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사고-행위 융합과 사고-사건 융합의 측면에서 본 강박사고의 하위유형
Differences of Two Subtypes of Obsessions in TAF and TEF
권석만 (서울대학교)
신민섭 (서울대학교병원)
초록
본 연구는 사고-행위 융합과 사고-사건 융합이 강박사고의 두 유형과 어떻게 관련을 맺고 있는지 알아보기 위한 것이다. 연구 1에서는 사고-행위 융합과 사고-사건 융합 모두를 포함하는 사고-실재 융합척도를 개발하기 위해 419명의 대학생으로부터 얻은 자료를 분석하였다. 그 결과 사고-실재 융합척도는 자생성 차원에서 5개, 반응성 차원에서 4개의 요인이 나타났으며, 기존 척도와의 공존타당도를 획득하였다. 연구 2에서는 사고-실재 융합이 자생성 및 반응성 강박사고와 차별적으로 관련성을 나타내는지 살펴보고, 걱정, 우울과의 관계도 살펴보았다. 492명의 대학생을 대상으로 사고-실재 융합척도, 강박적 침투사고 질문지-단축형, 우울증상 질문지, 걱정증상 질문지를 실시하였다. 그 결과 강박사고는 사고-행위 융합과 사고-사건 융합의 모든 하위요인들과 유의미한 관련성을 나타내었으며, 전반적으로 자생성보다 반응성 강박사고가 관련성이 더 높게 나타났다. 자생성 강박사고의 경우에는 반영 사고-사건 융합, 가능성 사고-행위 융합, 가능성 사고-사건 융합, 대처 사고-사건 융합의 순으로 상관이 유의미하게 나타났으며, 도덕성 사고-행위 융합과는 유의미한 상관이 나타나지 않았다. 반면 반응성 강박사고의 경우에는 가능성 사고-사건 융합, 반영 사고-사건 융합, 대처 사고-사건 융합, 가능성 사고-행위 융합, 그리고 도덕성 사고-행위 융합의 순으로 유의미한 상관이 나타났다. 걱정과 우울은 강박사고에 비해 사고-실재 융합에 대해 낮은 상관을 나타내었다. 마지막으로 본 연구 결과의 의의 및 추후 연구 방향에 대해 논의하였다.
- keywords
- thought-action fusion, thought-event fusion, Thought-Reality Fusion Scale, obsessive-compulsive symptoms, obsession, autogenous/reactive obsessions, thought-action fusion, thought-event fusion, Thought-Reality Fusion Scale, obsessive-compulsive symptoms, obsession, autogenous/reactive obsessions, 사고-행위 융합, 사고-사건 융합, 사고-실재 융합척도, 강박증상, 강박사고, 자생성 및 반응성 강박사고
Abstract
The aim of this study is to investigate the relationship of thought-action fusion(TAF) and thought-event fusion(TEF) to obsessions. Study 1 was performed to develop the Thought-Reality Fusion Scale(TRFS) which can measure TAF and TEF. The data were collected from 419 college students. Factor analysis revealed that the TRFS was found to have five factors in autogenous thoughts, while four factors in reactive thoughts. And the TRFS was found to have concurrent validity. In study 2, how TRF is differently related to autogenous/ reactive obsessions or worry and depression was examined. 492 college students were given to answer to the TRFS, Revised Obsessional Intrusions inventory(ROII), Beck Depression Inventory(BDI) and Penn State Worry Questionnaire(PSWQ). Obsessions were significantly related to all the factors of TRFS. Over all factors, reactive obsessions were more related to TAF and TEF than autogenous obsessions were. Autogenous obsessions showed significant correlations with likelihood TAF, reflection TEF, likelihood TEF and prevention TEF in the order, while they showed insignificant correlation with moral TAF. On the other hand, reactive obsessions showed significant correlations with likelihood TEF, reflection TEF, prevention TEF, likelihood TAF and moral TAF in the order. Worry and depression were less related to TRFS than obsessions. Finally, the significance of this study and further studies were discussed.
- keywords
- thought-action fusion, thought-event fusion, Thought-Reality Fusion Scale, obsessive-compulsive symptoms, obsession, autogenous/reactive obsessions, thought-action fusion, thought-event fusion, Thought-Reality Fusion Scale, obsessive-compulsive symptoms, obsession, autogenous/reactive obsessions, 사고-행위 융합, 사고-사건 융합, 사고-실재 융합척도, 강박증상, 강박사고, 자생성 및 반응성 강박사고
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