바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Korean Journal of Health Psychology

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

Influence of Intolerance of Uncertainty on Depression: Mediating Effects of Self-Compassion

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2016, v.21 no.4, pp.861-875
https://doi.org/10.17315/kjhp.2016.21.4.011


Abstract

This study was conducted, aiming to explore the multi-dimensional variables affecting university students' depression and to prepare basic data that could be helpful in counseling and therapeutic interventions to lower their depression levels. For this purpose, this study assumed that the intolerance of uncertainty is a personality trait affecting the students' depression and verified its mediating effect with self-compassion. Recently attention has paid to self-compassion being a factor related to psychological health, as a mediating variable. For this purpose, we collected data from 236 students in a university in South Korea and conducted a correlation analysis and a hierarchical regression analysis using SPSS 22.0. To measure intolerance of uncertainty, the Intolerance of Uncertainty Scale (IUS) developed by Freeston et al.(1994) was used. To measure self-compassion, a Korean version of the Self-Compassion Scale (SCS), developed by Kim(2008) was used, and depression was measured using a Korean version of the Center for Epidemiological Studies-Depression scale (CES-D) developed by Chun(2001). The results of this study are summarized as follows: First, as a result of the correlation analysis, there was a positive correlation between intolerance of uncertainty and depression while there were negative correlations of self-compassion with intolerance of uncertainty and depression. Second, as a result of a hierarchical regression analysis, there was a partial mediating effect of self-compassion in the influence of intolerance of uncertainty on depression. These results suggest that the higher the level of intolerance of uncertainty, the more negatively people react to an ambiguous situation, which directly increases depression. A higer level of intolerance of uncertainty also lowers the level of self-compassion, so people are more inclined to identify themselves with a negative situation or emotion; blame themselves; and treat themselves in an evaluative way, which has an indirect negative influence on their depression. Last, this study discussed its significance, limitations and suggestions for further research based on the above results.

keywords
intolerance of uncertainty, self-compassion, depression, 불확실성에 대한 인내력 부족, 자기자비, 우울

Reference

1.

권정혜, 이재우 (2001). 우울증의 인지치료. 인지행동치료, 1, 1-22.

2.

권혁희 (2002). 우울에 있어서의 부정적, 긍정적 자동적사고와 인지 균형과의 관계. 상담학연구, 3(2), 305-321.

3.

김경의, 이금단, 조용래, 채숙희, 이우경 (2008). 한국판자기-자비 척도의 타당화 연구: 대학생을 중심으로. 한국심리학회지: 건강, 13(4), 1023-1044.

4.

김성주 (2014). 내현적자기애, 자기자비 및 공격성 간의관계. 가톨릭대학교 대학원 석사학위청구논문.

5.

김송이 (2012). 대학생의 스트레스와 주관적 안녕감의관계에서 자기자비의 매개효과. 홍익대학교 대학원석사학위청구논문.

6.

김유진, 장문선 (2016). 자기자비 글쓰기가 우울한 대학생의 반추와 정서조절에 미치는 영향. 한국심리학회지: 건강, 21(2), 299-316.

7.

노명선, 전홍진, 이해우, 이효정, 한성고, 함봉진 (2006). 대학생들의 우울장애에 관한 연구: 유병율, 위험요인, 자살행동 및 기능장애. 신경정신의학, 5(194), 432-437.

8.

노상선, 조용래 (2013). 경계선 성격장애 성향자를 위한 자기자비 함양 프로그램의 개발과 효과. 한국심리학회지: 임상, 32(1). 97-121.

9.

보건복지부 (2014). OECD Health Data 2014 주요지표분석.

10.

선주연, 신희천 (2013). 자의식과 부정적 평가에 대한두려움의 관계에서 자기-자비의 매개효과. 상담학연구, 14(5), 3183-3200.

11.

신은경 (2012). 불확실성에 대한 인내력 부족이 우울, 불안에 미치는 영향: 경험회피의 매개효과. 아주대학교 대학원 석사학위청구논문.

12.

심우엽 (2014). 초등학생의 사회불안과 행복감의 관계에서 자기자비의 매개효과. 초등교육연구, 27(1), 83-102.

13.

심은수 (2013). 자기초점주의와 사회불안의 관계에서 자기자비의 조절효과. 충북대학교 대학원 석사학위청구논문.

14.

이승준 (2013). 불확실성에 대한 인내력 부족이 우울에미치는 영향: 정서조절방략의 조절효과. 아주대학교대학원 석사학위청구논문.

