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E-ISSN : 2733-4538
본 연구는 우울장애가 우울 증상 이외에 불안, 신체화, 분노와 같은 다양한 증상들을 포함하고 있는 장애인지를 확인하고자 한다. 또한 우울장애 증상의 이질성이 성차와 정서조절방략과 어떻게 관련되는지를 조사하였다. 연구대상은 서울소재 C 대학병원 정신과 외래를 방문한 환자 중 정신과적 면담(DSM-IV)과 구조화된 임상면담(SCID-I)을 통하여, 우울장애로 진단된 56명(남: 22명, 여: 34명)의 환자들이다. 연구결과, 우울 증상은 불안, 신체화, 분노 증상, 부정 정서조절방략과 유의한 상관이 나타났다. 이중 우울 증상은 자기비난, 파국화의 정서조절방략이, 분노 증상은 파국화, 타인비난, 긍정 재평가의 정서조절방략에 의해 잘 예측되는 것으로 나타났다. 신체화는 파국화 정서조절방략에 의해 설명되었으나 통계적으로 유의하지 않았으며, 불안도 특정 정서조절방략과 두드러지게 관련되지 않았다. 성차와 관련하여, 남성은 여성에 비해 객관적 평정에서 우울 증상이 많이 나타난 반면, 주관적 평정에서는 여성이 남성에 비해 다소 높은 것으로 나타났다. 본 연구를 통하여 우울장애가 우울 증상 이외에 다양한 증상을 포괄하고 있으며, 이러한 양상이 정서조절방략 및 성차와 부분적으로 관련될 수 있음을 지지하였다. 마지막으로 본 연구의 의의 및 제한점과 향후 연구방향에 대해 논의하였다.
The purpose of this study was to investigate the heterogenous(depression, anxiety, anger, somatization) symptoms in depressive disorder, and to identify whether there were the symptoms of depressive disorder depending on emotional regulation strategies and gender differences. The participants of this study were 56 patients with depressive disorders(male: 22, female: 34) who were diagnosed by psychiatric interview(DSM-IV) and structured clinical interview(SCID-I). The result demonstrated that the depressive symptoms were correlated to anxiety, anger, somatization and negative emotional regulation strategies. Especially, Self-blame and Catastrophizing were related to depressive symptom. Catastrophizing, Other-blame and Positive reappraisal showed significant correlation with anger symptoms. Somatization related to emotional regulation strategies, which it did not showed significantly. Also, This study showed that anxious symptoms were not related to specific emotional regulation strategies. The gender differences are shown in the raters evaluation, where male patients showed more depressive symptoms than female patients. But in the subjective report, female patients showed more depressive symptoms than male patients. This study not only identified heterogenous symptoms in depressive disorder but it also showed that depressive disorder is partially related to emotional regulation strategies and gender differences. Finally, the clinical implications, limitation of this study and direction for future research were discussed.
(2006) 벡 우울증 질문지 2판,
김창윤, (2001) 정신장애 평가도구, 하나의학사
(2004) 직장에서의 특정 부적 정서경험에 따른 정서조절이 수행 및 정신건강에 미치는 효과,
(2004) 우울증상과 성별에 따른 신체화 환자의 인지적 특성,
최성일 ; 김중술 ; 신민섭 ; 조맹제, (2001) 분노표현방식과 우울 및 신체화 증상과의 관계, 신경정신의학
최윤경 ; 김지연 ; 김용구, (2002) 한국판 증상질문지의 신뢰도 및 타당도, 신경정신의학
(2000) 제 1축 장애의 구조화된 임상적 면담 SCID-I,
American Psychiatric Association, (1994) Diagnostic and Statistical Manual of Mental Disorders,
(2004) Mixed anxiety-depression in a 1 year follow-up study: shift to other diagnoses or remission?,
(2000) Mixed anxiety-depression and its implications for models of mood and anxiety disorders,
Barsky, (1990) The somatosensory amplification scale and its relationship to hypochondriasis Journal of Psychiatric Research,
Beck, A. T, (1999) Prisoner of hate: The cognitive basis of anger, hostility, and violence, New York, NY: Harper Collins.
(1996) Beck depression inventory-second edition manual,
(1997) Distinguishing between anxiety depression and hostility: relations to anger-in, anger-out and anger control,
Clark, (1983) The core symptoms of depression in medical and psychiatric patients The Journal of Nervous and Mental Disease,
(1992) Advances in Personality Assessment, In C Lawrence Erlbaum Associates
(1990) possible variants of panic and major depressive disorders American Journal of Psychiatry,
Fava, M , (2000) Anxiety disorders in major depression,
(1994) partial response in chronic depression British Journal of Psychiatry Supplement, Antidepressants
Folkman, S, (2004) Coping: pitfalls and promise,
(1988) Sex differences in recurrent depression are there any that are significant? American Journal of Psychiatry,
(2006) Depression in children and adolescents,
Garnefski, N, (2006) Relationships between cognitive emotion regulation strategies of and depressive symptoms: A comparative study of five specific samples,
(2003) Relationships between cognitive emotion regulation strategies of adolescents and depressive symptomatology across different types of life events,
Garnefski, N , (2001) Negative life events, cognitive emotion regulation and depression.,
(1995) Depression and the experience and expression of anger in marital and other relationships,
Halbreich, U , (2006) Atypical depression, somatic depression and anxious depression in women: Are they gender- preferred phenotypes,
(1960) Rating Scale for Depression Journal of Neurology,
Hart, A, (2001) Unmaking male depression; 남성우울증. 조현주, 현명호, 김정미 공역, 학지사.
(1982) The American Journal of Medicine, Depression and somatization
Kellner, (1987) The Journal of Clinical Psychiatry,
(1991) Three forms of somatization in primary care The Journal of Nervous and Mental Disease,
(1993) Profile of depressive symptoms in younger and older medical inpatients with major depression Journal of American Geriatrics Society,
(2003) Anger and Somatization,
(2003) Negativel life events and depressive symptoms in late adolescence,
(1979) Cross-cultural studies of mental disorder Perspectives on cross-cultural psychology, Academic Press
(1999) Epidemiology and diagnosis of depression in late life,
(1991) Response to depression and their effects on the duration of depressive episodes Journal of Abnormal Psychology,
A residual symptoms after partial remission an important outcome in depression Psychology of Medicine,
(1988) Handbook of Life Stress Cognition and Health,
(1994) Journal of Personality and Social Psychology,
(2005) Cognitive emotion regulation in the prediction of depression, anxiety, stress, and anger.,
(2003) Predictors of somatic symptoms in depressive disorder,
(1999) An international study of the relation between somatic symptoms and depression.,
(1985) The British Journal of Psychiatry,
(2004) Factor structure concurrent validity and internal consistency of the Beck depression inventory-second edition in a sample of college students,
(2003) Factor structure of the Beck depression inventory-II in a medical outpatient sample,