바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
사전등록 바로가기
 

logo

ISSN : 1229-067X

논문 상세

이전 다음
논문 투고

Vol.32 No.2
Citation Share

MMPI-2-RF 척도의 진단적 유용성: 주요우울장애 환자들과 양극성 장애 환자들의 감별

Diagnostic Utility of MMPI-2-RF Scales: Differentiating Bipolar Disorder from Major Depressive Disorder

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2013, v.32 no.2, pp.371-388
정선훈 (성균관대학 의과대학 삼성서울병원 정신건강의학과)
이은호 (성균관대학 의과대학 삼성서울병원 정신건강의학과)
김지혜 (성균관대학 의과대학 삼성서울병원 정신건강의학과)
한경희 (Central Michigan University)
문경주 (마음사랑)
정선훈, 이은호, 김지혜, 한경희, & 문경주. (2013). MMPI-2-RF 척도의 진단적 유용성: 주요우울장애 환자들과 양극성 장애 환자들의 감별. 한국심리학회지: 일반, 32(2), 371-388.
  • 다운로드 수
  • 조회수
PDF 다운로드

초록

본 연구의 목적은 주요우울장애 환자와 양극성 장애 환자간의 감별에 있어 Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF)척도의 진단적 유용성을 살펴보기 위한 것이다. 33명의 주요우울삽화를 경험하고 있는 양극성 장애 환자와 92명의 주요우울장애 환자들을 대상으로 하였다. 분석 결과, 인구통계학적인 변인들에서 연령이 양극성 장애 집단에서 유의미하게 더 낮은 것으로 나타났다. 또한 집단 간 차이 검증 결과, 사고문제(THD), 행동적/외현화 문제(BXD), 반사회적 행동(RC4), 역기능적 부정 정서(RC7), 기태적 경험(RC8), 경조증적 상태(RC9), 청소년기 품행 문제(JCP), 약물 남용(SUB), 공격 성향(AGG), 흥분 성향(ACT), 공격성(AGGR), 정신증(PSYC), 통제 결여(DISC)척도가 양극성 장애집단에서 유의미하게 더 높은 값을 가지는 것으로 나타났다. 위와 같은 변인들을 대상으로 어떠한 변인이 가장 강력하게 두 집단을 구별하여 주는지 살펴보기 위해 로지스틱 회귀분석을 실시하였다. 연령, 성별, 교육수준을 통제한 이후 집단 간 차이를 보인 MMPI-2-RF변인들 중 흥분 성향(ACT)척도가 유의미하게 양극성 장애 집단에서 더 높게 나타나 두 집단을 유의미하게 구별하여 줄 수 있는 척도로 확인되었다. 본 연구는 국내에서 처음으로 MMPI-2-RF 척도들이 양극성 장애와 주요우울장애를 감별하는데 유용한 정보를 가진다는 점을 제안한다.

keywords
MMPI-2-RF, 양극성 장애, 주요우울장애, 흥분 성향(ACT) 척도, MMPI-2-RF, Bipolar Disorder, Major Depressive Disorder, ACT scale

Abstract

We examined the diagnostic utility of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) to differentiate patients with Bipolar Disorder (BD) from with Major Depressive Disorder (MDD). All participants were diagnosed using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I/P). Psychiatric patients diagnosed with either BD (n = 33) or MDD (n = 92) completed the MMPI-2 and the MMPI-2-RF scale scores were derived from the MMPI-2 protocols. The results showed that Thought Dysfunction, Behavioral/Externalizing Dysfunction, Antisocial Behavior, Dysfunctional Negative Emotions, Aberrant Experience, Hypomanic Activation, Juvenile Conduct Problem, Substance Abuse, Aggression, Activation, Aggressiveness-Revised, Psychoticism-Revised, Disconstraint-Revised scales were significantly higher in the patients with BD. Moreover, logistic regression analysis revealed that the Activation scale (ACT) was the most significant predictor to distinguish BD from MDD. Consistent with previous findings, the importance of ACT scale in differentiating BD from MDD was suggested, and several limitations were reported.

keywords
MMPI-2-RF, 양극성 장애, 주요우울장애, 흥분 성향(ACT) 척도, MMPI-2-RF, Bipolar Disorder, Major Depressive Disorder, ACT scale

참고문헌

1.

구민정, 최승원, 지연경. (2011). 양극성 우울과 단극성 우울: MMPI-2를 중심으로. 한국심리학회지: 임상, 30(1), 325-336.

2.

오미영, Angst, 성태훈, 이은호, 홍경수, 이동수, 김지혜. (2009). 한국판 HCL-32의 타당화. 한국심리학회지: 임상, 28(1), 321-338.

3.

이원혜. (2007). 양극성 장애 진단 및 치료의 최신 지견; 양극성 장애의 평가. 한국임상심리학회 심포지움, 160-161.

