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The relationship between hostility and obsessive-compulsive symptoms: Focused on the moderating effect of impulsivity

적대성과 강박증상과의 관계: 충동성의 조절역할을 중심으로

  • Choi, Hyera (Department of Counseling Psychology, Seoul Cyber University)
  • 최혜라 (서울사이버대학교 상담심리학과)
  • Received : 2017.12.05
  • Accepted : 2018.01.05
  • Published : 2018.01.31

Abstract

This study examined the relationship between hostility and obsessive-compulsive symptoms to clarify the differential role of overt hostility and covert hostility on obsessive-compulsive symptoms. In addition, this study examined whether impulsivity has a moderating effect on the relationship between hostility measures and obsessive-compulsive symptoms. The Buss Durkee Hostility Inventory (BDHI), Revised Obsessive Compulsive Inventory (OCI-R), and Barratt Impulsivity Scale (BIS) were used to measure hostility, obsessive-compulsive symptoms, and impulsivity, respectively. Data were collected from 150 online university students and analyzed using the correlation and moderated multiple regression model. The result showed that overt hostility was positively correlated with obsessive thoughts; covert hostility was positively correlated with obsessive thoughts and compulsive behavior. In addition, the regression results, which set the hostility variables as the predicting variable, revealed covert hostility to increase obsessive thinking and compulsive behavior, whereas overt hostility had no significant effect on both variables. Impulsivity was found to function as a moderator in the prediction of covert hostility on obsessive thought. With the result, the implications and limitations of this study are discussed.

본 연구를 통하여 적대성과 강박증상의 관계를 알아보고, 특히 외현적 적대성과 내현적 적대성이 강박증상에 대해 차별적인 영향을 갖는지 밝히고자 하였다. 아울러 적대성이 강박증상에 대해 끼치는 영향에 있어서 충동성이 조절효과를 갖는지도 검증하고자 했다. 150명의 온라인 학생을 대상으로 Buss Durkee Hostility 척도, 강박증상 척도 개정판, 바렛 충동성 척도를 실시하여 적대성, 강박증상, 충동성을 각각 측정하였다. 150명의 온라인 대학생의 자료를 수집하여 이 자료에 대해 상관과 조절다중회귀 모형을 분석하였다. 그 결과 외현적 적대성과 강박행동간의 상관이 유의미하였고 강박사고는 외현적 적대성 및 내현적 적대성과 모두 유의미한 상관을 나타냈다. 회귀분석을 한 결과 내현적 적대성이 강박사고와 강박행동을 증진시키는 효과가 있었다. 내현적 적대성이 강박증상에 영향을 끼치는 관계에 있어서 충동성이 조절 변수로서 기여하는 역할을 확인한 분석 결과, 충동성은 내현적 적대성이 강박 사고에 미치는 영향에 있어서만 조절역할을 하였고 외현적 적대성의 영향에서는 유의미한 조절역할을 하지 않는 것으로 나타났다. 이러한 결과를 바탕으로 하여 연구의 함의와 제한점에 대해 논하였다.

