본 연구에서는 성인이 경험하는 분노, 불안, 우울을 측정하기 위해 정서적 스트레스 척도를 개발하였다. 특히 본 척도는 상태와 특성을 함께 측정할 수 있도록 모두 6개의 하위 척도로 구성되었다: 상태 분노, 상태 불안, 상태 우울, 특성 분노, 특성 불안, 특성 우울. 연구 1에서 전국적인 표집(N=926)을 통해 탐색적 요인 분석과 문항-전체 상관 분석에 기초해서 각각 22문항으로부터 7문항으로 구성된 척도를 개발하였다. 연구 2에서도 전국적인 표집(N=407)을 통해 확인적 요인분석, 공존 타당도, 내적 일치도, 검사-재검사 신뢰도를 분석한 결과 연구 1에서 개발한 정서적 스트레스 척도가 신뢰롭고 타당한 척도임이 지지되었다. 이러한 결과는 본 연구에서 개발된 정서적 스트레스 척도가 건강, 임상, 상담, 교육, 코칭, 조직을 비롯한 다양한 분야에서 유용하게 사용될 수 있음을 시사하고 있다.
The current article presents the development and validation of the Emotional Stress Inventory (ESI), designed to measure anger, anxiety, and depression for adult population. The ESI measures both state and trait aspects of emotional stress, comprising state anger, state anxiety, state depression, trait anger, trait anxiety, and trait depression. In Study 1, we examined the psychometric properties of the ESI in adult sampling nationwide (N = 926). Exploratory factor analyses and item-total correlations yielded a reliable and valid scale, consisting of 7 item for each subscale. In Study 2 (N = 407), we examined the reliability and validity of the ESI, employing confirmatory factor analyses, concurrent validity, internal reliability, and test-retest reliability. Overall, results provided support for the reliability and validity of the ESI, suggesting that the ESI is a useful instrument in the area of health, clinical, counseling, education, coaching, organization, among others.
김신향, 정수연, 박기호, 제갈은주, 이승환, 최윤영, 이원혜, 최기홍 (2016). 한국형 불안 선별도구 개발: 현행 불안평가 도구 개관 및 예비 문항 개발. Korean Journal of Clinical Psychology, 35(3), 630-644.
김종남, 이순묵, 최승원, 채정민, 서동기, 최윤영, 조철현 (2018). 한국형 역기능 우울 척도의 문항 개발 및문항 분석. 한국심리학회지: 건강, 22(4), 849-882.
윤서원, 이빛나, 박기호, 정수연, 김신향, 박연수, 백승연, 김초롱, 최윤영, 이승환, 최기홍 (2018). 한국형 우울장애 선별도구 개발과정: 예비 타당화 연구. Korean Journal of Clinical Psychology, 37(2), 254-264.
이민수, 이민규, 박준호 (2017). 심리건강검사(Mental Health Inventory: MHI) 전문가용 매뉴얼. 서울: 한국가이던스.
이순묵, 김종남, 채정민, 최승원, 서동기 (2018). 일상 우울 척도의 개발 및 타당화. Korean Journal of Clinical Psychology, 37(3), 411-430.
이장호, 전겸구, 한덕웅, 김교헌(1999). 한국판 상태-특성 우울 척도 개발 연구. 한국심리학회지: 건강, 4(1), 1-14.
전겸구(1989). 인간 정서에 관한 제어이론적 조망. 한국심리학회 ’89 연차대회 학술 발표 논문초록, 45-52.
전겸구, 최상진, 양병창(2001). 통합적 한국판 CES-D 개발. 한국심리학회지: 건강, 6(1), 59-76.
전겸구, 한덕웅, 이장호(1998). Korean adaptation of the State-Trait Anger Expression Inventory (STAXI-K): The case of college students. 한국심리학회지: 건강, 3(1), 18-32.
한덕웅, 강혜자(2000). 한국어 정서 용어들의 적절성과경험 빈도. 한국심리학회지: 일반, 19(2), 63-99.
한덕웅, 이장호, 전겸구(1996). Spielberger의 상태-특성불안 검사 Y형의 개발. 한국심리학회지: 건강, 1(1), 1-14.
Abraham, S., Shah, N. G., Diez, R. A., Hill-Briggs, F., Seeman, T., Szklo, M., Schreiner, P., & Golden, S. H. (2015). Trait anger but not anxiety predicts incident Type 2 diabetes: The Multi-Ethnic Study of Atherosclerosis (MESA). Psychoneuroendocrinology, 60, 105-113.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory Manual (2nd ed.). San Antonio, TX, Psychological Cooperation.
Bulut, C. B., Özkula, G., Işıkl, S., Özkan, G. I., Öcal, S., Altınöz, A. E., & Taşkıntuna, N. (2018). Anxiety, depression, and anger in functional gastrointestinal disorders: a cross-sectional observational study. Psychiatry Research, 268, 368-372.
