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침습적 외상 기억과 외상관련 정서의 종단 관계 연구: 외상 후 6개월 이상 경과된 대학생을 중심으로

A study on longitudinal relationship between intrusive trauma memory and trauma related emotions: Six months after experiencing trauma in undergraduate students

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2015, v.34 no.1, pp.159-183
주혜선 (이화여자대학교)
심기선 (이화여자대학교)
안현의 (이화여자대학교)
  • 다운로드 수
  • 조회수

초록

본 연구에서는 침습적 외상 기억과 외상관련 정서의 종단적 상호관계를 알아보고자 외상 사건 경험 후 6개월 이상 경과한 대학생 집단에서 자기회귀 교차지연 모형을 적용하여 검증하였다. 이를 위해 외상 사건을 경험한 대학생 참가자를 대상으로 1개월 간격으로 네 차례 온라인 설문을 실시하였으며, 이 중 네 차례의 모든 설문에 참여한 178명의 자료를 최종 분석에 사용하였다. 연구 결과, 침습적 외상 기억과 외상관련 정서(공포, 소외감, 배신감, 분노, 수치심, 자기비난)는 모두 시간 경과에 따라 안정적인 것으로 나타났다. 그리고 침습적 외상 기억이 이후 시점의 모든 외상관련 정서에 미치는 영향은 유의하지 않은 것으로 나타났다. 반면 외상관련 정서 중 공포, 소외감, 배신감은 이후 시점의 침습적 외상 기억에 유의미한 영향을 주는 것으로 나타났으며, 분노, 자기비난, 수치심은 유의미한 영향을 주지 않는 것으로 나타났다. 이러한 결과는 외상관련 정서 중 공포, 소외감, 배신감을 높게 느끼는 사람들은 이후 시점에서 외상 기억이 침습적으로 떠오를 가능성이 높다는 것을 의미한다. 본 연구 결과를 토대로 연구의 의의와 제한점에 대하여 함께 논의하였다.

keywords
침습적 외상 기억, 외상관련 정서, 자기회귀 교차지연, 트라우마, 종단 연구., intrusive trauma memory, trauma related emotions, ptsd, ARCL, longitudinal analysis.

Abstract

The purpose of this study was to examine the systematic relationship between intrusive trauma memory and traumna related emotions. Autoregressive Cross-lagged Model (ARCL) was performed to test the longitudinal reciprocal relationship between the two constructs. Results showed that intrusive trauma memory had not a significant effect on trauma related emotions, whereas trauma related emotions(fear, alienation, betrayal) had a significant effect on autobiographical trauma memory. The results of this study implied a focus on trauma related emotions may be important in the counseling process. The limitations of this study were discussed along with suggestions for further research.

keywords
침습적 외상 기억, 외상관련 정서, 자기회귀 교차지연, 트라우마, 종단 연구., intrusive trauma memory, trauma related emotions, ptsd, ARCL, longitudinal analysis.

참고문헌

1.

김인경, 홍혜영 (2013). 복합외상 경험자들의 외상관련 정서와 용서의 관계. 한국심리학회지: 일반, 32(2), 453-487.

2.

김주환, 김민규, 홍세희 (2009). 구조방정식으로 논문쓰기. 서울: 커뮤니케이션북스.

3.

남보라, 권호인, 권정혜 (2010). 한국판 외상 후 스트레스 진단 척도의 신뢰도 및 타당도 연구. 한국심리학회지: 임상, 29(1), 147- 167.

4.

서영석, 조화진, 안하얀, 이정선 (2012). 한국인이 경험한 외상사건: 종류 및 발생률. 한국심리학회지: 상담 및 심리치료, 24(3), 671-701.

5.

안현의 (2005). 청소년의 심리적 외상에 관한 탐색적 연구: 외상 후 스트레스 증상과 성격특성을 중심으로. 한국심리학회지: 상담 및 심리치료, 17(1), 217-231.

6.

안현의, 박철옥, 주혜선 (2012). 외상관련 정서의 확장: 수치심, 죄책감, 분노를 중심으로. 상담학연구, 13(2), 839-854.

