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신경증 외래 환자 집단에서 사회적 배척과 자살 사고와의 관계 및 우울의 매개효과 검증

Relationship between Social Exclusion and Suicidal Ideation, and Mediating Effect of Depression in Neurotic Outpatients

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2014, v.33 no.1, pp.1-24
이흥표 (대구사이버대학교)
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초록

본 연구에서는 신경증 외래 환자군을 대상으로 하여 사회적 배척과 자살사고와의 관계 및 우울의 매개 효과를 검증하였다. 대상군은 신경증 외래 환자 97명이었다. 사회적 배척은 고립, 모욕, 괴롭힘 배척의 세 가지 요인으로 구분하였으며 고립 배척이 모욕이나 괴롭힘 배척에 비해 자살사고에 미치는 부정적 영향이 가장 클 것이라고 가정하였다. 연구 결과, 사회적 배척은 자살사고에 유의한 영향을 미치고 있었으며 고립 배척이 모욕이나 괴롭힘 배척에 비해 자살사고에 미치는 영향이 높았다. 또한 우울의 매개 효과를 검증한 결과, 사회적 배척 및 고립 배척이 자살사고에 미치는 직접 효과는 유의하지 않았으며 우울의 매개 효과만이 유의하였다. 이러한 결과와 관련하여 본 연구 결과의 의미와 시사점 및 제한점을 논의하였다.

keywords
social exclusion, isolation exclusion, suicidal ideation, depression, mediating effect, 사회적 배척, 고립 배척, 자살사고, 우울, 매개효과

Abstract

In this study, the impact of social exclusion on suicidal ideation and mediation effect of depression were verified in neurotic outpatients. The subject group was 97 neurotic patients. Social exclusion was divided into three factors of isolation, insult, and bullying exclusion, and negative impact of isolation exclusion on suicidal ideation was assumed to be bigger than insult or bullying exclusion. As a result, social exclusion had a significant impact on suicidal ideation, especially impact of isolation exclusion on suicidal ideation was more significant compared to the insult or bullying exclusion. Also we investigated the mediating effect of depression. Depression was a very significant mediating variable, but the direct impacts of social exclusion and isolation exclusion on suicide ideation were not significant. The implications and limitations of this study were discussed with regard to the results.

keywords
social exclusion, isolation exclusion, suicidal ideation, depression, mediating effect, 사회적 배척, 고립 배척, 자살사고, 우울, 매개효과

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