Cannon, W. B. (1914). The interrelations of emotions as suggested by recent physiological researches. American Journal of Psychology, 25(2), 256-282.
Chon, K. K. (1989). The role of coping resources in moderating the relation between life stress and depression: A control theory approach. Unpublished doctoral dissertation, University of Massachusetts, Amherst, MA.
Daniel, S. S., Goldston, D. B., Erkanli, A., Franlin, J. C., & Mayfield, A. M. (2009). Trait anger, anger expression and suicide attempts among adolescents and young adults: A prospective study. Journal of Clinical Child and Adolescent Psychology, 38(5), 661-671.
Davidson, K. W., & Mostofsky, E. (2010). Anger expression and risk of coronary heart disease:evidence from the Nova Scotia Health Survey. American Heart Journal, 159(2), 199-206.
Del Giacco, S. R., Cappai, A., Gambula, L., Cabras, S., Perra, S., Manconi, P. E., Carpiniello, B., & Pinna, F. (2016). The asthma-anxiety connection. Respiratory Medicine, 120, 44-53.
DeSteno, D., Gross, J. J., & Kubzansky, L. (2013). Affective science and health: The importance of emotion and emotion regulation. Health Psychology, 32(5), 474-486.
Dohrenwend, B. S., & Dohrenwend, B. P. (Eds.). (1974). Stressful life events: Their nature and effects. Oxford, England: John Wiley & Sons.
Forbes, D., Alkemade, N., Mitchell, D., Elhai, J. D., McHugh, T., Bates, G., Novaco, R. W., Bryant, R., & Lewis, V. (2014). Utility of the Dimensions of Anger Reactions-5 (DAR-5) Scale as a brief anger scale. Depression and Anxiety, 31(2), 166-173.
Grȍs, D. F., Antony, M. M., Simms, L. J., & MaCabe, R. E. (2007). Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): Comparison to the State-Trait Anxiety Inventory (STAI). Psychological Assessment, 19(4), 369-381.
Hamilton, M. (1960). A rating scale for depression. Journal of Neurology and Neurosurgical Psychiatry, 23(1), 56-62.
Hargrave, G. E., Hiatt, D., Alexander, R., & Shaffer, I. A. (2008). Effectiveness of a telephone based EAP anger management program for referred employees. Journal of Workplace Behavioral Health, 22(4), 17-27.
Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213-218.
Kant, L., Skogstad, A., & Einarsen, S. (2013). Beware the angry leader: Trait anger and trait anxiety as predictors of petty tyranny. The Leadership Quarterly, 24(1), 106-124.
Kim, K. (1985). Expression of emotion by Americans and Koreans. Korean Studies, 9(1), 38-56.
Korman, L. M., Collins, J., Dutton, D., Dhayananthan, B., Littman-Sharp, N., & Skinner, W. (2008). Problem gambling and intimate partner violence. Journal of Gambling Studies, 24(1), 13-23.
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9 validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606-613.
Kroenke, K., Wu, J., Yu, Z., Bair, M. J., Kean, J., Stump, T., & Monahan, P. O. (2016). The Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS): Initial validation in three clinical trials. Psychosomatic Medicine, 78(6), 716-727.
Kubzansky, L. D., Cole, S. R., Kawachi, I., Vokonas, P., & Sparrow, D. (2006). Shared and unique contributions of anger, anxiety, and depression to coronary heart disease: A prospective study in the Normative Aging Study. Annals of Behavioral Medicine, 31(1), 21-29.
Lazarus, R. S. (1993). From psychological stress to the emotions: A history of changing outlooks. Annual Review of Psychology (pp. 1-21). Palo Alto: Annual Reviews.
Lazarus, R. S. (1999). Stress and emotion: A new synthesis. New York: Springer.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scale (2nd ed.). Sydney: Psychology Foundation.
Mason, J. W. (1975). A historical view of the stress field. Part II. Journal of Human Stress, 1(2), 22-36.
Nesselroade, J. R. (1988). Some implications of the trait-state distinction for the study of development over the life span: The case of personality. In P. B. Baltes, D. L. Featherman, &R. M. Lerner (Eds.), Life-span development and behavior (Vol. 8, pp. 163-189). Hillsdale, NJ:Erlbaum.
Novaco, R. W. (2003). The Novaco Anger Scale and Provocation Inventory: Manual. Los Angeles, CA: Western Psychological Services.
Patterson, F., Kerrin, K., Wileyto, E. P., & Lerman, C. (2008). Increase in anger symptoms after smoking cessation predicts relapse. Drug and Alcohol Dependence, 95(1-2), 173-176.
Perpiñá-Galvañ, J., Richart-Martínez, M., & Cabañero-Martínez, M. J. (2011). Reliability and validity of a short version of the STAI anxiety measurement scale in respiratory patients. Archives of Bronconeumology, 47(4), 184-189.