7.

장미수 (2011). 한국판 외상정서평가척도 타당화. 이화여자대학교 석사학위 논문.

8.

주혜선, 안현의 (2008). 외상후 위기 체크리스트: 개발 및 타당화 연구. 한국심리학회지: 일반, 27(1), 235-257.

9.

주혜선 (2012). 자서전적 외상 기억 특성에 따른 외상 후 심리적 증상의 차이. 이화여자대학교 박사학위 논문.

10.

주혜선, 안현의 (2013). 자서전적 외상 기억 질문지(ATMQ) 개발 및 타당화. 한국심리학회지: 일반, 32(1), 151-175.

11.

홍세희, 박민선, 김원정 (2007). 인터넷 중독과 부모와의 의사소통 사이의 자기회귀 교차지연 효과 검증: 성별간 다집단 분석. 교육심리연구, 21(1), 129-143.

12.

Andrews, B., Brewin, C. R., Rose, S., & Kirk, M. (2000). Predicting PTSD symptoms in victims of violent crime: The role of shame, anger and childhood abuse. Journal of Abnormal Psychology, 109, 69-73.

13.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

14.

Amstadter, A. B., & Vernon, L. L. (2008). Emotional reactions during and after trauma: A comparison of trauma types. Journal of Aggression, Maltreatment & Trauma, 16(4), 391- 408.

15.

Bandalos, D. L., & Finney, S. J. (2001). Item parceling issues in structural equation modeling. In G. A. Marcoulides & Schumacker, R. E. (Eds.), New Developments and Techniques in Structural Equation Modeling. Hillsdale, N.J: Lawrence Erlbaum Associates.

16.

Berntsen, D., Willert, M., & Rubin, D. C. (2003). Splintered memory or vivid Land marks?: Qualities and organization of traumatic memories with and without PTSD. Applied Cognitive Psychology, 17(6), 675-693.

17.

Bremner, J. D., Southwick, M., Darnell, M. A., & Charney, D. S. (1996). Chronic PTSD in Vietnam combat veterans: Course of illness and substance abuse. American Journal of Psychiatry, 153, 369-375.

18.

Brewin, C. R. (2007). Autobiographical memory for trauma: Update on four controversies. Memory, 15(3), 227-248.

19.

Brewin, C. R., Andrews, B., & Rose, S. (2000). Fear, helplessness, and horror in posttraumatic stress disorder: Investigating DSM-IV criterion A2 in victims of violent crime. Journal of Traumatic Stress, 13(3), 499-509.

20.

Byrne, B. M., Shavelson, R. J., & Muthen, B. (1989). Testing for the equivalence of factor covariance and mean structures: The issue of partial measurement in variance. Psychological Bulletin, 105, 456-466.

21.

Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9(2), 233-255.

22.

Cheung, M. S., Gilbert, P., & Irons, C. (2004). An exploration of shame, social rank and rumination in relation to depression. Personality and Individual Differences, 36, 1143-1153.

23.

Dalgleish, T., & Power, M. J. (2004). The I of the storm-relations between self and conscious emotion experiencd: Comment on Lambie and Marcel (2002). Psychological Review, 111(3), 812-829.

24.

Dekel, S., & Bonanno, G. A. (2013). Changes in trauma memory and patterns of posttraumatic stress. Psychological Trauma: Theory, Research, Practice, and Policy, 5(1), 26-34.

25.

DePrince, A. P., Chu, A. T., & Pineda, A. S. (2011). Links between specific posttrauma appraisals and three forms of trauma-related distress. Psychological Trauma: Theory, Research, Practice, and Policy, 3(4), 430-441.

26.

DePrince, A. P., Zurbriggen, E. L., Chu, A. T., & Smart, L. (2010). Development of the trauma appraisal questionnaire. Journal of Aggression, Maltreatment & Trauma, 19, 275-299.

27.

Ehlers, A. (2010). Understanding and treating unwanted trauma memories in posttraumatic stress disorder. Journal of Psychology, 218(2), 319-345.

28.

Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319-345.

29.