15.

전겸구, 최상진, 양병창 (2001). 통합적 한국판 CES-D 개발. 한국심리학회지: 건강, 6(1), 59-76.

16.

전민 (2012). 청소년의 스트레스가 자살사고에 미치는 영향: 자기자비의 조절효과. 아주대학교 대학원 석사학위청구논문.

17.

조맹제, 박종익, 배안, 배재남, 손정우, 안준호, 이동우, 이영문, 이준영, 장성만, 정인원, 조성진, 홍진표, 함봉진, 전홍진, 손지훈, 성수정, 김진선, 김민정, 전승범 (2011). 2011년도 정신질환실태 역학조사. 보건복지부 학술연구 용역사업보고서, 서울대학교 의과대학.

18.

조현주 (2011). 한국판 자기비판, 자기공격과 자기위안형태 척도의 신뢰도와 타당도 연구. 한국인지행동치료학회, 11(2). 137-154.

19.

조현주 (2012). 자애명상 기반 수용전념치료 프로그램개발과 효과: 우울경향 대학생을 중심으로. 한국심리학회지: 상담 및 심리치료, 24(4), 827-846.

20.

조현주, 현명호 (2011). 경험논문: 자기비판과 우울관계에서 지각된 스트레스와 자기자비 효과. 한국심리학회지: 건강, 16(1), 49-62.

21.

최혜경 (1997). 만성적 근심이 문제해결에 미치는 역기능적 효과. 중앙대학교 대학원 박사학위청구논문.

22.

통계청 (2014). 2013 사망원인 통계.

23.

Allen, A. B., Goldwasser, E. R., & Leary, M. R (2011). Self-Compassion and Well-being among Older adults. Self Identity, 11(4), 428-453.

24.

Barnard, L. K, & Curry, J. F. (2011). Selfcompassion:Conceptualizations, correlates &interventions. Review of General Psychology, 15(4), 289-303.

25.

Baron, R., & Kenny, D. (1986). The moderatormediator variable distinction in social psychological research. Journal of Personality and Social Psychology, 51(6), 1173-1182.

26.

Beck, A. T. (1967). Depression: Clinical experimental and theoretical aspects. New York: Harper and Row.

27.

Boelen, P. A., & Reijntes, A. (2009). Intolerance of uncertainty and social anxiety. Journal of Anxiety Disorders, 23(1), 130-135.

28.

Buhr, k., & Dugas, M. J. (2009). The role of fear of anxiety and intolerance of uncertainty in worry:An experimental manipulation. Behaviour Research and Therapy, 47, 215-223.

29.

DeJong-Meyer, R., Beck, B., & Riede, K. (2009). Relationships between rumination, worry, intolerance of uncertainty and metacognitive beliefs. Personality and Individual Differences, 46(4), 547-551.

30.

Dugas, M. J., Gosselin, P., & Ladouceur, R. (2001). Intolerance of uncertainty and worry:Investigating specificity in a nonclinical sample. Cognitive Therapy and Research, 25(5), 551-558.

31.

Dugas, M. J., Marchand, A., & Ladouceur, R. (2005). Further validation of a cognitive-behavioral model of generalized anxiety disorder: Diagnostic and symptom specificity. Journal of Anxiety Disorders, 19, 329-343.

32.

Dupuy, J., & Ladouceur, R. (2008). Cognitive processes of generalized anxiety disorder in comorbid generalized anxiety disorder and major depressive disorder. Journal of Anxiety Disorders, 22, 505-514.

33.

Freeston, M. H., Rheaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry?. Personality and Individual Difference, 17(6), 791-802.

34.

Garber, J., Miller, S. M., & Abramson, L. Y. (2000). On the distinction between anxiety and depression: perceived control, certainty, and probability of goal attainment. In: J. Garber, &M. Seligman (Eds.), Human helplessness: theory and application. San Francisco: Academic Press.

35.

Gilbert, P., & Procter, S. (2006). Compassionate Mind Training for People with High Shame and Self-Criticism: overview and Pilot Study of a Group Therapy Approach. Clinical Psychology and Psychotherapy, 13, 353-379.

36.

Heydayati, M., Dugas, M. J., Buhr, K., & Francis, K. (2003). The relationship between intolerance of uncertainty and the interpretation ambiguous and unambiguous information. Poster presented at the Annual Convention of the Association for Advancement of Behavior Therapy, Boston: MA.

37.

