다면적 인성검사 II 재구성판(MMPI-2-RF)으로 살펴본 노인 우울장애의 임상적 특성
Clinical Characteristics of Elderly Depression Using MMPI-2-RF
박은희 (한림대학교 성심병원)
전덕인 (한림대학교)
홍나래 (한림대학교)
김근향 (대구대학교)
최지영 (인제대학교 상계백병원)
초록
본 연구에서는 노인 우울장애의 임상적 특성을 확인하기 위하여 143명의 노인 우울장애 집단과142명의 MMPI-2의 노인 표준화 집단을 대상으로 MMPI-2-RF의 척도들을 비교 분석하였다. 집단 간 차이 검증 결과, 정서적/내재화 문제(EID), 의기소침(RCd), 신체증상 호소(RC1), 낮은 긍정정서(RC2), 역기능적 부정 정서(RC7), 신체적 불편감(MLS), 소화기 증상 호소(GIC), 두통 호소(HPC), 인지적 증상 호소(COG), 자살/죽음 사고(SUI), 무력감/무망감(HLP), 자기회의(SFD), 스트레스/걱정(STW), 불안(AXY), 분노 경향성(ANP), 행동 제약 공포(BRF), 다중 특정 공포(MSF), 수줍음(SHY), 관계단절(DSF), 부정적 정서성/신경증(NEGE-r), 내향성/낮은 긍정 정서성(INTR-r) 척도에서 노인 우울장애 집단이 유의미하게 더 높은 점수를 보였다. 반면, 경조증적 상태(RC9) 척도에서는 노인 우울장애 집단이 유의미하게 낮은 것으로 나타났다. 위와 같은 변인들을 대상으로어떠한 변인이 가장 강력하게 두 집단을 구별하여 주는지 살펴보기 위해 로지스틱 회귀 분석을시행하였다. 집단 간 차이를 보인 MMPI-2-RF 변인 중 정서적/내재화 문제(EID), 의기소침(RCd), 경조증적 상태(RC9), 신체적 불편감(MLS), 부정적 정서성/신경증(NEGE-r), 내향성/낮은 긍정적정서성(INTR-r)이 나이, 교육수준을 통제한 이후에도 두 집단을 유의미하게 구별하여 줄 수 있는척도로 확인되었다. 본 연구 결과를 바탕으로 연구의 의의와 제한점이 논의되었다.
- keywords
- Elderly, Depression, MMPI-2-RF, 노인, 우울장애, 다면적 인성검사 II 재구성판
Abstract
The purpose of this study was to investigate the clinical characteristics of elderly depression using MMPI-2-RF. A total of 143 elderly patients with depression and 142 elderly people from MMPI-2 normal population of Korea as controls were used in this study. Our results showed that the followings were significantly higher in the elderly depressed patients compared to normal elderly people: emotional/internalizing dysfunction, demoralization, somatic complaints, low positive emotions, dysfunctional negative emotions, malaise, gastrointestinal complaints, head pain complaints, cognitive complaints, suicidal/death ideation, helplessness/ hopelessness, self-doubt, stress/worry, anxiety, anger proneness, behavior restricting fears, multiple specific fears, shyness, disaffiliativeness, negative emotionality/neuroticism-revised, and the introversion/low positive emotionality revised scale. However hypomanic activation scale was significantly lower in elderly controls. Emotional/internalizing dysfunction, demoralization, hypomanic activation, malaise, negative emotionality/neuroticisim-revised, and introversion/low positive emotionality-revised were proved to be the most significant predictors for distinguishing elderly depressed patients from normal elderly controls. Limitations of this study and directions for future research are also discussed.
- keywords
- Elderly, Depression, MMPI-2-RF, 노인, 우울장애, 다면적 인성검사 II 재구성판
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