Keywords

References

  1. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders", American Psychiatric Publisher, p. 296, 2013.
  2. E. Hollander, S. Greenwald, D. Neville, J. Johnson, C. D. Hornig, M. M. Weissman, "Uncomplicated and comorbid obsessive-compulsive disorder in an epidemiologic sample", Depression and Anxiety, vol. 4. pp. 111-119, 1996-1997 DOI: https://doi.org/10.1002/(SICI)1520-6394(1996)4:3<111::AID-DA3>3.0.CO;2-J
  3. B. R. Aronowitz, E. Hollander, C. DeCaria, & L. Cohen, L, "Neuropsychology of obsessive-compulsive disorder: Preliminary findings", Neuropsychiatry, Neuropsychology, and Behavioral Neurology, vol. 7, pp. 81-86, 1994.
  4. O. J. Bienvenu, J. F. Samuels, M. A. Riddle, R. Hoehn-Saric, & K. Y. Liang, & B. A. Cullen, "The relationship of obsessive-compulsive disorder to possible spectrum disorders: results from a family study", Biological Psychiatry, vol. 48, pp. 287-93. 2000. DOI: https://doi.org/10.1016/S0006-3223(00)00831-3
  5. S. R. Chamberlain, A. D. Blackwell, N. A. Fineberg, T. W. Robbins, & B. J. Sahakian, "The neuropsychology of obsessive compulsive disorder: the importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers" Neuroscience & Biobehavioral Reviews, vol. 29, pp. 399-419. 2005. DOI: https://doi.org/10.1016/j.neubiorev.2004.11.006
  6. S. R. Chamberlain, N. A. Fineberg, L. A. Menzies, A. D. Blackwell, E. T. Bullmore, T. W. Robbins, & B. J. Sahakian. "Impaired cognitive flexibility and motor inhibition in unaffected first-degree relatives of patients with obsessive-compulsive disorder", American Journal of Psychiatry, Vol 164, pp. 335-338, 2005. DOI: https://doi.org/10.1176/ajp.2007.164.2.335
  7. S. Moritz, S. Kempke, P., Luyten, S, Randjbar, & L. Jelinek, "Was Freud partly right on obsessive- compulsive disorder (OCD)? Investigation of latent aggression in OCD", Psychiatry Research, vol. 187, pp. 180-184, 2010. DOI: https://doi.org/10.1016/j.psychres.2010.09.007
  8. L. Salzman L. "The obsessive personality: origins, dynamics and therapy" pp.442-443, Science House, 1968.
  9. D. W. Krueger "On compulsive shopping and spending: A psychodynamic inquiry", American Journal of Psychotherapy, vol. 42, pp. 574-584, 1988.
  10. J. C. Perry, "Defense Mechanism in Impulsivity and Compulsivity", In Oldham, J.M., Hollander, E., & Skodol, A.E(Ed.), Impulsivity and Compulsivity, American Psychiatric Press, pp. 195-230, 1996.
  11. Lee, H. J., & Kwon, S. M. "Two different types of obsession: Autogenous obsessions and reactive obsessions", Behaviour Research & Therapy, vol. 41, pp. 11-29, 2003. DOI: https://doi.org/10.1016/S0005-7967(01)00101-2
  12. D. J. Stein, E. Hollander, C. Decaria, & S. Trungold, "OCD: a disorder with anxiety, aggression, impulsivity, and depressed mood", Psychiatric Research, vol. 36, pp. 237-239, 1991. DOI: https://doi.org/10.1016/0165-1781(91)90135-C
  13. B. J. Bushman, H. M. Cooper, K. M. Lemke, "Meta-analysis of factor analysis: An illustration using the Buss-Durkee hostility inventory", the Society for personality and social psychology, vol. 17, pp. 344-349, 1991. https://doi.org/10.1177/0146167291173015
  14. M. A. Besharat, Z. S. Kamali, "Predicting obsessions and compulsions according to superego and ego characteristics: A comparison between scrupulosity and non-religious obsessive-compulsive symptoms", Asian Journal of Psychiatry, vol. 19, p 73-78, 2016. DOI: https://doi.org/10.1016/j.ajp.2016.01.003
  15. O. Fenichel, "the Psychoanalytic review of neurosis". Routledg, 1946.
  16. M. T. Moore, & D. M. Fresco, "Depressive realism: A Meta-analytic review", Clinical Psychology Review, vol. 32. pp. 496-509, 2012. https://doi.org/10.1016/j.cpr.2012.05.004
  17. S. Moritz, K. Wahl, A. Ertle, L. Jelinek, M. Hauschildt, R. Klinge, I. Hand, "Neither saints nor wolves in disguise ambivalent interpersonal attitudes and behaviors in obsessive-compulsive disorder" Behavioral Modification, vol. 33, pp. 274-292, 2009. DOI: https://doi.org/10.1177/0145445508327444
