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    다면적 인성검사 II 재구성판으로 살펴본 주요우울장애 자살 시도자의 심리적 특성 = Psychological Characteristics of Suicide Attempters with Major Depressive Disorder using the Minnesota Multiphasic Personality Inventory-2 Restructured Form

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    https://www.riss.kr/link?id=A107814197

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Objectives : This study was conducted to investigate differences in psychological characteristics between major depressive disorder (MDD) patients with and without suicide attempt using MMPI-2-RF. Methods : Subjects were 107 MDD patients who had visited the department of psychiatry of hallym university hospital and met the DSM-IV diagnostic criteria of MDD by the korean version of MINI-Plus 5.0.0. The patients were divided into suicidal attempters (n=43) and non-suicidal attempters (n=64) using C-SSRS. The one-way ANOVA was used to compare MMPI-2-RF scale scores between two groups. Additionally, ANCOVA was conducted considering the severity of depressive symptom and comorbidity as covariate. Results : Our results showed that Suicide/Death Ideation (SUI), Inefficacy (NFC) and Interpersonal Passivity (IPP) scales were significantly higher in the MDD patients with suicidal attempt compared to MDD patients without suicidal attempt (p<0.05). However, after controlling for the severity of depressive symptom and comorbidity, SUI scale showed a significant tendency (p<0.10). Conclusions : The result suggests that MMPI-2-RF scales could be a useful tool for identifying patients transitioning to actual suicidal attempts in the moderate or severe major depressive disorder group. Limitations of this study and directions for further research are also discussed.
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    Objectives : This study was conducted to investigate differences in psychological characteristics between major depressive disorder (MDD) patients with and without suicide attempt using MMPI-2-RF. Methods : Subjects were 107 MDD patients who had visit...

    Objectives : This study was conducted to investigate differences in psychological characteristics between major depressive disorder (MDD) patients with and without suicide attempt using MMPI-2-RF. Methods : Subjects were 107 MDD patients who had visited the department of psychiatry of hallym university hospital and met the DSM-IV diagnostic criteria of MDD by the korean version of MINI-Plus 5.0.0. The patients were divided into suicidal attempters (n=43) and non-suicidal attempters (n=64) using C-SSRS. The one-way ANOVA was used to compare MMPI-2-RF scale scores between two groups. Additionally, ANCOVA was conducted considering the severity of depressive symptom and comorbidity as covariate. Results : Our results showed that Suicide/Death Ideation (SUI), Inefficacy (NFC) and Interpersonal Passivity (IPP) scales were significantly higher in the MDD patients with suicidal attempt compared to MDD patients without suicidal attempt (p<0.05). However, after controlling for the severity of depressive symptom and comorbidity, SUI scale showed a significant tendency (p<0.10). Conclusions : The result suggests that MMPI-2-RF scales could be a useful tool for identifying patients transitioning to actual suicidal attempts in the moderate or severe major depressive disorder group. Limitations of this study and directions for further research are also discussed.

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    참고문헌 (Reference)

    1 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구" 대한신경정신의학회 44 (44): 456-465, 2005

    2 정묘순, "청소년 자살시도 예측변인: 자살위기 청소년을 중심으로" 한국청소년정책연구원 25 (25): 145-171, 2014

    3 정지원, "주요우울증에서 자살경향성 : 공존질환의 영향" 대한신경정신의학회 51 (51): 85-92, 2012

    4 남지수, "정신건강의학과 외래 환자 중 자살 고위험 집단의 심리적 특성 : MMPI-2-RF를 이용하여" 한국정신신체의학회 28 (28): 8-19, 2020

    5 류성은, "자살생각자와 자살시도자를 구분해주는 심리적 특성: 습득된 자살잠재력과 기질 변인을 중심으로" 한국임상심리학회 36 (36): 589-603, 2017

    6 전홍진, "우울증과 자살" 대한의사협회 54 (54): 370-375, 2011

    7 박희정, "우울증 환자의 자살 사고에 우울감과 정서지능이 미치는 영향" 대한정신약물학회 25 (25): 107-113, 2014

    8 최재화, "우울증 환자에서 자살 시도 유무에 따른 방어기제와 심리적 특성 차이" 한국정신분석학회 28 (28): 96-106, 2017

    9 이슬아, "우울장애 환자의 자살 시도 여부에 따른 심리적 특성의 차이 : MMPI-2 프로파일을 중심으로" 한국정신신체의학회 20 (20): 40-49, 2012

    10 이수정, "우리나라 성인 자살 관련 외상 경험과 자살태도, 우울, 자기효능감, 사회적 지지와의 관계" 정신간호학회 29 (29): 1-13, 2020

    1 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구" 대한신경정신의학회 44 (44): 456-465, 2005

    2 정묘순, "청소년 자살시도 예측변인: 자살위기 청소년을 중심으로" 한국청소년정책연구원 25 (25): 145-171, 2014

    3 정지원, "주요우울증에서 자살경향성 : 공존질환의 영향" 대한신경정신의학회 51 (51): 85-92, 2012

    4 남지수, "정신건강의학과 외래 환자 중 자살 고위험 집단의 심리적 특성 : MMPI-2-RF를 이용하여" 한국정신신체의학회 28 (28): 8-19, 2020

    5 류성은, "자살생각자와 자살시도자를 구분해주는 심리적 특성: 습득된 자살잠재력과 기질 변인을 중심으로" 한국임상심리학회 36 (36): 589-603, 2017

