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      경계성 인격장애 환자의 마음헤아리기치료 효과 : 중간분석에 대한 예비보고 = Effectiveness of Korean Mentalization Based Treatment in Patients with Borderline Personality Disorder : Preliminary Report on Interim Analysis

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      다국어 초록 (Multilingual Abstract)

      Objectives The treatment of borderline personality disorder (BPD) in Korea has been based mainly on individual psychopharmacotherapy and psychotherapy. No quantitative study has examined the effectiveness of group psychotherapy for patients with BPD i...

      Objectives The treatment of borderline personality disorder (BPD) in Korea has been based mainly on individual psychopharmacotherapy and psychotherapy. No quantitative study has examined the effectiveness of group psychotherapy for patients with BPD in Korea. In the present study, the mentalization-based treatment (MBT) program developed from the Anna Freud Center in London was conducted in the author’s hospital. This article presents the results of a preliminary analysis of the treatment effects of the Korean MBT for BPD. Methods The recruited subjects are patients diagnosed with BPD at Gangnam Severance Hospital. A psychological assessment was conducted at baseline and every six months during the treatment. Statistical analysis was performed using the data of 62 people at the baseline assessment, and the treatment effectiveness was analyzed with the data from 21 people who participated in the treatment group over six months. Results Borderline personality features were positively correlated with depressive symptoms, anxious attachment, avoidant attachment, and novelty seeking trait, and negatively correlated with self-directedness. After the 12-month treatment, the depressive symptoms and self-disclosure scores were improved significantly. In addition, the self-directedness, cooperativeness factor scores of the temperament and character inventory, and the self-regulation ability score of the resilience scale were also improved significantly. Conclusion This study suggests that the Korean MBT can improve depressive symptoms and induce positive changes in personality functioning. Although the number of people who continued MBT over 12 months was very small due to the high dropout rate, this study is the first quantitative study on the effects of the Korean MBT for BPD patients.

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      목차 (Table of Contents)

      • 서 론 방 법 결 과 고 찰
      • 서 론 방 법 결 과 고 찰
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      참고문헌 (Reference)

      1 윤지호, "한국어판 우울증상평가척도의 신뢰도 및 타당도 연구" 대한우울∙조울병학회 10 (10): 131-151, 2012

      2 배성만, "한국 성인의 대인관계 유능성 척도의 개발과 타당화 연구" 한국상담학회 16 (16): 51-65, 2015

      3 Bender DS, "Treatment utilization by patients with personality disorders" 158 : 295-302, 2001

      4 Zanarini MC, "Treatment histories of borderline inpatients" 42 : 144-150, 2001

      5 Levy KN, "The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy" 62 : 481-501, 2006

      6 Cloninger CR, "The Temperament and Character Inventory (TCI): a guide to its development and use" Center for Psychobiology of Personality, Washing-ton University 1994

      7 Rush AJ, "The Inventory for Depressive Symptomatology(IDS) : preliminary findings" 18 : 65-87, 1986

      8 Min BB, "Temperament and Character Inventory-Family Manual" Maumsarang Co., Ltd 15-33, 2007

      9 Oquendo MA, "Suicide : risk factors and prevention in refractory major depression" 5 : 202-211, 1997

      10 Kellogg SH, "Schema therapy for borderline personality disorder" 62 : 445-458, 2006

      1 윤지호, "한국어판 우울증상평가척도의 신뢰도 및 타당도 연구" 대한우울∙조울병학회 10 (10): 131-151, 2012

      2 배성만, "한국 성인의 대인관계 유능성 척도의 개발과 타당화 연구" 한국상담학회 16 (16): 51-65, 2015

      3 Bender DS, "Treatment utilization by patients with personality disorders" 158 : 295-302, 2001

      4 Zanarini MC, "Treatment histories of borderline inpatients" 42 : 144-150, 2001

      5 Levy KN, "The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy" 62 : 481-501, 2006

      6 Cloninger CR, "The Temperament and Character Inventory (TCI): a guide to its development and use" Center for Psychobiology of Personality, Washing-ton University 1994

      7 Rush AJ, "The Inventory for Depressive Symptomatology(IDS) : preliminary findings" 18 : 65-87, 1986

      8 Min BB, "Temperament and Character Inventory-Family Manual" Maumsarang Co., Ltd 15-33, 2007

      9 Oquendo MA, "Suicide : risk factors and prevention in refractory major depression" 5 : 202-211, 1997

      10 Kellogg SH, "Schema therapy for borderline personality disorder" 62 : 445-458, 2006

      11 Kim JH, "Resilience - a pleasant secret replacing hardship with fortune" Wisdomhouse 2011

      12 Morey LC, "Personality assessment inventory professional manual" Psychological Assessment Resources 1991

      13 Bateman AW, "Mentalization-based treatment for personality disorders. A practical guide" Oxford University Press 2016

      14 Bateman AW, "Mentalization-based treatment for borderline personality disorder: a practical guide" Oxford University Press 2006

      15 Hausberg MC, "Is a self-rated instrument appropriate to assess mentalization in patients with mental disorders? Development and first validation of the mentalization questionnaire (MZQ)" 22 : 699-709, 2012

      16 Reivich K, "He resilience factor: 7 Keys to finding your inner strength and overcoming life’s hurdles" Broadway Books 2003

      17 Bateman AW, "Handbook of mentalizing in mental health practice" American Psychiatric Publishing, Inc 2012

      18 Gunderson JG, "Handbook of good psychiatric management for borderline personality disorder" American Psychiatric Publishing 2014

      19 Skodol AE, "Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder" 159 : 276-283, 2002

      20 Hoffman PD, "Family connections : a program for relatives of persons with borderline personality disorder" 44 : 217-225, 2005

      21 Sanislow CA, "Factor analysis of the DSM-III-R borderline personality disorder criteria in psychiatric inpatients" 157 : 1629-1633, 2000

      22 Cornelius JR, "Disproportionate suicidality in patients with comorbid major depression and alcoholism" 152 : 358-364, 1995

      23 Linehan MM, "Dialectical behavior therapy for borderline personality disorder. Theory and method" 51 : 261-276, 1987

      24 American Psychiatry Association, "Diagnostic and statistical manual of mental disorders" American Psychaitry Association 2013

      25 Gunderson JG, "Current overview of the borderline diagnosis" 48 : 5-14, 1987

      26 National Health and Medical Research Council, "Clinical practice guideline for the management of borderline personality disorder" National Health and Medical Research Council 2012

      27 Soloff PH, "Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder : a comparative study" 157 : 601-608, 2000

      28 Brennan KA, "Attachment theory and close relationships" The Guilford Press 46-76, 1998

      29 Fonagy P, "Attachment and borderline personality disorder. A theory and some evidence" 23 : 103-122, 2000

      30 Fraley RC, "An item response theory analysis of self-report measures of adult attachment" 78 : 350-365, 2000

      31 Fonagy P, "Affect regulation, mentalization and the development of the self" Other Press 2002

      32 Kim SH, "Adaptation of the Experiences in Close Relationships-Revised Scale into Korean: Confirmatory Factor Analysis and Item Response Theory Approaches" Seoul National University 2004

      33 Hong SH, "A validation study of the Borderline Personality Disorder Scale in Korean university students" 17 : 259-271, 1998

      34 Cloninger CR, "A psychobiological model of temperament and character" 50 : 975-990, 1993

      35 송현주, "16-17세 한국 청소년의 정신화 척도 요인구조 탐색" 한국임상심리학회 36 (36): 391-401, 2017

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