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청소년기 부정적 자동적 사고의 내용특수성 검증:내재화 장애와 외현화 장애를 변별하는가?

Broadband and Narrowband Cognitive Content Specificityof the Adolescent's Negative Automatic Thoughts

초록

본 연구에서는 청소년의 부정적 사고가 내재화 문제와 외현화 문제에 미치는 영향력을 조사하고, 부정적 자동적 사고가 내재화 장애와 외현화 장애를 구분하는가의 문제인 광범위의 내용특수성과 우울집단과 비행집단을 구분하는가의 문제인 구체적 장애의 내용특수성을 검증하였다. 중학생 1,025명(남학생 516, 여학생 509명)과 고등학생 867명(남학생 410, 여학생 457명)을 대상으로 자동적 사고 척도(K-CATS), 청소년 자기행동 평가척도(K-YSR), CES-D, 잠재비행 척도(LDQ)를 실시하여, 부정적 자동적 사고와 내재화 증상 및 외현화 증상의 관계에 대해 회귀분석 하였다. 또한 K-YSR을 기준으로 내재화 장애집단, 외현화 장애 집단, 공존장애 집단, 일반집단간 부정적 자동적 사고의 차이를 비교하였으며, CES-D로 선별한 우울집단과 LDQ로 선별한 비행집단 및 공존증상 집단, 일반집단간 부정적 자동적 사고의 차이를 비교하였다. 그 결과 부정적 자동적 사고는 내재화 문제 및 외현화 문제에 대해 1차함수 관계는 물론 2차함수 관계에서 설명력이 있었으나, 내재화 장애에 대한 설명력이 매우 높았다. 내재화 장애 청소년은 외현화 장애 동반 여부에 관계없이 부정적 자동적 사고를 더 많이 보였으며, 우울한 청소년은 비행문제의 동반 여부에 관계없이 부정적 자동적 사고를 더 많이 보였다. 이에 따라 청소년기 심리장애에 대한 부정적 자동적 사고의 광범위 특수성과 구체적 장애의 내용특수성이 확인되었다.

keywords
adolescents, internalizing disorder, externalizing disorder, negative automatic thought, content specificity, 청소년, 내재화 장애, 외현화 장애, 부정적 자동적 사고, 내용특수성, adolescents, internalizing disorder, externalizing disorder, negative automatic thought, content specificity

Abstract

This study examined the influences of the adolescent‘s negative automatic thoughts on the internalizing and externalizing problems. And it also tested whether negative automatic thoughts are broadband specific features that distinguish internalizing disorders from externalizing disorders, and are narrowband specific features that distinguish depression from delinquent problems. The study sample was 1982 adolescents(916 boys and 966 girls) from junior and high school, and they completed self administered questionnaires such as K-YSR, CES-D and LDQ. The regression analysis showed that the externalizing problems as well as internalizing problems were predicted by the negative automatic thoughts in linear and quadratic terms. But it showed the negative automatic thoughts had much more explanations on the internalizing problems. Both the internalizing only and comorbid with externalizing problem groups reported significantly more negative automatic thoughts. And both the depressive only and comorbid with delinquent problem groups reported significantly more negative automatic thoughts. These showed that the negative automatic thoughts are narrowband specific as well as broadband specific features in adolescent's psychological disorders.

keywords
adolescents, internalizing disorder, externalizing disorder, negative automatic thought, content specificity, 청소년, 내재화 장애, 외현화 장애, 부정적 자동적 사고, 내용특수성, adolescents, internalizing disorder, externalizing disorder, negative automatic thought, content specificity

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