Ehlers, A., Hackmann, A., & Michael, T. (2004). Intrusive reexperiencing in posttraumatic stress disorder. Memory, 12(4), 403-415.

30.

Ehlers, A., Hackmann, A., Steil, R., Clohessy, S., Wenniger, K., & Winter, H. (2002). The nature of intrusive memories after trauma: The warning signal hypothesis. Behaviour Research and Therapy, 40(9), 995-1002.

31.

Ehlers, A., Maercker, A., & Boos, A. (2000). Posttraumatic stress disorder following political imprisonment: The role of mental defeat, alienation, and perceived permanent change. Journal of Abnormal Psychology, 109, 34-55.

32.

Eich, E., & Forgas, J. P. (2003). Mood, Cognition, and Memory. In A. F. Healy & R. W. Proctor (Eds.), Handbook of Psychology: Vol 4: Experimental Psychology. New York: Wiley.

33.

Engelhard, I. M., van den Hout, M. A., & MacNally, R. J. (2008). Memory consistency for traumatic events in Dutch soldiers deployed to Irap. Memory, 16, 3-9.

34.

Farrell, A. D. (1994). Structural equation modeling with longitudinal data: Strategies for examining group differences and reciprocal relationships. Journal of Consulting and Clinical Psychology, 62, 477-487.

35.

Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445-451.

36.

Foa, E. G., & McNally, R. J. (1996). Mechanism of change in exposure therapy. In R. M. Rapee (Ed.). Current controversies in the anxiety disorders. New York: Guilford Press.

37.

Foa, E. G., Steketee, G., & Rothbaum, B. O. (1989). Behavioral/cognitive conceptualizations of posttraumatic stress disorder. Behavior Therapy, 20, 155-176.

38.

Freyd, J. J. (1996). Betrayal trauma: The logic of forgetting childhood abuse. Cambridge, MA: Harvard University Press.

39.

Filipas, H. H., & Ullman, S. E. (2006). Child sexual abuse, coping responses, self-blame, posttraumatic stress disorder, and adult sexual revictimization. Journal of Interpersonal Violence, 21(5), 652-672.

40.

Greenberg, L. S. (2004). Emotion-focused therapy. Clinical Psychology and Psychotherapy, 11, 3-16.

41.

Grey, N., Yong, K., & Holmes, E. (2002). Cognitive restructuring within reliving: A treatment for peritraumatic emotional hotspots in PTSD. Behavioural & Cognitive Psychotherapy, 30, 63-82.

42.

Hackmann, A., Ehlers, A., Speckens, A., & Clark, D. M. (2004). Characteristics and content of intrusive memories in PTSD and their changes with treatment. Journal of Traumatic Stress, 17(3), 231-240.

43.

Halligan, S. L., Michael, T., Clark, D. M., & Ehlers, A. (2003). Posttraumatic stress disorder following assault: The role of cognitive processing, trauma memory, and appraisals. Journal of Consulting and Clinical Psychology, 71(3), 419-431.

44.

Hathaway, L. M., Boals, A., & Banks, J. B. (2010). PTSD symptoms and dominant emotional response to a traumatic event: An examination of DSM-IV criterion A2. Anxiety, Stress & Coping, 23(1), 119-126.

45.

Henderson, D., Hargreaves, I., Gregory, S., & Williams, J. M. G. (2002). Autobiographical memory and emotion in a non-clinical sample of women with and without a reported history of childhood sexual abuse. British Journal of Clinical Psychology, 41, 129-141.

46.

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternative. Structural Equation Modeling, 6, 1-55.

47.

Kelly, L. P., Weathers, F. W., Mason, E. A., & Pruneau, G. M. (2012). Association of life threat and betrayal with posttraumatic stress disorder symptom severity. Journal of Traumatic Stress, 25, 408-415.

48.

Kleim, B., Ehlers, A., & Glucksman, E. (2012). Investigating cognitive pathways to psychopathology: Predicting depression and posttraumatic stress disorder from early responses after assault. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 527- 537.

49.