4.

전덕인, 윤보현, 정한용, 하규섭, 신영철, 박원명 (2005). 한국형 기분장애 질문지의 타당화 연구. 신경정신의학회지: 44(5), 583- 590.

5.

최윤진, 장은영, 한지원. (2011). MMPI-2 임상척도와 재구성임상척도가 진단에서 지니는 변별력: 양극성장애와 우울장애를 중심으로. 한국심리학회 연차 학술대회 발표집, 338- 338.

6.

한경희, 문경주, 이주영, 김지혜. (2011). 다면적 인성검사 2 재구성판 매뉴얼. 마음사랑.

7.

한오수, 안준호, 송선희, 조맹제, 김장규, 배재남, 조성진, 정범수, 서동우, 함봉진,이동우, 박종익, 홍진표. (2000). 한국어판 구조화 임상면담도구 개발: 신뢰도 연구. 신경정신의학회지: 39(2), 362-372.

8.

Angst, J., Adolfsson, R., Benazzi, F., Gamma, A., Hantouche, E., Meyer, T. D., Skeppar, P., Vieta, E., & Scott, J. (2005). The HCL-32: Towards a self-assessment tool for hypomanic symptoms in outpatients. Journal of Affective Disorders, 88, 217-233.

9.

Bagby, R. M,. Marshall, M. B,. Basso, M. R., Nicholson, R. A., Bacchiochi, J. & Miller, L. S. (2005) Distinguishing bipolar depression, major depression, and schizophrenia with the MMPI-2 clinical and content scales. Journal of Personality Assessment, 84, 89-95.

10.

Ben-Porath, Y. S., & Tellegen, A. (2008). Minnesota Multiphasic Personality Inventory-2 Restructured Form: MMPI-2-RF. Manual for administration, scoring, and interpretation. Minneapolis: University of Minnesota Press.

11.

Binford, A. & Liljequist, L. (2008). Behavioral Correlates of Selected MMPI-2 Clinical, Content, and Restructured Clinical Scales. Journal of Personality Assessment, 90, 608-614,

12.

Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A. & Kaemmer, B. (1989). MMPI-2 (Minnesota Multiphasic Personality Inventory-2): Manual for administration, scoring. Minneapolis, Minnesota: University of Minnesota Press.

13.

Camara, W. J., Nathan, J. S., & Puente, A. E. (2000). Psychological Test Usage: Implications in Professional Psychology. Professional Psychology, Research and Practice, 31, 141-154.

14.

Cohen, J. (1977). Statistical power analysis for the behavioral sciences. New York: Academic Press.

15.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.

16.

Cuellar, A. K., Johnson, S. L. & Winters R. (2005). Distinctions between bipolar and unipolar depression. Annual Review of Psychology, 25, 307-339.

17.

Donnelly, E. F. & Murphy, D. L. (1973). Primary affective disorder: MMPI differences between unipolar and bipolar depressed subjects. Journal of Clinical Sport Psychology, 29, 303-306.

18.

Enns, M. W., Larsen, D. K. & Cox, B. J. (2000) Discrepancies between self and observer ratings of depression. The relationship to demographic, clinical and personality variables. Journal of Affective Disorders, 60, 33-41.

19.

Egger, J. I. M., Delsing, P. A. M. & De Mey, H. R. A. (2003). Differential diagnosis using the MMPI-2: Goldberg's index revisited. European Psychiatry, 18, 409-411.

20.

First, M. B., Spitzer, R. L., Gibbon, M. & Williams, J. B. W. (1996). Structured Clinical Interview for Axis I DSM-IV Disorders. Washington D. C.: American Psychiatric Press.

21.

Fukuda, K., Etoh, T., Iwadate, T., Ishii, A. (1983). The course and prognosis of manic- depressive psychosis: a quantitative analysis of episodes and intervals. The Tohoku Journal of Experimental Medicine, 139, 299-30

22.

Furukawa, T. A., Konno, W., Morinobu, S., Harai, H., Kitamura, T., & Takahashi, K. (2000). Course and outcome of depressive episodes: comparison between bipolar, unipolar and subthreshold depression. Psychiatry Research, 96, 211-220.

23.

Ghaemi, S. N., Boiman, E., & Goodwin, F. K. (2000). Insight and Outcome in Bipolar, Unipolar, and Anxiety Disorders. Comprehensive Psychiatry, 41, 167-171.

24.

Ghaemi, S. N., Lenox, M. S., & Baldessarini, R. J. (2001). Effectiveness and safety of long-term antidepressant treatment in bipolar disorder. The Journal of Clinical Psychiatry, 62, 565-569.

25.

Goldberg, J. F., Harrow, M., & Whiteside, J. E. (2001). Risk for Bipolar Illness in Patients Initially Hospitalized for Unipolar Depression. The American Journal of psychiatry, 158, 1265- 1270.

