercer, J., & Remsberg, S. (1993). Dysfunctional beliefs and attitudes about sleep among older adults with and without insomnia complaints. Psychology and Aging, 8, 463–467.

51.

Ohayon M. M. (2002). Epidemiology of insomnia: What we know and what we still need to learn. Sleep Medicine Review, 6, 97-111.

52.

Ohayon M. M. (2005). Relationship between chronic painful physical condition and insomnia. Journal of Psychiatric Research, 39, 151-159.

53.

Parrott, A. C., & Hindmarch, I. (1978). Factor analysis of a sleep evaluation questionnaire. Psycholigical Medicine, 8, 324-329.

54.

Paulsen, V., & Shaver, J. (1991). Stress, support, psychological states and sleep. Social Science & Medicine, 32, 1237-1243.

55.

Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity: Relationship between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomaric Research, 42, 583-596.

56.

Pillar, G., Malhotra, A., & Lavie, P. (2000). Post-traumatic stress disorder and sleep— what a nightmare! Sleep Medicine Reviews, 4, 183-200.

57.

Rubman, S., Brantley, P. J., Waters, W. F., Jones, G. N., Constans, J. I., & Findley, J. C. (1990). Daily stress and insomnia. In Proceedings of the Meeting of the Society of Behavioura Medicine, Chicago.

58.

Sadeh, A., Sharkey, M., & Carskadon, A. (1994). Activity-based sleep wake identification: An empirical test of methodological issues. Sleep, 17, 201-207.

59.

Schredl, M., Schafer, G., Hofmann, F., & Jacob, S. (1999). Dream content and personality: Thick vs. thin boundaries. Dreaming, 9, 257-263.

60.

Spielman, A. J., Saskin, P., & Thorpy, M. J. (1987). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10, 45-55.

61.

Thomsen, D. K., Mehlsen M. Y., Christensen S., & Zachariae, R. (2003). Rumination—relationship with negative mood and sleep quality. Personality and Individual Differences, 34, 1293-1301.

62.

Van Egeren, L., Haynes, S. N., Franzen, M., & Hamilton, J. (1983). Presleep cognitions and attributions in sleep-onset insomnia. Journal of Behavioral Medicine, 6, 217-232.

63.

VanReeth, O., Weibel, L., Spiegel, K., Leproult, R., Dugovic, C., & Maccari, S. (2000). Physiology of sleep(review)–Interactions between stress and sleep: from basic research to clinical situations. Sleep Medicine Reviews, 4, 201– 219.

64.

Zammit G. K., Weiner, J., Damato, N., Sillup, G. P., & McMillan, C. A. (1999). Quality of life in people with insomnia. Sleep, 22, 379-385.

한국심리학회지: 건강