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E-ISSN : 2733-4538
다양한 중독 문제가 만성적인 자기조절 실패로 개념화되고 있다. 본 연구의 목적은 대표적인 중독 문제 중 하나인 알코올 사용 문제를 자기조절 관점에서 실증적으로 검증하는 것이었다. 따라서 만 19세 이상 성인 470명을 대상으로 목표중심 자기조절의 약화가 알코올 사용 문제를 증가시킬 것이며, 우울 증상이 이 관계를 매개할 것이라는 가설을 설정하였다. 측정도구는 목표중심 자기조절 척도, 우울척도, 알코올사용장애 진단 척도이었다. 상관분석 결과, 목표중심 자기조절은 우울 증상과 부적 상관이 있는 것으로 나타났다. 또한 목표중심 자기조절은유해음주와 유의미한 부적 상관을 나타냈다. 우울과 알코올 사용 문제 간에는 유의미한 정적 상관이 있는 것으로 나타났다. 구조방정식 모델 검증에서 목표중심 자기조절과 알코올 사용 문제 간의 관계에 대한 우울의 부분매개 모델에 비해 완전 매개모형이 보다 더 적합한 것으로 나타났다. 이러한 결과는 약화된 목표중심 자기조절이 알코올 사용문제에 직접적인 영향을 미치지 않을지라도 감소된 목표중심 자기조절로 인해 발생한 우울 정서가 알코올 사용 문제를 야기할 가능성을 시사하는 것이다. 연구 결과에 기초해 연구의 임상적 함의 및 제한점을 논의하였다.
A wide range of addictions is conceptualized as a chronic failure of self-regulation. Accordingly, the present study aimed to confirm the relationships among goal-focused self-regulation, depressive symptoms, and alcohol use problem, which is a common addictive behavior. A total of 470 adults were recruited from metropolitan cities in South Korea. All participants completed a questionnaire that included the Korean Version of the Alcohol Use Disorders Identification Test (AUDIT-K), Goal-Focused Self-Regulation Scale (GF-SRS), and Patient Health Qustionnaire-9 (PHQ-9). A correlation analysis revealed that goal-focused self-regulation was negatively correlated with both depressive symptoms and harmful alcohol use, while depressive symptoms were positively correlated with alcohol use problems. A structural equation modeling (SEM) revealed that a full mediation model had a better fit than a partial mediation model did. Additionally, the indirect effect was significant. In sum, these results suggest that goal-focused self-regulation might decrease depressive symptoms, which in turn would decrease the severity of the alcohol use problem. In line with these results, clinical implications and limitations of this study were discussed.
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