    6 전홍진, "우울증과 자살" 대한의사협회 54 (54): 370-375, 2011

    7 박희정, "우울증 환자의 자살 사고에 우울감과 정서지능이 미치는 영향" 대한정신약물학회 25 (25): 107-113, 2014

    8 최재화, "우울증 환자에서 자살 시도 유무에 따른 방어기제와 심리적 특성 차이" 한국정신분석학회 28 (28): 96-106, 2017

    9 이슬아, "우울장애 환자의 자살 시도 여부에 따른 심리적 특성의 차이 : MMPI-2 프로파일을 중심으로" 한국정신신체의학회 20 (20): 40-49, 2012

    10 이수정, "우리나라 성인 자살 관련 외상 경험과 자살태도, 우울, 자기효능감, 사회적 지지와의 관계" 정신간호학회 29 (29): 1-13, 2020

    11 양혁, "대학생의 스트레스와 우울 및 자살 실행 가능성의 관계: 공황증상 동반에 따른 다집단 분석" 한국상담심리학회 32 (32): 873-896, 2020

    12 Joiner TE, "Why people die by suicide" Harvard University Press 2005

    13 Yoo SW, "Validity of Korean version of the miniinternational neuropsychiatric interview" 2 : 50-55, 2006

    14 Anestis JC, "The utility of MMPI-2-RF substantive scales in prediction of negative treatment outcomes in a community mental health center" 22 : 23-35, 2015

    15 Glassmire DM, "The utility of MMPI-2 suicide items for assessing suicidal potential : development of a suicidal potential scale" 8 : 281-290, 2001

    16 Sherer M, "The self-efficacy scale : construction and validation" 51 : 663-671, 1982

    17 Youngren MA, "The functional relation between depression and problematic interpersonal behavior" 89 : 333-341, 1980

    18 Gottfried E, "The clinical utility of the MMPI-2-RF Suicidal/Death Ideation Scale" 26 : 1205-1211, 2014

    19 Sheehan DV, "The Mini-International Neuropsychiatric Interview(MINI) : the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10" 59 : 22-33, 1998

    20 Chioqueta AP, "Suicide risk in outpatients with specific mood and anxiety disorders" 24 : 105-112, 2003

    21 Stanley B, "Suicidal subtypes, stress responsivity and impulsive aggression" 280 : 1249-1254, 2019

    22 Kandel DB, "Suicidal ideation in adolescence : Depression, substance use, and other risk factors" 20 : 289-309, 1991

    23 Kobayashi Y, "Self-efficacy as a suicidal ideation predictor : a population cohort study in rural Japan" 5 : 61-71, 2015

    24 Venables NC, "Psychoneurometric assessment of dispositional liabilities for suicidal behavior : phenotypic and etiological associations" 48 : 463-472, 2018

    25 Rothmann S, "Psychological strengths, coping and suicide ideation in the South African Police Services in the North West Province" 28 : 39-49, 2002

    26 Brent DA, "Psychiatric risk factors for adolescent suicide : a case-control study" 32 : 521-529, 1993

    27 "OECD.Sat" Organisation for Economic Co-operation and Development

    28 Rogers ML, "Negative emotions in veterans relate to suicide risk through feelings of perceived burdensomeness and thwarted belongingness" 208 : 15-21, 2017

    29 Butcher JN., "Minnesota multiphasic personality inventory-2:manual for administration, scoring, and interpretation" University of Minnesota Press 2001

    30 Lewinsohn PM, "Major depression in community adolescents : age at onset, episode duration, and time to recurrence" 33 : 809-818, 1994

    31 문경주, "MMPI-2-RF 척도로 본대학생 자살 위험군의 심리적 특성" 한국임상심리학회 34 (34): 809-827, 2015

    32 Han K, "MMPI-2-RF : technical manual" Maumsarang 2011

    33 Ben-Porath YS, "MMPI-2-RF : manual for administration, scoring and interpretation" University of Minnesota Press 2008

    34 Tellegen A, "MMPI-2 Restructured Clinical (RC)scales: development, validation, and interpretation" University of Minnesota Pres 2003

    35 Fairweather-Schmidt AK, "Is suicidality distinguishable from depression? Evidence from a community-based sample" 43 : 208-215, 2009

    36 Beck AT, "Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression" 23 : 139-145, 1993

    37 Posner K, "Factors in the assessment of suicidality in youth" 12 : 156-162, 2007

    38 Miller SN, "Distinguishing levels of suicide risk in depressed male veterans : the role of internalizing and externalizing psychopathology as measured by the MMPI-2-RF" 26 : 85-98, 2019

    39 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorder" American Psychiatric Press 160-162, 2013

    40 Hamilton MAX, "Development of a rating scale for primary depressive illness" 6 : 278-296, 1967

    41 Dobscha SK, "Correlates of suicide among veterans treated in primary care : case–control study of a nationally representative sample" 29 : 853-860, 2014

    42 Kopper BA, "Clinical utility of the MMPI-A content scales and Harris-Lingoes subscales in the assessment of suicidal risk factors in psychiatric adolescents" 54 : 191-200, 1998

    43 Glassmire DM, "Clinical utility of the MMPI-2-RF SUI items and scale in a forensic inpatient setting : association with interview self-report and future suicidal behaviors" 28 : 1502-1059, 2016

    44 Spirito A, "Clinical utility of the MMPI in the evaluation of adolescent suicide attempters" 52 : 204-211, 1988

    45 Anestis JC, "Burdensomeness, belongingness, and capability : assessing the interpersonal-psychological theory of suicide with MMPI-2-RF Scales" 25 : 415-431, 2018

    46 Valois RF, "Association between adolescent suicide ideation, suicide attempts and emotional self-efficacy" 24 : 237-248, 2015

    47 Kim S, "Assessment of suicidal risk using Minnesota multiphasic personality inventory-2 restructured form" 20 : 1-10, 2020

    48 Ferster CB, "A functional analysis of depression" 28 : 857-870, 1973

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