  18. M. T. Williams, S. G. Farris, E. Turheimer, A. Pinto, K. Ozanick, M. E. Franklen, M. Liebowitz, H. B. Simpson, & E. B. Foa, "Myth of the pure obsessional type in obsessive-compulsive disorder", Depression and Anxiety, vol. 28, pp. 495-500, 2011. DOI: https://doi.org/10.1002/da.20820
  19. D. G. Millar, "Hostile emotion and obsessional neurosis", Psychological medicine, vol. 13, pp. 813-819, 1983. DOI: https://doi.org/10.1017/S0033291700051527
  20. R. Hoehn-Saric, V. C. Barksdale, "Impulsivity scores in patients with obsessive-compulsive patients", British Journal of Psychiatry, vol. 143, pp. 177-182, 1983. DOI: https://doi.org/10.1192/bjp.143.2.177
  21. D. J. Stein, E. Hollander, D. Simeon, L. Cohen, "Impulsivity scores in patients with obsessivecompulsive disorder, Journal of Nervous and Mental Disease, vol. 182, pp. 240-241, 1994. DOI: https://doi.org/10.1097/00005053-199404000-00009
  22. S. P. Whiteside, & J. S. Abramowitz, "The expression of anger and its relationship to symptoms and cognitions in obsessive-compulsive disorder", Depression and Anxiety, vol. 21, pp. 106-111, 2005. DOI: https://doi.org/10.1002/da.20066
  23. A. S. Radomsky, A. R. Ashbaugh, L. A. Gelfand, "Relationships between anger, symptoms, and cognitive factors in OCD checkers", Behavioral Research and Therapy, vol. 45, pp. 2712-2725, 2007. DOI: https://doi.org/10.1016/j.brat.2007.07.009
  24. H. Y. Choi & M. S. Shin, "The Anger-pattern of OCD patient in MMPI-2 and Rorschach Test", The Korean Journal of Psychology, vol. 27, pp. 505-522, 2008.
  25. P. Ekman, W. V. Wallace, M, O'Sullivan, A. Chan, I. Diacoyanni-Tarlatzis, K. Heider, R. Krause, W. A. Lecompte, T. Pitcairn, P. E. Ricci-Bitti, K. Scherer, M. Tomita, & A. Tzavaras, "Universals and cultural differences in the judgments of facial expressions of emotion", Journal of Personality and Social Psychology, Vol 53, pp. 712-717, 1987. DOI: https://doi.org/10.1037/0022-3514.53.4.712
  26. J. M. Ramirez & J. M. Andreu, "Aggression, and some related psychological constructs (anger, hostility, and impulsivity) Some comments from a research project", Neuroscience & Biobehavioral Reviews, vol. 30, pp. 276-29, 2006. DOI: https://doi.org/10.1016/j.neubiorev.2005.04.015
  27. K. M. Lagerspetz, K. Bjorkqvist, & T. Peltonen, "Is indirect aggression typical of females? Gender differences in aggressiveness in 11-to 12-year-old children", Aggressive Behaviors, vol. 14, pp. 403-414, 1988. DOI: https://doi.org/10.1002/1098-2337(1988)14:6<403::AID-AB2480140602>3.0.CO;2-D
  28. R. B. Cairns, B. D. Cairns, H. J. Neckeman, L. L. Ferguson, J. L. Gariepy, "Growth and aggression : 1. Childhood to early adolescence", Developmental Psychology, vol. 25, pp. 320-330, 1989. DOI: https://doi.org/10.1037/0012-1649.25.2.320
  29. A. H. Buss, & a. Durkee, A, "An inventory for assessing different kinds of hostility", Journal of Consulting Psychology, vol. 21, pp. 343-349, 1957. DOI: https://doi.org/10.1037/h0046900
  30. J. Samuels, G. Nestadt, O. J. Bienvenu, P. T. Costa, M. A. Riddle, K. Y. Liang, R. Hoehn-Saric, M. A. Grados, B. A. Cullen, "Personality disorders and normal personality dimensions in obsessive-compulsive disorder", The British Journal of Psychiatry vol. 177, pp. 457-462, 2000. DOI: https://doi.org/10.1192/bjp.177.5.457
  31. M. H. Freeston, R. Ladouceur, "What do patients do with their obsessive thoughts?", Behaviour Research and Therapy, vol. 35, pp. 335-348, 1997. DOI: https://doi.org/10.1016/S0005-7967(96)00094-0
  32. P. G. Enticott, J. R. Ogloff, & J. L> Bradshaw, "Associations between laboratory measures of executive inhibitory control and self-reported impulsivity", Personality and Individual Differences, vol. 41, pp. 285-294, 2006. DOI: https://doi.org/10.1016/j.paid.2006.01.011
