정신장애와 자살행동 간 관계에서 행복도의 조절효과 = The moderating effect of happiness on the relation between mental disorders and suicidal behavior

다국어 초록 (Multilingual Abstract)

The purpose of present study is to examine the moderating effect of happiness on the relation between mental disorders and suicidal behavior. The participants were 1165 college students (652 males, 513 females) in Seoul. They were administered the Korean Mental Disorder Inventory (K-MDI), the Suicidal Behavior Questionnaire-Revised (SBQ-R), and the Concise Measure of Subjective Well-Being (COMOSWB). The results showed significant moderating effects of happiness on the relation between mental disorders and suicidal behavior. In particular, the effects of happiness enhancement on reducing the possibility of suicidal behavior were greater for the group with mental disorders than the group without mental disorders. Based on these findings, it was suggested that, even for those with more severe mental disorders, suicide prevention programs should include the efforts to enhance happiness as well as therapeutic intervention aimed at reduction of mental illnesses.

국문 초록 (Abstract)

본 연구의 목적은 정신장애와 자살행동 간 관계에서 행복도의 조절효과를 검증하는 것이다 이를 위해 서울 소재 한 대학의 재학생 1165명(남자 652명과 여자 513명)에게 한국형 정신장애 척도(Korean Mental Disorder Inventory; K-MDI), 자살행동 척도(Suicidal Behavior Questionnaire-Revised; SBQ-R), 그리고 단축형 행복 척도(Concise Measure of Subjective Well-Being; COMOSWB)를 실시하였다. 그 결과 정신장애와 자살행동 간 관계에서 행복도는 유의미한 조절효과를 나타냈다. 특히 낮은 수준의 정신장애 집단에 비해 높은 수준의 정신장애 집단에서 행복감 증진이 자살행동의 가능성을 낮추는 효과가 더 큰 것으로 나타났다. 이러한 결과에 기초하여 자살예방을 위한 심리학적인 개입과정에서 낮은 수준의 정신장애 집단뿐만 아니라 높은 수준의 정신장애 집단에 대해서도 행복감을 증진시키는 것의 중요성이 논의되었다.

참고문헌 (Reference)

1 이혜선, "한국판 자살생각척도(K-BSI)의 타당화 연구" 한국임상심리학회 28 (28): 1155-1172, 2009

2 임영진, "한국인의 행복 및 정신건강 지수: 한국인의 정신건강" 2010

3 구재선, "한국인, 누가 언제 행복한가" 한국사회및성격심리학회 25 (25): 143-166, 2011

4 박광배, "변량분석과 회귀분석" 학지사 2003

5 Maddux, J. E., "Toward a positive clinical psychology: Deconstructing the illness ideology and constructing an ideology of human strengths and potential, In Positive psychology in practice" Wiley 320-334, 2004

6 Osman, A., "The suicidal behaviors questionnaire revised (SBQ-R): validation with clinical and nonclinical samples" 8 : 443-454,

7 Nelson, R. E., "The power to prevent suicide: A guide for teens helping teens" Free Spirit Publishing 2006

8 Christensen, H., "The internet and mental health literacy" 34 : 975-979, 2000

9 Hales, R. E., "The American Psychiatric Publishing textbook of clinical psychiatry (4th ed.)" American Psychiatric Press 1459-1463, 2003

10 Frazier, P. A., "Testing moderator and mediator effects in counseling psychology" 51 : 115-134, 2004

11 American Association of Suicidology, "Survivors of suicide factsheet" Author 2004

12 Keyes, C. L. M., "Promoting and protecting mental health as flourishing: A complementary strategy for improving national mental health" 62 : 95-108, 2007

13 Keyes, C. L. M., "Mental illness and/or mental health? Investigating axioms of the complete state model of health" 73 : 539-548, 2005

14 Jorm A. F., "Mental health literacy: A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment" 166 : 182-186, 1997

15 Henriksson, M. M., "Mental disorders and comorbidity in suicide" 150 : 935-940, 1993

16 Seligman, Martin E. P., "Flourish: A Visionary New Understanding of Happiness and Well-being" Free Press 2011

17 Keyes, C. L. M., "Complete mental health: An agenda for the 21st century, In Flourishing: Positive psychology and the life well-lived" American Psychological Association 293-312, 2003

18 통계청, "2011년 사망 및 사망 원인 통계 결과" 통계청 2011