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Korean Journal of Clinical Psychology

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E-ISSN : 2733-4538

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30권 1호

양극성 우울과 단극성 우울: MMPI-2를 중심으로

Bipolar and Unipolar Depression: Based on MMPI-2

구민정 (분당서울대학교병원)
최승원 (대전대학교)
지연경 (분당서울대학교병원)
Korean Journal of Clinical Psychology / Korean Journal of Clinical Psychology, (E)2733-4538
2011, v.30 no.1, pp.325-336
https://doi.org/10.15842/kjcp.2011.30.1.017
구민정, 최승원, & 지연경. (2011). 양극성 우울과 단극성 우울: MMPI-2를 중심으로. Korean Journal of Clinical Psychology, 30(1), 325-336, https://doi.org/10.15842/kjcp.2011.30.1.017

초록

본 연구에서는 양극성 우울증과 단극성 우울증의 임상 양상과 성격 특성에 대한 탐색을 위하여 양극성 장애 환자군(n=29)과 주요 우울 장애 환자군(n=31)을 대상으로 실시된 MMPI-2를 분석하였다. 두 집단에서 모두 임상척도의 D, Pt 척도가 가장 높게 상승하여 두 장애에서 우울 증상의 표현형이 중첩되는 것으로 관찰되었으며, 양극성 장애 환자들도 우울 상태에서 단극성 우울 환자와 유사하게 부정적인 인지 양식을 경험하는 것으로 보인다. 일부 소척도에서 보여지는 차이점(RC8, FAM1)들은 단극성 우울증과 구분되는 양극성 장애만의 인지적․유전적 취약성으로 판단된다. 이러한 결과들을 토대로 본 연구의 시사점과 제한점에 관하여 논하였다.

keywords
Bipolar depression, Unipolar depression, Bipolar disorder, Major depressive disorder, Personality, MMPI-2, 양극성 우울증, 단극성 우울증, 양극성 장애, 주요 우울 장애, 양극성 장애 성격, MMPI-2

Abstract

In this study, we investigated MMPI-2(Minnesota Multiphasic Personality Inventory-2) profiles to explore clinical characters and personalities of those with bipolar and unipolar depression. MMPI-2 were completed by bipolar(n=29) and unipolar(n=31) depressive patients. Both groups showed elevated scores on the D(Depression), Pt(Psychasthenia) scales, demonstrating that two disorders shared similar depressive symptoms. iIt also may have suggested that bipolar patients, like unipolar patients, suffer from negative cognitive styles during depressive episode. The subtle differences between the two groups with respect to scores on subscales RC8(Aberrant Experiences) and, FAM1(Family Discord) may reflect cognitive and biogenetic vulnerability of bipolar depression. Based on these results, the implications and limitations of this study were discussed.

keywords
Bipolar depression, Unipolar depression, Bipolar disorder, Major depressive disorder, Personality, MMPI-2, 양극성 우울증, 단극성 우울증, 양극성 장애, 주요 우울 장애, 양극성 장애 성격, MMPI-2

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