  33. Y. R. Ferrao, V. P. Almeida, N. R.edin, N. R. Ellis, & B. D'Arrigo, "Impulsivity and compulsivity in patients with trichotillomania or skin picking compared with patients with obsessive-compulsive disorder", Comprehensive Psychiatry, vol. 47, pp. 282-288, 2006. DOI: https://doi.org/10.1016/j.comppsych.2005.11.005
  34. J. E. Grant, M. C. Mancebo, A. Pinto, J. L. Eisen, & S. A. Rasmussen, "Impulse control disorders in adults with obsessive compulsive disorder", Journal of Psychiatric Research, vol. 40, pp. 494-501, 2006. DOI: https://doi.org/10.1016/j.jpsychires.2005.11.005
  35. N. C. Raymond, E. Coleman, & M. H. Miner, "Psychiatric comorbidity and compulsive/impulsive traits in compulsive sexual behavior", Comprehensive Psychiatry, vol. 44, pp. 370-380, 2003. DOI: https://doi.org/10.1016/S0010-440X(03)00110-X
  36. L. J. Summerfeldt, K. Hood, M. M. Antony, M. A. Richter, P. Swinson, "Impulsivity in obsessivecompulsive disorder: comparisons with other anxiety disorders and within tic-related subgroups", Personality and Individual Differences, vol. 36, pp. 539-553, 2004. DOI: https://doi.org/10.1016/S0191-8869(03)00113-2
  37. P. Alonse, J, M. Menchon, S. Jimenez, J. Segalàs, D. Mataix-Cols, N. Jaurrieta, J. Labad, J. Vallejo, N. Cardoner, J. Pujol, "Personality dimensions in obsessive-compulsive disorder: relation to clinical variables", Psychiatry Research, vol. 157, pp. 159-168, 2008. DOI: https://doi.org/10.1016/j.psychres.2006.06.003
  38. H. Tavares, & V. Gentil, "Pathological gambling and obsessive-compulsive disorder: towards a spectrum of disorders of volition", vol. 29, pp. 107-117, 2007. https://doi.org/10.1590/S1516-44462007000200005
  39. K. D. Wu, L. A. Clark, D. Watson, "Relations between Obsessive-Compulsive Disorder and personality: beyond Axis I-Axis II comorbidity", vol. 20, pp. 695-717, 2006.
  40. G. Shoval, G. Zalsman, L. Sher, A. Apter, A. Weizman, "Clinical characteristics of inpatient adolescents with severe obsessive-compulsive disorder", Depression and Anxiety, vol. 23, pp. 62-70, 2006. DOI: https://doi.org/10.1002/da.20135
  41. M. A. Richter, L. J. Summerfeldt, R. T. Joffe, R. P. Swinson, "The Tridimensional Personality Questionnaire in obsessive-compulsive disorder", Psychiatry Research, vol. 65, pp. 185-188, 1996. DOI: https://doi.org/10.1016/S0165-1781(96)02944-7
  42. A. N. Noh, & K. J. Hong, "The Effects of Assertive Training on the Reduction of Aggression and Anxiety in Juvenile Delinquents", Korean Journal of Psychology, vol. 4, pp. 19-31, 1983.
  43. J. S. Lim, S. J. Kim, W. T. Jeon, K. R. Cha, J. H. Park, C. H. Kim, "Reliability and validity of the Korean version of o bsessive-Compulsive inventory-Revised in a non-clinical sample", Yonsei Medical Journal, vol. 49, pp. 909-916, 2008. DOI: https://doi.org/10.3349/ymj.2008.49.6.909
  44. J. H. Patton, M. S. Stanford, E. S. Barratt. "Factor structure of the Barratt impulsiveness scale", Journal of Clinical Psychology, vol. 51, 768-774, 1995. DOI: https://doi.org/10.1002/1097-4679(199511)51:6 <768::AID-JCLP2270510607>3.0.CO;2-1
  45. Hollander, E., Kim, S., Braun, A., Simeon, D., & Zohar, J. (2009). Cross-cutting issues and future directions for the OCD spectrum, Psychiatry Research, 170(1), 3-6. DOI: https://doi.org/10.1016/j.psychres.2008.07.015
  46. E. Gorbis, J. O'Neill, J. Sterner, J. Yip, & C. Molnar, "Mindfulness-based behavioral therapy(MBBT) for OCD" Available From: http://www.hope4ocd.com/downloads/OCF2007_MBBT.pdf (accessed Nov., 20, 2017)
  47. D. S. Shannahoff-Khalsa, L. E. Ray, S. Levine & C. C. Gallen, "Randomized Controlled Trial of Yogic Meditation Techniques for Patients With Obsessive- Compulsive Disorder", CNS Spectrum, vol. 4, pp. 34-47, 2014. DOI: https://doi.org/10.1017/S1092852900006805