26.

Goodwin, F. K., Jamison, K. R., & Ghaemi, S. N. (2007). Manic-depressive illness. New York, N.Y.: Oxford University Press.

27.

Hathaway, S. R., & McKinley, J. C. (1942). The Minnesota Multiphasic Personality Schedule. Minneapolis: University of Minnesota Press.

28.

Hirschfeld, R. M. A., Lewis, L., & Vornik, L. A. (2002). Perceptions and Impact of Bipolar Disorder: How Far Have We Really Come? Results of the National Depressive and Manic-Depressive Association 2000 Survey of Individuals With Bipolar Disorder. The Journal of Clinical Psychiatry, 64, 161-174.

29.

Katz, M. M., Robins, E., Croughan, J., Secunda, S., & Swann, A. (1982). Behavioural measurement and drug response characteristics of unipolar and bipolar depression. Open Journal of Medical Psychology, 12, 25-36.

30.

Kessing, L. V., Hansen, M. G., Andersen, P. K., & Angst, J. (2004). The predictive effect of episodes on the risk of recurrence in depressive and bipolar disorders - a life-long perspective. Acta Neurologica Scandinavica. Supplementum, 109, 339-344.

31.

Lish, J. D., Dime, M. S., Whybrow, P. C., Price, R. A. & Hirschfeld, R. M. (1994). The National Depressive and Manic-depressive Association (DMDA) survey of bipolar members. Journal of Affective Disorders, 31, 281.

32.

Myrna M. Weissman, Roger C. Bland, Glorisa J. Canino, Carlo Faravelli, Steven Greenwald, Hai-Gwo Hwu, Peter R. Joyce, Eile G. Karam, Chung-Kyoon Lee, Joseph Lellouch, Jean-Pierre Lépine, Stephen C. Newman, Maritza Rubio-Stipec, J. Elisabeth Wells, Priya J. Wickramaratne, Hans-Ulrich Wittchen, & Eng-Kung Yeh. (1996). Cross-National Epidemiology of Major Depression and Bipolar Disorder. The Journal of the American Medical Association, 276, 293-299.

33.

Nowakowska, C., Strong, C. M., Santosa, C. M., Wang, P. W., & Ketter, T. A. (2005). Temperamental commonalities and differences in euthymic mood disorder patients, creative controls, and healthy controls. Journal of Affective Disorders, 85, 207-215.

34.

Parker, G., Fletcher, K., Barrett, M., Synnott, H., Breakspear, M., Hyett, M., & Hadzi-Pavlovic, D. (2008). Screening for bipolar disorder: The utility and comparative properties of the MSS and MDQ measures. Journal of Affective Disorders, 109, 83-89.

35.

Savitz, J. B., van der Merwe, L., Stein, D. J., Solms, M., & Ramesar, R. S. (2008). Neuropsychological task performance in bipolar spectrum illness: genetics, alcohol abuse, medication and childhood trauma. Bipolar Disorders, 10, 479-494.

36.

Sellbom, M., Bagby, R., M., Kushner, S., Quilty, L. C. & Ayearst, L. E. (2012). Diagnostic construct validity of MMPI-2 Restructured Form (MMPI-2-RF) scale scores. Assessment. 19, 176-86.

37.

Segal, D. L., Hersen, M. & Van Hasselt, V. B. (1994). Reliability of the Structured Clinical Interview for DSM-III-R: an evaluative review. Comprehensive Psychiatry, 35, 316-327.

38.

Strakowski, S. M., Tohen, M., Stoll, A,. Faedda, G. L., Mayer, P. V., Kolbrener, M. L. & Goodwin, D. C. (1993). Comorbidity in psychosis at first hospitalization. The American journal of Psychiatry. 150, 752-757.

39.

Watson, C., Quilty, L., & Bagby, R. (2011). Differentiating Bipolar Disorder from Major Depressive Disorder Using the MMPI-2-RF: A Receiver Operating Characteristics (ROC) Analysis. Journal of Psychopathology and Behavioral Assessment, 33, 368-374.

40.

Wetzler, S., Khadivi, A., & Moser, R. K. (1998). The Use of the MMPI-2 for the Assessment of Depressive and Psychotic Disorders. Assessment, 5, 249-262.

41.

Zimmerman, M., Posternak, M. A., Chelminski, I., & Solomon, D. A. (2004). Using Questionnaires to Screen for Psychiatric Disorders: A Comment on a Study of Screening for Bipolar Disorder in the Community. The Journal of Clinical Psychiatry, 65, 605-610.

42.

Zimmerman, M., Galione, J. N., Chelminski, I., Young, D., & Ruggero, C. J. (2010). Performance of the Bipolar Spectrum Diagnostic Scale in psychiatric outpatients. Bipolar Disorders, 12, 528-538.

한국심리학회지: 일반

논문 투고 OA 정책