Krans, J., Naring, G., Becker, E. S., & Homes, E. A. (2009). Intrusive trauma memory: A review and functional analysis. Applied Cognitive Psychology, 23, 1076-1088.

50.

Lee, D. A., Scragg, P., & Turner, S. (2001). The role of shame and guilt in traumatic events: A clinical model of shame-based and guilt- based PTSD. British Journal of Medical Psychology, 74(4), 451-466.

51.

Levine, L. J., & Pizarro, D. A. (2004). Emotions and memory research: A grumpy overview. Social Cognition, 22, 530-554.

52.

Marsh, H. W. (1994). Confirmatory factor analysis models of factorial invariance: A multifaceted approach. Structural Equation Modeling, 1, 5-34.

53.

McGaugh, J. L., & Cahill, L. (2003). Emotion and memory: Central and peripheral contributions. In R. J. Davidson, K. R. Scherer, and H. H. Goldsmith (Eds.), Handbook of affective sciences (pp. 93-116). New York: Oxford University Press.

54.

Paivio, S. C., & Nieuwenhuis, J. A. (2001). Efficacy of emotion focused therapy for adult survivors of child abuse: A preliminary study. Journal of Traumatic Stress, 14, 115-133.

55.

Pennebaker, J. W. (1989). Confession, inhibition, and disease. Advances in Experiemntal Social Psychology, 22, 211-244.

56.

Pitts, S. C., West, S. G., & Tein, J. Y. (1996). Longitudinal measurement models in evaluation research: Examination stability and change. Evaluation and Program Planning, 19, 333-350.

57.

Rauch, S. L., Whalen, P. J., Shin, L. M., Mclnerney, S. C., Macklin, M. L., Lasko, N. B., Orr, S. P., & Pittman, R. K. (2000). Exaggerated amygdala response to masked facial stimuli in posttraumatic stress disorder: a functional MRI stydy. Biol Psychiatry, 47, 769-776.

58.

Reisberg, D., & Heuer, F. (2004). Memory for emotional events. In D. Reisberg & P. Hertel (Eds.), Memory and emotion. New York: Oxford University Press.

59.

Roemer, L., Orsillo, S. M., Borkovec, T. D., & Litz, B. T. (1988). Emotional response at the time of a potentially traumatizing event and PTSD symtomatology: A preliminary retrospective analysis of the DSM-IV Criterion A-2. Journal of Behavior Therapy and Experimental Psychiatry, 29, 123-130.

60.

Rubin, D. C., Berntsen, D., & Bohni, M. K. (2008). A memory-based model of posttraumatic stress disorder: Evaluating basic assumptions underlying the PTSD diagnosis. Psychological Review, 115(4), 985-1011.

61.

Rubin, D. C., Boals, A., & Berntsen, D. (2008). Memory in posttraumatic stress disorder: Properties of voluntary and involuntary, traumatic and nontraumaitc autobiographical memories in people with and without posttraumatic stress disorder symptoms. Journal of Experimental Psychology: General, 137, 591- 614.

62.

Selig, J. P., & Little, T. D. (2012). Autoregressive and cross-lagged panel analysis for longitudinal data. In B. Laursen, T. D., Little, & N. A. Card (Eds.), Handbook of developmental research methods (pp. 265-278). New York, NY: Guilford.

63.

Speckens, A. E. M., Ehlers, A., Hackmann, A., Ruths, F. A., & Clark, D. M. (2007). Intrusive memories and rumination in patients with post-traumatic stress disorder: A phenomenological comparison. Memory, 15(3), 249-257.

64.

Talarico, J. M., LaBar, K. S., & Rubin, D. C. (2004). Emotional intensity predicts autobiographical memory experience. Memory & Cognition, 32, 1118-1132.

65.

Taris, T. W. (2002). A primer in longitudinal data analysis. Thousands Oaks, CA: Sage.

66.

Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrica, 38, 1-10.

67.

Ullman, S. E., & Najdowski, C. J. (2011). Prospective changes in attributions of self- blame and social reactions to women’s disclosures of adult sexual assault. Journal of Interpersonal Violence, 26, 1934-1962.

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