Iskender, M. (2009). The relationship between self-compassion, self-efficacy, and control belief about learning in Turkish university students. Social Behavior and Personality, 37(5), 711-720.

38.

Ladouceur, R., Gosselin, P., & Dugas, M. J. (2000). Experimental manipulation of intolerance of uncertainty: A study of a theoretical model of worry. Behaviour Research and Therapy, 38(9), 933-941.

39.

Lightsey, O. R. (1994). Positive automatic cognitions as moderators of the negative life eventdysphoria relationships. Cognitive Therapy and research, 18, 353-365.

40.

MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of Abnormal Psychology, 111(1), 107-123.

41.

Maris, R. W., Berman, A. L., Maltsberger, J. T., & Yufit, R. I. (1992). Assessment and prediction of suiside. New York: Guilford.

42.

McEvoy, P. M., & Mahoney, A. E. (2012). To be sure, to be sure: Intolerance of uncertainty mediates symptoms of various anxiety disorders and depression. Behavior Therapy, 43(3), 533-545.

43.

Miranda, R., Fontes, M., & Marroquin, B. (2008). Cognitive content-specificity in future expectancies:Role of hopelessness and intolerance of uncertainty in depression and GAD symptoms. Behaviour Research and Therapy, 46(10), 1151-1159.

44.

Mitchell, J. G., Pyle, R. L., & Hatsukami, D. (1983). A comparative analysis of psychiatric problems listed by patients and physicians. Hospital and Community Psychiatry, 34, 848-849.

45.

Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223-250.

46.

Neff, K. D. (2003b). self-compassion: An alternative conceptualization of healthy attitude toward oneself. self and Identity, 2(2), 85-101.

47.

Neff, K. D., & McGeehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9, 225-240.

48.

Neff, K. D., & Vonk, R. (2009). Self-Compassion Versus Global Self-Esteem: Two Different Ways of Relating to Oneself. Journal of Research in Personality, 77(1), 23-50.

49.

Neff, K. D., Kirkpatrick, K., & Rude, S. S. (2007). Self-compassionand its link to adaptive psychological functioning. Journal of Research in Personality, 41, 139-154.

50.

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717-731.

51.

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

52.

Raes, F. (2010). Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Personality and Individual Differences, 48(6), 757-761.

53.

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2001). Mindfulness-based Therapy for Depression: A New Approach to Preventing Relapse. New York: Guilford Press.

54.

Seligman, M.E.P. (1975). Helplessness: On depression, development and death. San Francisco: Freeman.

55.

Shapira, L. B., & Mongrain, M. (2010). The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. The Journal of Positive Psychology, 5(5), 377-389.

56.

Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural eqations models. In S. Leinhart (Ed.). Sociological methodology, 1982. San Francisco: Jossey-Bass.

57.

Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2(3), 247-274.

58.

Teasdale, J. D. (1997a). Assessing cognitive mediation of relapse prevention in recurrent mood disorder. Clinical Psychology and Psychotherapy, 4, 415-156.

59.

Teasdale, J. D., Segal, Z., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help?. Behavior Research and Therapy, 33, 25-39.

60.

Tesdale, J. D. (1997b). The Relationship between cognition and emotion: The mind-in-place in mood disorder. In D. M. Clark & C. G. Fairburn (Eds.), Science and practice of cognitive behavior therapy. Oxford: Oxford University Press.

61.

Tolin, D. F., Abramowitz, J. S., Brigidi, B. D., & Roa, E. B. (2003). Intolerance of uncertainty in obsessive-compulsive disorder. Journal of Anxiety Disorders, 17(2), 233-242.

62.

Werner, K. H., Jazaieri, H., Goldin, P. R., Ziv, M., Heimberg, R. G., & Gross, J. J. (2012). Self-compassion and social anxiety disorder. Anxiety, Stress & Coping, 25(5), 543-558.

63.

Yook, K. Y., Kim, K. H., Suh, S. Y., & Lee, K. S. (2010). Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder. Journal of Anxiety Disorders, 24(6), 623-628.

64.

Zautra, A., Smith, B., Affleck, G., & Tennen, H. (2001). Examinations of chronic pain and affect relationships: applications of a dynamic model of affect. Journal of Consulting and Clinical Psychology, 69(5), 786-795.

65.

Zettle, R, D. (2007) ACT for depression: A clinician's guide to using acceptance & commitment therapy in treating depression. Oakland: New Harbinger Publications.

The Korean Journal of Health Psychology