Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Differences of Personality Characteristics According to the Suicide Symptoms in Patients with Depression

우울증 환자에서 자살 증상 유무에 따른 성격 특성의 차이에 관한 연구

  • Choi, Yong Lak (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Oh, Mi Ae (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Lee, Sang Min (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Kim, Jong Woo (Department of Psychiatry, Kyung Hee University Hospital) ;
  • Kang, Won Sub (Department of Psychiatry, Kyung Hee University Hospital)
  • 최용락 (경희대학교병원 정신건강의학과) ;
  • 오미애 (경희대학교병원 정신건강의학과) ;
  • 이상민 (경희대학교병원 정신건강의학과) ;
  • 김종우 (경희대학교병원 정신건강의학과) ;
  • 강원섭 (경희대학교병원 정신건강의학과)
  • Received : 2019.09.23
  • Accepted : 2019.11.01
  • Published : 2019.12.31
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Abstract

Objectives : The purpose of this study was to examine personality traits associated with suicidal symptoms (with history of suicide attempt or suicidal idea) in depressed patients. Methods : A sample 186 patients diagnosed with major depressive disorder was divided into two groups : suicidal group (with history of suicide attempt or suicidal idea, n=70) and non-suicidal group (without history of suicide attempt or suicidal idea, n=116). NEO Personality Assessment System were used to evaluate personality trait. Results : Neuroticism was high in suicidal group (p=0.041). In multivariate logistic regression, Neuroticism was also a significant influence on suicidal symptoms (Odds Ratio=1.04, 95% Confidence Interval 1.01-1.07, p=0.0145). Conclusions : High Neuroticism is a useful information to identify individuals at high risk of suicide in depressive patients.

연구목적 성격 5요인설을 기반으로 한 성격 특성 평가 도구인 NEO 성격검사를 이용해 우울증 환자 내에서 자살 증상(과거 자살 시도 또는 자살 사고)의 유무에 따라 성격 특성의 차이를 보이는지 분석하고자 하였다. 방 법 일 대학병원 정신건강의학과에서 외래 또는 입원치료를 받은 환자 중 우울증으로 진단된 186명의 의무기록을 조사하여 자살 증상군 70명과, 대조군 116명으로 분류하였다. NEO 성격검사를 사용하여 두 집단의 성격 특성의 차이를 비교하였다. 결 과 자살 증상군에서 신경증(Neuroticism)이 높았으며(p=0.041) 나이, 성별, 결혼 상태, 교육수준, 과거 입원 치료 병력 등을 보정한 다변량 로지스틱 회귀 분석에서도 신경증은 자살 증상에 유의한 영향을 주는 변수였다(Odds Ratio=1.04, 95% Confidence Interval 1.01~1.07, p=0.0145). 결 론 정높은 신경증은 우울증 환자 내에서 자살 위험이 높은 개인을 식별하는데 유용한 정보로 자살 예방에 있어 효율적인 의사결정을 돕는 지표로서의 활용 가능성이 시사된다.

Keywords

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