Pilkonis, P. A., Choi, S. W., Reise, S. P., Stover, A. M., Riley, W. T., & Cella, D. (2011). Item banks for measuring emotional distress from the Patient-Reported Outcomes Measurement Information System (PROMIS®): depression, anxiety, and anger. Assessment, 18(3), 263-283.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401.
Ree, M. J., French, D., MacLeod, C., & Locke, V. (2008). Distinguishing cognitive and somatic dimensions of state and trait anxiety: development and validation of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA). Behavioral and Cognitive Psychotherapy, 36(3), 313-332.
Rose, M., & Devine, J. (2014). Assessment of patient-reported symptoms of anxiety. Dialogues in Clinical Neuroscience, 16(2), 197-211.
Schneider, K. L., Appelhans, B. M., Whited, M. C., Oleski, J., & Pagoto, S. L. (2010). Trait anxiety, but not trait anger, predisposes obese individuals to emotional eating. Appetite, 55(3), 701-706.
Schonfeld, I. S., & Bianchi, R. (2016). Burnout and depression: Two entities or one. Journal of Clinical Psychology, 72(1), 22-37.
Selye, H. (1936). A syndrome produced by diverse nocuous agents. Nature, 148, 32.
Siegel, J. M. (1986). The Multidimensional Anger Inventory. Journal of Personality and Social Psychology, 51(1), 191-200.
Snell, W. E., Gum, S., Shuck, R. L., Mosley, J. A., & Hite, T. L. (1995). The Clinical Anger Scale:preliminary reliability and validity. Journal of Clinical Psychology, 51(2), 215-226.
Spiegel, D., & Giese-Davis, J. (2003). Depression and cancer: mechanisms and disease progression. Biological Psychiatry, 54(3), 269-282.
Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory: STAI (Form Y). Palo Alto, CA: Consulting Psychologists Press.
Spielberger, C. D. (1988). Manual for the State-Trait Anger Expression Inventory (STAXI). Odessa, FL: Psychological Assessment Resources.
Spielberger, C. D., Jacobs, G., Russell, S., & Crane, R. (1983). Assessment of anger: The State-Trait Anger Scale. In J. N. Butcher & C. D. Spielberger (Eds.) Advances in personality assessment (Vol. 2, pp. 159-187). Hillsdale, N. J.:LEA.
Spielberger, C. D., Ritterband, L. M., Sydeman, S. J., Reheiser, E. C., & Unger, K. K. (1995). Assessment of emotional states and personality traits: Measuring psychological vital signs. In J. N. Butcher (Ed.), Clinical personality assessment:Practical approaches (pp. 42-58). New York:Oxford University Press.
Spitzer, R. I., Kroenke, K., Williams, J. B., & Lȍwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092-1097.
Stewart, J. C., Fitzgerald, G. J., & Kamarck, T. W. (2010). Hostility now, depression later? Longitudinal associations among emotional risk factors for coronary artery disease. Annals of Behavioral Medicine, 39(3), 258-266.
Streiner, D. L. (2003). Diagnosing tests: using and misusing diagnostic and screening tests. Journal of Personality Assessment, 81(3), 209-219.
Taylor, J. A., (1953). A personality scale of manifest anxiety. The Journal of Abnormal and Social Psychology, 48(2), 285-290.
Thomas, S. P., Groer, M., Davis, M., Droppleman, P., Mozingo, J., & Pierce, M. (2000). Anger and cancer: an analysis of the linkages. Cancer Nursing, 23(5), 344-349.
Williams, J. E., Paton, C. C., Siegler, I. C., Eigenbrodt, M. L., Nieto, F. J., & Tyroler H. A. (2000). Anger proneness predicts coronary heart disease risk prospective analysis from the Atherosclerosis Risk in Communities (ARIC) Study. Circulation, 101(17), 2034-2039.
Williams, J. E., Nieto, F. J., Sanford, C. P., Couper, D. J., & Tyroler, H. A. (2002). The association between trait anger and incident stroke risk: The Atherosclerosis Risk in Communities (ARIC)Study. Stroke, 33(1), 13-20.
Worthen, M., Rathod, S. D., Cohen, G., Sampson, L., Ursano, R., Gifford, R., Fullerton, C., Galea, S., & Ahern, J. (2015). Anger and posttraumatic stress disorder symptom severity in a trauma-exposed military population: differences by trauma context and gender. Journal of Traumatic Stress, 28(6), 539-546.
Yesavage, J. A., & Sheikh, J. I. (1986). Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health, 5(1-2), 165-173.
Yilmaz, F. T., Kumsar, A. K., & Yeşildağ, B. (2018). The relation between anger level and metabolic control variables in Type 2 Diabetes. International Journal of Caring Sciences, 11(1), 502-511.
Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.
Zung, W. W. K. (1965). A self rating depression scale. Archives of General Psychiatry, 12(1), 63-70.