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고통 감내력과 심리장애: 경험적 연구 개관

Distress Tolerance and Psychological Disorders:A Review of the Empirical Literature

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2015, v.34 no.2, pp.397-427
서장원 (서울대학교)
권석만 (서울대학교)
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초록

고통 감내력은 다양한 심리장애의 위험요인으로 주목받고 있는 구성개념이다. 이 개념이 제안된 이후로 많은 양의 경험적 연구들이 실시되었으나, 이러한 연구들을 포괄적으로 개관한 연구는 매우 적었다. 비교적 최근에 수행된 개관연구도 고통 감내력과 다른 유사한 개념들의 관계를 탐색한 연구들이나 다양한 심리장애와의 관계에 대한 연구들을 충분히 검토하지 않았다는 한계를 가지고 있다. 따라서 본 연구에서는 이러한 연구들을 포함하는 좀 더 포괄적인 개관 연구를 실시하고자 했다. 이를 달성하기 위해 우선 고통 감내력의 주요이론들을 살펴보면서 각 이론들의 핵심적인 특징을 비교하였으며, 대표적인 측정도구들의 특징을 구체적으로 살펴보았다. 다음으로는 고통 감내력과 유사한 다른 구성개념들과의 관계 분석 연구들을 검토하면서 고통 감내력이 다른 구성개념들과 어떻게 구별되는지를 확인하였다. 마지막으로 심리장애와 고통 감내력의 관계에 대한 연구들을 검토하면서 심리장애에서 고통 감내력이 수행하는 역할에 대해 살펴보았다. 현재까지 수행된 고통 감내력 연구들의 한계를 살펴보고 향후 연구 방향을 제시하였다

keywords
distress, distress tolerance, distress tolerance measures, psychological disorders, abnormal behaviors, 고통, 고통 감내력, 고통 감내력 측정도구, 심리장애, 이상행동

Abstract

Distress tolerance is a risk factor to various psychological disorders and numerous empirical studies have focused on evaluating this concept. However, there have been only a few comprehensive reviews of the extant empirical literature studied the concept and most recent literature reviews neither explored the relationships between distress tolerance and other similar constructs, nor included studies examining the role of distress tolerance in the development and maintenance of psychological disorders. This study is conducted to comprehensively examine distress tolerance with the consideration of the previously mentioned issues. In order to achieve this objective, this study reviewed main theories of distress tolerance and compared main arguments of those theories. Further, this study analyzed various measures of distress tolerance and incorporated the studies of the relationships between distress tolerance and other variants in the comparative analyses. This study provides a better understanding of the distress tolerance role in psychological disorders by examining the relationships between distress tolerance and various forms of psychological disorders. In conclusion, this study proposes future directions of the empirical studies on distress tolerance and psychological disorders as discussing the limitations of the previous studies.

keywords
distress, distress tolerance, distress tolerance measures, psychological disorders, abnormal behaviors, 고통, 고통 감내력, 고통 감내력 측정도구, 심리장애, 이상행동

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