정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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MMPI-2-RF로 살펴본 불안장애, 우울장애, 불안장애와 우울장애 공병 환자군의 임상적 특성

Comparison of Clinical Characteristics among Anxiety Disorder, Depressive Disorder, and Co-morbid of Anxiety Disorder and Depressive Disorder with MMPI-2-RF

  • 이주연 (한양대학교 구리병원 정신건강의학과) ;
  • 최준호 (한양대학교 구리병원 정신건강의학과) ;
  • 김은경 (한양대학교 구리병원 정신건강의학과)
  • Lee, JuYeon (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Choi, Junho (Department of Psychiatry, Hanyang University Guri Hospital) ;
  • Kim, Eunkyeong (Department of Psychiatry, Hanyang University Guri Hospital)
  • 투고 : 2019.11.07
  • 심사 : 2020.01.29
  • 발행 : 2020.06.30
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초록

연구목적 본 연구는 불안장애, 우울장애, 불안장애와 우울장애를 공병으로 지닌 환자군의 심리적 특성을 탐색하기 위해 시행되었다. 방 법 2017년 1월부터 2019년 5월까지 한양대학교 구리병원 정신건강의학과에 내원 및 입원하여 심리평가를 진행한 환자들 중 정신건강의학과 전문의 혹은 임상심리사에 의해 DSM-5에 근거하여 불안장애, 우울장애, 불안장애와 우울장애를 공병으로 진단받은 환자를 대상으로 이루어졌다. 참가자들이 실시한 MMPI-2를 연구자들이 RF로 변환한 뒤 SPSS를 활용하여 집단 간 차이에 대하여 검증하였다. 결 과 MMPI-2-RF의 결과 EID, RC2, HLP, SAV, INTR-r가 공병 집단에서 가장 높았다. 또한 BXD, RC4, JCP, AGGR-r가 우울 집단에서 가장 높았다. 결 론 공병 집단은 단일 집단에 비하여 낮은 긍정 정서와 무력감 등과 같은 우울 증상, 사회적 회피 및 불편감과 같은 내면화 증상이 더 심각한 수준으로 나타났다. 또한 우울 집단은 불안 집단과 공병 집단에 비해 분노감과 공격성과 같은 외현화 증상이 더 많은 것으로 밝혀졌다. 이러한 연구 결과를 토대로 본 연구의 의의와 제한점에 대하여 논의하였다.

Objectives : The purpose of this study was to explore comparison of clinical characteristics among Anxiety disorder, Depressive disorder, and Co-morbid of Anxiety disorder and Depressive disorder. Methods : Since January, 2017 to May, 2019, patients were recruited from the department of psychiatry of Hanyang University Guri Hospital. Participants were diagnosed Anxiety disorder, Depressive disorder, and Co-morbid of Anxiety disorder and Depressive disorder using DSM-5 criteria by board certified psychiatrists or clinical psychologists. And each of participants tested with MMPI-2 and clinical psychologists were converted MMPI-2 to MMPI-2-RF. The data were analyzed using SPSS 18.0. Results : The results indicated EID, RC2, HLP, SAV, and INTR-r were the highest in Co-morbid of Anxiety disorder and Depressive disorder group. And BXD, RC4, JCP, and AGGR-r were the highest in Depressive disorder group. Conclusions : The results indicated that Co-morbid of Anxiety disorder and Depressive disorder group were more severe internalizing dysfunction like lower positive emotion, helplessness, social avoidance and discomfort than single-diagnosed group. Single Depressive disorder group were more serious externalizing dysfunction like anger and aggression than single Anxiety disorder and Co-morbid of Anxiety disorder and Depressive disorder. The implications and limitations were discussed.

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